Prolonged release melatonin for improving sleep in totally blind subjects: a pilot placebo-controlled multicenter trial.

作者: Nava Zisapel , Tali Nir , Thomas Roth

DOI: 10.2147/NSS.S71838

关键词:

摘要: Introduction Melatonin, secreted by the pineal gland during night phase, is a regulator of biological clock and sleep tendency. Totally blind subjects frequently report severe, periodic problems, with 50%–75% cases displaying non-24-hour sleep–wake disorder (N24HSWD) due to inability synchronize environmental day–night cycle. Melatonin immediate-release preparations are reportedly effective in N24HSWD. Here, we studied efficacy safety prolonged-release melatonin (PRM), registered drug for insomnia, disorders totally living normal social environments. The primary endpoint was demonstration clinically meaningful effects on duration (upper confidence interval [CI] limit >20 minutes whether significant or not) allow early decision-making further development this indication.

参考文章(46)
Makoto Uchiyama, Kayo Shibui, Tatsuro Hayakawa, Yuichi Kamei, Takashi Ebisawa, Hirokuni Tagaya, Masako Okawa, Kiyohisa Takahashi, Larger phase angle between sleep propensity and melatonin rhythms in sighted humans with non-24-hour sleep-wake syndrome. Sleep. ,vol. 25, pp. 83- 88 ,(2002) , 10.1093/SLEEP/25.1.83
Shantha M. W. Rajaratnam, Benita Middleton, Barbara M. Stone, Josephine Arendt, Derk-Jan Dijk, Melatonin advances the circadian timing of EEG sleep and directly facilitates sleep without altering its duration in extended sleep opportunities in humans The Journal of Physiology. ,vol. 561, pp. 339- 351 ,(2004) , 10.1113/JPHYSIOL.2004.073742
S. Campbell;, Is There an Intrinsic Period of the Circadian Clock? Science. ,vol. 288, pp. 1174- 1175 ,(2000) , 10.1126/SCIENCE.288.5469.1174
Patrick Lemoine, Nava Zisapel, Prolonged-release formulation of melatonin (Circadin) for the treatment of insomnia Expert Opinion on Pharmacotherapy. ,vol. 13, pp. 895- 905 ,(2012) , 10.1517/14656566.2012.667076
Damien Leger, Christian Guilleminault, Carmen Santos, Michel Paillard, Sleep/wake cycles in the dark: sleep recorded by polysomnography in 26 totally blind subjects compared to controls. Clinical Neurophysiology. ,vol. 113, pp. 1607- 1614 ,(2002) , 10.1016/S1388-2457(02)00221-3
Homayoun Tabandeh, Steve W Lockley, Robert Buttery, Deborah J Skene, Remy Defrance, Josephine Arendt, Alan C Bird, Disturbance of sleep in blindness American Journal of Ophthalmology. ,vol. 126, pp. 707- 712 ,(1998) , 10.1016/S0002-9394(98)00133-0
E. B. Klerman, T. L. Shanahan, D. J. Brotman, D. W. Rimmer, J. S. Emens, J. F. Rizzo, C. A. Czeisler, Photic Resetting of the Human Circadian Pacemaker in the Absence of Conscious Vision Journal of Biological Rhythms. ,vol. 17, pp. 548- 555 ,(2002) , 10.1177/0748730402238237
Shantha M. W. Rajaratnam, Derk-Jan Dijk, Benita Middleton, Barbara M. Stone, Josephine Arendt, Melatonin phase-shifts human circadian rhythms with no evidence of changes in the duration of endogenous melatonin secretion or the 24-hour production of reproductive hormones. The Journal of Clinical Endocrinology and Metabolism. ,vol. 88, pp. 4303- 4309 ,(2003) , 10.1210/JC.2003-030460
Alfred J Lewy, Vance K Bauer, Saeeduddin Ahmed, Katherine H Thomas, Neil L Cutler, Clifford M Singer, Mary T Moffit, Robert L Sack, None, The Human Phase Response Curve (Prc) to Melatonin is About 12 Hours out of Phase with the Prc to Light Chronobiology International. ,vol. 15, pp. 71- 83 ,(1998) , 10.3109/07420529808998671