Evidence map›Paper›PMID 36895443›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Local Injection for Treating Mood Disorders (LIFT-MOOD): A Pilot Feasibility RCT of Stellate Ganglion Block for Treatment-Resistant Depression.

David Sussman, Vanessa K Tassone, Fatemeh Gholamali Nezhad, Michelle Wu, Fathima Adamsahib, Gabriella F Mattina, Janneth Pazmino-Canizares, Ilya Demchenko, Hyejung Jung, Wendy Lou and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04727229 (Stellate Ganglion Block for Major Depressive Disorder), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

NCT04727229 phase4completednot on this map

Stellate Ganglion Block for Major Depressive Disorder: A Randomized Controlled Pilot Trial

TypeinterventionalSponsorUnity Health TorontoRan2021 to 2022Enrolled10ConditionsTreatment Resistant Depression, Major Depressive DisorderArmsBupivacaine Hydrochloride, Normal Saline
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

12 authors at 2 institutions in 1 country.

David SussmanDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Vanessa K TassoneInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-9208-8809
Fatemeh Gholamali NezhadInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Michelle WuInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Fathima AdamsahibInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Gabriella F MattinaDepartment of Anesthesia, St. Michael's Hospital, Toronto, Ontario, Canada.
Janneth Pazmino-CanizaresDepartment of Anesthesia, St. Michael's Hospital, Toronto, Ontario, Canada.
Ilya DemchenkoInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-7876-4981
Hyejung JungDepartment of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Wendy LouDepartment of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Karim S LadhaDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Venkat BhatInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8768-1173
St. Michael's Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With nearly one-third of patients with major depressive disorder being resistant to available antidepressants, there is a need to develop new treatments for this population. Stellate ganglion block (SGB) is a procedure used to block sympathetic input to the central autonomic system; it has been administered to treat several conditions, including pain. Recently, indications for SGB have extended and the potential benefits for psychiatric disorders are under investigation. Methods: The Local Injection For Treating Mood Disorders (LIFT-MOOD) study investigated the feasibility of a trial of 2 right-sided injections of bupivacaine 0.5% (7 mL) at the stellate ganglion in participants with treatment-resistant depression (TRD) using a randomized, placebo-controlled, pilot trial. Ten participants were randomized in a 1:1 allocation to receive active treatment or placebo (saline). Primary feasibility outcomes included recruitment rate, withdrawal, adherence, missing data, and adverse events. As a secondary, exploratory objective, we explored the efficacy of SGB in improving symptoms of depression by calculating the change in scores from baseline to follow-up on day 42 for each treatment group. Results: The recruitment rate was reasonable and sufficient, retention and adherence were high, missing data were low, and adverse events were mild and temporary. Both treatment groups demonstrated decreases in Montgomery-Åsberg Depression Rating Scale scores, compared to baseline, by the end of the study. Conclusion: This study supports the feasibility of a confirmatory trial of SGB in participants with TRD. Conclusions regarding efficacy cannot be made based on this preliminary study due to the small number of participants who completed active treatment. Larger-scale randomized controlled trials with long-term follow-ups and alternate sham procedures are needed to assess the efficacy and duration of symptom improvement with the use of SGB in TRD.

Indexed as

anesthesiadepressionstellate ganglionstellate ganglion blocksympathetic blocktreatment-resistant depression

Identifiers

PMID36895443
PMCPMC9989395
OpenAlexW4323058173

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.