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Trial registered on ANZCTR
Registration number
ACTRN12609000714280
Ethics application status
Approved
Date submitted
12/08/2009
Date registered
19/08/2009
Date last updated
6/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Sleep disruption in quadriplegia, its hormonal basis and a randomized controlled trial (RCT) of melatonin supplementation
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Scientific title
Study examining whether daily administration of 3mg melatonin alters subjective sleep experience and sleep architecture in people with complete quadriplegia
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Secondary ID [1]
262162
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H2009/03579
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic complete quadriplegia
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Unrefreshed sleep
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Condition category
Condition code
Neurological
239806
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0
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Other neurological disorders
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Respiratory
239808
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
3 week within subject trial of daily evening administration of 3mg melatonin delivered orally. Randomised, double-blind, placebo controlled trial with two-week washout period between intervention and placebo treatments
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Intervention code [1]
241121
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Treatment: Drugs
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Comparator / control treatment
3 week within subject daily evening administration of placebo 3mg soft shell gelatin capsule delivered orally
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Improved subjective sleep experience measured by a daily sleep diary and the Basic Nordic Sleepiness Questionnaire and the Sleep Disturbance Severity Scale
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Assessment method [1]
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Timepoint [1]
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Baseline and 3, 5, and 8 weeks after randomisation
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Secondary outcome [1]
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Improved phasing of sleep as measured by polysomnography
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Assessment method [1]
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Timepoint [1]
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Baseline and 3, 5, and 8 weeks after randomisation
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Secondary outcome [2]
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Improved Quality of life as measured by the Assessment of Quality of Life Questionnaire, the Hospital Anxiety Depression Scale and the Profile of Moods States
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Assessment method [2]
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Timepoint [2]
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Baseline and 3, 5, and 8 weeks after randomisation
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Secondary outcome [3]
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Improved autonomic functioning as assessed by a portable blood pressure and heart rate monitor, Orthostatic Hypotension Questionnaire and urine catecholamine and electrolyte levels
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Assessment method [3]
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Timepoint [3]
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Baseline and 3, 5, and 8 weeks after randomisation
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Eligibility
Key inclusion criteria
Complete (motor and sensory) quadriplegia (T1 or higher lesion), time since spinal cord injury is greater than one year (chronic)
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Travel across three or more time zones within three weeks or during protocol, Pregnancy or breast feeding, Ongoing use of over-the-counter melatonin
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Victorian Neurotrauma Initiative
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Address [1]
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P.O. Box 2314
Geelong
Victoria 3220
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
Studley Road
Heidelberg
Victoria 3084
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
236978
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
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P.O. Box 5555 Heidelberg Victoria 3084
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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07/08/2009
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Ethics approval number [1]
239616
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Summary
Brief summary
People with complete quadriplegia commonly report sleep disturbances and have been found to lack melatonin production, a hormone that modulates our sleep cycle. It is unclear if their sleep problems are related to their lack of melatonin production. The aim of this study was to investigate whether nightly supplementation of 3mg melatonin would induce, shift the phase of and/or modify subjective sleep for people with complete quadriplegia. It is hypothesised that supplementation with melatonin will improve subjective sleep for people with complete quadriplegia along with their sleep phasing, quality of life and autonomic functioning.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jo Spong
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Address
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Institute for Breathing and Sleep
Bowen Centre
Austin Health
Studley Road
Heidelberg
Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 3877
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jo Spong
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Address
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Institute for Breathing and Sleep
Bowen Centre
Austin Health
Studley Road
Heidelberg
Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 3877
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF