About this trial
The goal of this investigator-initiated, randomized, blinded, 3-armed placebo-controlled, pragmatic, clinical superiority trial is to examine the efficacy of melatonin or low-dose quetiapine versus placebo for treatment of insomnia in patients with psychiatric disorders. The aims of the study are:
* To examine the efficacy of melatonin or low-dose quetiapine versus placebo for treatment of insomnia * To examine how melatonin or low-dose quetiapine affects global symptom severity, sleep quality, psychosocial functioning and subjective well-being.
Participants will receive six weeks of treatment with either melatonin, quetiapine or placebo followed by a brief taper off.
Eligibility criteria
Qualifiers
16 to 64 years of age
ICD-10 diagnosis of a current or previous mental or behavioral disorder (F20-F69, F84, F90-95)
For the diagnoses F84 and F90 a previous period of treatment with melatonin is required
For the 16-17 years old: Non-pharmacological treatment options including sleep hygiene education, weighted blanket or other gravity products have been tested with insufficient effect
Disqualifiers
Current treatment with melatonin or quetiapine
Severe somatic comorbidity
BMI ≥ 35 kg/m2
Breastfeeding
Trial design
Treatments tested in this trial
- Melatonin
- Quetiapine
- Placebo
Treatment groups
Locations
1Map coordinates are unavailable for these locations. Locations are shown below instead.
Sponsors and collaborators
Lone Baandrup
Lead sponsor
University of Copenhagen
Sponsor institution
Danish Center for Sleep Medicine
Collaborator
Region Capital Denmark
Collaborator
Copenhagen Trial Unit, Center for Clinical Intervention Research
Collaborator
Mental Health Centre Copenhagen, Bispebjerg and Frederiksberg Hospital
Collaborator