Ketamine versus midazolam in bipolar depression with suicidal thoughts: A pilot midazolam-controlled randomized clinical trial.
Michael F GrunebaumSteven P EllisJohn G KeilpVivek K MoitraThomas B CooperJulia E MarverAinsley K BurkeMatthew S MilakM Elizabeth SubletteMaria A OquendoJ John MannPublished in: Bipolar disorders (2017)
The study demonstrated feasibility. Suicidal thoughts were lower after ketamine than after midazolam at a trend level of significance, likely due to the small pilot sample. Memory improvement and BDNF are promising biomarkers. Replication is needed in an adequately powered full-scale trial.