Melatonin As an Analgesic in Preterm Neonate

NCT ID: NCT05971485

Last Updated: 2025-01-16

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-20

Study Completion Date

2024-10-30

Brief Summary

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Melatonin (N-acetyl-5-methoxytryptamine) is a neurohormone secreted by the pineal gland with several important functions, including regulation of the circadian rhythms, antioxidant and anti-inflammatory effects, accumulating evidence revealed that it also plays an important role in pain modulation through multiple mechanisms. The investigators aimed to evaluate the analgesic effect of enteral melatonin given 30 minutes before cannula insertion in preterm neonates by assessing Premature Infant pain Profile score (PIPP) before and 5 minutes after the procedure. Additionally, the study aimed to explore the relationship between procedural pain and oxidative stress, along with the effectiveness of pain management of melatonin by measuring Malondialdehyde (MDA), a well-accepted marker of oxidative stress, 60 minutes after the procedure.

Detailed Description

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This is a randomized, double-blind, controlled trial

Conditions

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Preterm Neonate Analgesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Investigators

Study Groups

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Melatonin group

Preterm neonates will receive melatonin 30 minutes before the venous cannula insertion.

Group Type EXPERIMENTAL

Melatonin 10 mg

Intervention Type DRUG

Melatonin 10 mg will be used. 5 mg·kg-1 dissolved in 2 ml of distilled water via enteral route in one single dose 30 minutes before the venous cannula insertion

Placebo group

Preterm neonates will receive 2 ml of distilled water as a placebo 30 minutes before venous cannula insertion.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

The placebo group will receive 2 ml of distilled water as a placebo 30 minutes before venous cannula insertion.

Interventions

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Melatonin 10 mg

Melatonin 10 mg will be used. 5 mg·kg-1 dissolved in 2 ml of distilled water via enteral route in one single dose 30 minutes before the venous cannula insertion

Intervention Type DRUG

Placebo

The placebo group will receive 2 ml of distilled water as a placebo 30 minutes before venous cannula insertion.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Preterm infant
* less than 37 weeks gestational age
* who started enteral feeding.

Exclusion Criteria

* Multiple congenital anomalies.
* Facial malformation.
* Receiving analgesia or sedation.
* Contraindication of enteral feeding.
* Clinical or laboratory signs of sepsis.
* Infants with high oxygen needs either on invasive or non-invasive mechanical ventilation.
Maximum Eligible Age

28 Days

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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Responsibility Role SPONSOR

Locations

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Faculty of Medicine - Ain Shams University

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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FMASU MS 496/2022

Identifier Type: -

Identifier Source: org_study_id

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