Trial Outcomes & Findings for Prevention of Delirium in Inpatients Utilizing Melatonin (NCT NCT02654314)

NCT ID: NCT02654314

Last Updated: 2022-03-21

Results Overview

Delirium is defined by the Short Form Confusion Assessment Method (CAM). There must be inattention and either an acute or fluctuating course plus either disorganized thinking or an altered level of consciousness to be diagnosed with delirium. Presented is a count of individuals with reported delirium during hospitalization.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

277 participants

Primary outcome timeframe

length of hospitalization, not to exceed 14 days

Results posted on

2022-03-21

Participant Flow

Participant milestones

Participant milestones
Measure
Melatonin
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
Blue capsule matching the melatonin arm Melatonin
Overall Study
STARTED
136
141
Overall Study
COMPLETED
136
141
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prevention of Delirium in Inpatients Utilizing Melatonin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Melatonin
n=136 Participants
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
n=141 Participants
Blue capsule matching the melatonin arm Melatonin
Total
n=277 Participants
Total of all reporting groups
Age, Continuous
77.98 years
STANDARD_DEVIATION 8.53 • n=5 Participants
78.99 years
STANDARD_DEVIATION 8.40 • n=7 Participants
78.49 years
STANDARD_DEVIATION 8.46 • n=5 Participants
Sex: Female, Male
Female
78 Participants
n=5 Participants
67 Participants
n=7 Participants
145 Participants
n=5 Participants
Sex: Female, Male
Male
58 Participants
n=5 Participants
74 Participants
n=7 Participants
132 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
132 Participants
n=5 Participants
135 Participants
n=7 Participants
267 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants
18 Participants
n=7 Participants
32 Participants
n=5 Participants
Race (NIH/OMB)
White
117 Participants
n=5 Participants
119 Participants
n=7 Participants
236 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
United States
136 participants
n=5 Participants
141 participants
n=7 Participants
277 participants
n=5 Participants

PRIMARY outcome

Timeframe: length of hospitalization, not to exceed 14 days

Delirium is defined by the Short Form Confusion Assessment Method (CAM). There must be inattention and either an acute or fluctuating course plus either disorganized thinking or an altered level of consciousness to be diagnosed with delirium. Presented is a count of individuals with reported delirium during hospitalization.

Outcome measures

Outcome measures
Measure
Melatonin
n=136 Participants
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
n=141 Participants
Blue capsule matching the melatonin arm Melatonin
Delirium
2 Participants
8 Participants

SECONDARY outcome

Timeframe: from day of admission to completion of acute care, not to exceed 30 days

Length of stay is defined as the total time hospitalized for the acute illness (in days).

Outcome measures

Outcome measures
Measure
Melatonin
n=136 Participants
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
n=141 Participants
Blue capsule matching the melatonin arm Melatonin
Length of Hospital Stay
4.58 days
Standard Deviation 2.91
4.71 days
Standard Deviation 3.70

SECONDARY outcome

Timeframe: length of hospitalization, not to exceed 14 days

Days utilizing restraints is defined as the number of days restraints were applied because of delirium in the first 14 days of hospitalization.

Outcome measures

Outcome measures
Measure
Melatonin
n=136 Participants
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
n=141 Participants
Blue capsule matching the melatonin arm Melatonin
Days Utilizing Restraints
0 days
Interval 0.0 to 0.0
0 days
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: length of hospitalization, not to exceed 14 days

Number of delirium anti-psychotic drug doses given for symptoms of delirium. Presented are the number of doses per days of hospitalization.

Outcome measures

Outcome measures
Measure
Melatonin
n=136 Participants
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
n=141 Participants
Blue capsule matching the melatonin arm Melatonin
Number of Delirium Anti-psychotic Drug Doses Utilized for Delirium During the First 14 Days of Hospitalization.
0 number of doses per days of hospitalizat
Interval 0.0 to 1.0
0 number of doses per days of hospitalizat
Interval 0.0 to 1.0

Adverse Events

Melatonin

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Cellulose Microcrystylline

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Melatonin
n=136 participants at risk
5 mg Melatonin nightly, beginning within 24 hours of admission Melatonin
Cellulose Microcrystylline
n=141 participants at risk
Blue capsule matching the melatonin arm Melatonin
Gastrointestinal disorders
Abdominal Pain
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day
Gastrointestinal disorders
Vomiting
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day
Gastrointestinal disorders
Constipation
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day
Nervous system disorders
Somnolence
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day
Nervous system disorders
Headache
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day
Nervous system disorders
Lethargy
0.00%
0/136 • Day of admission to completion of acute care, not to exceed 30 day
0.71%
1/141 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
Skin and subcutaneous tissue disorders
Rash
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.74%
1/136 • Number of events 1 • Day of admission to completion of acute care, not to exceed 30 day
0.00%
0/141 • Day of admission to completion of acute care, not to exceed 30 day

Additional Information

Jesse S Reynolds

Yale Center for Analytical Sciences

Phone: (203) 785-5445

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place