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Melatonin as Adjuvant Treatment for ADHD in Adults

Primary Purpose

Attention Deficit Hyperactivity Disorder

Status
Unknown status
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Melatonin 5 mg
Sponsored by
Hospital Israelita Albert Einstein
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit Hyperactivity Disorder

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Male and female age 18-60 inclusive. Primary diagnosis of ADHD AISRS total score ≥ 24 CGI-S ≥4 (moderately ill or worse). Understands and is able, willing, and likely to fully comply with the study procedures and restrictions.

Has given written informed consent to participate in the study.

Exclusion Criteria:

BMI less than18.5 or greater than 35. Any underlying/ history or current diagnosis of systemic and/or metabolic disease (e.g. diabetes, Crohn's disease) and/or neurological condition state that may render the subject illegible to participate in the study as assessed by medical history, physical exam, clinical and lab evaluation.

History of uncontrolled hypertension or a resting systolic blood pressure > 140mmHg or diastolic blood pressure > 90mmHg (Subjects with well controlled hypertension on a stable dose (2 months) of anti-hypertensives will be allowed to participate).

Major depression or anxiety disorder which is a focus of treatment or requires taking medication.

A lifetime history of psychosis or bipolar disorder Has any concurrent chronic or unstable medical condition that could confound with the results of safety assessments, increase risk to the subject or lead to difficulty complying with the protocol.

Subjects taking any medication with CNS effects Subjects with a history of two or more prior failed adequate trials of ADHD treatment due to adverse events.

Use of dietary supplements with potential CNS effect, including omega-3 supplements, 30 days before study initiation and throughout the study.

Clinical history of cognitive impairment in judgment of investigator. Pregnant or breast-feeding subjects. Women of childbearing potential must have a negative pregnancy test performed at screening visit prior to randomization. Women of childbearing potential must agree to use adequate birth control for the entire duration of the study.

Subjects with a current (within the last 3 months) DSM-V diagnosis of alcohol or drug abuse or dependence (excluding nicotine).

Has taken an investigational drug or taken part in a clinical trial within 30 days prior to screening.

Any other reason that, in the opinion of the investigator, prevents the subject from participating in the study or compromise the subject safety.

Previous use of melatonin or melatonin analogues

Sites / Locations

  • Hospital Albert EinsteinRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Melatonin

Placebo

Arm Description

Melatonin 5 mg taken 30 minutes before bed time

Placebo identical to melatonin capsule taken 30 min before bed time

Outcomes

Primary Outcome Measures

Adult ADHD Investigator Symptom Rating Scale.
Each of the individual DSM-IV symptoms of ADHD is rated 0 to 3 on a scale of severity.

Secondary Outcome Measures

Anxiety
GAD-7 scale
Depression
PHQ-9 scale
CGI-S / I
Clinical Global Impression Severity / Improvement
Adverse Event Monitoring
Adverse Event Monitoring

Full Information

First Posted
February 20, 2017
Last Updated
August 14, 2018
Sponsor
Hospital Israelita Albert Einstein
Collaborators
Fundação de Amparo à Pesquisa do Estado de São Paulo, University of Sao Paulo
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1. Study Identification

Unique Protocol Identification Number
NCT03062839
Brief Title
Melatonin as Adjuvant Treatment for ADHD in Adults
Official Title
Melatonin as Adjuvant Treatment for ADHD in Adults
Study Type
Interventional

2. Study Status

Record Verification Date
July 2018
Overall Recruitment Status
Unknown status
Study Start Date
September 1, 2017 (Actual)
Primary Completion Date
February 28, 2019 (Anticipated)
Study Completion Date
June 30, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hospital Israelita Albert Einstein
Collaborators
Fundação de Amparo à Pesquisa do Estado de São Paulo, University of Sao Paulo

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study aims to evaluate the effect of melatonin supplementation as adjuvant treatment in ADHD in adults.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Attention Deficit Hyperactivity Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Melatonin
Arm Type
Experimental
Arm Description
Melatonin 5 mg taken 30 minutes before bed time
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo identical to melatonin capsule taken 30 min before bed time
Intervention Type
Drug
Intervention Name(s)
Melatonin 5 mg
Other Intervention Name(s)
Melatonina
Intervention Description
Melatonin 5 mg taken 30 minutes before bed time
Primary Outcome Measure Information:
Title
Adult ADHD Investigator Symptom Rating Scale.
Description
Each of the individual DSM-IV symptoms of ADHD is rated 0 to 3 on a scale of severity.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Anxiety
Description
GAD-7 scale
Time Frame
12 weeks
Title
Depression
Description
PHQ-9 scale
Time Frame
12 weeks
Title
CGI-S / I
Description
Clinical Global Impression Severity / Improvement
Time Frame
12 weeks
Title
Adverse Event Monitoring
Description
Adverse Event Monitoring
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female age 18-60 inclusive. Primary diagnosis of ADHD AISRS total score ≥ 24 CGI-S ≥4 (moderately ill or worse). Understands and is able, willing, and likely to fully comply with the study procedures and restrictions. Has given written informed consent to participate in the study. Exclusion Criteria: BMI less than18.5 or greater than 35. Any underlying/ history or current diagnosis of systemic and/or metabolic disease (e.g. diabetes, Crohn's disease) and/or neurological condition state that may render the subject illegible to participate in the study as assessed by medical history, physical exam, clinical and lab evaluation. History of uncontrolled hypertension or a resting systolic blood pressure > 140mmHg or diastolic blood pressure > 90mmHg (Subjects with well controlled hypertension on a stable dose (2 months) of anti-hypertensives will be allowed to participate). Major depression or anxiety disorder which is a focus of treatment or requires taking medication. A lifetime history of psychosis or bipolar disorder Has any concurrent chronic or unstable medical condition that could confound with the results of safety assessments, increase risk to the subject or lead to difficulty complying with the protocol. Subjects taking any medication with CNS effects Subjects with a history of two or more prior failed adequate trials of ADHD treatment due to adverse events. Use of dietary supplements with potential CNS effect, including omega-3 supplements, 30 days before study initiation and throughout the study. Clinical history of cognitive impairment in judgment of investigator. Pregnant or breast-feeding subjects. Women of childbearing potential must have a negative pregnancy test performed at screening visit prior to randomization. Women of childbearing potential must agree to use adequate birth control for the entire duration of the study. Subjects with a current (within the last 3 months) DSM-V diagnosis of alcohol or drug abuse or dependence (excluding nicotine). Has taken an investigational drug or taken part in a clinical trial within 30 days prior to screening. Any other reason that, in the opinion of the investigator, prevents the subject from participating in the study or compromise the subject safety. Previous use of melatonin or melatonin analogues
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mario FP Peres, MD
Phone
2151-0110
Email
mariop3r3s@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Mario FP Peres, MD
Phone
32855726
Email
mariop3r3s@gmail.com
Facility Information:
Facility Name
Hospital Albert Einstein
City
Sao Paulo
State/Province
SP
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mario F Peres, MD
Phone
2151-0110
Email
mariop3r3s@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

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Melatonin as Adjuvant Treatment for ADHD in Adults

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