NCT06096558

Brief Summary

The aim of this double-blind randomized clinical trial is to determine the effects of Melatonin on cardiovascular disease risk factors, bone metabolism markers, serum concentrations of advanced glycated end products and quality of life in peritoneal dialysis patients. Forty patients from peritoneal dialysis centers will randomly assign to either Melatonin or placebo group. The patients in Melatonin group will receive 5 mg Melatonin (as 1 tablet) daily for 10 weeks, while the placebo group will receive identical placebo. At the baseline and the end of the study,7 ml blood will be collected from each patient after a 12-14-hours fasting and Serum concentrations of malondialdehyde; high sensitivity c-reactive protein; Soluble intercellular adhesion molecule-1; glucose; pentosidine; carboxy-methyl lysine; Procollagen 1 Intact N-Terminal Propeptide; Tartrate-resistant acid phosphatase 5b; osteoprotegerin; Receptor activator of nuclear factor kappa-Β ligand; Intact parathyroid hormone; triglyceride; total cholesterol; High-density lipoprotein cholesterol; low-density lipoprotein cholesterol; lipoprotein-a; albumin; calcium; phosphorous; and also systolic blood pressure; diastolic blood pressure and questionnaires including quality of life; quality of sleep and depression will be assessed.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
46

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2023

Shorter than P25 for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 10, 2023

Completed
10 days until next milestone

Study Start

First participant enrolled

October 20, 2023

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 23, 2023

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 20, 2024

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2024

Completed
Last Updated

October 23, 2023

Status Verified

October 1, 2023

Enrollment Period

3 months

First QC Date

October 10, 2023

Last Update Submit

October 21, 2023

Conditions

Outcome Measures

Primary Outcomes (20)

  • Lp (a)

    Serum concentrations of lipoprotein-a

    10 weeks

  • MDA

    Serum concentrations of malondialdehyde

    10 weeks

  • hs-CRP

    Serum concentrations of high sensitivity c-reactive protein

    10 weeks

  • sICAM-1

    Serum concentrations of Soluble intercellular adhesion molecule-1

    10 weeks

  • glucose

    serum concentration of fasting glucose

    10 weeks

  • pentosidine

    serum concentration of pentosidine

    10 weeks

  • carboxy-methyl lysine

    serum concentration of carboxy-methyl lysine

    10 weeks

  • P1NP

    serum concentration of Procollagen 1 Intact N-Terminal Propeptide

    10 weeks

  • Osteoprotegerin

    Serum concentrations of Osteoprotegerin

    10 weeks

  • TRACP5b

    Serum concentrations of Tartrate-resistant acid phosphatase 5b

    10 weeks

  • RANKL

    Serum concentrations of Receptor activator of nuclear factor kappa-Β ligand

    10 weeks

  • Systolic blood pressure

    Systolic blood pressure (mmHg)

    10 weeks

  • Diastolic blood pressure

    Diastolic blood pressure (mmHg)

    10 weeks

  • triglyceride

    Serum concentrations of triglyceride

    10 weeks

  • Total cholesterol

    Serum concentrations of total cholesterol

    10 weeks

  • HDL-C

    Serum concentrations of High-density lipoprotein cholesterol

    10 weeks

  • LDL-C

    Serum concentrations of low-density lipoprotein cholesterol

    10 weeks

  • Quality of life index (KDQOL) questionnaire

    Filling the kidney disease quality of life index (KDQOL) questionnaire

    10 weeks

  • the Beck depression test

    Filling the Beck depression test

    10 weeks

  • Quality of sleep Pittsburgh Sleep Quality Index (PSQI) questionnaire

    Filling the Pittsburgh Sleep Quality Index (PSQI) questionnaire

    10 weeks

Secondary Outcomes (4)

  • albumin

    10 weeks

  • calcium

    10 weeks

  • phosphorous

    10 weeks

  • iPTH

    10 weeks

Study Arms (2)

Melatonin

ACTIVE COMPARATOR
Dietary Supplement: Melatonin

placebo

PLACEBO COMPARATOR
Other: placebo

Interventions

MelatoninDIETARY_SUPPLEMENT

5 mg Melatonin in one tablet, 30 minutes before night sleep

Melatonin
placeboOTHER

1 tablet of placebo (starch)

placebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Continuous Ambulatory Peritoneal Dialysis for 6 months or more
  • Body mass index (BMI) below 35

You may not qualify if:

  • Infectious diseases (especially peritonitis) and inflammatory diseases Liver diseases
  • Past medical history of cancer Receiving glucocorticoid drugs, non-steroidal anti-inflammatory drugs
  • Receiving Melatonin supplements

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Movahedian M, Tabibi H, Atabak S, Hedayati M, Najafi I, Seyrafian S, Rouhani MH. Effects of melatonin on advanced glycation end products, inflammation, and oxidative stress in peritoneal dialysis patients: a randomized controlled trial. Sci Rep. 2025 Oct 22;15(1):36896. doi: 10.1038/s41598-025-20792-2.

MeSH Terms

Interventions

Melatonin

Intervention Hierarchy (Ancestors)

TryptaminesIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
assistant professor

Study Record Dates

First Submitted

October 10, 2023

First Posted

October 23, 2023

Study Start

October 20, 2023

Primary Completion

January 20, 2024

Study Completion

May 1, 2024

Last Updated

October 23, 2023

Record last verified: 2023-10