Oral Bedtime Melatonin in Critically Ill Patients

NCT ID: NCT06156059

Last Updated: 2024-03-01

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-01

Study Completion Date

2026-04-01

Brief Summary

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Oxidative stress is one of the main mechanisms causing harm in severe infection with septic shock, ischemia-reperfusion injury in resuscitated cardiac arrest and ischemic and hemorrhagic stroke.

Melatonin is a potent scavenger of the mediators of oxidative stress, oxygen and nitrogen-reactive species, which directly injure cell structures like walls and DNA and thus cause organ dysfunction.

In a previous study we have observed that high-dose oral bedtime melatonin (OBM) is associated with improved organ function in severe Covid-19 patients

Detailed Description

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This is a double-blind randomized, adaptive trial in the 4 indications mentioned above giving 100 mg of OBM or placebo.

Interim analyses with pre-specified stopping rules will be performed in each sub-study for specific outcome variables collected at scheduled timelines.

Comparative organ dysfunction score (Sequential Organ Failure Evaluation-SOFA) will be done at baseline, 7, 14, and 30 days and mortality evaluated at 30 and 90 days.

For the 3 study groups enrolling stroke and resuscitated cardiac arrest patients, the modified Rankin score and the CVC (Glasgow) at 30 and 90 days will be compared.

Conditions

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Septic Shock Stroke Hemorrhagic Strokes Thrombotic Cardiac Arrest

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

double blind randomized
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Indistinguishable oral suspension or capsule

Study Groups

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Septic Shock Standard of Care (SOC)

Placebo suspension and capsules

Group Type PLACEBO_COMPARATOR

Placebo suspension or capsule

Intervention Type DRUG

Indistinguishable suspension or capsule

Septic shock Oral Bedtime Melatonin (OBM)

100 mg suspension or in capsules OBM

Group Type ACTIVE_COMPARATOR

Oral Bedtime Melatonin

Intervention Type DRUG

100 mg oral suspension or capsule given at bedtime

Resuscitated Cardiorespiratory Arrest SOC

Placebo suspension and capsules

Group Type PLACEBO_COMPARATOR

Placebo suspension or capsule

Intervention Type DRUG

Indistinguishable suspension or capsule

Resuscitated Cardiorespiratory Arrest OBM

100 mg suspension or in capsules OBM

Group Type ACTIVE_COMPARATOR

Oral Bedtime Melatonin

Intervention Type DRUG

100 mg oral suspension or capsule given at bedtime

Ischemic Stroke (SOC)

Placebo suspension and capsules

Group Type PLACEBO_COMPARATOR

Placebo suspension or capsule

Intervention Type DRUG

Indistinguishable suspension or capsule

Ischemic stroke (OBM)

100 mg suspension or in capsules OBM

Group Type ACTIVE_COMPARATOR

Oral Bedtime Melatonin

Intervention Type DRUG

100 mg oral suspension or capsule given at bedtime

Hemorraghic stroke (SOC)

Placebo suspension and capsules

Group Type PLACEBO_COMPARATOR

Placebo suspension or capsule

Intervention Type DRUG

Indistinguishable suspension or capsule

Hemorrhagic stroke (OBM)

100 mg suspension or in capsules OBM

Group Type ACTIVE_COMPARATOR

Oral Bedtime Melatonin

Intervention Type DRUG

100 mg oral suspension or capsule given at bedtime

Interventions

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Oral Bedtime Melatonin

100 mg oral suspension or capsule given at bedtime

Intervention Type DRUG

Placebo suspension or capsule

Indistinguishable suspension or capsule

Intervention Type DRUG

Other Intervention Names

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Oral melatonin Placebo

Eligibility Criteria

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Inclusion Criteria

* ICU stay \>5 days

Exclusion Criteria

* ominous prognosis
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad Complutense de Madrid

OTHER

Sponsor Role collaborator

Hospital San Carlos, Madrid

OTHER

Sponsor Role lead

Responsible Party

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Miguel Sanchez Garcia

Director Critical Care Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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Mel-ICU

Identifier Type: -

Identifier Source: org_study_id

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