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Clinical Trials for Use of Melatonin to Fight against COVID-19 Are Urgently Needed.

Nutrients
January 1, 1970
Konrad Kleszczyński et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate melatonin's potential as an adjuvant treatment for COVID-19 by assessing its anti-inflammatory, anti-oxidative, and immune-modulating effects.

Results Summary

The study suggests melatonin reduces vascular permeability, anxiety, and improves sleep quality in critical care patients, with no reported harmful adverse effects. It may help mitigate cytokine storms and acute lung injury in COVID-19 patients.

Population

Critical care patients, particularly those with COVID-19.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
decrease
inflammation and oxidation
-
-
is an anti-inflammatory and anti-oxidative molecule
#1
melatonin
decrease
vascular permeability
critical care patients
-
reducing
#2
melatonin
decrease
anxiety
critical care patients
-
reducing
#3
melatonin
increase
sedation
critical care patients
-
inducing
#4
melatonin
increase
quality of sleep
critical care patients
-
improving
#5
Abstract

The recent pandemic of COVID-19 has already infected millions of individuals and has resulted in the death of hundreds of thousands worldwide. Based on clinical features, pathology, and the pathogenesis of respiratory disorders induced by this and other highly homogenous coronaviruses, the evidence suggests that excessive inflammation, oxidation, and an exaggerated immune response contribute to COVID-19 pathology; these are caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This leads to a cytokine storm and subsequent progression triggering acute lung injury (ALI)/acute respiratory distress syndrome (ARDS), and often death. We and others have reported melatonin to be an anti-inflammatory and anti-oxidative molecule with a high safety profile. It is effective in critical care patients by reducing their vascular permeability and anxiety, inducing sedation, and improving their quality of sleep. As melatonin shows no harmful adverse effects in humans, it is imperative to introduce this indoleamine into clinical trials where it might be beneficial for better clinical outcomes as an adjuvant treatment of COVID-19-infected patients. Herein, we strongly encourage health care professionals to test the potential of melatonin for targeting the COVID-19 pandemic. This is urgent, since there is no reliable treatment for this devastating disease.

Medical Subject Headings (MeSH)
Anti-Inflammatory AgentsAntioxidantsBetacoronavirusCOVID-19Clinical Trials as TopicCoronavirus InfectionsDrug RepositioningHumansMelatoninPandemicsPneumonia, ViralSARS-CoV-2COVID-19 Drug Treatment
Study Links
Quality Scores
Safety90
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations45
Citations/Year9.0
Relative Citation Ratio3.10
NIH Percentile85.7%
Research Impact Scores
APT Score0.50
Weight Score0.92
Normalized Score0.82
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