| CTRI Number |
CTRI/2025/08/093624 [Registered on: 25/08/2025] Trial Registered Prospectively |
| Last Modified On: |
11/02/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Biological Other (Specify) [Melatonin - Harmone] |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Efficacy of melatonin add-on to treatment-as-usual in treatment of alcohol withdrawal. |
|
Scientific Title of Study
|
A randomized controlled trial to assess the safety and efficacy of melatonin add-on to treatment-as-usual compared to treatment-as-usual in treatment of alcohol withdrawal in individuals with alcohol dependence |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
B C MALATHESH |
| Designation |
Associate Professor |
| Affiliation |
ALL INDIA INSTITUTE OF MEDICAL SCIENCES - BIBINAGAR. |
| Address |
Room 13
Department of Psychiatry,
First floor
AIIMS Bibinagar
Rangapur Village,
Bibinagar
Bhongir District
Telangana
Hyderabad TELANGANA 508126 India |
| Phone |
918806406530 |
| Fax |
|
| Email |
bc.malathesh@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
B C MALATHESH |
| Designation |
Associate Professor |
| Affiliation |
ALL INDIA INSTITUTE OF MEDICAL SCIENCES - BIBINAGAR. |
| Address |
Room 13
Department of Psychiatry,
First floor
AIIMS Bibinagar
Rangapur Village,
Bibinagar
Bhongir District
Telangana
TELANGANA 508126 India |
| Phone |
918806406530 |
| Fax |
|
| Email |
bc.malathesh@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
B C MALATHESH |
| Designation |
Associate Professor |
| Affiliation |
ALL INDIA INSTITUTE OF MEDICAL SCIENCES - BIBINAGAR. |
| Address |
Room 13
Department of Psychiatry,
First floor
AIIMS Bibinagar
Rangapur Village,
Bibinagar
Bhongir District
Telangana
TELANGANA 508126 India |
| Phone |
918806406530 |
| Fax |
|
| Email |
bc.malathesh@gmail.com |
|
|
Source of Monetary or Material Support
|
| Indian Psychiatric Society
Plot 43, Sector 55
Gurugram, Haryana,
India, Pin: 122003 |
|
|
Primary Sponsor
|
| Name |
Indian Psychiatric Society |
| Address |
Indian Psychiatric Society
Plot 43, Sector 55
Gurugram, Haryana,
India, Pin: 122003 |
| Type of Sponsor |
Other [Scientific Organization] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr B C Malathesh |
AIIMS Bibinagar |
Room no 13,
Department of Psychiatry
first floor,
OPD block
Bibinagar, Dist.Yadadari Bhuvanagiri,
Telangana-508126 Nalgonda TELANGANA |
918806406530
bc.malathesh@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| AIIMS BBN- Insitutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: F102||Alcohol dependence, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Tab. Melatonin 5mg |
Oral Melatonin Tablet 5mg once a day at bedtime in addition to the standard treatment for 7 consecutive days from day of admission. For those who are in control arm only standard treatment will be given. |
| Comparator Agent |
Treatment as usual for the control arm |
The patients in the control arm will receive the standard treatment of alcohol withdrawal syndrome as per standard treatment protocols |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
Age 18-50 yrs
more than 10 score (moderate severity) CIWA-Ar score Able to give consent for study
|
|
| ExclusionCriteria |
| Details |
Old Age (more than 50years)
Secondary insomnia due to other medical/ surgical/ psychiatric conditions (other medical cand surgical conditions which might cause insomnia)
Patients in Delirium tremens at presentation
|
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
Duration and severity (CIWA) of alcohol withdrawal compared to treatment as usual in patients with alcohol dependence.
Sleep parameters as assessed by a wrist worn sleep tracker.
Cumulative dose of benzodiazepines for detoxification and antipsychotics for agitation.
|
Assessments will be made everyday for 7 consecutive days.
Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7.
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Nil |
Nil |
|
|
Target Sample Size
|
Total Sample Size="782" Sample Size from India="782"
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 4 |
|
Date of First Enrollment (India)
|
15/09/2025 |
| 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="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [bc.malathesh@gmail.com].
- For how long will this data be available start date provided 19-08-2025 and end date provided 19-11-2031?
Response - Beginning 9 months and ending 36 months following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - Nil
|
|
Brief Summary
|
Alcohol withdrawal syndrome is also characterized by severe disturbances in sleep because of reduced secretion of melatonin in the body. Exogenous administration of Melatonin has not been adequately studied for treatment of alcohol withdrawal syndrome. In the current study we want to study the efficacy of melatonin (5mg) fin controlling alcohol withdrawal syndrome. The study will be conducted as an open label trial with two arms. Participants suffering from alcohol withdrawal syndrome, meeting inclusion criteria, admitted to AIIMS Bibinagar, AIIMS Deogarh & AIIMS Guwahati Psychiatry ward, will be randomised (using block randomisation method) to either control or intervention arm. Participants in control arm will receive treatment as usual as per the standard treatment protocols for the treatment of Alcohol withdrawal syndrome. Those in Intervention arm will receive melatonin (5mg) tablet every night for 7 days along with the treatment as usual. Participants in both the arms will be assessed for various sleep indices using a wrist worn sleep tracking device for 7 days. Participants in both arms will also be assessed for severity of withdrawal symptoms every day for 7 days. The data will be compared between the two groups interms of sleep indices, withdrawal scores, benzothiazines dosage received etc. |