Search / Trial NCT00000171

Study of Melatonin: Sleep Problems in Alzheimer's Disease

Launched by NATIONAL INSTITUTE ON AGING (NIA) · Oct 29, 1999

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Trial Information

Current as of April 22, 2024

Completed

Keywords

Alzheimer's Disease Sleep Disorders Melatonin

Description

In Alzheimer's disease , sleep disruption is one of the most common behavioral problems, occurring in 45 percent of patients. These nocturnal awakenings and agitation lead to considerable burden for caregivers and frequently lead families to the decision of nursing home placement. The proposed study is a randomized, double blind, parallel group, placebo controlled, clinical trial. Placebo will be compared with two doses of melatonin: a 2.5 mg, slow- release preparation and a 10 mg immediate release preparation. One hundred and fifty community-residing AD patients with disrupted sleep will b...

Gender

All

Eligibility criteria

  • Inclusion Criteria:
  • Patients must meet NINCDS-ADRDA criteria for probable Alzheimer's disease (AD). Patients must have disrupted sleep, documented by clinical history and by 1 to 2 weeks of recording using wrist activity monitors.
  • A diagnosis of probable AD.
  • MMSE score 0-26.
  • Hachinski Ischemia Scale score less than or equal to 4.
  • A 2-week history of two or more sleep disorder behaviors, occurring at least once weekly, as reported by the caregiver on the Sleep Disorder Inventory.
  • CT or MRI since the onset of memory problems showing no more than one lacunar infarct in a non-strategic area and no clinical events suggestive of stroke or other intracranial disease since the CT or MRI.
  • Physically acceptable for study as confirmed by medical history and exam, clinical laboratory results, and EKG.
  • Actigraph evidence of a mean nocturnal sleep time of less than 7 hours per night (at least 5 nights of complete actigraph data must be collected over a single week.
  • Stable home situation with no planned move during the 13-week investigational period.
  • Residing with responsible spouse, family member, or professional caregiver who is present during the night and will agree to assume the role of the principal caregiver for the 13-week protocol, including arranging transport for the patient to and from the investigators' clinic, answering questions regarding the patient's condition, and assuming responsibility for medication and actigraph procedures.
  • Ability to ingest oral medication and participate in all scheduled evaluations.
  • Six grades of education or work history sufficient to exclude mental retardation.
  • 55 years of age or older.
  • Hamilton Depression Rating Scale score of 15 or less.
  • Stable medication (dose and type) for non-excluded concurrent medical conditions for 4 weeks prior to the screening visit.
  • Exclusion Criteria:
  • Sleep disturbance is acute (within the last 2 weeks).
  • Sleep disturbance is associated with an acute illness with delirium.
  • Clinically significant movement disorder that would interfere with the actigraph readings.
  • Not having a mobile upper extremity to which to attach an actigraph.
  • Severe agitation.
  • Pain syndrome affecting sleep.
  • Unstable medical condition.
  • Use of investigational or unapproved medications within 4 weeks of the screening visit.
  • Patient unwilling to maintain caffeine abstinence after 2:00 pm for the duration of the protocol.
  • Patient unwilling to comply with the maximum limit of two alcoholic drinks per day, and only one alcoholic drink after 6:00 pm for the duration of the protocol.
  • Use of melatonin within 2 weeks of screening visit.
  • Clinically significant abnormal laboratory findings that have not been approved by the Project Director.
  • Residing in a facility without a consistent caregiver present during the night who can function as the primary informant.
  • Caregiver deemed too unreliable to supervise the wearing of the actigraph, to maintain the sleep diary, or to bring the patient to the scheduled visits.
  • Autoimmune disease, such as rheumatoid arthritis and polymyalgia rheumatica.

Attachments

readout_NCT00000171_2024-04-22.pdf

4.5 MB

NCT00000171_study_protocol.pdf

4.5 MB

About company

The National Institute of Allergy and Infectious Diseases (NIAID, /ˈnaɪ.æd/) is one of the 27 institutes and centers that make up the National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services (HHS). NIAID's mission is to conduct basic and applied research to better understand, treat, and prevent infectious, immunologic, and allergic diseases.

Contacts

JC

Jennifer Cobb

Immunology at National Institute of Allergy and Infectious Diseases (NIAID)

Locations

Baltimore, Maryland, United States

Ann Arbor, Michigan, United States

Houston, Texas, United States

Los Angeles, California, United States

Tampa, Florida, United States

Tucson, Arizona, United States

Irvine, California, United States

La Jolla, California, United States

Los Angeles, California, United States

New Haven, Connecticut, United States

Jacksonville, Florida, United States

Miami, Florida, United States

Atlanta, Georgia, United States

Augusta, Georgia, United States

Springfield, Illinois, United States

Kansas City, Kansas, United States

Lexington, Kentucky, United States

Minneapolis, Minnesota, United States

Rochester, Minnesota, United States

St. Louis, Missouri, United States

New York, New York, United States

New York, New York, United States

Rochester, New York, United States

Cleveland, Ohio, United States

Portland, Oregon, United States

Philadelphia, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

Pawtucket, Rhode Island, United States

Nashville, Tennessee, United States

Dallas, Texas, United States

Seattle, Washington, United States

People applied

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

Reviews (48)

4.6

All reviews come from applied patients

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Leslie Alexander
20 September 2023

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Michael Foster
20 September 2023

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Dries Vincent
20 September 2023

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Leslie Alexander
20 September 2023

Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum?

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