Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 40 to 65

Using melatonin to improve sleep in patients with diabetic retinopathy

Official title: Sleep and Circadian Regulation in Diabetic Retinopathy: The Role of Intrinsically Photosensitive Retinal Ganglion Cells and Melatonin Supplementation

Run by University of Illinois Chicago · NCT04547439 · Data updated 2026-11-12

This study tests if taking melatonin can help people with diabetic retinopathy sleep better over eight weeks.

Quick facts

PhasePhase 2
Study typeInterventional
Ages40 Years to 65 Years
SexAll
Enrollment42 (estimated)
SponsorUniversity of Illinois Chicago
Academic / other
Locations1 site (Chicago, Illinois)
StatusRecruiting
StartedFebruary 3, 2021
Main results expectedFebruary 2, 2026
Study endsJune 2026
Registry record updatedApril 21, 2026
Trial IDNCT04547439 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 40-65 with type 2 diabetes and moderate to severe diabetic retinopathy.

Probably not a fit

Patients with severe chronic conditions, significant depressive symptoms, or those currently using melatonin or certain medications may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effects of melatonin on sleep and circadian regulation in patients with diabetic retinopathy. It is a randomized controlled trial where participants will receive either melatonin or a placebo for a duration of 8 weeks. The focus is on understanding how melatonin may influence sleep quality and related outcomes in individuals suffering from this eye condition associated with diabetes.

Why it matters

Potential benefit: If successful, this study could provide a new therapeutic approach to improve sleep quality and potentially slow the progression of diabetic retinopathy in affected patients.

How similar studies have gone: While the use of melatonin in other contexts has shown promise, this specific approach in diabetic retinopathy is relatively novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Type 2 diabetes (clinically diagnosed, taking anti-diabetes medications or history of elevated A1C≥6.5%)
* 40-65 years of age
* Diabetic retinopathy of at least moderate degree

Exclusion Criteria:

* use of melatonin
* antidepressants or antipsychotics
* illicit drug use
* night shift work or travel beyond 2 time zones in the month before enrollment
* end stage renal disease requiring renal replacement therapy
* history of stroke or transient ischemic attacks
* history of dementia or memory impairment
* uncontrolled congestive heart failure or recent hospitalization for cardiac condition (6 months)
* chronic obstructive pulmonary disease requiring oxygen
* severe chronic liver disease such as cirrhosis
* ongoing treatment for major medical problems such as cancer
* history of severe hypoglycemia defined as hypoglycemic episodes requiring assistance from others within the past six months.
* Significant depressive symptoms
* untreated severe OSA (AHI≥ 30 events/hour),
* uncontrolled hypertension (blood pressure ≥ 160/100 mmHg),
* uncontrolled diabetes (A1C ≥ 11%),
* abnormal TSH
* abnormal liver function (AST or ALT\>3x upper limits of normal
* use of sedatives and hypnotics.
* clinically significant epiretinal membranes, clinically significant lens opacities, or cystoid macular edema, iris neovascularization, iris atrophy, or an asymmetrically shaped pupil, nuclear sclerotic, posterior subcapsular, or cortical lens opacities greater than 2+, a history of pan-retinal photocoagulation.
* hemoglobin \<11.5 g/dL in women and \<13.5 g/dL in men.

Where it's running

  • University of Illinois at Chicago
    Chicago, Illinois, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.