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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04785183
Other study ID # 42/18 - 2018
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 1, 2019
Est. completion date September 1, 2020

Study information

Verified date March 2021
Source Azienda Ospedaliera Universitaria Policlinico "G. Martino"
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Preterm infants are at risk of free radical mediated diseases from oxidative stress (OS) injury. Melatonin (MEL) is a powerful antioxidant and scavenger of free radicals. In preterm neonates, melatonin deficiency has been reported. Several studies tested the efficacy of melatonin to counteract oxidative damage in diseases of newborns such as chronic lung disease, perinatal brain injury, necrotizing enterocolitis, retinopathy of prematurity and sepsis, giving promising results. In these studies, the dosages of melatonin varied over a wide range. The present study was designed to test the hypothesis that oral administration of melatonin reduced OS and consequentially, the occurrence of intraventricular haemorrhage (IVH), necrotizing enterocolitis (NEC), retinopathy of prematurity (ROP) and bronchopulmonary dysplasia (BPD) in preterm newborns.


Recruitment information / eligibility

Status Completed
Enrollment 50
Est. completion date September 1, 2020
Est. primary completion date August 1, 2020
Accepts healthy volunteers No
Gender All
Age group N/A to 6 Hours
Eligibility Inclusion Criteria: - Gestational age <37 weeks - Normal liver function tests - Normal kidney function tests Exclusion Criteria: - All babies not born in the clinic - All babies with severe congenital malformations - Sepsis - Inborn errors of metabolism - Babies suffering from perinatal asphyxia - Babies born from mothers with mental disorders - Sample hemolysis - Insufficient sample - withdraw informed consent.

Study Design


Intervention

Dietary Supplement:
Melatonin drops
Melatonin oral administration
Other:
Placebo
Oral 5% glucose

Locations

Country Name City State
Italy Eloisa Gitto Messina

Sponsors (1)

Lead Sponsor Collaborator
Azienda Ospedaliera Universitaria Policlinico "G. Martino"

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Other Evaluation of the free radical diseases of prematurity occurence Evaluation of the occurrence of intraventricular haemorrhage (IVH), necrotizing enterocolitis (NEC), retinopathy of prematurity (ROP) and bronchopulmonary dysplasia (BPD) At 3 months of life
Primary Measurement of the melatonin concentration Analysis of melatonin concentration in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 24 hours of life
Primary Measurement of the melatonin concentration Analysis of melatonin concentration in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 48 hours of life
Secondary Measurement of AOPP Evaluation of advanced oxidative protein products (AOPP) in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 24 hours of life
Secondary Measurement of NPBI Evaluation of non protein binding iron (NPBI) in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 24 hours of life
Secondary Measurement of isoprostanes Evaluation of isoprostanes in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 24 hours of life
Secondary Measurement of AOPP Evaluation of advanced oxidative protein products (AOPP) in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 48 hours of life
Secondary Measurement of NPBI Evaluation of non protein binding iron (NPBI) in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 48 hours of life
Secondary Measurement of isoprostanes Evaluation of isoprostanes in treated group (MEL group) and controls (placebo group) All participants will be evaluated at 48 hours of life
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