Research Summary
Analyzed using Evidence Intelligence™

Melatonin may not significantly reduce inflammation in diabetic CKD patients

Last updated August 16, 2026

Key finding

There was no significant difference in TAC levels after the intervention.

This study investigated the effects of melatonin supplementation on oxidative stress and inflammatory markers in diabetic patients with chronic kidney disease, finding no significant changes in the measured outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of melatonin supplementation on oxidative stress and inflammatory markers in diabetic patients with chronic kidney disease, finding no significant changes in the measured outcomes.

Clinical relevance

Understanding the impact of melatonin on oxidative stress and inflammation is crucial for managing diabetic patients with chronic kidney disease. This study's findings suggest that melatonin supplementation may not provide the anticipated benefits in reducing these health risks, highlighting the need for further research in this area.

Keep in mind

The study may have limited generalizability due to the specific population studied. Sample size and duration may not have been sufficient to detect significant changes. Outcomes measured did not show clinically meaningful differences.

Published in

Journal Reference

Publication details and source links for this paper.

Sara S, Amirahmad N, Monir SH, et al. Effects of Melatonin Supplementation on Oxidative Stress and Inflammatory Markers in Diabetic Patients with Chronic Kidney Disease: A Double-Blind Clinical Trial. BMC Nutrition. 2025;11:34. doi:10.1186/s40795-025-01026-0

Main Effects

Total Antioxidant Capacity (TAC) levels showed no significant difference after the intervention.

Total Oxidative Stress (TOS) levels decreased after 10 weeks, but this change was not statistically significant.

Malondialdehyde (MDA) levels did not show a statistically significant change post-intervention.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Melatonin and C-reactive protein, Interleukin-6 (IL-6), Malondialdehyde (MDA), and 2 more.

Primary intervention

Melatonin

Primary outcomes

  • C-reactive protein
  • Interleukin-6 (IL-6)
  • Malondialdehyde (MDA)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

5

Evidence pairs

59

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Inflammatory and Vascular Markers

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

C-reactive protein

Melatonin → C-reactive protein

Melatonin → C-reactive protein

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Interleukin-6 (IL-6)

Melatonin → Interleukin-6 (IL-6)

Melatonin → Interleukin-6 (IL-6)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Malondialdehyde (MDA)

Melatonin → Malondialdehyde (MDA)

Melatonin → Malondialdehyde (MDA)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Total Antioxidant Capacity (TAC)

Melatonin → Total Antioxidant Capacity (TAC)

Melatonin → Total Antioxidant Capacity (TAC)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Total oxidant status in plasma

Melatonin → Total oxidant status in plasma

Melatonin → Total oxidant status in plasma

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Melatonin supplementation did not significantly alter Total Antioxidant Capacity.
  • No significant changes in inflammatory markers like Interleukin-6 were observed.
  • Total Oxidative Stress levels decreased but lacked statistical significance.
who this applies

Who this applies to

  • Diabetic patients with chronic kidney disease.
  • Adults aged 18 and older with chronic health conditions.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographic.
  • The lack of significant findings suggests caution in recommending melatonin for this purpose.
  • Further research is needed to explore potential benefits in different populations or with different dosages.
between the lines

Between the Lines

  • The study may have limited generalizability due to the specific population studied.
  • Sample size and duration may not have been sufficient to detect significant changes.
  • Outcomes measured did not show clinically meaningful differences.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Melatonin and Inflammatory Markers, Melatonin and Oxidative Stress Markers.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Melatonin improve malondialdehyde (mda)?

Moderate Evidence

Melatonin may improve Malondialdehyde (MDA).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Malondialdehyde (MDA)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Melatonin improve total antioxidant capacity (tac)?

Moderate Evidence

Melatonin may improve Total Antioxidant Capacity (TAC).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Total Antioxidant Capacity (TAC)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Melatonin improve c-reactive protein?

Moderate Evidence

Current evidence does not show a clear benefit of Melatonin for C-reactive protein.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    C-reactive protein

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Melatonin improve interleukin-6 (il-6)?

Emerging Evidence

Current evidence does not show a clear benefit of Melatonin for Interleukin-6 (IL-6).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Interleukin-6 (IL-6)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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