Efficacy and Safety of Melatonin and Clonazepam for IRBD

NCT ID: NCT03255642

Last Updated: 2021-02-21

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-09

Study Completion Date

2020-12-01

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study aimed to evaluate influence of melatonin or clonazepam treatment on symptom and polysomnographic parameters in patients with idiopathic REM sleep behavior disorder.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This study is open-label parallel trial with 4 weeks treatment with slow-release melatonin (Circadin) or with clonazepam (Rivotril).

Polysomnography, symptom diary and questionnaire (Clinical Global Impression, RBDQ-HK, PSQI, ESS, SSS, ISI, BDI-II) will be performed before and after 4 weeks of each medications.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

REM Sleep Behavior Disorder

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective Randomized Open-label study
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Mask treatment arm when analyzing polysomnography.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Melatonin 2mg

4 weeks of 2mg of prolonged release Melatonin

Group Type ACTIVE_COMPARATOR

Melatonin 2mg

Intervention Type DRUG

4 weeks of 2mg prolonged release melatonin (Circadin)

ClonazePAM 0.5 MG

4 weeks of 0.5mg of rivotril

Group Type PLACEBO_COMPARATOR

ClonazePAM 0.5 MG

Intervention Type DRUG

4 weeks of 0.5mg clonazepam (Rivotril)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Melatonin 2mg

4 weeks of 2mg prolonged release melatonin (Circadin)

Intervention Type DRUG

ClonazePAM 0.5 MG

4 weeks of 0.5mg clonazepam (Rivotril)

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Circadin Rivotril

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* REM sleep behavior disorder (ICSD-3 criteria)

Exclusion Criteria

* Neurological disorder including epilepsy or stroke
* History of psychiatric illness
* Neurodegenerative disease including dementia or parkinsonism.
* Medication affecting sleep within 1 month
* Intake of melatonin or clonazepam within 1 week.
* Unable to complete questionnaires
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Kyung Hee University Hospital at Gangdong

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Won Chul Shin

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Won Chul Shin, M.D. Ph.D.

Role: PRINCIPAL_INVESTIGATOR

KyungHee University Hospital at Gangdong

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Kyung Hee University Hospital at Gangdong

Seoul, , South Korea

Site Status

Countries

Review the countries where the study has at least one active or historical site.

South Korea

References

Explore related publications, articles, or registry entries linked to this study.

Ferri R, Marelli S, Ferini-Strambi L, Oldani A, Colli F, Schenck CH, Zucconi M. An observational clinical and video-polysomnographic study of the effects of clonazepam in REM sleep behavior disorder. Sleep Med. 2013 Jan;14(1):24-9. doi: 10.1016/j.sleep.2012.09.009. Epub 2012 Oct 23.

Reference Type BACKGROUND
PMID: 23098778 (View on PubMed)

Kunz D, Mahlberg R. A two-part, double-blind, placebo-controlled trial of exogenous melatonin in REM sleep behaviour disorder. J Sleep Res. 2010 Dec;19(4):591-6. doi: 10.1111/j.1365-2869.2010.00848.x.

Reference Type BACKGROUND
PMID: 20561180 (View on PubMed)

McCarter SJ, Boswell CL, St Louis EK, Dueffert LG, Slocumb N, Boeve BF, Silber MH, Olson EJ, Tippmann-Peikert M. Treatment outcomes in REM sleep behavior disorder. Sleep Med. 2013 Mar;14(3):237-42. doi: 10.1016/j.sleep.2012.09.018. Epub 2013 Jan 23.

Reference Type BACKGROUND
PMID: 23352028 (View on PubMed)

McGrane IR, Leung JG, St Louis EK, Boeve BF. Melatonin therapy for REM sleep behavior disorder: a critical review of evidence. Sleep Med. 2015 Jan;16(1):19-26. doi: 10.1016/j.sleep.2014.09.011. Epub 2014 Oct 13.

Reference Type BACKGROUND
PMID: 25454845 (View on PubMed)

Nardone R, Golaszewski S, Holler Y, Christova M, Trinka E, Brigo F. Neurophysiological insights into the pathophysiology of REM sleep behavior disorders: a review. Neurosci Res. 2013 Jul;76(3):106-12. doi: 10.1016/j.neures.2013.03.009. Epub 2013 Mar 28.

Reference Type BACKGROUND
PMID: 23542221 (View on PubMed)

Iranzo A, Molinuevo JL, Santamaria J, Serradell M, Marti MJ, Valldeoriola F, Tolosa E. Rapid-eye-movement sleep behaviour disorder as an early marker for a neurodegenerative disorder: a descriptive study. Lancet Neurol. 2006 Jul;5(7):572-7. doi: 10.1016/S1474-4422(06)70476-8.

Reference Type BACKGROUND
PMID: 16781987 (View on PubMed)

Byun JI, Shin YY, Seong YA, Yoon SM, Hwang KJ, Jung YJ, Cha KS, Jung KY, Shin WC. Comparative efficacy of prolonged-release melatonin versus clonazepam for isolated rapid eye movement sleep behavior disorder. Sleep Breath. 2023 Mar;27(1):309-318. doi: 10.1007/s11325-022-02572-8. Epub 2022 Feb 9.

Reference Type DERIVED
PMID: 35141811 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2017-03-011

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Oral Bedtime Melatonin in Critically Ill Patients
NCT06156059 NOT_YET_RECRUITING PHASE4