Protocol summary

Study aim
The primary objective of this study is to investigate the effect of melatonin on short-term visual memory in patients with Relapsing-Remitting Multiple Sclerosis (RRMS) at Buali Hospital in Qazvin in 2025.
Design
This study is designed as a Quasi-Experimental trial with a single-group pre-test and post-test design. Only one group of patients receiving melatonin will be evaluated, and visual working memory data will be collected before and after the intervention period.
Settings and conduct
The study will be conducted at Buali Hospital in Qazvin under the supervision of the Research Deputy of Qazvin University of Medical Sciences.
Participants/Inclusion and exclusion criteria
Patients with a definitive diagnosis of Relapsing-Remitting Multiple Sclerosis (RRMS) based on McDonald criteria and confirmed by a specialist physician, aged 18 to 60 years, suffering from short-term memory disorders detectable by pre-test assessment, no use of memory- or sleep-affecting medications in the past month, willing to provide written informed consent, no history of allergy to melatonin, not pregnant or breastfeeding, and with a stable disease condition with no relapse in the last 30 days and be excluded if the inclusion criteria doesnt met.
Intervention groups
This study includes only one intervention group, consisting of 50 randomly selected patients with Relapsing-Remitting MS. These patients will receive 5 mg of melatonin daily, one hour before sleep, for 12 weeks. No control or placebo group is included in this design.
Main outcome variables
Short-term visual memory, measured using the Color Wheel Test. Potential side effects of melatonin, recorded through patient reports and clinical examination. Changes in quality of life, assessed using standard questionnaires.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20251006067522N1
Registration date: 2025-10-29, 1404/08/07
Registration timing: prospective

Last update: 2025-10-29, 1404/08/07
Update count: 0
Registration date
2025-10-29, 1404/08/07
Registrant information
Name
Kavosh Ansari Dezfoli
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 937 538 6185
Email address
k.ansaridezfoli@qums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-11-22, 1404/09/01
Expected recruitment end date
2026-02-20, 1404/12/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the Effect of Melatonin on Memory in Multiple Sclerosis Patients: A Clinical Trial
Public title
Effect of Melatonin on Memory in Multiple Sclerosis Patients
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Definitive diagnosis of MS based on McDonald criteria and confirmed by a specialist physician. Age between 18 and 60 years. Diagnosis of Relapsing-Remitting Multiple Sclerosis (RRMS). Suffering from short-term memory disorders detectable by pre-test assessment.
Exclusion criteria:
Age less than 18 years or more than 60 years. Lack of written patient consent to participate in the study. Diagnosis of MS types other than Relapsing-Remitting MS (RRMS). Use of other medications that may affect memory or sleep. History of allergy or sensitivity to melatonin. Presence of other chronic conditions such as uncontrolled diabetes or kidney failure. Alcohol or drug use in the past 6 months. Pregnancy or breastfeeding
Age
From 18 years old to 60 years old
Gender
Both
Phase
2-3
Groups that have been masked
No information
Sample size
Target sample size: 50
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Single
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Qazvin University of Medical Sciences
Street address
Building No. 12, Bu-Ali Street, Qazvin, Qazvin Province, 34197, Iran
City
Qazvin
Province
Qazvin
Postal code
34119759811
Approval date
2025-08-26, 1404/06/04
Ethics committee reference number
IR.QUMS.REC.1404.165

Health conditions studied

1

Description of health condition studied
Multiple Sclerosis (Relapsing-Remitting Type)
ICD-10 code
G35
ICD-10 code description
Multiple sclerosis

Primary outcomes

1

Description
Short-term visual memory Description: Short-term visual memory is measured using the Colour Wheel Test. This variable refers to the patients' ability to recall and reproduce colours within a short time frame (a few seconds to a few minutes), with evaluation criteria including error rate, response time, and confidence in colour selection.
Timepoint
Measurement of outcome variables will be conducted at two time points: initially, before the intervention (pre-test) and then 12 weeks after the start of melatonin use (post-test).
Method of measurement
Short-term visual memory: Measured using the Colour Wheel Test, which involves selecting colours on a simulated display screen, with criteria including error rate, response time, and confidence in selection.

2

Description
Potential side effects of melatonin are recorded through patient reports and clinical examinations by healthcare staff. This variable includes any physical or psychological symptoms reported by patients during the intervention period.
Timepoint
Measurement of outcome variables will be conducted at two time points: initially, before the intervention (pre-test) and then 12 weeks after the start of melatonin use (post-test).
Method of measurement
Recorded through patient verbal reports and clinical examinations by healthcare staff.

3

Description
Changes in quality of life are assessed using standard questionnaires (such as health-related quality of life questionnaires). This variable reflects improvements or reductions in general well-being, daily functioning, and patient satisfaction with life.
Timepoint
Measurement of outcome variables will be conducted at two time points: initially before the intervention (pre-test) and then 12 weeks after the start of melatonin use (post-test).
Method of measurement
Changes in quality of life: Assessed using standard health-related quality of life questionnaires (e.g., SF-36).

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Melatonin administration: Patients receive 5 mg of melatonin daily, one hour before sleep, for 12 weeks.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Qazvin Boali Hospital
Full name of responsible person
Kavosh Ansari Dezfoli
Street address
Building No. 12, Bu-Ali Street, Qazvin, Qazvin Province, 34197, Iran
City
Qazvin
Province
Qazvin
Postal code
15315-34199
Phone
+98 28 3333 6001
Email
info@qums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Seyed Hossein Mirhashemi
Street address
Building No. 12, Bu-Ali Street, Qazvin, Qazvin Province, 34197, Iran
City
Qazvin
Province
Qazvin
Postal code
15315-34199
Phone
+98 28 3333 6001
Email
info@qums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Qazvin University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Kavosh Ansari Dezfoli
Position
Neurology Resident
Latest degree
Medical doctor
Other areas of specialty/work
Neurology
Street address
Building No. 12, Bu-Ali Street, Qazvin, Qazvin Province, 34197, Iran
City
Qazvin
Province
Qazvin
Postal code
1531534199
Phone
+98 937 538 6185
Fax
Email
k.ansaridezfoli@qums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Kavosh Ansari Dezfoli
Position
Neurology Resident
Latest degree
Medical doctor
Other areas of specialty/work
Neurology
Street address
Building No. 12, Bu-Ali Street, Qazvin, Qazvin Province, 34197, Iran
City
Qazvin
Province
Qazvin
Postal code
1531534199
Phone
+98 937 538 6185
Fax
Email
k.ansaridezfoli@qums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Kavosh Ansari Dezfoli
Position
Neurology Resident
Latest degree
Medical doctor
Other areas of specialty/work
Neurology
Street address
Building No. 12, Bu-Ali Street, Qazvin, Qazvin Province, 34197, Iran
City
Qazvin
Province
Qazvin
Postal code
1531534199
Phone
+98 937 538 6185
Fax
Email
k.ansaridezfoli@qums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
The data within the document includes aggregated study design information, inclusion/exclusion criteria, primary outcome variables, and initial IRCT registration details. Due to ethical considerations and privacy concerns, individual participant data (e.g., memory test results or personal details) cannot be fully shared; only de-identified data related to primary outcomes (e.g., Colour Wheel Test results) can be provided after receiving approval from the Qazvin University of Medical Sciences Ethics Committee and complying with institutional policies. The document also contains a CRS system link and preliminary IRCT registration information, indicating the clinical trial registration process.
When the data will become available and for how long
The access period for the data/document will begin 6 months after the publication of the study results, anticipated to be around mid-April 2026, and will remain available for 5 years thereafter.
To whom data/document is available
Access to the data or document is allowed for researchers affiliated with accredited academic or scientific institutions. These individuals must submit a formal request with identification documents and a description of their research aims, while following ethical guidelines and privacy laws.
Under which criteria data/document could be used
The data or document may only be used for academic research purposes, including statistical analysis, replication studies, and scientific investigations related to the effect of melatonin on memory in patients with multiple sclerosis. Usage conditions include obtaining ethical approval from the Qazvin University of Medical Sciences Ethics Committee, signing a confidentiality and data use agreement, and ensuring that no participant can be re-identified. Applicants must submit a written request outlining their research objectives, analysis.
From where data/document is obtainable
Applicants seeking access to the data or documents should first contact the Principal Investigator, Dr. Hossein Mozhdehipanah, via email (hmozhdehipanah@qums.ac.ir) or phone (09123040087). If there is no response, they are advised to reach out to the Research Deputy of Qazvin University of Medical Sciences through the website or by phone (028-33336001). Additionally, the IRCT support system can be contacted via email (irct@iums.ac.ir) if necessary. Priority is given to official email communication, and a written request with the necessary documentation must be submitted.
What processes are involved for a request to access data/document
The process for requesting data/documents is as follows: The applicant must submit a written request, including research objectives, analysis methods, and identification documents, to the Principal Investigator’s email (hmozhdehipanah@qums.ac.ir). The request will be reviewed by the Principal Investigator and referred to the Qazvin University of Medical Sciences Ethics Committee for ethical approval (approximate duration: 1-2 weeks). Upon ethical approval, the applicant must sign a confidentiality and data use agreement. After completing the agreement, the de-identified data will be provided securely (e.g., encrypted file) via email or the university’s secure platform. In case of issues, the applicant may contact the Research Deputy or IRCT support (irct@iums.ac.ir). The entire process typically takes 2-3 weeks, contingent on complete documentation and compliance with regulations.
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