DECEMBER 15, 2005
VOLUME 2 NO. 21

ADVANCES in MEDICINE

Melatonin: best hope for cancer Tx?

Risk of CA death slashed by megadoses of pineal hormone


Although it's considered a health supplement, melatonin has always seemed a bit more heavyweight than most such over-the-counter medicines. The original melatonin craze was fuelled by claims it could be used to treat a number of sleep disorders, but now, the hormone is making a comeback. A new study suggests it may protect against, and even treat, the daddy of all diseases: cancer.

The history of alternative medicines laying claim to cancer-fighting properties is mostly a litany of fraud and exploitation, so melatonin's advocates will have to overcome a lot of healthy scepticism. But evidence is mounting that they may really be onto something.

A SOLID START
The latest comes from a series of ten trials that took place in Italy and Poland and looked at melatonin as a complement to standard treatment in a range of solid tumour cancers. Study author Dr Dugald Seely, a naturopath and cancer researcher at Sick Children's Hospital in Toronto, said: "This analysis shows a strong association. The small number of people needed to treat, low adverse events reported and low costs related to this intervention should be of substantial interest to patients, physicians and policy makers."

The trials collectively measured 12-month survival in a total of 643 patients. Dosages were much higher than the typical jet-lag pill of one to five mg, ranging instead from 10-40mg, typically taken once a day in the evening. The results were published in the November issue of the Journal of Pineal Research — an appropriate forum since melatonin in its natural form is secreted by the pineal gland — and were surprisingly consistent. Overall, melatonin reduced the risk of death by 31%.

It should be noted that while the research is described as a "meta-analysis", it differs from the typical meta-analysis in that all ten studies reviewed came from the same group of researchers, a major weakness which the authors readily acknowledge. The quality of these trials, in the authors' own estimation, was "moderate." None were blinded or placebo-controlled. Nevertheless, encouraged by these findings, Dr Seely has called for further independent study to confirm the results.

 

 

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