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| Name | Class |
|---|---|
| University of Bordeaux | OTHER |
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Several epidemiologic studies have clearly shown that sleep complaints are very common in the general population. It involves a predominant complaint of a nonrestorative sleep or dissatisfaction with sleep quality or duration and it is accompanied by difficulties in initiating sleep at bedtime, frequent or prolonged awakenings, or early-morning awakening with an inability to return to sleep.
Lavender oil as well as valerian officinalis are benefiting from a long traditional use in sleep and these products have moderate sedative effects compared to classical hypnotic compounds.
This study is proposed to assess the efficacy and the safety of this combination in subjects with slight to moderate sleep complaints.
Several epidemiologic studies have clearly shown that sleep complaints are very common in the general population. It involves a predominant complaint of a nonrestorative sleep or dissatisfaction with sleep quality or duration and it is accompanied by difficulties in initiating sleep at bedtime, frequent or prolonged awakenings, or early-morning awakening with an inability to return to sleep. In a representative sample of the French population, 73% of subjects indicated the presence of a nocturnal sleep problem during the preceding month and can be considered as poor sleepers. Fifty-seven percent complained of difficulties initiating sleep 53 % complained of night awakenings, and 41 % complained of a nonrestorative sleep. Only 29% of the sample had sleep problems that would meet the diagnostic criteria for insomnia disorders defined in Diagnostic and Statistical Manual of Mental Disorders 5 (DSM5), the classification of mental disorders of the APA as difficulty to initiate or maintain sleep at least 3 times a week and for at least 3 consecutive months. Moreover, the prevalence of poor sleepers has been massively increased in the recent epidemic context.
Poor sleep is associated with increased fatigue, psychological distress, risk of suicide, higher medical costs, increased disability, and greater limitations of activity. Poor sleepers, excluding individuals with sleep-disordered breathing, other significant medical conditions and psychiatric disorders, have a potentially serious health impact. An analysis of 28 epidemiological studies found that sleep complaints are associated with psychological complaints, emotional fluctuations, alcohol and drug abuse. Health-related quality of life is nearly always affected in subjects experiencing sleep complaints (difficulty initiating or maintaining sleep), according to the findings of the large Sleep Heart Health Study.
Poor sleepers still require a medical attention. Non-medicinal methods are particularly indicated in poor sleepers: sleep hygiene advice, relaxation, restriction of time spent in bed, and cognitive-behavioural therapies that combine these approaches. In poor sleepers, use complementary health approaches such as herbal to promote or maintain sleep must also receive the most research attention.
As single ingredients, valerian officinalis root extract has been identified as having clinical evidence to demonstrate improvement in insomnia complaints:
Lavender oil as well as valerian officinalis are benefiting from a long traditional use in sleep and these products have moderate sedative effects compared to classical hypnotic compounds.
The existing published clinical trials as well as the traditional use suggest a positive effect on sleep and stress, however Valerian aqueous extract and lavender essential oil have been studied in the past for different dosages, for small simple size and standalone only.
Therefore it is difficult to fully rely on the past literature to estimate the potential effect of the combination Valerian - Lavender Essential Oil, that explain the purpose of this proof of concept study which aim to better quantify the effect of the combination on sleep complaints compared to a placebo group in the targeted population.
This study is proposed to assess the efficacy and the safety of this combination in subjects with slight to moderate sleep complaints.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Valerian/Lavender arm | Experimental | Participants in this arm will receive actives products : 420 mg per tablet of Valerian root extract and 40 mg per tablet of essential oil of Lavender |
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| Placebo arm | Placebo Comparator | Participants in this arm will receive placebo (no active product) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Valerian - lavender | Dietary Supplement | 1 tablet per day, half hour before bedtime, day 1 to day 28 |
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| Measure | Description | Time Frame |
|---|---|---|
| Insomnia Severity Index | The Insomnia Severity Index is a 7-item self-administered questionnaire asking about difficulties sleeping and thoughts and worries about sleep. A 5-point scale is used to rate each item (e.g., 0 = no problem; 4 = very severe problem), yielding a total score ranging from 0 to 28. The total score is interpreted as follows:
| Day28 after inclusion (Day1) |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep onset latency | Duration of time in minutes from turning the light off to falling asleep | Change from baseline (Day 1) to end of supplementation (Day 28) |
| Sleep efficiency | ratio of total sleep time to time in bed |
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Inclusion Criteria:
Adult subjects (≥ 18 years old) with sleep complaints:
Sleep complaints are defined as:
Insomnia Severity Index (ISI) score comprised between 11 and 21 (slight to moderate sleep complaints)
BMI inferior to 30 (included)
Connected to internet and having a smartphone
Affiliated person or beneficiary of a social security scheme
Free, informed and written consent signed
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Bordeaux | Bordeaux | France |
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comparative, randomized, double-blind, placebo-controlled, parallel groups study
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| Placebo | Dietary Supplement | 1 tablet per day, half hour before bedtime, day 1 to day 28 |
|
| Change from baseline (Day 1) to end of supplementation (Day 28) |
| Wake after sleep onset | Wake after sleep onset in minutes | Change from baseline (Day 1) to end of supplementation (Day 28) |
| Total sleep time | Total sleep time in minutes | Change from baseline (Day 1) to end of supplementation (Day 28) |
| Time in bed | Time in bed in minutes | Change from baseline (Day 1) to end of supplementation (Day 28) |
| Perceived quality of sleep using Leeds Sleep Evaluation Questionnaire (LSEQ) | The Leeds Sleep Evaluation Questionnaire (LSEQ)(48) assesses 4 consecutive aspects of sleep: getting to sleep, quality of sleep, awakening from sleep, and behaviour following wakefulness. It is self-administered and contains 10 items related to the 4 aspects of sleep. The participant is asked to answer the questions by placing a mark vertically on a 100mm length visual analogue scale. The score for each of the 4 aspects of sleep is the mean of the ratings for each aspect. The questionnaire is used to monitor subjectively perceived changes in sleep during psychopharmacological interventions. | end of supplementation (Day 28) |
| Change from baseline to 4 weeks in Hospital Anxiety and Depression Scale (HADS) scores | The Hospital Anxiety and Depression Scale (HADS) is a 14-item self-report measure of anxiety and depression symptoms. The HADS comprises 14 items each rated from 0 to 3, with higher scores indicating greater anxiety/depression. The HADS produces two scales, one for anxiety (HADS-A) and one for depression (HADS-D), differentiating the two states. The anxiety and depression subscales each have seven items and a maximum score of 21. | Change from baseline (Day 1) to end of supplementation (Day 28) |
| SF-36 mental and physical scores | The Short-Form Health Survey (SF-36) is a 36-item general health-related quality of life measure. It measures 8 general health concepts: physical functioning, role physical, bodily pain, general health, vitality, social functioning role emotional and mental health. These concepts are summarized as physical and mental components scores. Higher scores indicate better health status. | Change from baseline (Day 1) to end of supplementation (Day 28) |
| FOSQ-10 scores | The Functional Outcomes of Sleep Questionnaire (FOSQ), has been used in research and clinical practice to measure the impact of daytime sleepiness on activities of daily living. This questionnaire includes 30 items. A shorter version of the instrument, including only 10 items (FOSQ-10) that may be more easily implemented in clinical practice, has been developed. These 10 questions are distributed among 5 subscales as follows: general productivity (2 item), activity level (3 items), vigilance (3 items), social outcomes (1 item) and sexual relationship (1 item). Items have to be rated on a scale of 1-4 (1 = extreme difficulty, 2 = moderate difficulty, 3 = a little difficulty, 4 = no difficulty). The total score is the sum of the 5 sub scores. | Change from baseline (Day 1) to end of supplementation (Day 28) |