Could a sleep hormone stop Children's Post-Surgery delirium?
NCT ID NCT05541276
First seen Aug 18, 2026 · Last updated Aug 19, 2026 · Updated 1 time
Summary
This trial tests whether giving melatonin intravenously during surgery can prevent the agitation and delirium some children experience when waking up from anesthesia. About 1 in 4 children show these distressing behaviors, which include crying, thrashing, and confusion. The study will compare melatonin against a placebo in 676 children aged 1 to 6 undergoing elective surgery, measuring how many develop emergence agitation and their need for pain medication afterward.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Melatonin given as an intravenous injection during surgery
- What this could lead to
- If effective, a single dose of IV melatonin during surgery could become a simple, safe way to prevent distressing post-anesthesia agitation in young children.
- What could go wrong
- This is a phase 3 trial, but results may not confirm benefit. Melatonin has low bioavailability, and the trial's success depends on the dose and timing working in a real surgical setting.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 676 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 year to 6 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged 1-6 years * Elective surgical procedure of en axpected duration of at least 30 minutes in general anesthesia Exclusion Criteria: * Any known allergy or contraindication to study treatment or excipåients * Current daily medication with melatonin
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Anesthesiology, Juliane Marie Center, Rigshospitalet
RECRUITINGCopenhagen, Capital Region, 2100, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a safer opioid choice stop Kids' Post-Surgery agitation?
- Can a single injection calm infants waking from anesthesia?
- Your sleep pattern may predict Post-Surgery confusion risk
- Could a single injection stop post-surgery delirium in children?
- Tablets vs. tantrums: could a video call with parents prevent post-surgery delirium in toddlers?
- Brain waves may reveal which children will wake up confused after surgery