Healthy
Conditions
Keywords
Healthy, Adult, Melatonin, Pharmacokinetic, Absorption, prolonged-release, immediate-release
Brief summary
A study comparing the pharmacokinetics of prolonged-release melatonin versus standard, immediate-release melatonin. Multiple blood draws over a 10-hour period will be analysed to determine the area under the curve, time to peak concentration, peak concentration, absorption rate constant, elimination rate constant, absorption half-life, and elimination half-life. Vital signs, hematology parameters, clinical chemistry parameters, and incidence of adverse events are also analysed.
Interventions
4.47 mg melatonin in a bi-layer prolonged-release capsule
4.47 mg melatonin in a standard release bi-layer capsule
Sponsors
Study design
Eligibility
Inclusion criteria
1. Females and males between 18 and 65 years of age at screening 2. BMI between 18.5 to 29.9 kg/m2, inclusive 3. Female participant is not of child-bearing potential, defined as females who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, total endometrial ablation) or have been post-menopausal (natural or surgically) for at least 1 year prior to screening Or, Females of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. Acceptable methods of birth control include: e. Non-hormonal intrauterine devices f. Double-barrier method g. Non-heterosexual lifestyle or agrees to use contraception if planning on changing to heterosexual partner(s) h. Vasectomy of partner at least 6 months prior to screening 4. Male participants must agree to the use of condoms unless partner is using an acceptable form of female contraception as defined in Inclusion #3 or a form of hormonal birth control during the study treatment period and for at least 7 days after completion of the study 5. Have a regular sleep-wake cycle with a bedtime between 9:00 pm and 12:00 am and receive between 7 and 8 hours of sleep for at least 3 weeks 6. Agrees to maintain current sleep schedule throughout study 7. Agrees to maintain current level of physical activity and diet throughout the study 8. Agrees to comply with all study procedures 9. Agrees to consume standardized meals during Visits 2 and 3 10. Agrees to avoid caffeine intake 24 hours prior to Visits 2 and 3 11. Agrees to avoid alcohol intake 24 hours prior to Visits 2 and 3 12. Healthy as determined by medical history, laboratory results, and physical exam as assessed by QI 13. Agrees to provide informed written consent
Exclusion criteria
1. Women who are pregnant, breastfeeding or planning to become pregnant during the course of the trial 2. Allergy, sensitivity, or intolerance to the investigational product's active or inactive ingredients, or the ingredients in the standardized meals 3. Current use of hormonal contraceptives 4. Previous diagnosis of a sleep disorder or use of continuous positive air pressure (C-PAP) 5. Registered with the Canadian National Institute for the Blind (CNIB) and considered as legally blind 6. Current employment that calls for rotating shift work or shift work that will disrupt normal circadian rhythm or have worked shift work in the last 3 weeks 7. Travel across 1 or more time zones in the last 2 weeks and/or is anticipating more travel 8. Currently experiencing vivid nightmares or sleepwalking 9. Diagnosis of any pineal gland abnormalities or have undergone pinealectomy 10. Current or history of any significant diseases of the gastrointestinal tract 11. Unstable metabolic disease or chronic diseases as assessed by the QI 12. Verbal confirmation of current or pre-existing thyroid condition. Treatment on a stable dose of medication for at least 3 months will be considered by the QI 13. Type I or Type II diabetes 14. Significant cardiovascular event in the past 6 months. Participants with no significant cardiovascular event on stable medication may be included after assessment by the QI on a case-by-case basis 15. Cancer, except skin cancers completely excised with no chemotherapy or radiation with a follow up that is negative. Volunteers with cancer in full remission for more than 5 years after diagnosis are acceptable 16. Individuals with an autoimmune disease or are immune-compromised 17. Verbal confirmation of medical or neuropsychological condition and/or cognitive impairment that, in the QI's opinion, could interfere with study participation 18. Verbal confirmation of an HIV-, Hepatitis B- and/or C-positive diagnosis 19. History of or current diagnosis with kidney and/or liver diseases as assessed by the QI on a case-by-case basis, with the exception of history of kidney stones symptom-free for 6 months 20. Major surgery in the past 3 months or individuals who have planned surgery, that may impact the outcomes of the study, during the course of the trial. Participants will be considered on a case-by-case basis by the QI 21. Blood/bleeding disorders as determined by laboratory results 22. An acute gout attack within the past 3 months 23. Current use of prescribed medications listed in the con meds section 24. Current use of over-the-counter medications, supplements, foods and/or drinks listed in the con meds section 25. Use of medical marijuana 26. Use of recreational marijuana unless willing to undergo 1-month washout 27. Use of tobacco products within 1-year of baseline 28. Alcohol or drug abuse within the last 12 months 29. High alcohol intake (average of \>2 standard drinks per day or \>10 standard drinks per week) 30. Clinically significant abnormal laboratory results at screening as assessed by the QI 31. Blood donation within the past 6 months will be assessed on a case by case basis by the QI depending on volume and frequency of donation, and laboratory parameters 32. Plans to donate blood during the study or within 56 days for males and 84 days for females, the last study visit 33. Participation in other clinical research trials 30 days prior to randomization 34. Individuals who are unable to give informed consent 35. Any other active or unstable medical condition, that, in the opinion of the QI, may adversely affect the participant's ability to complete the study or its measures or pose a significant risk to the participant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the area under the curve (AUC 0-10h) | 7 days |
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the time to peak concentration (tmax) | 7 days |
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the peak concentration (Cmax) | 7 days |
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the absorption rate constant | 7 days |
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the elimination rate constant | 7 days |
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the absorption half-life | 7 days |
| Comparison of the pharmacokinetics of prolonged-release melatonin and immediate-release melatonin by evaluating the elimination half-life | 7 days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Mean Corpuscular Hemoglobin Concentration (MCHC) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in Hematocrit after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in Red Cell Distribution Width (RDW) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in Hemoglobin (Hb) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in neutrophils after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in lymphocytes after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in monocytes after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in eosinophils after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in blood pressure after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in alanine aminotransferase (ALT) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in aspartate aminotransferase (AST) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in creatinine after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in electrolytes after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | Na+, K+, and Cl- will be assessed |
| Change in estimated glomerular filtration rate (eGFR) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in total bilirubin after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in adverse events after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in basophils after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in heart rate after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in weight after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in body mass index (BMI) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in Red Blood Cell (RBC) count after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in Mean Corpuscular Volume (MCV) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
| Change in Mean Corpuscular Hemoglobin (MCH) after an acute administration of either prolonged-release melatonin or immediate-release melatonin | 7 days | — |
Countries
Canada