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CTRI Number  CTRI/2024/05/067172 [Registered on: 10/05/2024] Trial Registered Prospectively
Last Modified On: 08/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Other 
Public Title of Study   To compare the effect of two doses of tablet melatonin on occurrence of ICU delirium  
Scientific Title of Study   Comparison of the effect of two prophylactic doses of tablet melatonin on incidence of delirium in patients admitted in intensive care unit  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ajith Kumar P 
Designation  Post Graduate Resident  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar west, New Delhi DELHI 110029

South
DELHI
110029
India 
Phone  9500921782  
Fax    
Email  P.ajithkumar1997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Santvana Kohli  
Designation  Associate Professor  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar west, New Delhi DELHI 110029

South
DELHI
110029
India 
Phone  7838434398  
Fax    
Email  dr.santvana.kohli@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Santvana Kohli  
Designation  Associate Professor  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar west, New Delhi DELHI 110029

South
DELHI
110029
India 
Phone  7838434398  
Fax    
Email  dr.santvana.kohli@gmail.com  
 
Source of Monetary or Material Support  
Vardhman Mahavir Medical College and Safdarjung Hospital, Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar west, New Delhi DELHI 110029  
 
Primary Sponsor  
Name  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar west, New Delhi DELHI 110029 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ajith Kumar P  Vardhman Mahavir Medical College and Safdarjung Hospital  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar west, New Delhi DELHI 110029
South
DELHI 
9500921782

P.ajithkumar1997@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Vardhman Mahavir Medical College and Safdarjung Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F05||Delirium due to known physiological condition,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Melatonin   Melatonin 3mg will be given orally at night time for a total of 5 days 
Intervention  Melatonin   Melatonin 6mg will be given orally at night time for a total of 5 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Preserved oral/enteral intake within the first 48 hours of ICU admission.
2. Patients requiring an ICU stay of at least 5 days.
3. Richmond Agitation Sedation Scale (RASS) score within + 2 or - 2 on admission 
 
ExclusionCriteria 
Details  1. Hemodynamically unstable patients or on vasopressor support
2. Patients on psychotropic medications or having known psychiatric illness
3. Patients with debilitating neurological diseases and low GCS less than 10 on admission
4. Pregnant patients
5. Patient with known or suspected allergy to melatonin 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Incidence of delirium  Twice a day once at 9 am and after giving the melatonin tablet at 9pm for a period of 5 days  
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare length of Intensive Care Unit stay in 2 study groups.
2. To compare the incidence of headache, dizziness and day-time sleepiness between the
two study groups. 
At the end of their hospital stay  
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   20/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study is a prospective, interventional study to compare the effect of two doses of tablet melatonin on occurrence of ICU delirium , with the hypothesis that 6mg dose of melatonin causes a significantly greater reduction in the incidence of delirium as compared to the 3mg dose in patients admitted in Intensive Care Unit. Oral Melatonin 6mg and 3mg will be administered within 48 hours of ICU admission in each groups and GCS, RASS and CAM ICU Scores will be performed by an ICU Doctor initially ,Baseline- on the day of admission and later twice a day, once at the start of the day at 09:00 AM and after giving melatonin at 09:00 PM for five days. 
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