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Feasibility of 3-month melatonin supplementation for brain oxidative stress and sleep in mild cognitive impairment: protocol for a randomised, placebo-controlled study.

BMJ open
January 1, 1970
Zoe Menczel Schrire et al. (13 authors)
Clinical Trial ProtocolJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the feasibility, acceptability, and tolerability of higher-dose (25 mg) melatonin in targeting brain oxidative stress and sleep disturbance in older adults with mild cognitive impairment (MCI).

Results Summary

The study is a protocol for a future trial, so no results are reported yet. It outlines the design and objectives, including primary outcomes (feasibility, acceptability, adherence) and secondary outcomes (effects on oxidative stress, blood pressure, biomarkers, mood, cognition, and sleep).

Population

Older adults with mild cognitive impairment (MCI).

Effective Dosage

25 mg oral melatonin nightly.

Duration

12 weeks.

Interactions

None mentioned.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
higher dose (25 mg) melatonin
decrease
brain oxidative stress
older adults with mild cognitive impairment (MCI)
-
target
#1
higher dose (25 mg) melatonin
decrease
sleep disturbance
older adults with mild cognitive impairment (MCI)
-
target
#2
melatonin
neutral
brain oxidative stress
individuals with MCI
-
effect on
#3
melatonin
neutral
blood pressure
individuals with MCI
-
effect on
#4
melatonin
neutral
blood biomarkers
individuals with MCI
-
effect on
#5
melatonin
neutral
mood
individuals with MCI
-
effect on
#6
melatonin
neutral
cognition
individuals with MCI
-
effect on
#7
melatonin
neutral
sleep
individuals with MCI
-
effect on
#8
melatonin
neutral
modifiable risk factors of dementia
-
-
test the efficacy on
#9
melatonin
neutral
cognition
-
-
test the efficacy on
#10
melatonin
neutral
brain function
-
-
test the efficacy on
#11
melatonin
decrease
dementia
population with MCI
-
reduce progression to
#12
Abstract

INTRODUCTION: Melatonin has multiple proposed therapeutic benefits including antioxidant properties, synchronisation of the circadian system and lowering of blood pressure. In this protocol, we outline a randomised controlled trial to assess the feasibility, acceptability and tolerability of higher dose (25 mg) melatonin to target brain oxidative stress and sleep disturbance in older adults with mild cognitive impairment (MCI). METHODS AND ANALYSIS: The study design is a randomised double-blind, placebo-controlled, parallel group trial. Forty individuals with MCI will be recruited from the Healthy Brain Ageing Clinic, University of Sydney and from the community, and randomised to receive either 25 mg oral melatonin or placebo nightly for 12 weeks. The primary outcomes are feasibility of recruitment, acceptability of intervention and adherence to trial medication at 12 weeks. Secondary outcomes will include the effect of melatonin on brain oxidative stress as measured by magnetic resonance spectroscopy, blood pressure, blood biomarkers, mood, cognition and sleep. Outcomes will be collected at 6 and 12 weeks. The results of this feasibility trial will inform a future conclusive randomised controlled trial to specifically test the efficacy of melatonin on modifiable risk factors of dementia, as well as cognition and brain function. This will be the first trial to investigate the effect of melatonin in the population with MCI in this way, with the future aim of using this approach to reduce progression to dementia. ETHICS AND DISSEMINATION: This protocol has been approved by the Sydney Local Health District Ethics Committee (X18-0077). This randomised controlled trial will be conducted in compliance with the protocol published in the registry, the International Conference for Harmonisation on Good Clinical Practice and all other applicable regulatory requirements. The findings of the trial will be disseminated via conferences, publications and media, as applicable. Participants will be informed of results of the study at the conclusion of the trial. Eligible authors will include investigators who are involved in the conception and design of the study, the conduct of the trial, the analysis of the results, and reporting and presentation of study findings. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry (ANZCTRN 12619000876190). PROTOCOL VERSION: V.8 15 October 2020.

Medical Subject Headings (MeSH)
AgedAustraliaBrainCognitive DysfunctionDietary SupplementsDouble-Blind MethodFeasibility StudiesHumansMelatoninNew ZealandOxidative StressRandomized Controlled Trials as TopicSleepTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Quality85/10
Citation Metrics
Total Citations7
Citations/Year1.8
Relative Citation Ratio0.73
NIH Percentile38.9%
Research Impact Scores
APT Score0.50
Weight Score1.67
Normalized Score0.57
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