RecruitingPhase 4NCT05069428
Delirium Reduction With Ramelteon
Sponsor
Centennial Medical Center
Enrollment
506 participants
Start Date
Mar 26, 2023
Study Type
INTERVENTIONAL
Conditions
Summary
The overall purpose of this study is to identify a medication that might treat and/or prevent delirium in intensive care unit (ICU). Currently, there is no proven medical therapy for prevention or treatment of delirium. Ramelteon is a medication approved for insomnia. We hypothesize that ramelteon may help regulate the day/night cycle and decrease ICU delirium.
Eligibility
Min Age: 18 Years
Inclusion Criteria4
- Medical or surgical ICU patient
- Ability to take oral or nasogastric tube within 48 hours of admission to ICU
- Expected ICU length of stay and life expectancy at least 48 hours
- Patient or POA capable of signing informed consent within 48 hours of ICU admission
Exclusion Criteria11
- Past medical history includes cirrhosis
- Active alcohol withdrawal
- Patients taking fluvoxamine prior to admission
- Self-reported hypersensitivity to ramelteon
- Incarcerated patients
- Pregnant patients
- Patients with acute neurological conditions including brain abscess, head bleed, meningitis
- Patients who are transferred from an outside hospital where they have resided for greater than 4 days
- Non-English speaking patients
- Hearing-impaired patients requiring sign language for communication
- Visually-impaired patients
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Interventions
DRUGRamelteon 8mg
administered crushed, orally at 20:30
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05069428
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