AzTrials
AzTrials

InsomniaDAO-SLEEP-2023NCT07027943

Evaluation Of The Diamine Oxidase Supplementation Effect In Patients With Insomnia Symptoms

A study testing DAO supplement in people with Insomnia and Insomnia Type; Sleep Disorder, run by AB Biotek at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Considering the high prevalence of DAO enzyme deficiency in patients referring insomnia symptoms, it would be plausible that the appearance of insomnia symptoms were explained by the DAO enzyme deficiency. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Insomnia, Insomnia Type; Sleep Disorder
What is being tested?
DAO supplement
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
108 participants
Where
1 siteSpain
Study dates
13 Mar 2024to 18 Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Older than 18 years
  • With the ability to understand and sign informed consent reviewed and approved by the Grupo Hospitalario Quironsalud-Catalunya.
  • That refer one or more symptoms of insomnia, these being: Difficulty initiating sleep, Difficulty maintaining sleep, Waking up early with inability to go back to sleep.
  • Who are carriers, either heterozygous or homozygous, of at least one of the following 4 SNPs associated with a reduction in the enzymatic activity of DAO or a decreased transcriptional activity of it: c.47C>T (rs10156191), c.995C>T (rs1049742), c.1990C>G (rs1049793), c.-691G>T (rs2052129).
  • With the ability to attend the foreseen face-to-face and telephonic study visits.
  • With the ability to intake the product under study
  • Explicit agreement on study participation by reading, understanding, and signing the informed consent reviewed and approved by the Grupo Hospitalario Quironsalud-Catalunya

Who cannot join

  • Insomnia symptoms referred by patients that might be explained by other co-morbid sleep disorders, e.g., narcolepsy, circadian rhythm disturbances, parasomnia, etc.
  • Taking DAO supplementation less than 1 month prior to the start of the study.
  • Following a diet low in histamine less than 1 month prior to the start of the study.
  • Volunteers with allergies to some of the ingredients of the product under study.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • AdSalutem Sleep Institute

    Barcelona, Barcelona, 08008

Other trials in Spain

About this study

Considering the high prevalence of DAO enzyme deficiency in patients referring insomnia symptoms, it would be plausible that the appearance of insomnia symptoms were explained by the DAO enzyme deficiency.

One of the strategies to revert DAO enzyme deficiency would be to supplement patients with DAO enzyme, helping at recovering the normal DAO levels. Therefore, the objective of the present study is to evaluate the effect of DAO enzyme supplementation on the insomnia symptoms characteristics in patients with insomnia symptoms and genetic DAO deficiency as expected from bearing at least one of the 4 above-mentioned SNPs of the AOC1 gene.

Being tested
DAO supplement, Placebo
Keywords
insomnia, diamine oxidase (DAO), DAO supplementation, double-blind, placebo-controlled
Medical subject headings
Sleep Initiation and Maintenance Disorders, Sleep Wake Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DAO supplementDietary supplement

    Gastro-resistant DAO tablets of porcine kidney protein extract. Posology: 3 tablets per day (total 12.6mg of DAO extract/day).

  • PlaceboDietary supplement

    Tablets containing microcrystalline cellulose and hydroxypropyl cellulose, with the same shape, size, and color as the DAO-containing tablets. Posology: 3 tablets per day.

Study groups in NCT07027943
Study groupRoleWhat they receive
DAO; once per dayExperimentalGastro-resistant DAO tablets of porcine kidney protein extract. Posology: 3 tablets per day (total 12.6mg of DAO extract/day); once per day.
Receives: Dietary Supplement: DAO supplement
Placebo; once per dayPlacebo comparatorTablets containing microcrystalline cellulose and hydroxypropyl cellulose, with the same shape, size, and color as the DAO-containing tablets. Posology: 3 tablets per day, once per day.
Receives: Dietary Supplement: Placebo
DAO; 3 times per dayExperimentalGastro-resistant DAO tablets of porcine kidney protein extract. Posology: 3 tablets per day (total 12.6mg of DAO extract/day) in 3 different times per day.
Receives: Dietary Supplement: DAO supplement
Placebo, 3 times per dayPlacebo comparatorTablets containing microcrystalline cellulose and hydroxypropyl cellulose, with the same shape, size, and color as the DAO-containing tablets. Posology: 3 tablets per day in 3 different times per day.
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

Secondary outcomes (29)
  1. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation, compared to the placebo group, stratified by the SNP variants of AOC1 gene. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  2. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation, compared to the placebo group, stratified by the use of insomnia pharmacological treatment (benzodiazepines, melatonin, others, or no pharmacological treatment). Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  3. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  4. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation, compared to the placebo group, stratified by the SNP variants of AOC1 gene. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  5. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Pittsburgh Sleep Quality Index (PSQI) scale after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  6. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Pittsburgh Sleep Quality Index (PSQI) scale after one month of DAO supplementation, compared to the placebo group, stratified by the SNP variants of AOC1 gene. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  7. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Pittsburgh Sleep Quality Index (PSQI) scale after one month of DAO supplementation, compared to the placebo group, stratified by the use of insomnia pharmacological treatment (benzodiazepines, melatonin, others, or no pharmacological treatment). Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  8. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Pittsburgh Sleep Quality Index (PSQI) scale after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  9. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions in the Pittsburgh Sleep Quality Index (PSQI) scale after one month of DAO supplementation, compared to the placebo group, stratified by the SNP variants of AOC1 gene. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  10. Number (absolute and percentage) of patients who reduce at least one point on Component 2 (Sleep latency) of the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who reduce at least one point on Component 2 (Sleep latency) of the Pittsburgh Sleep Quality Index (PSQI) scale, after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  11. Number (absolute and percentage) of patients who reduce at least one point on Component 5 (Sleep disturbance) of the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who reduce at least one point on Component 5 (Sleep disturbance) of the Pittsburgh Sleep Quality Index (PSQI) scale, after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  12. Number (absolute and percentage) of patients who reduce at least one point on Component 7 (Daytime dysfunction) of the Pittsburgh Sleep Quality Index (PSQI) scale

    Number (absolute and percentage) of patients who reduce at least one point on Component 7 (Daytime dysfunction) of the Pittsburgh Sleep Quality Index (PSQI) scale, after one month of DAO supplementation, compared to the placebo group. Score goes from 0 to 21. A higher score indicates a worse outcome in sleep quality.

    Measured: Visit day 0 and day 28.

  13. Serum DAO activity levels

    Mean increase of serum DAO activity levels after one month of DAO supplementation, compared to the placebo group.

    Measured: Visit day 0 and day 28.

  14. Number (absolute and percentage) of patients who increase their serum DAO activity levels

    Number (absolute and percentage) of patients who increase their serum DAO activity levels after one month of DAO supplementation, compared to the placebo group

    Measured: Visit day 0 and day 28.

  15. Mean DAO baseline activity levels

    Mean DAO baseline activity levels stratified by the SNP variants of AOC1 gene.

    Measured: Visit day 0 and day 28.

  16. Mean increase in DAO activity levels

    Mean increase in DAO activity levels, after one month of DAO supplementation, compared to the placebo group, stratified by the SNP variants of AOC1 gene.

    Measured: Visit day 0 and day 28.

  17. Number (absolute and percentage) of patients who improve their symptoms associated with histamine intolerance due to DAO deficiency

    Number (absolute and percentage) of patients who improve their symptoms associated with histamine intolerance due to DAO deficiency, after one month of DAO supplementation, compared to the placebo group.

    Measured: Visit day 0 and day 28.

  18. Number (absolute and percentage) of patients who refer improvement in their daytime repercussions of insomnia

    Number (absolute and percentage) of patients who refer improvement in their daytime repercussions of insomnia (such as drowsiness, fatigue, cognitive deficit, lack of concentration, lack of attention or memory, mood swings, and/or headaches) after one month of DAO supplementation, compared to the placebo group.

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  19. Number (absolute and percentage) of patients in the once-a day groups who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients in the once-a day groups who improve their symptoms of insomnia and daytime repercussions by at least one point in the ISI scale after one month of DAO supplementation compared to placebo. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  20. Percentage of doses taken of DAO supplementation

    Percentage of doses taken of DAO supplementation over one month period (counting leftover medication and with patient interview) in the once-a-day groups compared to placebo.

    Measured: Visit day 0 and day 28.

  21. Number (absolute and percentage) of patients in the three times per day groups who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients in the three times per day groups who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation compared to placebo. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  22. Percentage of doses taken of DAO supplementation

    Percentage of doses taken of DAO supplementation over one month period (counting leftover medication and with patient interview) in the three times per day groups compared to placebo

    Measured: Visit day 0 and day 28.

  23. Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale

    Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale after one month of DAO supplementation in the once-a-day group compared to the three times per day group. Score goes from 0 to 28. A higher score indicates a worse outcome (severity of insomnia).

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

  24. Percentage of doses taken of DAO supplementation

    Percentage of doses taken of DAO supplementation over one month period (counting leftover medication and with patient interview) in the once-a-day groups compared to three times per day.

    Measured: Visit day 0 and day 28.

  25. Percentage of compliant patients

    Percentage of compliant patients (compliance percentage > 80%) over one month period (counting leftover medication and with patient interview) in the once-a-day groups compared to placebo.

    Measured: Visit day 0 and day 28.

  26. Percentage of compliant patients

    Percentage of compliant patients (compliance percentage > 80%) over one month period (counting leftover medication and with patient interview) in the three times per day groups compared to placebo.

    Measured: Visit day 0 and day 28.

  27. Percentage of doses taken of DAO supplementation

    Percentage of doses taken of DAO supplementation over one month period (counting leftover medication and with patient interview) in the once-a-day group compared with the three times per day group.

    Measured: Visit day 0 and day 28.

  28. Percentage of compliant patients

    Percentage of compliant patients (compliance percentage > 80%) over one month period (counting leftover medication and with patient interview) in the once-a-day group compared with the three times per day group.

    Measured: Visit day 0 and day 28.

  29. Report of adverse events

    Report of adverse events after one month of DAO supplementation, compared to the placebo group.

    Measured: Visit day 0, day 7, day 14, day 21 and day 28.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jun 2025
  2. Study start13 Mar 2024
  3. Primary completion18 Dec 2024
  4. Study completion18 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
108 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07027943
Sponsor's protocol ID
DAO-SLEEP-2023
Acronym
DAO-SLEEP-2023
Status last verified
Jun 2025
First submitted
6 Jun 2025
Last updated
19 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: ISI score and PSQI score

Publications

  • Ferrer-Garcia J, Navarro MD, Abadias M, Lopez-Garcia R, Sansalvador A, Gris G, Uscamaita K. Effect of diamine oxidase (DAO) enzyme dietary supplementation in subjects with insomnia symptoms and single nucleotide polymorphisms of the AOC1 gene: a randomized double-blind placebo-controlled study. Sleep Med X. 2025 Dec 1;11:100167. doi: 10.1016/j.sleepx.2025.100167. eCollection 2026 Dec.

    PubMed 41437955

Questions about this trial

What is this clinical trial studying?

A study testing DAO supplement in people with Insomnia and Insomnia Type; Sleep Disorder, run by AB Biotek at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number (absolute and percentage) of patients who improve their symptoms of insomnia and daytime repercussions by at least one point in the Insomnia Severity Index (ISI) scale (time frame: Visit day 0, day 7, day 14, day 21 and day 28.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07027943, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jun 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in