The Effect of Melatonin as an Adjuvant Therapy for Preterm Neonates With Sepsis

NCT ID: NCT06191523

Last Updated: 2024-01-05

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

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-27

Study Completion Date

2023-10-20

Brief Summary

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The goal of this clinical trial is to assess the effect of melatonin on MDA serum, IL-6, IL-8 levels, ANC, and sepsis score in preterm neonates with sepsis. The main question aim to answer :

• Does melatonin affect MDA serum, IL-6, IL-8 levels, ANC, and sepsis score in preterm neonates with sepsis?

The participants in the treatment group will receive a single dose of oral melatonin 20 mg, meanwhile those the control group will receive placebo.

The researchers will compare MDA serum, IL-6, IL-8 levels, ANC, and sepsis score before and after receiving melatonin, whether there are decreases of MDA serum, IL-6, IL-8 levels, ANC and increase of sepsis score

Detailed Description

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Conditions

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Sepsis Newborn

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Control Group

The control group will receive standard therapy and placebo.

Group Type PLACEBO_COMPARATOR

Control Group

Intervention Type OTHER

The control group will receive standard therapy and placebo.

Treatment Group

Intervention Type DRUG

The participants in the treatment group will receive standard therapy and a single dose of oral melatonin 20 mg

Treatment Group

The participants in the treatment group will receive standard therapy and a single dose of oral melatonin 20 mg

Group Type EXPERIMENTAL

Control Group

Intervention Type OTHER

The control group will receive standard therapy and placebo.

Treatment Group

Intervention Type DRUG

The participants in the treatment group will receive standard therapy and a single dose of oral melatonin 20 mg

Interventions

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Control Group

The control group will receive standard therapy and placebo.

Intervention Type OTHER

Treatment Group

The participants in the treatment group will receive standard therapy and a single dose of oral melatonin 20 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Newborns with gestational age of 28-36+6 weeks, birth weight according to gestational age, and diagnosis of sepsis based on HPS and PRS sepsis score criteria

Exclusion Criteria

* Major congenital anomalies of the gastrointestinal tract.
* Continuous vomiting.
* Newborns with hypoxic ischemic encephalopathy (HIE), intracranial hemorrhage, feeding intolerance, necrotizing enterocolitis (NEC) and hormonal disorders.
* Septic shock.
Minimum Eligible Age

28 Weeks

Maximum Eligible Age

36 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitas Sebelas Maret

OTHER

Sponsor Role lead

Responsible Party

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Dwi Hidayah

Doctoral Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dwi Hidayah

Surakarta, Central Java, Indonesia

Site Status

Countries

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Indonesia

References

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Henderson R, Kim S, Lee E. Use of melatonin as adjunctive therapy in neonatal sepsis: A systematic review and meta-analysis. Complement Ther Med. 2018 Aug;39:131-136. doi: 10.1016/j.ctim.2018.06.002. Epub 2018 Jun 11.

Reference Type RESULT
PMID: 30012383 (View on PubMed)

Gitto E, Karbownik M, Reiter RJ, Tan DX, Cuzzocrea S, Chiurazzi P, Cordaro S, Corona G, Trimarchi G, Barberi I. Effects of melatonin treatment in septic newborns. Pediatr Res. 2001 Dec;50(6):756-60. doi: 10.1203/00006450-200112000-00021.

Reference Type RESULT
PMID: 11726736 (View on PubMed)

El-Gendy FM, El-Hawy MA, Hassan MG. Beneficial effect of melatonin in the treatment of neonatal sepsis. J Matern Fetal Neonatal Med. 2018 Sep;31(17):2299-2303. doi: 10.1080/14767058.2017.1342794. Epub 2017 Jul 6.

Reference Type RESULT
PMID: 28612668 (View on PubMed)

El Frargy M, El-Sharkawy HM, Attia GF. Use of melatonin as an adjuvant therapy in neonatal sepsis. J Neonatal Perinatal Med. 2015;8(3):227-32. doi: 10.3233/NPM-15814072.

Reference Type RESULT
PMID: 26485549 (View on PubMed)

Other Identifiers

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1.657/XII/HREC/2022

Identifier Type: -

Identifier Source: org_study_id

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