Phase 2
Completed N=24
Inhaled Nitrous Oxide for Treatment-Resistant Depression: Optimizing Dosing Strategies
Depressive Disorder, Major · Depressive Disorder, Treatment-Resistant
Source: ClinicalTrials.gov NCT03283670 ↗
Enrolled (actual)
24
Serious AEs
0.0%
Results posted
Apr 2022
Primary outcomePrimary: Change in Depression Symptoms Measured by the Hamilton Depression Rating Scale- 21 Items — -3.0; -3.8; -3.9; -4.0 score on a scale — p=0.55
Summary
The purpose of the study aims to determine whether different concentrations of nitrous oxide (N2O) have different antidepressant effects for adults with treatment-resistant major depression.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Depression Symptoms Measured by the Hamilton Depression Rating Scale- 21 Items |
-3.0; -3.8; -3.9; -4.0; -5.5; -6.0 | 0.55 |
Eligibility Criteria
Inclusion Criteria
- Adults 18-75 years of age;
- Current diagnosis of unipolar major depressive disorder (MDD) without psychosis as confirmed by structured clinical interview for DSM-IV disorders;
- A score of >= 9 on the Montgomery-Åsberg Depression Rating Scale (MADRS);
- Documented (i.e., chart review) lifetime failure to respond to >=3 adequate dose/duration antidepressant treatment trials, ≥1 medication failure in the current depressive episode;
- Good command of the English language.
Exclusion Criteria
- Meets criteria for any DSM-IV diagnosis for schizophrenia, bipolar, schizoaffective, obsessive-compulsive, personality, or panic disorders;
- Any recent (within past 12 months) history of substance dependence or abuse (except tobacco), determined by reported history or urine drug screen;
- Ability to become pregnant and not using effective contraception;
- Contraindication against the use of nitrous oxide:
- Pneumothorax
- Bowel obstruction
- Middle ear occlusion
- Elevated intracranial pressure
- Chronic cobalamin and/or folate deficiency treated with folic acid or vitamin B12
- Pregnant patients
- Breastfeeding women
- Inability to provide informed consent;
- Any other factor that in the investigators' judgment may affect patient safety or compliance
Data sourced from ClinicalTrials.gov (NCT03283670). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.