Ketamine plus talk therapy shows promise for stubborn depression
NCT ID NCT07706478
First seen Jul 15, 2026 · Last updated Jul 16, 2026 · Updated 1 time
Summary
This trial tests a treatment called ketamine-assisted psychotherapy (KAP) for people with treatment-resistant depression. Participants receive intravenous ketamine along with psychological support and integration sessions. The goal is to see if this combination helps improve emotional processing and leads to lasting relief from depression.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ketamine combined with psychotherapy
- What this could lead to
- If successful, this could offer a new treatment option for people with depression that hasn't responded to standard therapies.
- What could go wrong
- This is an early-stage, open-label trial with no placebo group, so results may be influenced by expectation. Ketamine can cause side effects like dissociation and blood pressure changes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Jan 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Clients of Senz with TRD who are eligible for IV ketamine treatment (KAP)
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults (18 years and older) * TRD * A MADRS score above the established clinical cut-off, indicating clinically significant depressive symptoms * Insufficient response to at least two adequate antidepressant treatment trials and one evidence-based psychotherapy, or failure to achieve adequate improvement following at least three consecutive treatment steps in accordance with the Dutch Multidisciplinary Guideline for Depression Exclusion Criteria: * Current substance use disorder or recent illicit drug use * Substance use disorder not in remission for at least 3 months * Inability to abstain from alcohol for 24 hours before and after treatment * Acute suicidality * Current or past psychotic disorder * Significant neurological disorders (e.g., epilepsy, elevated intracranial pressure) * Uncontrolled hypertension or medical conditions associated with increased cardiovascular or cerebrovascular risk (e.g., aneurysms, recent myocardial infarction or intracerebral hemorrhage) * Significant bladder disease (e.g., cystitis) * Severe hepatic impairment * Pregnancy, breastfeeding, or ongoing IVF treatment * Extreme underweight or obesity where treatment is deemed medically unsafe Inability to arrange an accompanying adult for transport and support after treatment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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SENZ
RECRUITINGDoorn, Utrecht, 3941ZS, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Biotype-assigned augmentation approach in resistant Late-Life depression (BAARD): a randomized controlled trial
- Neural and antidepressant effects of propofol
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- Can a psychedelic drug lift depression that won't budge?
- Can a 6,000-Person study unlock personalized depression care for asians?
- A Brain-Stimulation showdown: can accelerated therapy outpace standard care for depression?