Protocol summary

Study aim
Determining the effect of melatonin on glomerular filtration rate, proteinuria rate and appetite rate in adult patients with chronic renal failure
Design
Clinical trial with control group, factorial, double-blind, randomized, phase 3 on 140 patients. For randomization, the table of random allocation of samples is used
Settings and conduct
patients aged 18 to 80 years with chronic renal failure and proteinuria referring to nephrology offices and subspecialty clinics in Yasouj city were randomly assigned into two intervention and placebo groups; after two months of taking 5 mg daily Melatonin drug is evaluated in terms of changes in glomerular filtration, proteinuria and appetite. The patient and the researcher are blinded to the study group
Participants/Inclusion and exclusion criteria
Study entry criteria: 1- Patients with chronic kidney disease 2- Patients with persistant proteinuria 3- Be able to cooperate and communicate 4- The patient is not on dialysis 5- Have signed the consent form to enter the study Criteria for not entering the study: 1- Suffering from a severe physical, neurological or psychiatric illness and not being able to continue to cooperate. 2- Drug sensitivity or allergic reaction to drugs 3- Patients taking immunosuppressive drugs 4- Patients with liver enzyme disorders 5- Patients with seizure disorders and taking anticonvulsant drugs
Intervention groups
1- Melatonin group: In this group, 5 mg of melatonin is used daily for 2 months 2- Placebo group: In this group of patients, in addition to receiving their previous medications, for 2 months, they use a placebo in the form of capsules of the same shape and weight as the medicine of the intervention group
Main outcome variables
proteinuria; glomerular filtration; appetite

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20241008063295N1
Registration date: 2024-10-12, 1403/07/21
Registration timing: prospective

Last update: 2024-10-12, 1403/07/21
Update count: 0
Registration date
2024-10-12, 1403/07/21
Registrant information
Name
Hamid Reza Abbasi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 74 3322 9566
Email address
dr.hr.abbasi68@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-10-22, 1403/08/01
Expected recruitment end date
2025-02-18, 1403/11/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of melatonin on glomerular filtration rate, proteinuria and appetite in adult patients with chronic renal failure: a double-blind randomized clinical trial study
Public title
Investigating the effect of melatonin in patients with chronic renal failure
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with chronic kidney disease Patients with persistant proteinuria Able to cooperate and communicate The patient is not on dialysis have signed the consent form to enter the study
Exclusion criteria:
Having a severe physical and neurological or psychiatric illness and not being able to continue to cooperate Drug sensitivity or allergic reaction to the drug Patients taking immunosuppressive drugs Patients with liver enzyme disorders Patients with seizure disorders and taking anticonvulsant drugs Patients with depression disorders and taking drugs such as tricyclic antidepressants, fluvoxamine
Age
From 18 years old to 80 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
  • Data and Safety Monitoring Board
Sample size
Target sample size: 140
Randomization (investigator's opinion)
Randomized
Randomization description
Sampling will first be available and then random allocation. The samples that meet the inclusion criteria are selected, then by block random allocation using the random allocation table, the samples will be divided between the two melatonin groups and the placebo group.
Blinding (investigator's opinion)
Double blinded
Blinding description
In this study, after preparing the complete list of participants in the study, people are randomly placed in two groups A and B (melatonin and placebo) based on computer software and simple random assignment method. Then each drug group corresponds to the group which are completely the same shape, color and weight, and the researcher and the participant in the study are not aware of the type of drug, and it is given in advance by a third person who was outside the study, and at the end of the study, the variables are The researcher is measured.
Placebo
Used
Assignment
Factorial
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Yasouj University of Medical Sciences
Street address
Yasouj Medical College Campus, Imam Sajjad Yasouj Hospital
City
Yasouj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591953538
Approval date
2024-09-18, 1403/06/28
Ethics committee reference number
IR.YUMS.REC.1403.086

Health conditions studied

1

Description of health condition studied
Chronic renal failure
ICD-10 code
N18
ICD-10 code description
Chronic kidney disease (CKD)

Primary outcomes

1

Description
Glomerular filtration score of patients with chronic renal failure
Timepoint
At the beginning of the study (before the start of the intervention) and 1 month later and 2 months after the start of the intervention
Method of measurement
Measurement of patient's serum creatinine level

2

Description
The amount of proteinuria in chronic renal failure patients
Timepoint
At the beginning of the study (before the start of the intervention) and 1 month later and 2 months after the start of the intervention
Method of measurement
Measuring protein excretion in 24-hour urine

3

Description
Appetite score of patients with chronic renal failure
Timepoint
At the beginning of the study (before the start of the intervention) and 1 month later and 2 months after the start of the intervention
Method of measurement
Intensive nutritional assessment questionnaire

Secondary outcomes

1

Description
The amount of changes in the glomerular filtration score of patients with chronic renal failure
Timepoint
The beginning of the study (before the start of the intervention) and 1 month and 2 months after the start of the intervention
Method of measurement
Measurement of patient's serum creatinine level

2

Description
The amount of proteinuria changes in patients with chronic renal failure
Timepoint
The beginning of the study (before the start of the intervention) and 1 month and 2 months after the start of the intervention
Method of measurement
The rate of protein excretion in 24-hour urine

3

Description
The amount of changes in the appetite score of patients with chronic renal failure
Timepoint
The beginning of the study (before the start of the intervention) and 1 month and 2 months after the start of the intervention
Method of measurement
Intensive nutritional assessment questionnaire

Intervention groups

1

Description
Intervention group: 5 mg melatonin drug by Galenos company, 1 pill daily for 2 months
Category
Treatment - Drugs

2

Description
Control group: In addition to continuing to take their previous medications, patients will receive a placebo in the same dosage form, same color, same weight as the medication of the intervention group, once a day for 2 months.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Shahid Jalil Hospital
Full name of responsible person
Gholami, Danial
Street address
Gharani Boulevard
City
Yasouj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591953538
Phone
+98 74 3333 7001
Fax
+98 74 3333 7002
Email
Jalilhospital@yums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Hosseini, Amin
Street address
Shahid Motahari Blvd
City
Yasouj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591953538
Phone
+98 74 3334 6078
Fax
+98 74 3334 6079
Email
Research@yums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Yasouj University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Abbasi, Hamidreza
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
NO.4 , Bahonar
City
Yasouj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591953538
Phone
+98 74 3322 9566
Fax
+98 74 3322 2793
Email
Dr.hr.abbasi68@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Abbasi, Hamidreza
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
NO. 4 , Bahonar
City
Yasouj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591953538
Phone
+98 74 3322 9566
Fax
+98 74 3322 2793
Email
Dr.hr.abbasi68@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Abbasi, Hamidreza
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
No. 4 , Bahonar
City
Yasouj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591953538
Phone
+98 74 3322 9566
Fax
+98 74 3322 2793
Email
Dr.hr.abbasi68@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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