Preoperative Melatonin to Decrease Analgesia Usage After Third Molar Surgery

NCT ID: NCT04791943

Last Updated: 2026-01-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-16

Study Completion Date

2025-10-20

Brief Summary

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The purpose of the study is to assess if melatonin given for three nights before wisdom tooth surgery decreases post-operative pain and pain medication consumption. Patients will receive either melatonin or a placebo for three nights prior to surgery.

Detailed Description

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Conditions

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Pain, Postoperative Narcotic Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A randomization list using a variable block size will be prepared by the study biostatistician. The lists of treatment assignments (1:1 ratio) will be kept on file.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers
The surgeon and the patient will be masked, the research coordinator will not be masked.

Study Groups

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Experimental Treatment - Melatonin

Premedication for three nights with 10mg melatonin

Group Type EXPERIMENTAL

Melatonin 10 MG

Intervention Type DRUG

3 melatonin 10mg capsules will be given to the treatment arm

Control Treatment - Lactose

Premedication for three nights with lactose capsules

Group Type PLACEBO_COMPARATOR

Lactose pill

Intervention Type DRUG

3 lactose pills will be provided to the control arm

Interventions

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Melatonin 10 MG

3 melatonin 10mg capsules will be given to the treatment arm

Intervention Type DRUG

Lactose pill

3 lactose pills will be provided to the control arm

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject must have 3-4 partial or full bony impacted third molars requiring surgical extraction under IV sedation
* Ages 18-35
* American Society of Anesthesiologists (ASA) Class I or II
* English or Spanish speaking patients
* Capacity to sign informed consent

Exclusion Criteria

* Allergies to melatonin, opioids, or other Over-the-counter (OTC) pain medications
* Anyone currently taking melatonin for any reason
* Cases under local anesthesia
* ASA class III or higher
* Sleep disorder (insomnia/narcolepsy)
* Current or past history of substance abuse
* Chronic pain
* Language/communication barrier
* Psychiatric disease/ Mental impairment
* Current or past use of psychotropic drugs
* Pregnancy
* Renal or hepatic impairment
* BMI \>35
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Quest Diagnostics-Nichols Insitute

INDUSTRY

Sponsor Role collaborator

Eurofins Viracor

UNKNOWN

Sponsor Role collaborator

Montefiore Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jason Baker, DMD

Role: PRINCIPAL_INVESTIGATOR

Montefiore Medical Center

Locations

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Montefiore Medical Center Department of Dentistry

The Bronx, New York, United States

Site Status

Countries

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United States

References

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Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers - United States, 2002-2004 and 2008-2010. Drug Alcohol Depend. 2013 Sep 1;132(1-2):95-100. doi: 10.1016/j.drugalcdep.2013.01.007. Epub 2013 Feb 12.

Reference Type BACKGROUND
PMID: 23410617 (View on PubMed)

Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. The changing face of heroin use in the United States: a retrospective analysis of the past 50 years. JAMA Psychiatry. 2014 Jul 1;71(7):821-6. doi: 10.1001/jamapsychiatry.2014.366.

Reference Type BACKGROUND
PMID: 24871348 (View on PubMed)

Nasr, D. A., & Abdellatif, A. A. (2014). Efficacy of preoperative melatonin versus pregabalin on perioperative anxiety and postoperative pain in gynecological surgeries. Egyptian Journal of Anaesthesia, 30(1), 89-93. doi:10.1016/j.egja.2013.10.001

Reference Type BACKGROUND

Andersen LP, Werner MU, Rosenberg J, Gogenur I. A systematic review of peri-operative melatonin. Anaesthesia. 2014 Oct;69(10):1163-71. doi: 10.1111/anae.12717. Epub 2014 May 19.

Reference Type BACKGROUND
PMID: 24835540 (View on PubMed)

Favero G, Franceschetti L, Bonomini F, Rodella LF, Rezzani R. Melatonin as an Anti-Inflammatory Agent Modulating Inflammasome Activation. Int J Endocrinol. 2017;2017:1835195. doi: 10.1155/2017/1835195. Epub 2017 Oct 1.

Reference Type BACKGROUND
PMID: 29104591 (View on PubMed)

Ambriz-Tututi M, Rocha-Gonzalez HI, Cruz SL, Granados-Soto V. Melatonin: a hormone that modulates pain. Life Sci. 2009 Apr 10;84(15-16):489-98. doi: 10.1016/j.lfs.2009.01.024. Epub 2009 Feb 15.

Reference Type BACKGROUND
PMID: 19223003 (View on PubMed)

de Carvalho Nogueira EF, de Oliveira Vasconcelos R, Teixeira Correia SS, Souza Catunda I, Amorim JA, do Egito Cavalcanti Vasconcelos B. Is There a Benefit to the Use of Melatonin in Preoperative Zygomatic Fractures? J Oral Maxillofac Surg. 2019 Oct;77(10):2017.e1-2017.e7. doi: 10.1016/j.joms.2019.05.016. Epub 2019 Jun 4.

Reference Type BACKGROUND
PMID: 31260676 (View on PubMed)

Moerman N, van Dam FS, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg. 1996 Mar;82(3):445-51. doi: 10.1097/00000539-199603000-00002.

Reference Type BACKGROUND
PMID: 8623940 (View on PubMed)

Myles PS, Myles DB, Galagher W, Boyd D, Chew C, MacDonald N, Dennis A. Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state. Br J Anaesth. 2017 Mar 1;118(3):424-429. doi: 10.1093/bja/aew466.

Reference Type BACKGROUND
PMID: 28186223 (View on PubMed)

Viswanath A, Oreadi D, Finkelman M, Klein G, Papageorge M. Does Pre-Emptive Administration of Intravenous Ibuprofen (Caldolor) or Intravenous Acetaminophen (Ofirmev) Reduce Postoperative Pain and Subsequent Narcotic Consumption After Third Molar Surgery? J Oral Maxillofac Surg. 2019 Feb;77(2):262-270. doi: 10.1016/j.joms.2018.09.010. Epub 2018 Sep 20.

Reference Type BACKGROUND
PMID: 30321520 (View on PubMed)

Other Identifiers

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2020-12127

Identifier Type: -

Identifier Source: org_study_id

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