Last reviewed · How we verify
NCT04470297
Adjuvant Therapeutic Effects of Melatonin Agonist on Hospitalized Patients With Confirmed or Suspected COVID-19
Phase 2 trial testing Ramelteon 8mg in Covid19 in 100 participants. Status unknown.
1 November 2020
Quick facts
| Lead sponsor | Associação Fundo de Incentivo à Pesquisa |
|---|---|
| Phase | Phase 2 |
| Status | Status unknown |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | triple |
| Primary purpose | treatment |
| Enrollment | 100 |
| Start date | 1 September 2020 |
| Primary completion | 1 November 2020 |
| Estimated completion | 1 March 2021 |
Drugs / interventions tested
- Ramelteon 8mg — full drug profile →
Conditions studied
- Covid19 — all drugs for Covid19 →
- Lung Injury — all drugs for Lung Injury →
Sponsor
Associação Fundo de Incentivo à Pesquisa — full company profile →
Who can join
Adults 18 to 80, any sex, with Covid19 or Lung Injury. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Time to resolution of symptoms [National Early Warning Score 2 (NEWS2) of 0]
Time frame: enrollment is day 0
Defined as a National Early Warning Score 2 (NEWS2) of 0 maintained for 24 hours \[Time Frame: Assessed daily (enrollment is day 0)\] The NEWS consists of a simple aggregate scoring system based on physiological measurements, regularly registered in inpatient settings, including six parameters: respiration rate, oxygen saturation, systolic blood pressure, pulse rate, level of consciousness or new
Sponsor's own description
COVID-19 is impacting on health systems in Brazil and worldwide. Reducing the risk of clinical deterioration and prolonged disease duration in hospitalized patients with COVID-19 may alleviate the burden caused by the pandemic. Melatonin (N-acetyl-5-methoxytryptamine) has demonstrated antiapoptotic, antioxidative, and anti-inflammatory roles and has been suggested as a potential protector against organ injuries and even mediate lower mortality rates after polymicrobial sepsis in animal models. Melatonin agonists may modulate protective effects against acute lung injury and play a clinical role in individuals with SARS-CoV-2 infection. The investigators proposed a clinical trial testing the effects of ramelteon 8mg in hospitalized patients with COVID-19.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
Oxidative Stress and Inflammation in COVID-19-Associated Sepsis: The Potential Role of Anti-Oxidant Therapy in Avoiding Disease Progression.
Beltrán-García J, Osca-Verdegal R, Pallardó FV, Ferreres J, et al · · 2020 · cited 103× · PMID 33003552 · DOI 10.3390/antiox9100936 -
Races of small molecule clinical trials for the treatment of COVID-19: An up-to-date comprehensive review.
Hu S, Jiang S, Qi X, Bai R, et al · · 2022 · cited 68× · PMID 34762760 · DOI 10.1002/ddr.21895 -
Therapeutic potential of melatonin and melatonergic drugs on K18-hACE2 mice infected with SARS-CoV-2.
Cecon E, Izabelle C, Poder SL, Real F, et al · · 2022 · cited 28× · PMID 34586649 · DOI 10.1111/jpi.12772 -
SARS-CoV-2: Immune Response Elicited by Infection and Development of Vaccines and Treatments.
Canedo-Marroquín G, Saavedra F, Andrade CA, Berrios RV, et al · · 2020 · cited 27× · PMID 33362758 · DOI 10.3389/fimmu.2020.569760 -
Melatonin for the Early Treatment of COVID-19: A Narrative Review of Current Evidence and Possible Efficacy.
Cross KM, Landis DM, Sehgal L, Payne JD. · · 2021 · cited 22× · PMID 34119679 · DOI 10.1016/j.eprac.2021.06.001 -
Pineal hormone melatonin as an adjuvant treatment for COVID‑19 (Review).
Vlachou M, Siamidi A, Dedeloudi A, Konstantinidou SK, et al · · 2021 · cited 19× · PMID 33576451 · DOI 10.3892/ijmm.2021.4880 -
The role of reactive oxygen species in severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection-induced cell death.
Xie J, Yuan C, Yang S, Ma Z, et al · · 2024 · cited 14× · PMID 39516736 · DOI 10.1186/s11658-024-00659-6 -
Potential and Possible Therapeutic Effects of Melatonin on SARS-CoV-2 Infection.
Shchetinin E, Baturin V, Arushanyan E, Bolatchiev A, et al · · 2022 · cited 6× · PMID 35052644 · DOI 10.3390/antiox11010140
Verify or expand the search:
- PubMed search for NCT04470297
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of Ramelteon 8mg
Trials testing the same drug.
- NCT03461042 — The Study of Combination Use of Melatonin Receptor Agonist for Dose Reduction or Interruptions of Benzodiazepine (BZD) a · Phase 4 · completed
Other recruiting trials for Covid19
Currently open trials in the same condition.
- NCT03305341 — Proof-of-Concept Clinical Pharmacology Trial for COVID-19 Antigen Presentation Therapeutic Biologic Mix · EARLY_PHASE1 · active not recruiting
- NCT06482138 — Dysfunction of Olfaction After COVID-19 Infection: Morphological and Histomolecular Investigation · NA · recruiting
- NCT04924803 — Community Developed Technology-Based Messaging to Increase COVID-19 Vaccine Uptake Among People Who Inject Drugs · NA · active not recruiting
- NCT05013632 — COVID-19 International Drug Pregnancy Registry · recruiting
- NCT04806061 — Urine Alkalinisation in COVID-19 · NA · active not recruiting
Other Associação Fundo de Incentivo à Pesquisa trials
Trials by the same sponsor.
- NCT07382206 — Effect of Acute Exercise on Sleep Patterns in Patients With PLMS, Using a Wearable Device, Compared With a Control Group · NA · recruiting
- NCT03299257 — Donepezil, Residual Excessive Daytime Sleepiness, Obstructive Sleep Apnea · Phase 4 · unknown
- NCT04872816 — Obstructive Sleep Apnea and Telomere Length · Phase 2 · completed
- NCT03212209 — Comparison of CPAP Modalities for OSA Treatment · NA · unknown
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04470297 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Associação Fundo de Incentivo à Pesquisa
- Last refreshed: 22 July 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04470297.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing