Double-blind randomised controlled cross-over trial to determine the effect of low dose melatonin on sleep disorders in the elderly
Completed
- Conditions
- DementiaNervous System DiseasesDementia in Alzheimer's disease
- Registration Number
- ISRCTN14134844
- Lead Sponsor
- HS R&D Regional Programme Register - Department of Health (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 0
Inclusion Criteria
1. Patients aged over 65 years. Either gender.
2. Clinical Diagnostic Statistical Manual, IV edition (DSM-IV). Axix I diagnosis of dementia of Alzheimer's type.
3. Inpatients or patients living at home and managed by carers.
Exclusion Criteria
Does not match inclusion criteria
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. An improvement in patents sleep quality and duration with melatonin compared with placebo. <br>2. An improvement in carers quality of life because if less disruption by restless patients. <br>3. A decrease in need for other more potent medications with significant side effects. <br>The main outcome measure used will be improvement in length of sleep and a decrease in periods of nocturnal wakening for the periods 10 pm and 8 am. <br>Objective measures will be made using a validated sleep activity and pulse logger (Somnitor) (Cole et al 1992).<br>Subsidiary outcome measures will include: recordings of sleep using a sleep diary ratings on quality of sleep using Visual Analogue Scales, carer rating scales and the use of prescribed hypnotic <br>medication.
- Secondary Outcome Measures
Name Time Method ot provided at time of registration
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
How does low-dose melatonin modulate MT1/MT2 receptors to improve sleep in elderly dementia patients?
What is the comparative efficacy of low-dose melatonin versus benzodiazepines for Alzheimer's-related insomnia?
Which circadian rhythm biomarkers predict response to melatonin in elderly patients with neurodegenerative sleep disorders?
What are the safety profiles and management strategies for melatonin use in UK Department of Health elderly trials?
How do melatonin agonists like ramelteon compare to low-dose melatonin in treating Alzheimer's sleep disturbances?