CClinicalTrials.gg
CompletedNCT03368352Updated Jan 31, 2019

Effects of Melatonin on Sleep, Ventilatory Control and Cognition at Altitude.

An Early Phase 1 interventional study of Melatonin and Hypoxia in Altitude Hypoxia, Ventilation and Sleep, sponsored by University of California, San Diego. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-31.

Sponsored by University of California, San Diego · Early Phase 1, Interventional, and Basic science

Phase
Early Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Low oxygen at altitude causes pauses in breathing during sleep, called central sleep apnea. Central sleep apnea causes repeated awakenings and poor sleep. Low oxygen itself and the induced oxidative stress can damage mental function which is likely worsened by poor sleep. Reduced mental function due to low oxygen can pose a serious danger to mountain climbers. However there is also mounting evidence that even in populations of people that live at high altitudes and are considered adapted, low oxygen contributes to reductions in learning and memory. Therefore there is a serious need for treatments which may improve sleep, control of breathing and mental function during low oxygen. Melatonin is a hormone produced in the brain during the night which regulates sleep patterns with strong antioxidant and anti-inflammatory properties. A study previously reported that melatonin taken 90 mins before bed at 4,300 m (14,200 ft) induced sleep earlier, reduced awakenings and improved mental performance the following day. However how melatonin caused these effects was not determined. Therefore this study aims to determine how melatonin effects control of breathing, sleep and mental performance during exposure to low oxygen.

02

Conditions studied

  • Altitude Hypoxia
  • Ventilation
  • Sleep
  • Oxidative Stress
  • Neurocognitive Dysfunction

Keywords

  • Melatonin
  • Altitude
  • Sleep
  • Ventilation
  • Cognition
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

-

Exclusion Criteria:

  • Sleep disorders
  • Pregnant females
  • Smokers (quit ≥ 1 year ago acceptable)
  • Any known cardiac (apart from treated hypertension with acceptable drugs, see below), pulmonary (including asthma), renal, neurologic (including epilepsy), neuromuscular, hepatic disease, or patients with diabetes.
  • Prior or current use of melatonin.
  • Use of any medications that may affect sleep or breathing, blood-thinning medications (anticoagulants), antioxidants, anti-inflammatories, medications that suppress the immune system (immunosuppressants), diabetes medications and birth control pills.
  • A psychiatric disorder, other than mild depression; e.g. schizophrenia, bipolar disorder, major depression, panic or anxiety disorders.
  • Substantial alcohol (>3oz/day) or use of illicit drugs.
  • Previous occurrence of high altitude pulmonary or cerebral edema.
  • Recent exposure to altitude (>8000ft) in the last month or having slept at an altitude >6000ft in the last month.
  • Inability to provide written informed consent or able to complete the experiment.
  • Non-English speakers (necessary to complete neurocognitive testing).
  • More than 10 cups of beverages with caffeine (coffee, tea, soda/pop) per day.
04

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • No intervention
    Normoxia

    Sleep in normal room air with no drug

  • Placebo comparator
    Hypoxia with Placebo

    Sleep in hypoxic tent after taking Placebo 1 hour before bed.

    Other: Hypoxia

  • Experimental
    Hypoxia with Melatonin

    Sleep in hypoxic tent after taking 5 mg Melatonin before bed.

    Dietary Supplement: Melatonin

Interventions

  • Dietary supplementMelatonin

    Dietary supplement melatonin

  • OtherHypoxia

    Sleep in a hypoxic tent simulating high altitude

05

What researchers measure

Primary outcomes

  1. Neurocognitive function

    Stroop-color word test median number of errors. Higher numbers indicate worse performance.

    Time frame: 30 minutes after arousal from sleep

  2. Endothelial function

    Reactive hypermedia index via EndoPat

    Time frame: 5 minutes after arousal from sleep

  3. Lipid peroxidation in serum

    Concentration of Malondialdehyde in serum samples

    Time frame: immediately after arousal from sleep

  4. Hypercapnic hypoxic ventilatory sensitivity

    This is the one outcome. It is the gain of the ventilatory response to changes in CO2, during sustained hypoxia. Delta minute ventilation / delta mmHg CO2 during sustained hypoxia

    Time frame: 1 hour after arousal from sleep

06

Study locations

1 site
  • UCSD Sleep Lab
    San Diego, California 92103, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03368352
Lead sponsor
University of California, San Diego
Responsible party
Naomi Deacon (Research Scholar, University of California, San Diego) — Principal investigator
First posted
Dec 11, 2017
Start date
Jul 4, 2017
Primary completion
Dec 20, 2018
Completion
Dec 20, 2018
Last update
Jan 31, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2019. 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