Melatonin for Prevention of Metabolic Side Effects of Olanzapine

NCT ID: NCT01593774

Last Updated: 2013-04-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2013-03-31

Brief Summary

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The purpose of this study is to determine whether melatonin can prevent metabolic side effects of olanzapine such as weight gain, elevated glucose concentrations and lipid abnormalities.

Detailed Description

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Atypical antipsychotics including olanzapine are associated with significant metabolic side effects. Animal studies have suggested that melatonin might prevent some of the olanzapine-associated side effects. Melatonin is safe and is widely used as a sleep-promoting complement, and is not associated with side effects seen with other used drugs such as metformin.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Melatonin

Tablet melatonin 3 mg/day at 9 pm as intervention group for eight week

Group Type EXPERIMENTAL

Melatonin

Intervention Type DRUG

Tablet melatonin 3 mg/day at 9 pm as intervention group

Placebo

Placebo (with the same shape and taste as melatonin) at 9 pm as control group

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo (with the same shape and taste as melatonin) at 9 pm as control group

Interventions

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Melatonin

Tablet melatonin 3 mg/day at 9 pm as intervention group

Intervention Type DRUG

Placebo

Placebo (with the same shape and taste as melatonin) at 9 pm as control group

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18-65 year
* First episode schizophrenia (DSM-IV-TR)
* Ability to take medicine orally
* Eligible for starting olanzapine

Exclusion Criteria

* Married women who are at reproductive age
* History of taking olanzapine in the recent 3 months
* History of allergy or intolerance to olanzapine
* History of significant head trauma ( causing loss of consciousness more than 5 minutes or neurological or cognitive sequels)
* Liver, kidney, cerebrovascular or cardiovascular disease
* Diabetes, metabolic syndrome
* Cancer
* Using antiepileptic (other than benzodiazepines for sleep) , antihypertensive, anticoagulant, anti-platelet drugs
* Using inhibitors or stimulants of hepatic isoenzymes that metabolize melatonin or olanzapine (e.g. omeprazole. rifampin, fluvoxamine, ciprofloxacin, carbamazepine, modafinil)
* Delirium
* Need for administration of other antipsychotics
* Substance abuse
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guilan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Mohammad Jafar Modabbernia

Associate Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohammad Jafar Modabbernia, MD

Role: STUDY_CHAIR

Guilan University of Medical Sciences

Locations

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Shafa Psychiatric Hospital

Rasht, Gilan Province, Iran

Site Status

Countries

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Iran

References

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Raskind MA, Burke BL, Crites NJ, Tapp AM, Rasmussen DD. Olanzapine-induced weight gain and increased visceral adiposity is blocked by melatonin replacement therapy in rats. Neuropsychopharmacology. 2007 Feb;32(2):284-8. doi: 10.1038/sj.npp.1301093. Epub 2006 May 10.

Reference Type BACKGROUND
PMID: 16710316 (View on PubMed)

Borba CP, Fan X, Copeland PM, Paiva A, Freudenreich O, Henderson DC. Placebo-controlled pilot study of ramelteon for adiposity and lipids in patients with schizophrenia. J Clin Psychopharmacol. 2011 Oct;31(5):653-8. doi: 10.1097/JCP.0b013e31822bb573.

Reference Type BACKGROUND
PMID: 21869685 (View on PubMed)

Anderson G, Maes M. Melatonin: an overlooked factor in schizophrenia and in the inhibition of anti-psychotic side effects. Metab Brain Dis. 2012 Jun;27(2):113-9. doi: 10.1007/s11011-012-9307-9. Epub 2012 Apr 25.

Reference Type BACKGROUND
PMID: 22527998 (View on PubMed)

Modabbernia A, Heidari P, Soleimani R, Sobhani A, Roshan ZA, Taslimi S, Ashrafi M, Modabbernia MJ. Melatonin for prevention of metabolic side-effects of olanzapine in patients with first-episode schizophrenia: randomized double-blind placebo-controlled study. J Psychiatr Res. 2014 Jun;53:133-40. doi: 10.1016/j.jpsychires.2014.02.013. Epub 2014 Feb 24.

Reference Type DERIVED
PMID: 24607293 (View on PubMed)

Other Identifiers

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GUMS-9277

Identifier Type: -

Identifier Source: org_study_id

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