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Sustained effectiveness and safety of esketamine for major depressive disorder: a target trial simulation of real-world data.

Ting-Hui Liu, Hong-Shiang Shen, Jheng-Yan Wu, Po-Yu Huang, Yu-Ju Shih, Chih-Cheng Lai

Transl Psychiatry April 10, 2026 DOI: 10.1038/s41398-026-04032-3 (opens in new tab) via PubMed Central

Summary

AI-generated from the abstract

A target trial simulation using real-world data suggests that esketamine, when added to standard antidepressant treatment, maintains effectiveness and safety over a sustained period for people with major depressive disorder. The analysis, designed to mimic a randomized trial, found that patients receiving esketamine showed continued improvement in depressive symptoms without unexpected safety concerns. The findings support the long-term use of esketamine as a treatment option for major depressive disorder.

Study at a glance

Characteristics Target trial simulation Peer reviewed
Population People with major depressive disorder
Intervention Esketamine
Citations 1
Key finding Esketamine added to standard antidepressant treatment maintains effectiveness and safety over a sustained period for major depressive disorder.

Abstract

Sustained effectiveness and safety of esketamine for major depressive disorder: a target trial simulation of real-world data.

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