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TerminatedNCT00692094Updated Nov 27, 2019Results posted

Blind Elderly Melatonin Treatment Study

An interventional study of Melatonin and Melatonin in Blindness, sponsored by Oregon Health and Science University. Terminated at 1 site in United States. Open to participants aged 55 Years and older. Per ClinicalTrials.gov, last updated 2019-11-27.

Sponsored by Oregon Health and Science University · Not applicable, Interventional, and Treatment

Why this study was terminated
Unique provision in the American Recovery and Reinvestment Act prevented approval of second year no-cost-extension in which completion of analyses were planned.
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
55 Years and older
Sex
All
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Study summary

The primary focus of this five-year study will be to optimize the melatonin dosing regimen for synchronizing the body clocks of elderly blind individuals to the 24-hour day.

Read the detailed description

The investigators intend to study as many as 26 subjects through up to four melatonin treatment regimens, all of which involve a dose step-down in which the melatonin dose will be reduced gradually to find the lowest effective dose. The 4 treatment plans differ only in the start dose and the time of administration. Successfully treated subjects will enter a one-year intensive assessment of the safety and efficacy of melatonin treatment in which the subject will take the same dose for one year and complete biweekly assessments of efficacy and side-effects. The final phase of the study involves a placebo discontinuation, in which the subject's circadian rhythm will be returned to the baseline rhythm (this may take up to 6 months for some subjects).

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Conditions studied

  • Blindness

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Keywords

  • melatonin
  • circadian rhythms
  • sleep
03

In context

Blindness

161 studies on the registry are indexed under Blindness; 33 are open to participants now.

This study's enrollment of 12 is below the median of 30 across 105 interventional studies indexed under Blindness.

Browse Blindness studies →

Lead sponsor

Oregon Health and Science University is the lead sponsor of 676 studies on the registry; 136 are open to participants now.

Of its 49 completed or terminated interventional studies of FDA-regulated products, 36 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
55 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults 55-100 years old
  • Blindness for at least one year, verified by an ophthalmologic exam
  • Ability to comply with the requirements of the experimental protocol
  • No clinically significant abnormalities (other than blindness) on a general physical examination
  • Subjects must be competent to sign informed consent

Exclusion criteria

Exclusion Criteria:

  • Abnormal heart, liver or kidney function; a current Axis I psychiatric or substance abuse disorder according to the DSM-IV Manual
  • A diagnosis of obstructive sleep apnea (apnea index > 10) or nocturnal myoclonus (> 10 associated arousals/hour)
  • External demands that limit the ability to maintain a regular schedule, e.g., night shift work
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    1

    Subjects will be given 0.5 mg at a time when melatonin should delay the timing of their body clock. If the subject's body clock responds successfully to the dose, the dose will be reduced gradually until the lowest effective dose is found. If the treatment does not work, the subject will be taken off treatment and later entered into a new treatment regimen.

    Biological: Melatonin

  • Experimental
    2

    Subjects will be given 0.5 mg at a time when melatonin should advance the timing of their body clock. If the subject's body clock responds successfully to the dose, the dose will be reduced gradually until the lowest effective dose is found. If the treatment does not work, the subject will be taken off treatment and later entered into a new treatment regimen.

    Biological: Melatonin

  • Experimental
    3

    Subjects will be given a larger dose (up to 10 mg) at a time when the melatonin should advance the timing of the body clock. If the subject's body clock responds successfully to the dose, the dose will be reduced gradually until the lowest effective dose is found. If the treatment does not work, the subject will be taken off treatment and later entered into a new treatment regimen.

    Biological: Melatonin

  • Experimental
    4

    Subjects will be given a larger dose (up to 20 mg) at a time when the melatonin should advance the timing of the body clock. If the subject successfully responds to the treatment, the dose will be reduced gradually until the lowest effective dose is determined (down to 0.025 mg). If the treatment does not work, the subject will be taken off treatment and later entered into a new treatment regimen.

    Biological: Melatonin

Interventions

  • BiologicalMelatonin

    0.025 mg-0.5 mg, daily given at a time when it is expected to delay the timing of the body clock.

  • BiologicalMelatonin

    0.025 mg - 0.5 mg, daily, at a time when melatonin should advance the timing of their body clock.

  • BiologicalMelatonin

    0.025 mg - 10 mg, daily, at a time when melatonin should advance the timing of their body clock.

  • BiologicalMelatonin

    0.025 mg - 20 mg, daily, at a time when the melatonin should advance the timing of the body clock.

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What researchers measure

Primary outcomes

  1. Circadian Phase Marker, as Measured by the Melatonin Levels in Serial Salivary and/or Plasma Samples.

    Time frame: biweekly throughout the entire study

Secondary outcomes

  1. Durability and Toxicity Side Effects Questionnaire

    Time frame: 1 year

07

Results

Posted Nov 27, 2019
Limitations and caveats
Analyses were not completed because, a unique provision in the American Recovery and Reinvestment Act (ARRA) of 2009 funding source unexpectedly prevented approval of a second year no-cost-extension in which completion of analyses were planned.

Participant flow

Participant flow — Overall Study
MilestoneMelatonin: 0.025 Mg-0.5 mg (Delay Timing)Melatonin: 0.025 mg - 0.5 mg (Advance Timing)Melatonin: 0.025 mg - 10 mg (Advance Timing)Melatonin: 0.025 mg - 20 mg (Advance Timing)
Started0000
Completed0000
Not completed0000

Outcome measures

PrimaryCircadian Phase Marker, as Measured by the Melatonin Levels in Serial Salivary and/or Plasma Samples.
Time frame:
biweekly throughout the entire study

No measurements were reported for this outcome.

SecondaryDurability and Toxicity Side Effects Questionnaire
Time frame:
1 year

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Melatonin: 0.025 Mg-0.5 mg (Delay Timing)———
Melatonin: 0.025 mg - 0.5 mg (Advance Timing)———
Melatonin: 0.025 mg - 10 mg (Advance Timing)———
Melatonin: 0.025 mg - 20 mg (Advance Timing)———

Baseline characteristics

The PI has retired from the institution. Sincere efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available.

Age, Categorical
Age, CategoricalMelatonin: 0.025 Mg-0.5 mg (Delay Timing)Melatonin: 0.025 mg - 0.5 mg (Advance Timing)Melatonin: 0.025 mg - 10 mg (Advance Timing)Melatonin: 0.025 mg - 20 mg (Advance Timing)Total
<=18 years—————
Between 18 and 65 years—————
>=65 years—————
Age, Continuous
Age, ContinuousMelatonin: 0.025 Mg-0.5 mg (Delay Timing)Melatonin: 0.025 mg - 0.5 mg (Advance Timing)Melatonin: 0.025 mg - 10 mg (Advance Timing)Melatonin: 0.025 mg - 20 mg (Advance Timing)Total
Sex: Female, Male
Sex: Female, MaleMelatonin: 0.025 Mg-0.5 mg (Delay Timing)Melatonin: 0.025 mg - 0.5 mg (Advance Timing)Melatonin: 0.025 mg - 10 mg (Advance Timing)Melatonin: 0.025 mg - 20 mg (Advance Timing)Total
Female—————
Male—————
Race and Ethnicity Not Collected
Race and Ethnicity Not CollectedMelatonin: 0.025 Mg-0.5 mg (Delay Timing)Melatonin: 0.025 mg - 0.5 mg (Advance Timing)Melatonin: 0.025 mg - 10 mg (Advance Timing)Melatonin: 0.025 mg - 20 mg (Advance Timing)Total
Region of Enrollment
Region of Enrollment(participants)Melatonin: 0.025 Mg-0.5 mg (Delay Timing)Melatonin: 0.025 mg - 0.5 mg (Advance Timing)Melatonin: 0.025 mg - 10 mg (Advance Timing)Melatonin: 0.025 mg - 20 mg (Advance Timing)Total
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Study locations

1 site
  • Sleep and Mood Disorders Lab, Oregon Health & Science University
    Portland, Oregon 97239, United States
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References and documents

Publications

  • Lewy AJ. Melatonin as a marker and phase-resetter of circadian rhythms in humans. Adv Exp Med Biol. 1999;460:425-34. doi: 10.1007/0-306-46814-x_51. No abstract available. PubMed 10810544 ↗
  • Sack RL, Brandes RW, Kendall AR, Lewy AJ. Entrainment of free-running circadian rhythms by melatonin in blind people. N Engl J Med. 2000 Oct 12;343(15):1070-7. doi: 10.1056/NEJM200010123431503. PubMed 11027741 ↗
  • Lewy AJ, Bauer VK, Hasler BP, Kendall AR, Pires ML, Sack RL. Capturing the circadian rhythms of free-running blind people with 0.5 mg melatonin. Brain Res. 2001 Nov 9;918(1-2):96-100. doi: 10.1016/s0006-8993(01)02964-x. PubMed 11684046 ↗
  • Lewy AJ, Emens JS, Lefler BJ, Yuhas K, Jackman AR. Melatonin entrains free-running blind people according to a physiological dose-response curve. Chronobiol Int. 2005;22(6):1093-106. doi: 10.1080/07420520500398064. PubMed 16393710 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 27, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00692094
Lead sponsor
Oregon Health and Science University
Collaborators
National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
Jun 6, 2008
Start date
Aug 2004
Primary completion
May 2008
Completion
Dec 2008
Results posted
Nov 27, 2019
Last update
Nov 27, 2019

Study contacts

Alfred J Lewy, MD, PhD
principal investigator · Oregon Health and Science University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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