A randomized, double-blind, placebo-controlled clinical trial on the ability of a dietary supplement containing melatonin and herbal products to improve sleep quality in subjects with insomnia problems with a 15-day follow-up period.
This is a single-centre clinical trial on a dietary supplement with a 15-day follow-up period. The investigators will include patients of legal age with DSM-5 diagnostic criteria for insomnia, without other sleep disorders. The study will begin at baseline visit (day 0), when the inclusion and exclusion criteria will be confirmed and patient will sign the informed consent form. Information related to sleeping disorder will be collected and actigraphy device will be delivered to the patient. Patient will wear the device during 14 days. After 7 days of wearing the device, patient will return to the follow-up visit (visit 1). The actigraph data will be downloaded and the treatment will be dispensed to the patient. Regimen will consist of taking one tablet per day of the product (dietary supplement or placebo) 30 minutes before bedtime during the following 7 days and will continue to wear the device. At day 15 (final visit) patient will return the actigraph and clinical and safety data will be collected.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
50
The test product consists of a dietary supplement in the form of tablets with three layers containing: melatonin (1.95 mg/tablet) and herbal products (extracts from Griffonia, Passiflora, California poppy, Valerian, Melissa). Patients should take one tablet daily 30 min before go to bed during 7 days (from day 7 to day 14).
The placebo will consist of tablets with three layers and with the same appearance as the dietary supplement under study, but containing no active ingredients. Patients should take one tablet daily 30 min before go to bed during 7 days (from day 7 to day 14).
Instituto de Medicina del Sueño
Alboraya, Valencia, Spain
RECRUITINGChange in mean sleep latency (SL)
Change in sleep latency comparing mean sleep latency during first week (without treatment) with mean sleep latency during second week (with treatment), assessed by actigraphy.
Time frame: At the end of study (Day 15)
Change in total sleep time (TST)
Change in total sleep time comparing mean total sleep time during first week (without treatment) with mean total sleep time during second week (with treatment), assessed by actigraphy.
Time frame: At the end of study (Day 15)
Change in number of awakenings at night, assessed by actigraphy
Change in number of awakenings at night comparing average number of awakenings at night during first week (without treatment) with average number of awakenings at night during second week (with treatment), assessed by actigraphy.
Time frame: At the end of study (Day 15)
Change in distribution of sleep and awake periods throughout the day (DSW)
Changes in distribution of sleep and awake periods throughout the day (DSW) comparing the DSW during first week (without treatment) with DSW during second week (with treatment), assessed by actigraphy.
Time frame: At the end of study (Day 15)
Type of insomnia
Proportion of patients with each type of insomnia: conciliation insomnia, maintenance insomnia or mixed insomnia
Time frame: At the beginning
Time from insomnia onset
Time from insomnia problems onset (weeks, months)
Time frame: At the beginning (Day 0)
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Symptoms secundary to insomnia
Mean of number of symptoms caused by insomnia: fatigue o discomfort, day time sleepiness, lack of memory or concentration, low performance, lack of energy, headache, gastrointestinal symptoms, irritability, concern about sleep.
Time frame: At the beginning (Day 0)
Lack of memory or concentration secundary to insomnia
Percentage of patients with lack of memory or concentration caused by insomnia.
Time frame: At the beginning (Day 0)
Fatigue o discomfort secundary to insomnia
Percentage of patients with fatigue o discomfort caused by insomnia.
Time frame: At the beginning (Day 0)
Day time sleepiness secundary to insomnia
Percentage of patients with day time sleepiness caused by insomnia.
Time frame: At the beginning (Day 0)
Low performance secundary to insomnia
Percentage of patients with low performance caused by insomnia.
Time frame: At the beginning (Day 0)
Lack of energy secundary to insomnia
Percentage of patients with lack of energy caused by insomnia.
Time frame: At the beginning (Day 0)
Headache secundary to insomnia
Percentage of patients with headache caused by insomnia.
Time frame: At the beginning (Day 0)
Gastrointestinal symptoms secundary to insomnia
Percentage of patients with gastrointestinal symptoms caused by insomnia.
Time frame: At the beginning (Day 0)
Irritability secundary to insomnia
Percentage of patients with irritability caused by insomnia.
Time frame: At the beginning (Day 0)
Concern about sleep secundary to insomnia
Percentage of patients with concern about sleep caused by insomnia.
Time frame: At the beginning (Day 0)
Change in Pittsburgh Sleep Quality Index (PSQI) score
Change in PSQI score comparing score obtained at the beginning (day 0) and at the end of the study (day 15)
Time frame: At the end of study (Day 15)
Change in Insomnia Severity Index (ISI) score
Change in Insomnia Severity Index (ISI) score comparing score obtained at the beginning (day 0) and at the end of the study (day 15)
Time frame: At the end of study (Day 15)
Change in quality of life score (SF-12)
Change in quality of life score (SF-12) comparing score obtained at the beginning (day 0) and at the end of the study (day 15)
Time frame: At the end of study (Day 15)
Change in mean sleep latency (SL) according to electronic sleep diary
Change in mean of SL (time it takes to fall asleep when you go to bed) comparing mean SL during first week (without treatment) with mean SL during second week (with treatment), according to electronic sleep diary
Time frame: At the end of study (Day 15)
Change in number of awakenings at night, according to electronic sleep diary
Change in number of awakenings at night comparing mean SL during first week (without treatment) with mean SL during second week (with treatment), according to electronic sleep diary
Time frame: At the end of study (Day 15)
Change in total minutes awake out of bed, according to electronic sleep diary
Change in mean of total minutes awake out of bed comparing mean of total minutes during first week (without treatment) with mean of total minutes during second week (with treatment), according to electronic sleep diary
Time frame: At the end of study (Day 15)
Change in total minutes awake intrasleep, according to electronic sleep diary
Change in mean of total minutes awake intrasleep comparing mean of total minutes during first week (without treatment) with mean of total minutes during second week (with treatment), according to electronic sleep diary
Time frame: At the end of study (Day 15)
Tolerability and safety of the product
Number of participants with incidence of treatment-related adverse effects and adverse reaction as a Measure of Safety and Tolerability
Time frame: At the end of study (Day 15)
Compliance
Number of days taking the treatment before going to sleep
Time frame: At the end of study (Day 15)
Patient satisfaction
Patient satisfaction on the efficacy and tolerability of treatment with the dietary supplement, using 5-point Likert scales ((0=very dissatisfied, 1=dissatisfied, 2=indifferent, 3=satisfied, 4=very satisfied)
Time frame: At the end of study (Day 15)