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Recruiting Observational

Esketamine Nasal Spray in Real-World Settings in Treatment-Resistant Depression

NCT07146503 · tracked via the Priya Life Science Italy tracker
Sponsor
Riccardo Guglielmo
Phase
Observational
Started
2022-11-01
Last updated
2026-03-31

Condition(s) studied

Depression and Quality of LifeTreatment Resistant Depression (TRD)AnhedoniaApathyAnxietyCognitionTemperamentPsychiatric Comorbidities

Investigational drug(s) / intervention(s)

Esketamine (Intranasal Spray) →

Esketamine (Intranasal Spray): Esketamine Intranasal Spray at a dosage ranging from 28 to 84 mg weekly, with twice-weekly administration during the first month of treatment, according to the approved labeling

Study summary

This observational study investigates the use of Esketamine Intranasal Spray in patients with Treatment-Resistant Depression in Real-World Settings. The study aims to evaluate the clinical outcomes, including efficacy and safety, of esketamine treatment. It also explores predictors of treatment response, focusing on biological pathways such as genetics, neuroimaging, and psychophysical measures. Additionally, the study examines how esketamine impacts patients' life functioning, including social and occupational aspects. The goal is to better understand who benefits most from esketamine and how it affects daily life, to improve personalized care for patients with difficult-to-treat depression.

Eligibility

Sex
ALL
Min age
18 Years
Max age
74 Years
Healthy volunteers
No
Inclusion criteria were: (a) age 18-74, (b) DSM-5 diagnosis of a major depressive episode (MDE), (c) failure to respond to at least 2 prior antidepressant treatments (ADTs), and (d) current treatment with an SSRI or SNRI for which esketamine nasal spray was deemed appropriate.

Primary outcome measure(s)

  • Predictive Factors of Treatment Response: Biological, Clinical, and Social Dimensions — Time Frame: from enrollment to one year of treatment
    MADRS, HAM-D, HAM-A, TCI-R, BPRS, AES, SHAPS, EQ-5D-5L, BDI-II, WPAI-D, SDS, TEMPS

Trial sites (5)

FacilityCityRegionStatus
Ospedale Policlinico San Martino Genova Ge Recruiting
Csm Dds 8 Genova Ge Recruiting
Università di Chieti Chieti Italy Recruiting
ASST Fatebenefratelli Sacco Milan Italy Recruiting
ASST Pavia Pavia Italy Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07146503 on ClinicalTrials.gov ↗ ← All trials in Italy