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Longer course of esketamine nasal spray benefits initial treatment nonresponders

The Brown University Psychopharmacology Update November 1, 2021 DOI: 10.1002/pu.30792 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Post hoc analysis of two Phase 3 studies Peer reviewed
Population Patients with treatment-resistant depression who did not respond within the first week of treatment
Interventions Esketamine nasal spray oral antidepressant
Duration 4 weeks
Topics Esketamine
Key points Extending adjunctive esketamine nasal spray treatment over 4 weeks showed benefit in patients with treatment-resistant depression who did not respond within the first week. The researchers suggest that a full 4-week induction of esketamine with an oral antidepressant may optimize treatment outcomes.

Abstract

Extending adjunctive treatment with esketamine nasal spray over 4 weeks showed benefit in a group of patients with treatment‐resistant depression who did not respond within the first week of treatment, a post hoc analysis of two Phase 3 studies has found. The results suggest that a full 4‐week induction of esketamine with an oral antidepressant may optimize treatment outcomes, the researchers stated. Results of the analysis were published online July 20, 2021, in the Journal of Clinical Psychiatry.

Comparable studies

Other observational and cohort studies on esketamine, most cited first.

Study Year Design Participants
Treating bipolar depression with esketamine: Safety and effectiveness data from a naturalistic multicentric study on esketamine in bipolar versus unipolar treatment‐resistant depression Patients with treatment-resistant bipolar depression (B-TRD) and unipolar... 2023 Observational cohort n = 70
Comparative Effectiveness of Intravenous Ketamine and Intranasal Esketamine in Clinical Practice Among Patients With Treatment-Refractory Depression: An Observational Study. Adults with treatment-resistant depression 2023 Observational study n = 62
Predicting outcome with Intranasal Esketamine treatment: A machine-learning, three-month study in Treatment-Resistant Depression (ESK-LEARNING) Treatment-resistant depression patients 2023 Retrospective, multicentric, real-world study n = 149
Esketamine in treatment-resistant depression patients comorbid with substance-use disorder: A viewpoint on its safety and effectiveness in a subsample of patients from the REAL-ESK study Patients with treatment-resistant depression and a substance use disorder 2023 Observational, retrospective, multicentre study n = 26
Rapid infusion of esketamine for unipolar and bipolar depression: a retrospective chart review Patients with treatment-resistant depression and bipolar depression meeting DSM-IV-TR... 2017 Retrospective observational study n = 27

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