Using melatonin to improve recovery in teens after surgery

SurgerySMART: Studying Melatonin and Recovery in Teens

NA · Stanford University · NCT06093477

This study is testing if melatonin can help teenagers recover better and sleep well after having major surgery.

Quick facts

PhaseNA
Study typeInterventional
Enrollment45 (estimated)
Ages12 Years to 18 Years
SexAll
SponsorStanford University (other)
Locations1 site (Palo Alto, California)
Trial IDNCT06093477 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to evaluate the feasibility and acceptability of melatonin in promoting healthy sleep for adolescents undergoing major musculoskeletal surgery. A total of 45 participants aged 12-18 will be enrolled and randomized to receive either melatonin or a placebo, alongside sleep hygiene instructions. Participants will wear an actigraphy device and complete daily check-in surveys and online assessments over a four-month period to measure outcomes related to sleep, pain, and health-related quality of life. The study will assess both short-term and long-term effects of melatonin on recovery.

Who should consider this trial

Good fit: Ideal candidates are adolescents aged 12-18 who are scheduled for elective major musculoskeletal surgery and reside in California.

Not a fit: Patients with severe chronic medical conditions, cognitive impairments, or those currently taking sleep medications may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance recovery and quality of life for teens undergoing significant surgical procedures by improving their sleep quality.

How similar studies have performed: While the use of melatonin for sleep improvement is well-documented, this specific application in a surgical adolescent population is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Patients/youth:

* Age 12-18 years
* Participants undergoing elective major musculoskeletal surgery for eligible conditions
* California state resident
* Regular access to internet and smartphone
* Can read and understand English or Spanish

Parents/caregivers

* Biological parent or legal guardian of youth
* Can read and understand English or Spanish

Exclusion Criteria:

Patients/youth

* Prescription medication for premorbid insomnia
* Cognitive impairment or developmental delay
* Does not agree to a 1-week washout if taking over the counter supplements or other sleep aids prior to the start of the study medication
* High risk for sleep related breathing disorder
* Chronic medical condition that is severe/systemic or requires regular treatment regimen
* Psychiatric admission in prior 30 days
* Patients that underwent major surgery in the last 3 months, or those that have not fully recovered from a prior surgery
* BMI ≥ 99th percentile
* Enrollment in another therapeutic study
* Any serious underlying medical or psychiatric condition, that, in the opinion of the investigator, would contraindicate the patient's participation in the study

Where this trial is running

Palo Alto, California

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Juvenile, Scoliosis, Scoliosis Idiopathic, Adolescence, Congenital, Kyphosis, Spondylolisthesis, Pectus Surgery

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.