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Esketamine monotherapy efficacious in treatment‐resistant depression

The Brown University Psychopharmacology Update November 1, 2025 DOI: 10.1002/pu.31369 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Population Adults with treatment-resistant depression
Intervention Intranasal esketamine
Dose 56 and 84 mg
Duration 4-week trial
Topics Depression Esketamine
Key findings Twice-weekly intranasal esketamine at 56 and 84 mg significantly improved depressive symptoms compared with placebo in adults with treatment-resistant depression.

Abstract

Twice‐weekly dosing of intranasal esketamine resulted in significant improvement in depressive symptoms compared with placebo in adults with treatment‐resistant depression, a 4‐week trial has found. Esketamine doses of 56 and 84 mg both outperformed ­placebo in the post‐marketing trial. Study results were published online July 2, 2025, in JAMA Psychiatry.