Protocol summary

Study aim
Investigating the effect of oral Melatonin premedication on the quality of sedation and pain scale in Cataract surgery
Design
A clinical trial with a control group, with parallel groups, three blinded, randomized, phase 2 on 40 patients. random allocation software will be used for randomization.
Settings and conduct
This is a triple-blind randomized clinical trial that will be performed on 40 Cataract candidate patients at Feyz Hospital in Isfahan. After the approval of the university ethics committee, if they have inclusion criteria, patients (or their guardians) will be informed about the study and if they consent, they will enter the groups with random assignment. In each group, the desired intervention is applied and the patient's clinical symptoms are recorded. The clinical caregiver evaluating the symptoms is different from the person performing the intervention and does not know the type of intervention. Patients, despite being studied, are not aware of the type of intervention applied and therefore are all blind. Data analysts also do not know the type of intervention applied in each group and are blind.
Participants/Inclusion and exclusion criteria
Inclusion criteria: over 18 years old, candidate for cataract surgery, and informed consent to enter the study. Non-inclusion criteria: suffering from mental illness, deafness, diabetes, allergies, and obesity
Intervention groups
Intervention group A: In this group, patients receive a sublingual tablet containing 3 mg of melatonin 1 hour before surgery. Intervention group B: In this group, patients receive a placebo pill (which is similar to melatonin in terms of color, smell, and appearance) 1 hour before the operation.
Main outcome variables
intensity of pain

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20160307026950N45
Registration date: 2022-09-10, 1401/06/19
Registration timing: prospective

Last update: 2022-09-10, 1401/06/19
Update count: 0
Registration date
2022-09-10, 1401/06/19
Registrant information
Name
Behzad Nazemroaya
Name of organization / entity
Isfahan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 31 3212 3543
Email address
behzad_nazem@med.mui.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-09-23, 1401/07/01
Expected recruitment end date
2022-11-22, 1401/09/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of oral Melatonin premedication on the quality of sedation and pain scale in Cataract surgery
Public title
Investigating the sedative effect of Melatonin in Cataract surgery
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Age over 18 ASA class I, II and III Candidate for Cataract surgery Informed consent for study
Exclusion criteria:
Patients with a history of obstructive sleep apnea Patients treated with psychiatric drugs Patients with autoimmune diseases, diabetes, nystagmus, leukemia and deafness Allergy to the drugs used Use of painkillers in the past week BMI index greater than 35
Age
From 18 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization will be done by the simple method in which each patient will be assigned a code using a random number table (Random allocation software) and Patients fall into one of two groups depending on whether these codes are even or odd. This continues until the number of patients in both groups reaches the required number.
Blinding (investigator's opinion)
Triple blinded
Blinding description
This is a triple-blind clinical trial; In this way, before obtaining consent, patients are informed about the study but do not know which group they will be in and therefore are blind. Also, the researcher who records the patient's symptoms is different from the nurse who injects the drug and does not know the type of drug and is blind. Analysts who analyze the data collected during the study also do not know the type of intervention applied in each group and are blind.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee in Biomedical Research, Isfahan University of Medical Sciences
Street address
Hezar Jarib
City
Isfahan
Province
Isfehan
Postal code
8174673461
Approval date
2020-11-30, 1399/09/10
Ethics committee reference number
IR.MUI.MED.REC.1399.768

Health conditions studied

1

Description of health condition studied
Cataract
ICD-10 code
H25
ICD-10 code description
Age-related cataract

Primary outcomes

1

Description
intensity of pain
Timepoint
before the intervention, before the operation, after anesthesia and then every 10 minutes until the end of recovery
Method of measurement
Behavioral Pain Scale questionnaire

Secondary outcomes

1

Description
Heart Rate
Timepoint
before the intervention, before the operation, after anesthesia and then every 10 minutes until the end of recovery
Method of measurement
ECG monitoring

2

Description
Blood Pressure
Timepoint
before the intervention, before the operation, after anesthesia and then every 10 minutes until the end of recovery
Method of measurement
Sphygmomanometer

Intervention groups

1

Description
Intervention group: In this group, patients receive a sublingual tablet containing 3 mg of Melatonin manufactured by Norm Life 1 hour before surgery. After being placed on the surgical bed, he is subjected to cardiac and respiratory monitoring, an intravenous line is established for drug injection, as well as the measurement criteria are explained to the patient. Then the patient is put under anesthesia and the operation begins. The patient's symptoms are measured and recorded until the end of the operation and then during recovery.
Category
Prevention

2

Description
Control group: In this group, patients receive a placebo sublingual tablet 1 hour before surgery. After being placed on the surgical bed, he is subjected to cardiac and respiratory monitoring, and an intravenous line is established for drug injection, as well as the measurement criteria are explained to the patient. Then the patient is put under anesthesia and the operation begins. The patient's symptoms are measured and recorded until the end of the operation and then during recovery.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Feyz Hospital
Full name of responsible person
Behzad Nazem Roaya
Street address
Modares St, Qods Sq
City
Isfahan
Province
Isfehan
Postal code
4487481496
Phone
+98 31 3445 2031
Email
behzad_nazem@med.mui.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Shaghayegh Haghjoo
Street address
Hezar Jarib
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3668 0048
Email
research@mui.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Esfahan 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
Esfahan University of Medical Sciences
Full name of responsible person
Shahrzad Andalib
Position
Anesthesiology resident
Latest degree
Medical doctor
Other areas of specialty/work
Anesthesiology
Street address
Hezar Jarib
City
Isfahan
Province
Isfehan
Postal code
8146713543
Phone
+98 31 3620 2020
Email
Andalibshahrzad@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Behzad Nazem roaya
Position
Professor assistant of Anesthesia and Intensive carentensive care
Latest degree
Specialist
Other areas of specialty/work
Anesthesiology
Street address
Hezar Jarib
City
Isfahan
Province
Isfehan
Postal code
8146713543
Phone
+98 31 3620 2020
Email
behzad_nazem@med.mui.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Leyla Rafiei
Position
Nurse Anesthetist
Latest degree
Bachelor
Other areas of specialty/work
Anesthesiology
Street address
Hezar Jarib
City
Isfahan
Province
Isfehan
Postal code
8146713543
Phone
+98 31 3620 2020
Email
Leylarafiei943@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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