Evidence map›Paper›PMID 38523183›Full record

Trial reportMolecular psychiatry2024

Oral esketamine in patients with treatment-resistant depression: a double-blind, randomized, placebo-controlled trial with open-label extension.

Sanne Y Smith-Apeldoorn, Jolien K E Veraart, Jeanine Kamphuis, Jan Spijker, Annemarie van der Meij, Antoinette D I van Asselt, Marije Aan Het Rot, Robert A Schoevers

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Molecular psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Safety and tolerance of oral ketamine: A systematic review.Psychiatry and clinical neurosciences · 2026
    Pooled it
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  6. Psychedelics in treatment-resistant depression: a comprehensive review of mechanisms, clinical evidence, and recommendations.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
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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

8 authors at 4 institutions in 1 country.

Sanne Y Smith-Apeldoorn *Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. s.y.apeldoorn@umcg.nl.
Jolien K E Veraart *Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Jeanine KamphuisDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Jan SpijkerDepression Expertise Center, Pro Persona Mental Health Care, Nijmegen, The Netherlands.
Annemarie van der MeijDepression Expertise Center, Pro Persona Mental Health Care, Nijmegen, The Netherlands.
Antoinette D I van AsseltDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Marije Aan Het RotDepartment of Psychology, University of Groningen, Groningen, The Netherlands.
Robert A SchoeversDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-0760-9866
University Medical Center Groningen · NLPro Persona · NLRadboud University Nijmegen · NLUniversity of Groningen · NL

Funding

ZonMw (Netherlands Organisation for Health Research and Development) 80-83600-98-3074
6 · The paper itself

Abstract

About one-third of patients with depression do not achieve adequate response to current treatment options. Although intravenous and intranasal administrations of (es)ketamine have shown antidepressant properties, their accessibility and scalability are limited. We investigated the efficacy, safety, and tolerability of generic oral esketamine in patients with treatment-resistant depression (TRD) in a randomized placebo-controlled trial with open-label extension. This study consisted of 1) a six-week fixed low-dose treatment phase during which 111 participants received oral esketamine 30 mg or placebo three times a day; 2) a four-week wash-out phase; and 3) an optional six-week open-label individually titrated treatment phase during which participants received 0.5 to 3.0 mg/kg oral esketamine two times a week. The primary outcome measure was change in depressive symptom severity, assessed with the Hamilton Depression Rating Scale (HDRS

Indexed as

Antidepressive AgentsDepressive Disorder, Treatment-ResistantKetamineAdministration, OralAdultDepressionDouble-Blind MethodFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesTreatment OutcomeAntidepressive AgentsEsketamineKetamine

Identifiers

PMID38523183
OpenAlexW4393154295

What OpenQuestion holds

Textmetadata
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.