Melatonin for Prevention of Kidney Injury

NCT ID: NCT05084196

Last Updated: 2025-12-17

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-05

Study Completion Date

2027-12-31

Brief Summary

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This study will evaluate the safety and effectiveness of melatonin for the prevention of antibiotic associated acute kidney injury in hospitalized patients.

Detailed Description

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Consenting subjects meeting inclusion and exclusion will be randomized to receive melatonin 5 mg daily or a matching placebo. Study subjects will be followed for the duration of hospitalization or discontinuation of broad spectrum antibiotics (vancomycin plus piperacillin/tazobactam). The primary outcome and secondary outcomes will be evaluated by the study team.

Conditions

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Acute Kidney Injury Adverse Drug Event

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Melatonin Arm

Melatonin 5 mg capsule by mouth at bedtime for the duration of hospitalization or discontinuation of broad spectrum antibiotics, whichever comes first.

Group Type EXPERIMENTAL

Melatonin

Intervention Type DRUG

Melatonin 5 mg capsule by mouth at bedtime

Placebo Arm

Placebo capsule by mouth at bedtime for the duration of hospitalization or discontinuation of broad spectrum antibiotics, whichever comes first.

Group Type PLACEBO_COMPARATOR

Placebo Capsule

Intervention Type OTHER

Placebo capsule by mouth at bedtime

Interventions

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Melatonin

Melatonin 5 mg capsule by mouth at bedtime

Intervention Type DRUG

Placebo Capsule

Placebo capsule by mouth at bedtime

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged 18 to 75 years
* Currently prescribed vancomycin with the presumption that therapy will be continued for at least 3 days based on a review of subject status. Because of the critical nature of starting empiric broad-spectrum antibiotics, we will allow one dose of the antibiotic combination before consent and enrollment. This strategy is necessary for the ethical conduct of the study.

Exclusion Criteria

* Estimated creatinine clearance \< 30 mL/min
* Liver impairment (liver enzymes \> 3 times upper limit)
* Any history of allergy or contraindication to melatonin
* Pregnancy or breastfeeding
* Autoimmune disease
* Requiring vasopressors
* Requiring mechanical ventilation
* History of acute kidney injury in the past 30 days
* Inability to take oral medications
* Clinical evidence of significant unstable or uncontrolled illness which, in the opinion of the research team, could confound the results of the study or put the patient at undue risk.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Luigi Brunetti

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Luigi Brunetti, PhD

Role: PRINCIPAL_INVESTIGATOR

Rutgers, The State University of New Jersey

Locations

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Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Site Status RECRUITING

Robert Wood Johnson University Hospital Somerset

Somerville, New Jersey, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Luigi Brunetti, PhD

Role: CONTACT

908-595-2645

Facility Contacts

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Pinki Bhatt, MD

Role: primary

732-235-2898

Luigi Brunetti, PhD

Role: primary

2016385868

Other Identifiers

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Pro2021001502

Identifier Type: -

Identifier Source: org_study_id