for people ages 20-70 (full criteria)
at San Francisco, California
study started
estimated completion
Principal Investigator
by Riley Bove, MD
Photo of Riley Bove
Riley Bove



Many people with MS report sleep disturbances. However, objective data on sleep quality in MS, such as those obtained using actigraphy, remain scant, as do data about optimal therapeutic management. Melatonin is frequently used to improve sleep parameters, both in healthy and neurological populations. Altered melatonin regulation and signaling has been implicated in MS, through observations including (1) MS risk associated with shift work, (2) contribution of melatonin to seasonal risk of MS relapses, and (3) possible reduction of endogenous melatonin levels from exogenous corticosteroid administration. To the best of our knowledge, no studies have evaluated melatonin vs. placebo as a low-cost, low-risk agent to treat sleep disturbance in MS. To test this, we are conducting a randomized controlled pilot trial.

Official Title

A Randomized, Crossover Pilot Trial of Melatonin for Sleep Disturbance in Adults With Multiple Sclerosis (MS)


Multiple Sclerosis Sleep Melatonin Sleep disturbance Sclerosis


You can join if…

Open to people ages 20-70

  • Adults aged 20-70 with a diagnosis of MS by 2010 McDonald Criteria or CIS (clinically isolated syndrome), who report sleep disturbance as measured by a score >=5 on the Pittsburgh Sleep Quality Index, or more specific insomnia symptoms (a score of >14 on the Insomnia Severity Index) over the past month.
  • Participants must be able to read and write English

You CAN'T join if...

  • Individuals with nocturnal asthma, use of melatonin or another sleep agent in the past 2 weeks, women attempting conception, relapse or steroids or infusible disease modifying therapies (DMTs) in prior month.
  • Non-English speaking individuals
  • Individuals with hypertension, impaired liver function, or seizure disorder
  • Individuals with untreated depression, as determined by a score greater than or equal to 8 points on the HADS (Hospital Anxiety and Depression Scale)


  • University of California, San Francisco accepting new patients
    San Francisco California 94158 United States

Lead Scientist at UCSF

  • Riley Bove, MD
    Assistant Professor, Neurology. Authored (or co-authored) 105 research publications.


accepting new patients
Start Date
Completion Date
University of California, San Francisco
Study Type
Last Updated