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Evaluation of the effect of Melatonin in Sepsis

Phase 3
Recruiting
Conditions
Sepsis.
Gram-negative sepsis, unspecified
A41.50
Registration Number
IRCT20171104037228N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
28
Inclusion Criteria

Patients suffering from Sepsis as defined by the definition (Increase of at least 2 points in the Sequential Organ Failure Assessment (SOFA) score in patients with suspected infections relative to the initial score of the patient at the time of admission to the Intensive Care Unit).
Patients with age range 18 years and over admitted to General Intensive Care Unit of Sina hospital.

Exclusion Criteria

Patients under the age of 18 years
Patients with liver dysfunction (liver enzyme more than triple normal)
Patients with a history of seizure treated with anticonvulsants
Pregnant patients
Patients with human immunodeficiency virus (HIV)
Patients with organ transplant history
People with rheumatologic disease or active autoimmune disease
Patients receiving immunosuppressive therapy
Patients treated with corticosteroids or initiating the administration of this medication during melatonin therapy
Patients undergoing radiation therapy
Patients with solid tumors or hematologic malignancies
The number of white blood cells is less than 1000 per microliter
Patients with a history of melatonin allergy
Receiving any medication or supplement with approved anti-oxidant or anti-inflammatory effect or regulation of immune system at the same time .
Patients without oro/naso-gastric tube

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Serum Lactate. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Calorimetric method by Hitachi autoanalyzer 911.;Serum procalcitonin. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Chromatography method by Kit Elisa.;C-reactive protein. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Turbodometric method using a special kit in Hitachi autoanalyzer machine 911.
Secondary Outcome Measures
NameTimeMethod
Soluble protein 100 B. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Reaction with antibody and measurement with ELISA kit.;Neuron Specific Enolase. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Reaction with antibody and measurement with ELISA kit.;Sequential Organ Failure Assessment score. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Sequential Organ Failure Assessment score questionnaire form.;Simplified therapeutic intervention scoring system. Timepoint: Once on patient's arrival to the study and again after receiving the last dose of melatonin. Method of measurement: Simplified therapeutic intervention scoring system questionnaire form.
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