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Serial ketamine infusions not effective as adjunctive care for depression

The Brown University Psychopharmacology Update January 24, 2026 DOI: 10.1002/pu.31401 via OpenAlex

Summary

AI-generated from the abstract

A randomized trial found that up to eight infusions of ketamine were not more effective than a psychoactive placebo (midazolam) in reducing depressive symptoms among patients receiving inpatient treatment for depression. Patients receiving ketamine also showed no improvement relative to those receiving midazolam on measures of cognition and quality of life. The results suggest that ketamine does not provide additional benefit over a psychoactive placebo in this inpatient setting.

Study at a glance

Characteristics Randomized controlled trial Peer reviewed
Population Patients receiving inpatient treatment for depression
Interventions Ketamine Midazolam
Topics Ketamine
Keywords Depression economics Placebo Midazolam Randomized controlled trial
Key finding Up to eight infusions of ketamine were not more effective than a psychoactive placebo (midazolam) in reducing depressive symptoms or improving cognition and quality of life in patients receiving inpatient treatment for depression.

Abstract

Up to eight infusions of ketamine were not more effective than a psychoactive placebo in reducing depressive symptoms in patients receiving inpatient treatment for depression, a randomized trial has found. Patients receiving ketamine also showed no improvement relative to those receiving midazolam on measures of cognition and quality of life. Study results were published online Oct. 22, 2025 in JAMA Psychiatry .

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