Ketamine Infusion Therapy for Australian Veterans with Treatment Resistant Depression and Post-Traumatic Stress Disorder
Open-label, interventional single-group study (n=100) delivering six IV ketamine infusions over two weeks (induction; 0.2–0.5 mg/kg initial titrated to 1.0 mg/kg; ~40 min per infusion) followed by up to six maintenance infusions every 3–6 weeks for Australian veterans with TRD and PTSD.
Detailed Description
This non‑randomised, open‑label study delivers an induction course of six intravenous ketamine infusions over two weeks (Mon/Wed/Fri) with doses set by the anaesthetist (initial 0.2–0.5 mg/kg, titrating to a maximum of 1.0 mg/kg) and each infusion administered over approximately 40 minutes.
Participants may receive up to six maintenance infusions every 3–6 weeks based on clinical response; infusions are delivered in a hospital setting by an anaesthetist with nursing monitoring during and for 60 minutes post‑infusion.
Outcomes include change in depression symptoms and suicidality measured at baseline, mid‑treatment and multiple follow‑up points up to approximately six months post‑induction.
Study Protocol
Preparation
Dosing
Integration
Therapeutic Protocol
Study Arms & Interventions
Ketamine infusion
experimentalOpen-label single-group induction (6 infusions over 2 weeks) then up to 6 maintenance infusions (every 3–6 weeks) delivered IV in hospital by an anaesthetist.
Interventions
- Ketamine0.2 - 1 mg/kgvia IV• induction then maintenance• 12 doses total
Induction: six infusions (Mon/Wed/Fri) over 2 weeks; initial infusion 0.2–0.5 mg/kg (determined by anaesthetist) titrated to max 1.0 mg/kg; each infusion over ~40 minutes. Maintenance: up to six infusions delivered every 3–6 weeks based on clinical response.
Participants
Inclusion Criteria
- Adults eligible for the ReviveMed treatment program diagnosed with major depressive disorder or post‑traumatic stress disorder who have not previously responded to pharmacological treatment such as SSRIs, SNRIs, TCAs, MAOIs, or other selected antipsychotic medications.
Exclusion Criteria
- 1. Inability to provide written informed consent and fail (≥80%) a 10‑item comprehension assessment related to study goals, risks, and benefits.
- 2. Not eligible for ketamine treatment as determined by the treating psychiatrist for ReviveMed.
Study Details
- StatusNot yet recruiting
- PhasePhase NA
- Typeinterventional
- DesignNon-randomized
- Target Enrollment100 participants
- TimelineStart: 2025-02-11End: 2025-12-31
- Compound
- Topic