Actively Recruiting

Phase 3
Age: 1Year - 6Years
All Genders
ID05541276

MELAtonin for Prevention of Postoperative Agitation and Emergence Delirium in Children. The MELA-PAED Trial: a Randomized, Double-blind, Placebo-controlled Trial.

Led by Rigshospitalet, Denmark · Updated on 2025-01-24

400

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

Sponsors

R

Rigshospitalet, Denmark

Lead Sponsor

S

Sygehus Lillebaelt

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying children aged 1 to 6 years undergoing elective surgeries lasting at least 30 minutes under general anesthesia with sevoflurane. The trial aims to evaluate whether intravenous melatonin given during surgery can prevent postoperative agitation and emergence delirium, which are common behavioral disturbances in children waking from anesthesia. Participants are randomly assigned to receive either a single intravenous dose of melatonin at 0.15 mg/kg approximately 30 minutes before the end of surgery or an equivalent volume of saline as a placebo. The study is double-blind, meaning neither participants nor researchers know which treatment is given. During and after surgery, researchers will monitor children for agitation up to about 4 hours in the recovery room, track opioid use, and check for any non-serious side effects up to 24 hours. The study will assess the safety and effects of melatonin compared to placebo to better understand its potential role in preventing these postoperative behaviors.

CONDITIONS

Brief Title

MELAtonin for Prevention of Postoperative Agitation and Emergence Delirium in Children

Who Can Participate

Age: 1Year - 6Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 1 to 6 years
  • Undergoing an elective surgical procedure expected to last at least 30 minutes
  • General anesthesia maintained with sevoflurane
Not Eligible

You will not qualify if you...

  • Known allergy or contraindication to melatonin or its ingredients
  • Current daily medication with melatonin

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Surgical procedure day

Participants receive a single intravenous injection of melatonin or placebo approximately 30 minutes before the end of their surgical procedure under general anesthesia.

1 visit (in-person on surgery day)

Post-operative Follow-up

Duration - Up to 24 hours after surgery

Participants are monitored for emergence agitation, opioid consumption, and non-serious adverse events up to 24 hours after surgery.

Approximately 1 follow-up visit or monitoring period within 24 hours

Trial Site Locations

Total: 1 location

1

Department of Anesthesiology, Juliane Marie Center, Rigshospitalet

Copenhagen, Capital Region, Denmark, 2100

Actively Recruiting

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Research Team

A

Anne Louise B Garioud, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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