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Intranasal esketamine combo tied to symptom improvement

Key clinical point: Pivotal study reports a modest benefit to symptoms when inhaled esketamine is combined with a new antidepressant in treatment-resistant depression.

Major finding: Combining esketamine with a new antidepressant led to a small improvement in symptoms, compared with the antidepressant alone (effect size, 0.30).

Study details: Results of a randomized, controlled trial (n = 223).

Disclosures: The study was funded by Janssen Research and Development. Dr. Sanacora was an investigator on previous Janssen-funded studies and has consulted for Janssen. Dr. Schatzberg has received research support from and consulted for Janssen, and has consulted for numerous other companies. Dr. Thase has received research support from Janssen and consulted for a wide range of pharmaceutical companies.

Citation:

Popova V et al. APA 2019, Am J Psychiatry. 2019 May. doi: 10.1176/appi.ajp.2019.19020172.