Melatonin for the Prevention of Antibiotic Associated Acute Kidney Injury
Rutgers, The State University of New Jersey
Summary
This study will evaluate the safety and effectiveness of melatonin for the prevention of antibiotic associated acute kidney injury in hospitalized patients.
Description
Consenting subjects meeting inclusion and exclusion will be randomized to receive melatonin 5 mg daily or a matching placebo. Study subjects will be followed for the duration of hospitalization or discontinuation of broad spectrum antibiotics (vancomycin plus piperacillin/tazobactam). The primary outcome and secondary outcomes will be evaluated by the study team.
Eligibility
- Age range
- 18–75 years
- Sex
- All
- Healthy volunteers
- No
Inclusion criteria: * Aged 18 to 75 years * Currently prescribed vancomycin with the presumption that therapy will be continued for at least 3 days based on a review of subject status. Because of the critical nature of starting empiric broad-spectrum antibiotics, we will allow one dose of the antibiotic combination before consent and enrollment. This strategy is necessary for the ethical conduct of the study. Exclusion criteria: * Estimated creatinine clearance \< 30 mL/min * Liver impairment (liver enzymes \> 3 times upper limit) * Any history of allergy or contraindication to melatonin *…
Interventions
- DrugMelatonin
Melatonin 5 mg capsule by mouth at bedtime
- OtherPlacebo Capsule
Placebo capsule by mouth at bedtime
Locations (2)
- Robert Wood Johnson University HospitalNew Brunswick, New Jersey
- Robert Wood Johnson University Hospital SomersetSomerville, New Jersey