REM Sleep Behavior Disorder
Conditions
Keywords
REM sleep behavior disorder, Melatonin
Brief summary
To evaluate effect of slow-release melatonin (Circadin) on REM sleep behavior disorder.
Detailed description
Investigators planned to administer low (2mg) and high (6mg) dose slow-release melatonin and the placebo for 4 weeks and evaluate Clinical Global Impression scale, RBD questionnaire, PSQI, Epworth sleepiness scale, and quality of life questionnaire (SF-36v2) before and after the treatment along with possible side effects and drug compliance.
Interventions
Slow-release melatonin
Sponsors
Study design
Eligibility
Inclusion criteria
* REM sleep behavior disorder according to ICSD-3 criteria * No cognitive deficit or symptom of Parkinsonism * Those with written consent.
Exclusion criteria
* who took medication (ex. clonazepam) for REM sleep behavior disorder * with degenerative neurologic disorder (ex. Parkinson's disease, Multiple System Atrophy, Lewy-body dementia, etc.) * who took medication that can affect REM sleep behavior disorder (anti-depressant: SSRI, TCA, MAO-inhibitor) * who is unable to answer questionnaires * who have hypersensitive reaction to medications * Pregnant women or breastfeeding * who are diagnosed with other parasomnia disorder * with severe medical disorder (severe liver failure, respiratory failure, heart failure, malignant tumor, etc.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in Clinical Global Impression scale | baseline and 4 weeks |
| Changes in RBDQ-HK score (RBD questionnaire-HK) | Baseline and 4 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life questionnaire | after taking the treatment for 4 weeks | SF-36 version 2. |
| Sleep quality questionnaire | after taking the treatment for 4 weeks | PSQI |
| Drug adverse effect | 4 weeks | adverse events and reason for drug withdrawal |
| Changes in Dream enactment behavior frequency described in sleep diary | Baseline and 4 weeks | — |
| Sleepiness questionnaire | after taking the treatment for 4 weeks | Epworth sleepiness scale |
Countries
South Korea