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Effects of Melatonin on clinical manifestations, inflammation and sleep quality in patients with Rheumatoid Arthritis

A randomized prospective study on the effects of chronic administration of Melatonin on clinical manifestations, oxidative stress, inflammation, and sleep-wake rhythm in patients with Rheumatoid Arthritis

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-8pjqh2
Enrollment
Unknown
Registered
2018-02-23
Start date
2016-05-18
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rheumatoid arthritis, unspecified

Interventions

Test group: 26 patients, previously diagnosed with Rheumatoid Arthritis were randomized to receive melatonin (5mg) as fast-release capsules. They were instructed to take one capsule per day, two hours
Dietary supplement
SP6.051.227

Sponsors

Faculdade de Medicina da Universidade Federal do Ceará
Lead Sponsor
Hospital Geral Dr. César Cals
Collaborator

Eligibility

Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: Have a diagnosis of rheumatoid arthritis confirmed by a rheumatologist, according to international criteria; being with the disease activity stable and not having undergone a change of therapeutic regimen in the three months prior to inclusion; not have been hospitalized for eight weeks prior to inclusion; not to abuse alcohol or illicit drugs; be over 18 years of age, have no diagnosis of cardiac, hepatic or renal insufficiency, have signed the free and informed consent form. Pregnant or breastfeeding women were not included either.

Exclusion criteria

Exclusion criteria: Patients without a conclusive diagnosis for rheumatoid arthritis; children under 18 years of age; unstable disease or in the process of therapeutic adequacy; hospital admission history in the eight weeks prior to inclusion; history of abusive use of alcohol or illicit drugs; refusal to participate in the study; pregnant or nursing women.

Design outcomes

Primary

MeasureTime frame
Expected outcome 1: reducing inflammation in patients treated with melatonin. Measure used: dosage of Interleukin-6 (IL-6), through the enzyme-linked immunosorbent assay (ELISA), to be performed on blood samples and exhaled air condensate, collected from patients on the first and the ninth day of the treatment.;Expected outcome 2: reduction of oxidative stress in patients treated with melatonin. Measurement used: 8-isoprostane labeling, through enzyme-linked immunosorbent assay (ELISA), to be performed on blood samples and exhaled air condensate collected from patients on the first and the ninety days of treatment.

Secondary

MeasureTime frame
Expected outcome 1: improvement in sleep quality in patients treated with melatonin. Measure used: application of the Pittsburgh Sleep Quality Index (PSQI) questionnaire on the first and ninth day of treatment.;Expected outcome 2: improvement in sleepiness in patients treated with melatonin. Measure used: application of the Epworth Sleepiness Scale (ESS) questionnaire on the first and ninth day of treatment.;Expected outcome 3: improvement of fatigue in patients treated with melatonin. Measure used: application of the Fatigue Severity Scale questionnaire (EGF) on the first and ninth day of treatment.;Expected outcome 4: improvement of depressive symptoms in patients treated with melatonin. Measure used: application of the Beck depression Inventory (BDI-II) questionnaire on the first and ninety days of treatment.

Countries

Brazil

Contacts

Public ContactFernando Henrique Lopes

Faculdade de Medicina da Universidade Federal do Ceará

prof.fernandovet@gmail.com+5585996890530

Outcome results

None listed

Source: REBEC (via WHO ICTRP)