Evidence map›Paper›PMID 36678528›Full record

ArticlePharmaceuticals (Basel, Switzerland)2022

Impact of Repeated Doses of Subcutaneous Esketamine on Acute Dissociative Symptoms in Treatment-Resistant Depression.

Lorena Catarina Del Sant, Luciana Maria Sarin, Ana Cecília Lucchese, Eduardo Jorge Muniz Magalhães, Marco Aurélio Tuena, Carolina Nakahira, José Alberto Del Porto, Acioly Luiz Tavares De Lacerda, Jair de Jesus Mari

Open access · goldAbstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Lorena Catarina Del SantDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
Luciana Maria SarinDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
Ana Cecília LuccheseDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
Eduardo Jorge Muniz MagalhãesDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
Marco Aurélio TuenaDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
Carolina NakahiraDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
José Alberto Del PortoDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.
Acioly Luiz Tavares De LacerdaDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.ORCID 0000-0002-9370-0449
Jair de Jesus MariDepartment of Psychiatry, Federal University of São Paulo, São Paulo 04017-030, Brazil.ORCID 0000-0002-5403-0112
Universidade Federal de São Paulo · BR

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) Finance Code 001
6 · The paper itself

Abstract

backgroundEsketamine has been approved by the US Food and Drug Administration (FDA) as an adjunctive treatment for use in conjunction with an oral antidepressant for patients with treatment-resistant depression (TRD), but dissociative symptoms are common adverse effects.

methodsA retrospective analysis of 394 subcutaneous esketamine injections given to 70 patients with TRD that were administered once a week during a six-week trial in conjunction with oral antidepressant therapy. Doses between 0.5 to 1.0 mg/kg were administered according to the patient's response. Dissociative symptoms were assessed using the Clinician-Administered Dissociative States Scale (CADSS) 30 and 60 min after every weekly treatment (day 1, 8, 15, 22, 29 and 36).

resultsSeventy patients received a total of 394 subcutaneous esketamine injections over six weeks. Over time, the evolution of CADSS scores demonstrated a significant mean difference of CADSS at 60 min post-injection (

conclusionsOur results suggest that repeated subcutaneous esketamine doses are safe and well-tolerated regarding their acute dissociative and psychotomimetic symptoms. Symptoms usually peak at 30 min and decrease at 60 min post-injection, returning to their pretreatment levels at 120 min. Dissociative symptoms do not correlate with antidepressant response.

Indexed as

dissociationesketaminetreatment resistant depression

Identifiers

PMID36678528
PMCPMC9861342
OpenAlexW4313260030

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.