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Metabolomic correlates of intravenous racemic ketamine in treatment-resistant major depressive disorder: the Bio-K/NNDC multicenter trial

2026-09-06 β€’ Blossom Pulse: Papers

Article summary

This multisite open-label study (n=69) examined intravenous racemic ketamine (35 mg/70 kg) given in three infusions to adults with treatment-resistant depression, finding that depressive symptoms improved and 54% reached remission. Ketamine was linked to widespread changes in metabolites involved in energy production, neurotransmitters and stress hormones, but no metabolite reliably predicted symptom improvement.

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