CClinicalTrials.gg
Status unknownNCT02041455Updated Jan 22, 2014

Immune-Pineal Axis Function in Fibromyalgia

A Phase 2/3 interventional study of Melatonin and Placebo and Amitriptyline and Placebo in Fibromyalgia, sponsored by Hospital de Clinicas de Porto Alegre. Status unknown at 1 site in Brazil. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2014-01-22.

Sponsored by Hospital de Clinicas de Porto Alegre · Phase 2/3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2014), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

Fibromyalgia is a common condition in clinical medical practice, characterized by diffuse musculoskeletal pain. Sleep disorders, chronic fatigue, depression, intestinal disorders and headache are also commonly associated with the syndrome .

Although the etiology of this syndrome is not well defined yet, it means involve multiple mechanisms, including low levels of serotonin, increased substance P in cerebrospinal fluid and altered circadian variation in sympathetic - parasympathetic balance, consistent with changes in sympathetic hyperactivity at night .

The immune - pineal system, formed by the integration of the adrenergic and immune systems pineal gland, appears to be involved in the genesis of the dysfunctions found in fibromyalgia. Melatonin is secreted by the pineal gland and has promoter activity of sleep. Studies show that melatonin and its precursors , serotonin and tryptophan are reduced in patients with fibromyalgia.

The present study aims to evaluate the relationship of immune - pineal system in the process of fibromyalgia , since dysfunction of this axis appears to govern the cascading events that participate in the pathophysiological process of this disease.

02

Conditions studied

  • Fibromyalgia

Keywords

  • Fibromyalgia
  • Melatonin
  • Amitriptylin
  • Imune-pineal axis
03

In context

Fibromyalgia

1,336 studies on the registry are indexed under Fibromyalgia; 266 are open to participants now.

This study's planned enrollment of 66 is close to the median of 60 across 1,035 interventional studies indexed under Fibromyalgia.

Browse Fibromyalgia studies →

Lead sponsor

Hospital de Clinicas de Porto Alegre is the lead sponsor of 450 studies on the registry; 61 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Women 18-65 years old
  • Fibromyalgia according to the criteria of the American College of Rheumatology (Wolfe 2010)
  • Sign the informed consent
  • Patients can take medication for chronic pain ( antidepressants , antiepileptics, for example), since there are at least two months

Exclusion criteria

Exclusion criteria:

  • patients who did not understand the Portuguese
  • diagnosis of malignancies, severe psychiatric disorders , sleep disorders not related to fibromyalgia (apnea , sleepwalking , restless leg syndrome), Alzheimer's disease or any disease (rheumatologic, neurological, etc.) that can modify the evaluations or outcomes
  • alcohol abuse or drug addiction
  • patients who are performing acupuncture
  • BMI greater than 35 ( BMI = body mass index) .
  • Patients with history of allergy to amitriptyline or/and melatonin or any other contraindication for the use of these drugs
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    Melatonin and Placebo

    Melatonin 10mg and placebo, once in the evening, for 6 weeks.

    Drug: Melatonin and Placebo

  • Experimental
    Amitriptyline and placebo

    Amitriptyline 25mg and placebo, once in the evening, for 6 weeks.

    Drug: Amitriptyline and Placebo

  • Active comparator
    Melatonin and Amitriptylin

    Melatonin 10mg and Amitriptylin 25mg, once in the evening, for 6 weeks.

    Drug: Melatonin and Amitriptylin

Interventions

  • DrugMelatonin and Placebo
  • DrugAmitriptyline and Placebo
  • DrugMelatonin and Amitriptylin
06

What researchers measure

Primary outcomes

  1. Change from Baseline in pain on Fibromyalgia Impact Questionnaire (FIQ) at week 6

    Time frame: Baseline, week 6

  2. Change from Baseline in Pain Pressure Threshold (PPT) at week 6

    Pain Pressure Threshold by Fischer algometer on the tender points.

    Time frame: Baseline, week 6

  3. Change from Baseline Brain-derived neurotrophic factor at week 6

    Time frame: Baseline, week 6

Secondary outcomes

  1. Change from Baseline of the Pittsburgh Sleep Quality Index (PSQI) at week 6

    Time frame: Baseline, week 6

  2. Change from Baseline of the Pain Catastrophizing Scale at week 6

    Catastrophic thinking related to pain

    Time frame: Baseline; week 6

07

Study locations

1 of 1 sites recruiting
  • Hospital de Clínicas de Porto Alegre
    Porto Alegre, RS 900035-903, Brazil
    • Simone de Azevedo Zanette, MD · Contact · 555133598430
    • Wolnei Caumo, PhD · Principal investigator
    Recruiting
08

References and documents

Publications

  • de Zanette SA, Vercelino R, Laste G, Rozisky JR, Schwertner A, Machado CB, Xavier F, de Souza IC, Deitos A, Torres IL, Caumo W. Melatonin analgesia is associated with improvement of the descending endogenous pain-modulating system in fibromyalgia: a phase II, randomized, double-dummy, controlled trial. BMC Pharmacol Toxicol. 2014 Jul 23;15:40. doi: 10.1186/2050-6511-15-40. PubMed 25052847 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02041455
Lead sponsor
Hospital de Clinicas de Porto Alegre
Responsible party
Sponsor
First posted
Jan 22, 2014
Start date
Jun 2010
Primary completion
Jan 2014
Completion
Mar 2014 (estimated)
Last update
Jan 22, 2014

Study contacts

Wolnei Caumo, PhD
Contact
caumo@cpovo.net
555133598083
Wolnei d Caumo, PhD
study director · Hospital de Clinicas de Porto Alegre

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion