Novel Formulation for Sleep Among People With Poor Sleep Quality

NCT ID: NCT05609890

Last Updated: 2023-08-04

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

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-15

Study Completion Date

2023-07-31

Brief Summary

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Sleep disorders are highly prevalent all around the world and have a strong negative impact on quality of life (QoL). In Colombia, up to 60% of adults report any sleep disturbance and more than 45% have required medical assistance for this. There is abundant anecdotal and scientific evidence supporting the efficacy and safety of several plant extracts on sleep quality. In this context, the development of safe and effective natural products may have a positive impact on sleep and general QoL.

Detailed Description

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It is estimated that up to 90% of people will have a sleep concern over their adult life. According to a worldwide survey, one out of two people report unsatisfactory sleep. In Colombia, a Latin American country, more than 60% of adults report sleep concerns. For a long time, positive effects on sleep of plant extracts have been described, and more recently their mechanisms of action and safety have been largely elucidated. This study aims to assess the efficacy and safety of a supplement formulation based on natural products (Saffron, Tea extract, Lemon Balm and Valerian) on objective and subjective sleep parameters.

This is a randomized, doble-blind, placebo controlled clinical trial. The primary outcome is sleep efficiency. A sample size of 60 participants is needed for having a power of 95%, a one type error of 5% and a minimal difference of at least 2.8% between groups in the primary outcome. As we estimate a loss to follow-up of 10%, 66 participants will be enrolled. The main inclusion criteria will be having a poor sleep quality demonstrated as having a Pittsburgh Sleep Quality Index (PSQI) equal to or greater than five. In a random allocation design, one group of participants will receive the active intervention and the other one will receive a placebo with similar organoleptic features. The study will be executed in three main phases: First, a run-in phase where eligible participants will receive the active intervention during one week, and only those with adherence 85% or greater continue to the next phase. Second, a wash-out phase in which participants will not receive any intervention but actigraphic data will be collected. Finally, in the third (intervention) phase participants will be randomized following a minimization algorithm to the active or placebo group, to be taken for six weeks. Subjective and objective sleep variables will be measured at the beginning and the end of the study.

Conditions

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Sleep Sleep Disorder Insomnia Quality of Life Poor Quality Sleep

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
The participants and the investigator who will provide the intervention and collect the data will be masked about interventions.

Study Groups

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Active intervention

A formulation made of natural components. Each sachet contains saffron, tea extract, lemon balm and valerian.

Group Type EXPERIMENTAL

Supplement

Intervention Type DIETARY_SUPPLEMENT

Supplement: a mixture of saffron, tea extract, lemon balm and valerian.

Dose: The participant will take one sachet every day, one hour before going to bed, for six weeks.

Placebo

Placebo sachet will contain inert excipient.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo sachet

Dose: The participant will take one sachet everyday, one hour before going to bed, for six weeks.

Interventions

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Supplement

Supplement: a mixture of saffron, tea extract, lemon balm and valerian.

Dose: The participant will take one sachet every day, one hour before going to bed, for six weeks.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo sachet

Dose: The participant will take one sachet everyday, one hour before going to bed, for six weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \>=18, male or female.
* PSQI \>=5
* Provision of informed consent
* Adherence \>= 85%

Exclusion Criteria

* Medical history of a specific sleep disorder according to the DSM-5
* Taking any specific pharmacologic treatment to improve sleep or planning to take it in the next two months
* Medical history of generalized anxiety disorder, depression or other serious psychiatric / neurological disease
* Uncontrolled hypothyroidism
* Medical history of deficit or excess of corticosteroids (Cushing syndrome, Addison syndrome, chronic steroid use)
* Alcohol intake (more than two standard drinks/day, on average)
* Caffeine intake more than 400 mg per day, on average
* Frequent sleep deprivation over the last two months
* Women with desire to become pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Team Foods Colombia S.A.

INDUSTRY

Sponsor Role collaborator

Carlos O Mendivil

OTHER

Sponsor Role lead

Responsible Party

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Carlos O Mendivil

Professor of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Universidad de los Andes, School of Medicine

Bogotá, Bogota D.C., Colombia

Site Status

Countries

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Colombia

References

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Ruiz AJ, Sepulveda MA, Martinez PH, Munoz MC, Mendoza LO, Centanaro OP, Carrasco LF, Garcia JC. Prevalence of sleep complaints in Colombia at different altitudes. Sleep Sci. 2016 Apr-Jun;9(2):100-5. doi: 10.1016/j.slsci.2016.05.008. Epub 2016 Jun 4.

Reference Type BACKGROUND
PMID: 27656274 (View on PubMed)

Ong JL, Lau T, Massar SAA, Chong ZT, Ng BKL, Koek D, Zhao W, Yeo BTT, Cheong K, Chee MWL. COVID-19-related mobility reduction: heterogenous effects on sleep and physical activity rhythms. Sleep. 2021 Feb 12;44(2):zsaa179. doi: 10.1093/sleep/zsaa179.

Reference Type BACKGROUND
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Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017 May 19;9:151-161. doi: 10.2147/NSS.S134864. eCollection 2017.

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McCoy JG, Strecker RE. The cognitive cost of sleep lost. Neurobiol Learn Mem. 2011 Nov;96(4):564-82. doi: 10.1016/j.nlm.2011.07.004. Epub 2011 Aug 22.

Reference Type BACKGROUND
PMID: 21875679 (View on PubMed)

Meng L, Zheng Y, Hui R. The relationship of sleep duration and insomnia to risk of hypertension incidence: a meta-analysis of prospective cohort studies. Hypertens Res. 2013 Nov;36(11):985-95. doi: 10.1038/hr.2013.70. Epub 2013 Sep 5.

Reference Type BACKGROUND
PMID: 24005775 (View on PubMed)

Pan XL, Nie L, Zhao SY, Zhang XB, Zhang S, Su ZF. The Association Between Insomnia and Atherosclerosis: A Brief Report. Nat Sci Sleep. 2022 Mar 15;14:443-448. doi: 10.2147/NSS.S336318. eCollection 2022.

Reference Type BACKGROUND
PMID: 35313542 (View on PubMed)

Hargens TA, Kaleth AS, Edwards ES, Butner KL. Association between sleep disorders, obesity, and exercise: a review. Nat Sci Sleep. 2013 Mar 1;5:27-35. doi: 10.2147/NSS.S34838. Print 2013.

Reference Type BACKGROUND
PMID: 23620691 (View on PubMed)

Knutson KL. Does inadequate sleep play a role in vulnerability to obesity? Am J Hum Biol. 2012 May-Jun;24(3):361-71. doi: 10.1002/ajhb.22219. Epub 2012 Jan 24.

Reference Type BACKGROUND
PMID: 22275135 (View on PubMed)

Schipper SBJ, Van Veen MM, Elders PJM, van Straten A, Van Der Werf YD, Knutson KL, Rutters F. Sleep disorders in people with type 2 diabetes and associated health outcomes: a review of the literature. Diabetologia. 2021 Nov;64(11):2367-2377. doi: 10.1007/s00125-021-05541-0. Epub 2021 Aug 16.

Reference Type BACKGROUND
PMID: 34401953 (View on PubMed)

Lin CL, Chien WC, Chung CH, Wu FL. Risk of type 2 diabetes in patients with insomnia: A population-based historical cohort study. Diabetes Metab Res Rev. 2018 Jan;34(1). doi: 10.1002/dmrr.2930. Epub 2017 Oct 4.

Reference Type BACKGROUND
PMID: 28834008 (View on PubMed)

Aggarwal S, Loomba RS, Arora RR, Molnar J. Associations between sleep duration and prevalence of cardiovascular events. Clin Cardiol. 2013 Nov;36(11):671-6. doi: 10.1002/clc.22160. Epub 2013 Oct 1.

Reference Type BACKGROUND
PMID: 24122853 (View on PubMed)

Choi Y, Choi JW. Association of sleep disturbance with risk of cardiovascular disease and all-cause mortality in patients with new-onset type 2 diabetes: data from the Korean NHIS-HEALS. Cardiovasc Diabetol. 2020 May 13;19(1):61. doi: 10.1186/s12933-020-01032-5.

Reference Type BACKGROUND
PMID: 32404104 (View on PubMed)

Mogavero MP, DelRosso LM, Fanfulla F, Bruni O, Ferri R. Sleep disorders and cancer: State of the art and future perspectives. Sleep Med Rev. 2021 Apr;56:101409. doi: 10.1016/j.smrv.2020.101409. Epub 2020 Nov 28.

Reference Type BACKGROUND
PMID: 33333427 (View on PubMed)

Rod NH, Vahtera J, Westerlund H, Kivimaki M, Zins M, Goldberg M, Lange T. Sleep disturbances and cause-specific mortality: Results from the GAZEL cohort study. Am J Epidemiol. 2011 Feb 1;173(3):300-9. doi: 10.1093/aje/kwq371. Epub 2010 Dec 30.

Reference Type BACKGROUND
PMID: 21193534 (View on PubMed)

Chattu VK, Manzar MD, Kumary S, Burman D, Spence DW, Pandi-Perumal SR. The Global Problem of Insufficient Sleep and Its Serious Public Health Implications. Healthcare (Basel). 2018 Dec 20;7(1):1. doi: 10.3390/healthcare7010001.

Reference Type BACKGROUND
PMID: 30577441 (View on PubMed)

Related Links

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https://www.infona.pl/resource/bwmeta1.element.springer-doi-10_1007-S10389-016-0781-0

Filip I, Tidman M, Saheba N, Bennet H, Wick B, Rouse N, Patriche D, Radfar A. Public health burden of sleep disorders underreported problem. J Public Health 2016;25:243-248.

https://www.philips.com/c-dam/b2c/master/experience/smartsleep/world-sleep-day/2020/2020-world-sleep-day-report.pdf

Koninklijke Philips N.V. Wake up call: global sleep satisfaction trends. Philips Global Survey \[Internet\] 2020 \[consultado 2022 junio 28\].

Other Identifiers

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PAC2422037

Identifier Type: -

Identifier Source: org_study_id

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