Ketamine vs. ECT: which stops suicidal thoughts faster?

NCT ID NCT06034821

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study compares two treatments—electroconvulsive therapy (ECT) and intravenous ketamine—for quickly reversing acute suicidal depression in 1,500 adults aged 18 to 90. Participants are randomly assigned to receive either ECT or ketamine twice a week for up to four weeks. The main goal is to see which treatment reduces suicidal thoughts more effectively and safely.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

ketamine (intravenous infusion)

What this could lead to

If this trial succeeds, it could show that ketamine is as good as or better than ECT for quickly stopping suicidal thoughts, offering a less invasive treatment option.

What could go wrong

This is a large Phase 4 study, but it's open-label (no placebo), so results may be biased. Ketamine can cause side effects like dissociation and blood pressure changes, and not everyone may respond.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

major depressive disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Center for Addiction and Mental Health (University of Toronto)

    Toronto, Ontario, M6J 1H4, Canada

  • Cleveland Clinic

    Cleveland, Ohio, 44195, United States

  • Johns Hopkins University

    Baltimore, Maryland, 21287, United States

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114, United States

  • McLean Hospital

    Belmont, Massachusetts, 02478, United States

  • Mount Sinai School of Medicine

    New York, New York, 10029, United States

  • UC San Francisco

    San Francisco, California, 94143, United States

  • UTHealth Houston

    Houston, Texas, 77030, United States

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213, United States

  • University of Utah

    Salt Lake City, Utah, 84132, United States