Effect of Melatonin in Pediatric Hemodialysis Patients

NCT ID: NCT05570526

Last Updated: 2023-01-31

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-01

Study Completion Date

2023-03-25

Brief Summary

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A Prospective, randomized, double-blinded, placebo-controlled trial will be conducted at the pediatric dialysis unit, Children's Hospital, Ain Shams University in order to investigate the benefits of melatonin supplementation on oxidative stress, inflammation and to assess sleep quality by using PSQI questionnaire in pediatric hemodialysis patients.

Detailed Description

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1. Patients will be recruited and evaluated for eligibility.
2. Patients who meet the eligibility criteria will be randomly assigned to either placebo or intervention group.
3. Patient demographics, clinical characteristics and full medical and medication history: will be obtained at baseline and every 4 weeks after the beginning of the study.
4. Blood samples will be withdrawn from each patient before the dialysis session for assay of each of the following:

1.Oxidative stress marker malondialdehyde (MDA) by ELISA assay. 2. Inflammatory marker level nuclear factor kappa B (NF-KB) by ELISA assay 3. Complete blood picture (CBC). 4. Lipid profile (total cholesterol(TC), triglycerides(TG), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) 5)Safety will be assessed weekly after the beginning of the study by monitoring the side effects or any adverse drug reactions.

* A total of (40) patients on regular HD will be enrolled in the study. These patients will be randomly assigned in a 1:1 ratio into two groups:

* The first group (n=20):The patients in the first group will receive a total daily dose of 5mg of melatonin tablets 1-hour before bedtime for 12 weeks.
* The second group (n=20): The patients will receive one tablet of placebo for the same duration.
* All subjects will sign an informed consent statement prior to inclusion in the study.
* All subjects will be followed up weekly for 12 weeks and blood samples will be withdrawn at baseline and the end of the study.

Conditions

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Hemodialysis Complication Oxidative Stress Inflammation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized, double-blinded, placebo-controlled trial.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Intervention group:

20 patients will receive oral melatonin 5mg tablets 1-hour before bedtime for 12 weeks.

Group Type EXPERIMENTAL

Melatonin

Intervention Type DIETARY_SUPPLEMENT

Puritan's Pride ® Melatonin 5mg tablets orally once daily.

Placebo

20 patients will receive one tablet of placebo 1-hour before bedtime for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo tablet once daily.

Interventions

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Melatonin

Puritan's Pride ® Melatonin 5mg tablets orally once daily.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo tablet once daily.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients age from 6-18 years old.
2. Undergoing regular HD for at least 6 months prior to enrollment
3. Not enrolled in any other clinical trial.
4. Judged by the physician to be physically stable

Exclusion Criteria

1. Patients receiving anti-epileptics.
2. Patients with some autoimmune conditions as SLE, RA or post-organ transplant
3. Patients taking immunosuppressants.
4. Patients taking warfarin.
5. Patients receiving vitamin E, green tea or zinc during the past 3 months
6. Patients with malignancy and/or active inflammatory disease
7. Patients with mal absorption, mental retardation or psychiatric illness.
8. Patients who had hemorrhagic episodes or received blood transfusion in the past 3 months prior to the enrollment.
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Ghadeer Amged

Demonstrator of clinical pharmacy

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ain Shams University Hospitals

Cairo, Abbasseya, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Ghadeer Amged, BSc

Role: CONTACT

+201002217996

Other Identifiers

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RHDIRB2020110301 REC#99

Identifier Type: -

Identifier Source: org_study_id

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