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Effects of melatonin supplementation on metabolic parameters, oxidative stress, and inflammatory biomarkers in diabetic patients with chronic kidney disease: study protocol for a double-blind, randomized controlled trial.

Trials
January 1, 1970
Sara Sadeghi et al. (6 authors)
Clinical Trial ProtocolJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to examine the efficacy of melatonin supplementation on metabolic parameters, oxidative stress, and inflammatory biomarkers in diabetic patients with chronic kidney disease (CKD).

Results Summary

The study hypothesizes that melatonin may improve diabetic CKD by modulating oxidative stress, inflammation, lipid metabolism, and insulin sensitivity, but results are pending as the trial is ongoing.

Population

Diabetic patients with chronic kidney disease (CKD).

Effective Dosage

5 mg melatonin tablets twice daily.

Duration

10 weeks.

Interactions

None mentioned.

Extracted Claims (17)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin supplementation
neutral
metabolic parameters, oxidative stress, and inflammatory biomarkers
diabetic patients with CKD
-
examine the efficacy
#1
melatonin supplementation
neutral
-
diabetic patients with CKD
-
will be investigated the impacts
#2
5 mg melatonin tablets
neutral
-
diabetic subjects with CKD
-
receive
#3
melatonin supplementation
neutral
oxidative stress and inflammatory biomarkers
-
-
primary outcome is changes in
#4
melatonin supplementation
neutral
lipid profile
-
-
secondary outcomes include changes in
#5
melatonin supplementation
neutral
renal function indicators
-
-
secondary outcomes include changes in
#6
melatonin supplementation
neutral
fasting blood sugar and serum insulin
-
-
secondary outcomes include changes in
#7
melatonin supplementation
neutral
systolic and diastolic blood pressure (SBP and DBP)
-
-
secondary outcomes include changes in
#8
melatonin supplementation
neutral
serum phosphorous concentration
-
-
secondary outcomes include changes in
#9
melatonin supplementation
neutral
sleep quality
-
-
secondary outcomes include changes in
#10
melatonin supplementation
neutral
body weight, body mass index (BMI), and waist circumference (WC)
-
-
secondary outcomes include changes in
#11
melatonin administration
neutral
diabetic CKD
-
-
may be useful for treating
#12
melatonin administration
neutral
oxidative stress
-
-
modulating
#13
melatonin administration
neutral
inflammation
-
-
modulating
#14
melatonin administration
neutral
lipid metabolism
-
-
regulating
#15
melatonin administration
increase
insulin sensitivity
-
-
increasing
#16
melatonin
neutral
diabetic CKD status
-
-
will exhibit the effects
#17
Abstract

INTRODUCTION: Chronic kidney disease (CKD) is a pervasive disease of the current century that usually affects the adult population, especially people with diabetes and hypertension. According to the recent studies, inflammation, oxidative stress, apoptosis, and mitochondrial dysfunction are determining risk factors in the pathogenesis of CKD. Melatonin as a strong antioxidant is produced in various tissues including the kidneys. The present clinical trial aims to examine the efficacy of melatonin supplementation on metabolic parameters, oxidative stress, and inflammatory biomarkers in diabetic patients with CKD. METHODS: This is a double-blind, randomized, placebo-controlled clinical study that will be investigated the impacts of melatonin supplementation in diabetic patients with CKD. Laboratory findings will be applied to diagnose diabetic CKD. Forty-eight eligible diabetic subjects with CKD will be selected and randomly assigned to receive 5 mg melatonin tablets or identical placebo twice daily for 10 weeks. Participants will be asked to remain on their usual diet and physical activity. The primary outcome of this study is changes in oxidative stress and inflammatory biomarkers. The secondary outcomes include changes in lipid profile, renal function indicators, fasting blood sugar and serum insulin, systolic and diastolic blood pressure (SBP and DBP), serum phosphorous concentration, sleep quality, body weight, body mass index (BMI), and waist circumference (WC). Statistical analysis will be conducted using the SPSS software (version 25). DISCUSSION: We hypothesize that melatonin administration may be useful for treating diabetic CKD by modulating oxidative stress, inflammation, regulating lipid metabolism, and increasing insulin sensitivity through different mechanisms. The current trial will exhibit the effects of melatonin, whether negative or positive, on diabetic CKD status. ETHICAL ASPECTS: The current trial received approval from Medical Ethics Committee of Tehran University of Medical Sciences, Tehran, Iran (IR.TUMS.SHARIATI.REC.1402.072). TRIAL REGISTRATION: This study had been registered in Iranian Registry of Clinical Trials. REGISTRATION NUMBER: IRCT20170202032367N9 on 11 August 2023. https://www.irct.ir/trial/70709 .

Medical Subject Headings (MeSH)
HumansMelatoninDouble-Blind MethodOxidative StressRenal Insufficiency, ChronicBiomarkersRandomized Controlled Trials as TopicAntioxidantsMiddle AgedMaleDietary SupplementsAdultFemaleInflammation MediatorsTreatment OutcomeInflammationDiabetic NephropathiesIranAgedBlood Glucose
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.50
Weight Score1.48
Normalized Score0.67
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