Evidence map›Paper›PMID 42770942›Full record

Trial reportCanadian respiratory journal2026

The Role of Melatonin in Smoking Cessation and COPD Management: A Randomized Controlled Trial.

Mohsen Gholinataj Jelodar, Negin Haddad, Farahnaz Hoseinzadeh, Samaneh Mirzaei, Adeleh Sahebnasagh, Vahid Ramezani, Mohammad Hossein Mohammadi, Fatemeh Saghafi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Canadian respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mohsen Gholinataj JelodarDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0000-0001-9026-8710
Negin HaddadPharmaceutical Sciences Research Center, School of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0000-0003-3274-4293
Farahnaz HoseinzadehPharmaceutical Sciences Research Center, School of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0009-0008-2418-4197
Samaneh MirzaeiDepartment of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0000-0002-7076-7579
Adeleh SahebnasaghDepartment of Internal Medicine, Clinical Research Center, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran, nkums.ac.ir.ORCID https://orcid.org/0000-0001-9361-1641
Vahid RamezaniDepartment of Pharmaceutics, School of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0000-0003-4791-6182
Mohammad Hossein MohammadiDepartment of Neurosurgery, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0009-0000-1947-5039
Fatemeh SaghafiTraditional Pharmacy and Pharmaceutical Sciences Research Center, Department of Clinical Pharmacy, Faculty of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, ssu.ac.ir.ORCID https://orcid.org/0000-0002-4185-1341

Funding

Shahid Sadoughi University of Medical Sciences 15171
6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is a leading global health concern, characterized by persistent airflow obstruction and a significant burden on quality of life. Smoking cessation is critical for COPD management, but nicotine addiction poses challenges. Emerging evidence suggests that melatonin may aid in addiction management, though its efficacy in COPD remains underexplored.

methodsThis randomized, triple-blind, controlled clinical trial evaluated the impact of melatonin on nicotine dependence and COPD outcomes over 180 days. Sixty male COPD patients with a history of smoking were randomized to receive melatonin (5 mg or placebo). Smoking behavior, psychological well-being, and hospitalization rates were assessed using validated scales.

resultsBoth groups exhibited reduced cigarette consumption and improved psychological scores over time, with no significant differences between groups. Hospitalization rates due to COPD exacerbations were lower in the melatonin group (4% vs. 24% in placebo), indicating a nonsignificant trend that warrants further investigation, although the difference was not statistically significant.

conclusionWhile melatonin did not significantly affect smoking cessation or psychological outcomes, the observed reduction in hospitalization rates should be interpreted cautiously as an exploratory finding. Larger, long-term, and adequately powered studies are needed to confirm these results and further investigate the potential role of melatonin as an adjunct therapy in COPD management.

trial registrationIranian Registry of Clinical Trials (IRCT): IRCT20190810044500N25.

Indexed as

MelatoninPulmonary Disease, Chronic ObstructiveSmoking CessationTobacco Use DisorderAgedDouble-Blind MethodHospitalizationHumansMaleMiddle AgedQuality of LifeMelatoninCOPDmelatonin therapynicotine dependencesmoking cessation

Identifiers

PMID42770942
PMCPMC13596125

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.