Melatonin Replacement Therapy in Pinealectomized Patients
Study Details
Study Description
Brief Summary
This is an open-label, single-arm, single-center, proof-of-concept study to assess the effects of melatonin on cardiac autonomic activity in melatonin non-proficient pinealectomized patients.
Condition or Disease | Intervention/Treatment | Phase |
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Early Phase 1 |
Detailed Description
This is an open-label, single-arm, single-center, proof-of-concept study to assess the effects of melatonin on cardiac autonomic activity in melatonin non-proficient pinealectomized patients. The study consists of a screening period, followed by a 3-month melatonin treatment period, and a 6-month washout follow-up period. Adverse events were monitored with respect to seriousness, intensity, relationship to treatment, action taken and outcome of the event.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Melatonin Replacement Therapy Melatonin (Aché Pharmaceutics, Brazil) 3 mg, administered in the evening, 30 minutes before the usual bedtime, every day for 3 months. After discontinuation of melatonin therapy, patients are followed up for 6 months to assess safety parameters and cardiac autonomic activity. |
Drug: Melatonin Replacement Therapy
Melatonin (Aché Pharmaceutics, Brazil), 3 mg, administered in the evening, 30 minutes before the usual bedtime, every day for 3 months. After discontinuation of melatonin therapy, patients are followed up for 6 months to assess safety parameters and cardiac autonomic activity.
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Outcome Measures
Primary Outcome Measures
- cardiac autonomic function - heart rate variability [9 months]
The cardiac autonomic function was determined through heart rate variability (HRV) measures after polysomnography ECG recordings.
Eligibility Criteria
Criteria
Inclusion Criteria:
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patients with pinealectomy and all of the following criteria were considered for admission to the clinical trial:
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children, adolescents and young adults 0 months to 25 years of age;
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signed written informed consent (patient or his/her parents/legal guardian);
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willing and able to complete the clinical trial procedures, as described in the protocol
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no recurring tumor after pinealectomy and subsequent chemotherapy
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absence of circulating melatonin evaluated by salivary melatonin Elisa assay
Exclusion Criteria:
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patients with cardiac arrhythmias
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potentially non-compliant subjects judged by the investigator to be unsuitable for the study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of São Paulo | São Paulo | Sao Paulo | Brazil | 05508-000 |
Sponsors and Collaborators
- University of Sao Paulo
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Baltatu OC, Amaral FG, Campos LA, Cipolla-Neto J. Melatonin, mitochondria and hypertension. Cell Mol Life Sci. 2017 Nov;74(21):3955-3964. doi: 10.1007/s00018-017-2613-y. Epub 2017 Aug 8. Review.
- Campos LA, Cipolla-Neto J, Michelini LC. Melatonin modulates baroreflex control via area postrema. Brain Behav. 2013 Mar;3(2):171-7. doi: 10.1002/brb3.123. Epub 2013 Feb 17.
- Campos LA, Pereira VL Jr, Muralikrishna A, Albarwani S, Brás S, Gouveia S. Mathematical biomarkers for the autonomic regulation of cardiovascular system. Front Physiol. 2013 Oct 7;4:279. doi: 10.3389/fphys.2013.00279. Review.
- Cipolla-Neto J, Amaral FGD. Melatonin as a Hormone: New Physiological and Clinical Insights. Endocr Rev. 2018 Dec 1;39(6):990-1028. doi: 10.1210/er.2018-00084. Review.
- Pereira VL Jr, Dobre M, Dos Santos SG, Fuzatti JS, Oliveira CR, Campos LA, Brateanu A, Baltatu OC. Association between Carotid Intima Media Thickness and Heart Rate Variability in Adults at Increased Cardiovascular Risk. Front Physiol. 2017 Apr 26;8:248. doi: 10.3389/fphys.2017.00248. eCollection 2017.
- Shaffer F, Ginsberg JP. An Overview of Heart Rate Variability Metrics and Norms. Front Public Health. 2017 Sep 28;5:258. doi: 10.3389/fpubh.2017.00258. eCollection 2017. Review.
- 30460114.5.0000.0068