Can melatonin help ICU patients snap out of delirium?
NCT ID NCT05713877
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether melatonin, a natural sleep hormone, can help treat delirium in intensive care unit (ICU) patients. Delirium is a state of confusion and disorientation common in critically ill people. The trial will give 30 patients either melatonin or a placebo every evening for up to 14 days. The main goal is to see if a larger study is possible, and to check if melatonin shortens the time patients remain delirious.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Melatonin
- What this could lead to
- If it works, this could point toward a simple, safe treatment to reduce delirium duration in critically ill patients.
- What could go wrong
- This is a very small feasibility trial with only 30 participants, so results may not be conclusive. Delirium has many causes, and melatonin may not work for everyone.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2023
- Expected to finish
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Dec 2026
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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18 years and older
- 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.
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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 18 years or older admitted to the intensive care unit; * Anticipated ICU stay \> 48 hours; * ICDSC score greater than or equal to 4 for a maximum of 48 hours prior to randomization. Exclusion Criteria: * Known allergy or hypersensitivity to melatonin or to ingredients in ORA-BLEND SF®; * Use of melatonin within 24 hours prior to randomization; * Presence of severe structural brain injury (intracranial hemorrhage or traumatic brain injury), severe major neurocognitive disorder, advanced neurodegenerative disease or hepatic encephalopathy; * Diagnosis of schizophrenia, bipolar affective disorder, psychotic depression, uremic encephalopathy or alcohol withdrawal; * Presence of active seizures, coma, aphasia or severe intellectual disability; * Limited short-term vital prognosis; * Diagnosis of delirium prior to ICU admission; * Pregnancy or breastfeeding; * Absolute contraindication to receive enteral medication; * Inability to understand or speak English or French; * Total blindness.
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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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Hopital Maisonneuve-Rosemont
RECRUITINGMontreal, Quebec, H1T 2M4, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a daily supplement shield the brain after delirium?
- Brain surgery delirium: can real-time monitoring protect older patients?
- Could daylight hold the key to preventing delirium?
- Can sensory therapy calm Dementia-Related agitation in hospitals?
- A new care routine aims to shield aging hearts and minds in the ICU