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CompletedNCT04860661EKETUpdated Aug 6, 2024

Esketamine on Postpartum Depression in Cesarean Section Women

An interventional study of Esketamine and Normal saline in Esketamine and Postpartum Depression, sponsored by Ailin Luo. Completed at 1 site in China. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2024-08-06.

Sponsored by Ailin Luo · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
336
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

This study was to explore the preventive effect of esketamine on postpartum depression (PPD) in cesarean section, and to evaluate the safety of the drug

Read the detailed description

Studies have shown that esketamine can treat clinical refractory depression, the drug takes effect quickly, can quickly eliminate the patient's suicide intention, low-dose maintenance treatment is conducive to the stability of the patient's condition, and less adverse reactions, is the current hot spot of antidepressant drug research. Esketamine has been approved by FDA for the treatment of refractory and suicidal depression, but can it effectively prevent and treat postpartum depression? It is not clear. Based on this, this study aims to explore the preventive effect of prophylactic administration of esketamine on postpartum depression in cesarean section, and evaluate the safety of the drug.

02

Conditions studied

  • Esketamine
  • Postpartum Depression
03

In context

Depression, Postpartum

528 studies on the registry are indexed under Depression, Postpartum; 124 are open to participants now.

This study's enrollment of 336 is above the median of 105 across 425 interventional studies indexed under Depression, Postpartum.

Browse Depression, Postpartum studies →

Lead sponsor

Ailin Luo is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Elective cesarean section;
  • 18-40 years;
  • Primipara;
  • Singleton pregnancy;
  • Sign informed consent.

Exclusion criteria

Exclusion Criteria:

  • American Society of Anesthesiologists (ASA) grade III and above;
  • Intracranial hypertension;
  • Hypertension;
  • Severe heart disease;
  • Hyperthyroidism patients without treatment or insufficient treatment;
  • Liver and kidney dysfunction;
  • Preeclampsia or eclampsia;
  • Mental disorder, mental retardation;
  • Drug abuse and alcoholism;
  • Contraindication of intraspinal anesthesia;
  • The preoperative EPDS score ≥10;
  • Participated in other clinical studies.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
336 participants (actual)

Study arms

  • Placebo comparator
    N group

    15 minutes after umbilical cord amputation, the patient was intravenously injected with 10 ml normal saline

    Drug: Normal saline

  • Experimental
    Es group

    15 minutes after umbilical cord amputation, the patient was intravenously injected with 0.25mg/kg esketamine, PCIA regimen: sufentanil 100 μ g, esketamine 80 mg, diluted to 100 ml with 0.9% normal saline, set analgesia pump background infusion dose 2 ml/h, single bolus dose 2 ml, locking time 8 minutes.

    Drug: Esketamine

Interventions

  • DrugEsketamine

    After delivery, the parturient was given a loading dose of esketamine, and then a small dose of esketamine was added into PCIA analgesia pump

    Also known as: Es group

  • DrugNormal saline

    10 ml normal saline

    Also known as: Ns group

06

What researchers measure

Primary outcomes

  1. Edinburgh Postnatal Depression Scale(EPDS) scores

    EPDS score is 0-30,and ≥ 10 to indicate depression

    Time frame: up to 90 days after surgery

Secondary outcomes

  1. Numeric Rating Scale (NRS) score

    NRS score is 0-10,and ≥ 4 to indicate the pain needs treatment

    Time frame: 1 Day before operation

  2. total number of patient-controlled analgesia (PCA) compressions

    the total number of PCA compressions which the patients pressed

    Time frame: up to 24 hours after operation

  3. total volume of PCA

    the total volume of PCA drugs which the patients needed in 24h after surgery

    Time frame: up to 24 hours after operation

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Study locations

1 site
  • Tongji Hospital
    Wuhan, Hubei 430000, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04860661
Lead sponsor
Ailin Luo
Collaborators
Maternal and Child Health Hospital of Hubei Province, Jingmen No.1 People's Hospital
Responsible party
Ailin Luo (Professor, Tongji Hospital) — Sponsor-investigator
First posted
Apr 27, 2021
Start date
May 1, 2021
Primary completion
Mar 31, 2024
Completion
Mar 31, 2024
Last update
Aug 6, 2024

Study contacts

Ailin luo, Dr.
principal investigator · Department of Anesthesiology of Tongji Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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