Melatonin treatment for sleep problems in children with autism: a randomised controlled crossover trial

ISRCTN ISRCTN77884120
DOI https://doi.org/10.1186/ISRCTN77884120
Secondary identifying numbers N/A
Submission date
23/04/2008
Registration date
19/06/2008
Last edited
27/03/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Barry Wright
Scientific

Lime Trees Child
Adolescent & Family Unit
31 Shipton Road
York
YO30 5RF
United Kingdom

Phone +44 (0)1904 726610
Email barry.wright@nyypct.nhs.uk

Study information

Study designRandomised controlled crossover trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study hypothesisMelatonin will be better than placebo at improving time-to-onset of sleep (sleep latency) and total sleep time.
Ethics approval(s)York Research Ethics Committee. Date of Approval: 21/01/2004 (ref: 03/12/17)
ConditionSleep disorder in autism
InterventionThis is a crossover trial, with two arms: Melatonin medication vs placebo.

Group 1: One month no medication, 3 months melatonin, 1 month washout, 3 months placebo, 1 month no medication.
Group 2: One month no medication, 3 months placebo, 1 month washout, 3 months melatonin, 1 month no medication.

Melatonin (oral) started at 2 mg 30-40 minutes before planned sleep and increased every 3 nights by 2 mg to a maximum dose of 10 mg, titrating the dose to the response. If good sleep is achieved, the dose is kept at that level.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Melatonin
Primary outcome measureThe following are recorded by the family every day from the beginning of the study for 9 months:
1. Sleep latency (i.e. time to onset of sleep)
2. Number of hours sleep per night (as recorded in daily sleep diaries)
Secondary outcome measuresThe following are carried out at baseline and after 4, 8 and 9 months:
1. General Health Questionnaire
2. Sleep Difficulties Questionnaire (Likert scale)
Overall study start date01/04/2004
Overall study end date01/11/2008

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit4 Years
Upper age limit10 Years
SexNot Specified
Target number of participants32
Participant inclusion criteria1. Both male and female children, aged 4-10 years
2. Diagnosis of typical or atypical childhood autism and sleep disorder (as defined by World Health Organization ICD-10 and sub-classified using the International Classification of Sleep Disorders)
Participant exclusion criteria1. Children on any other medication including anti-epileptic medication
2. Children previously on melatonin or having any other sleep disorder treatments
3. Any families who do not complete sleep diaries during the one month lead-in period
Recruitment start date01/04/2004
Recruitment end date01/11/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Lime Trees Child
York
YO30 5RF
United Kingdom

Sponsor information

North Yorkshire and York Primary Care Trust (UK)
Hospital/treatment centre

c/o North Yorkshire Alliance R&D Unit
Learning & Research Centre
York District Hospital
Wigginton Road
York
YO31 8HE
England
United Kingdom

Phone +44 (0)1904 726996
Email research.governance@york.nhs.uk
Website http://www.nyypct.nhs.uk

Funders

Funder type

Government

York Innovation Research Fund from the York and Selby Research and Development Committee, Selby and York Primary Care Trust. The Committee is currently represented by the North Yorkshire Research and Development Alliance (http://www.northyorksresearch.nhs.uk) (UK)

No information available

London Law Trust (UK) (ref: 10/1/04)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2011 Yes No