Benefits
Sleep efficiency on overnight sleep recordings
In 59 healthy adults aged 30 to 60 with poor sleep, a 2 mg capsule nightly for 28 days raised sleep efficiency, the primary outcome, by 3.5 points while it fell 6.3 points on placebo, and total sleep, a secondary outcome, rose 24 minutes versus a 39 minute drop. Much of the gap reflects worsening on placebo. One small maker-funded trial.
Time to fall asleep and time awake during the night
In the same 28 day trial, measured by home sleep recordings, time to fall asleep fell by about 10 minutes on the capsule and rose by about 17 minutes on placebo, and time awake after first falling asleep fell by about 15 minutes versus a 25 minute rise on placebo. These were secondary outcomes in one maker-funded trial.
Self-rated sleep quality and daytime alertness
On the Pittsburgh Sleep Quality Index, scores improved by 5.6 points on the capsule versus 0.7 on placebo by day 28, with a difference from day 7. In sleep diaries, fewer people on the capsule took daytime naps and more reported feeling alert during the day. These were secondary, self-reported outcomes in one maker-funded trial.
Well-being scores in adults with poor sleep
On the WHO-5 Well-Being Index, a short questionnaire on mood and energy, scores rose by 13.3 points on the capsule versus 0.8 on placebo at day 28, with no clear difference at day 7. This was a secondary, self-reported outcome in the same 28 day trial funded by the maker.
Blood melatonin levels after a single sustained-release dose
In 16 healthy fasting adults, one 5 mg capsule gave a peak about half that of 5 mg immediate-release melatonin, reached later, with a half-life of 5.1 versus 1.0 hours and about 28 percent lower total exposure. Levels 4 to 8 hours after dosing were higher but not significantly. These are blood markers, not sleep outcomes.
Mechanism of action
Sustained-release granules
The maker and its trial papers describe coated granules that release part of the melatonin early and the rest gradually over about 8 hours, tapering before waking. In a single-dose study, melatonin peaked later and lower and was cleared more slowly than from an immediate-release capsule, which fits a slower release; the release materials are not named in the papers.
Night-time timing signal
Melatonin is a hormone made by the pineal gland. Its levels rise in the evening and fall toward morning, and it helps keep the sleep-wake cycle in step with day and night. A sustained-release form aims to keep blood levels up for more of the night rather than giving a short early peak.
Clinical trials
Randomized, double-blind, placebo-controlled parallel trial at two sites in Pune, India (April to September 2025); one Melotime capsule (4.44 mg sustained-release granules equal to 2 mg melatonin, named in the methods) or an identical placebo nightly for 28 days; registered CTRI/2025/04/085087; funded by Nutriventia, which also made the capsules; Shefali Thanawala, Rajat Shah (with ownership interests) and Alphy Lopes are Nutriventia employees, and the contract research organization author received consulting fees from Nutriventia; per-protocol efficacy analysis (Thanawala et al. 2026, Clocks Sleep)
62 healthy adults aged 30 to 60 with poor sleep quality (PSQI above 5) and no diagnosed sleep disorder (30 on the capsule, 32 on placebo); 59 completed (28 and 31).
Sleep efficiency on home polysomnography, the primary outcome, changed by +3.49 points on the capsule versus -6.30 on placebo (p = 0.001; Cohen's d 0.9). Among secondary outcomes, total sleep time changed by +23.8 versus -39.3 minutes (p = 0.001), time to fall asleep by -10.3 versus +16.7 minutes (p = 0.031) and time awake after sleep onset by -14.9 versus +24.7 minutes (p = 0.001); NREM and REM time also differed. PSQI scores improved more from day 7 (day 28: -5.61 versus -0.65, p = 0.001) and WHO-5 well-being from day 14. Several sleep measures worsened in the placebo group, which the authors could not fully explain, and the baseline recording was a single night at screening. The many secondary comparisons were tested at p < 0.05 with no correction for multiple comparisons, and a registered secondary outcome (subject and physician global assessment) was not reported. Five people on the capsule (headache, dizziness) and six on placebo reported mild adverse events, none judged related.
Open-label, randomized, two-period crossover, single-dose pharmacokinetic study at one clinical research unit in Coimbatore, India (August to September 2022), 7 day washout; one 5 mg Melotime sustained-release capsule (named in the introduction) versus one 5 mg immediate-release melatonin capsule, taken fasting in the morning; registered CTRI/2022/08/044837; funded by Nutriventia; Shefali Thanawala and Rajat Shah (with ownership interests) are Nutriventia employees and the study site author received consulting fees from Nutriventia (Thanawala et al. 2024, Pharmaceutics)
16 healthy adults aged 18 to 45 (8 men, 8 women); all completed both periods.
Peak plasma melatonin was lower on the sustained-release capsule (geometric mean ratio 49.43 percent, 90% CI 38.32 to 63.77) and total exposure was lower (AUC0-t ratio 71.87 percent, 90% CI 63.16 to 81.79). Peak came later (1.26 versus 0.87 hours) and the half-life was longer (5.10 versus 1.01 hours, calculated in 11 of 16 people on the test capsule). Levels from 4 to 8 hours were higher on the sustained-release capsule, but the authors report these differences were not significant (p > 0.05). One mild vomiting episode followed the immediate-release capsule. Blood level markers only; sleep was not measured.