Evidence map›Paper›PMID 40879542›Full record

Observational studyNeuropsychopharmacology reports2025

Nonresponse to Ketamine in Treatment-Resistant Bipolar Depression.

Zofia Kachlik, Wiesław Jerzy Cubała, Michał Walaszek, Michał Pastuszak, Krzysztof Pastuszak, Aleksander Kwaśny

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in Neuropsychopharmacology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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
–field-weighted citation impact
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.

NCT04226963 completednot on this map

A Naturalistic Study of Ketamine for Treatment Resistant Mood Disorders: Gdansk Depression Ketamine Project

Typeobservational_patient_registrySponsorMedical University of GdanskRan2019 to 2022Enrolled80ConditionsTreatment Resistant Depression, Bipolar Depression, Ketamine, Major Depressive DisorderArmsKetamine
NCT05565352 enrolling by invitationnot on this map

Ketamine Treatment Safety and Tolerability in Psychiatric Inpatient Care Delivered at Depatment of Psychiatry, Medical University of Gdańsk, Poland

TypeobservationalSponsorMedical University of GdanskRan2022 to 2029Enrolled140ConditionsMajor Depressive Disorder, Post Traumatic Stress Disorder, Obsessive-Compulsive Disorder, Somatoform DisordersArmsKetamine Hydrochloride
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Observational
  4. Ketamine dosing formula in treatment-resistant bipolar depression.Therapeutic advances in psychopharmacology · 2025
    Article
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

6 authors.

Zofia KachlikDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland.ORCID https://orcid.org/0009-0000-4482-1191
Wiesław Jerzy CubałaDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland.ORCID https://orcid.org/0000-0001-6343-8454
Michał WalaszekDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland.ORCID https://orcid.org/0009-0001-6105-1528
Michał PastuszakDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland.ORCID https://orcid.org/0000-0002-5132-9426
Krzysztof PastuszakDepartment of Algorithms and System Modeling, Gdansk University of Technology, Gdańsk, Poland.ORCID https://orcid.org/0000-0002-5562-0114
Aleksander KwaśnyDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland.ORCID https://orcid.org/0009-0007-4061-775X

Funding

Gdański Uniwersytet Medyczny 01-10025/0008245/01/MPK/MPK/0/2025
6 · The paper itself

Abstract

objectivesKetamine is a prototypical rapid-acting antidepressant for treatment-resistant bipolar depression (TRBD), yet many patients do not achieve a meaningful response. This study explored features of ketamine nonresponse in TRBD.

methodsIn a post hoc analysis of a naturalistic study, 35 TRBD patients received a four-week ketamine regimen (intravenous 0.5 mg/kg or oral 2.0/2.5 mg/kg). Response was measured using the Montgomery-Åsberg Depression Rating Scale, and baseline sociodemographic and clinical features were compared between responders and nonresponders.

resultsFourteen patients (40%) were nonresponders. They had a higher median number of psychiatric comorbidities (2 vs. 1; p = 0.0366), were more likely to have any psychiatric comorbidity (78.6% vs. 33.3%; p = 0.0153), and had greater prior benzodiazepine use (64.3% vs. 23.8%; p = 0.0332). No significant links emerged between individual comorbidities or baseline suicidality and response.

conclusionKetamine demonstrates a favorable safety and tolerability profile for short time use in TRBD regardless of isolated baseline characteristics, although a more severe comorbidity burden and benzodiazepine use appear to be associated with nonresponse.

trial registrationNCT04226963 and NCT05565352.

Indexed as

Antidepressive AgentsBipolar DisorderDepressive Disorder, Treatment-ResistantKetamineAdultFemaleHumansMaleMiddle AgedTreatment OutcomeAntidepressive AgentsKetaminebipolar disorderdepressionketaminepsychopharmacologytreatment resistance

Identifiers

PMID40879542
PMCPMC12277043

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.