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Safety and Efficacy of Armodafinil for Fatigue Associated With Taxanes Alone or in Combination With Other Agents

This study has been terminated.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00825227
First Posted: January 19, 2009
Last Update Posted: November 17, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Teva Pharmaceutical Industries ( Cephalon )
  Purpose
Evaluate the Safety and Efficacy of Armodafinil Treatment for Patients With Fatigue Associated With Taxane Chemotherapy Alone or in Combination With Other Agents

Condition Intervention Phase
Fatigue Chemotherapy Side Effects Drug: Armodafinil 150 mg/day Drug: Placebo, Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of Armodafinil Treatment (150 mg/Day) for Patients With Fatigue Associated With Taxane Chemotherapy Alone or in Combination With Other Agents

Resource links provided by NLM:


Further study details as provided by Teva Pharmaceutical Industries ( Cephalon ):

Primary Outcome Measures:
  • Change Over Time in the Patient's Daily Ratings of Their Worst Fatigue Severity (as Assessed for the Past 24 Hours), Obtained From the Patient's Responses on the Brief Fatigue Inventory (BFI) Questionnaire [ Time Frame: Recorded once daily by the Patient, for up to 8 weeks total (Screening and Double-Blind) ]
    Brief Fatigue Inventory (BFI) measures fatigue severity and impact on function on 11-point scale (0-10). Primary outcome measure is average daily rating of BFI question 3: worst level of fatigue over past 24-hours. 0 = no fatigue, 10 = worst imaginable. Study was terminated after only a few patients enrolled and therefore efficacy results were not analyzed and are not reported. Maximum response (most fatigue) would score 10 and minimum response (least fatigue) would score 0. Change was measured from Baseline (cycle 1) to cycle 2. Changes based on matching baseline period with cycle 2 period.


Secondary Outcome Measures:
  • Percentage of Days With Severe Fatigue, From Patient Responses to the Brief Fatigue Inventory (BFI) Assessment Questionnaire [ Time Frame: Duration of up to 8 weeks total (Screening and Double-Blind) ]
    The Brief Fatigue Inventory (BFI) measures severity of fatigue and impact of fatigue on daily functioning in past 24 hours. It is a 9-item questionnaire that uses an 11-point scale (0-10) to assess severity. 0 represents no fatigue, 10 represents as bad as you can imagine. The percentage of days with severe fatigue as assessed by the BFI was to be assessed. Study was terminated as a result of a business decision after only a few patients were enrolled and therefore efficacy results were not analyzed and are not reported.

  • Change in the Brief Fatigue Inventory (BFI) Global Score [ Time Frame: Duration of up to 8 weeks total (Screening and Double-Blind) ]
    The Brief Fatigue Inventory (BFI) measures severity of fatigue and impact of fatigue on daily functioning in past 24 hours. It is a 9-item questionnaire that uses an 11-point scale (0-10) to assess severity. Question 3 asks for worst level of fatigue during past 24-hours. 0 represents no fatigue, 10 represents as bad as you can imagine. The global score (0 to 90) determined by adding each item was to be assessed. Study was terminated as a result of a business decision after only a few patients were enrolled and therefore efficacy results were not analyzed and are not reported.


Enrollment: 10
Study Start Date: December 2008
Study Completion Date: February 2010
Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Patient responses to 150 mg/day armodafinil
  • 150 mg/day armodafinil
  • taxane chemotherapy treatment alone or in combination with other agents
Drug: Armodafinil 150 mg/day
  • 150 mg/day armodafinil
  • concurrent with one cycle of taxane chemotherapy alone or in combination with other agents
  • patients may then continue receiving armodafinil treatment after the double-blind treatment period by entering a 24-week open-label extension period, with continuing taxane chemotherapy alone, or in combination with other agents
Placebo Comparator: Patient responses to placebo
  • placebo
  • taxane chemotherapy treatment alone or in combination with other agents
Drug: Placebo,
  • placebo
  • concurrent with one cycle of taxane chemotherapy alone or in combination with other agents
  • patients may then continue receiving armodafinil treatment after the double-blind treatment period by entering a 24-week open-label extension period, with continuing taxane chemotherapy alone, or in combination with other agents

Detailed Description:
The primary objective of study was to determine whether armodafinil treatment at a dose of 150 mg/day is more effective than placebo treatment in reducing fatigue in patients receiving taxane chemotherapy alone or in combination with other agents by comparing the change from Screening cycle to treatment cycle (cycle 2) in the patient's average daily rating of their worst fatigue severity during the past 24 hours. In addition, the change in the percentage of days with severe fatigue and the mean Brief Fatigue Inventory scores were to be recorded.
  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Key Inclusion Criteria:

  • The patient has cancer and is receiving, or is scheduled to receive, taxane chemotherapy (paclitaxel, docetaxel, or albumin-bound paclitaxel), either alone or in combination with other agents.
  • The patient experiences an average score of 6 or greater for the daily worst fatigue severity assessment during screening.
  • The patient has a life expectancy of at least 6 months.
  • The patient is able to use the wrist actigraphy device or provide written documentation during the screening period.
  • The patient has stable hemoglobin (≥10 g/dL) throughout the screening period.
  • Women of childbearing potential (not surgically sterile or 2 years postmenopausal) must use a medically accepted method of contraception (including abstinence) and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study.
  • Men not surgically sterile or who are capable of producing offspring must practice abstinence or use a barrier method of birth control, and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study.
  • The patient has adequate hepatic and renal function.
  • The patient meets the proposed diagnostic criteria for cancer-related fatigue as included in the International Classifications of Disease, Tenth Revision, Clinical Modification (ICD-10-CM).
  • If the patient is taking any other chronic medication which may affect fatigue (e.g., antidepressants, anxiolytics, opioid analgesics), the dose has been stable for at least 4 weeks prior to screening and is expected to remain stable during the study.

Key Exclusion Criteria:

  • The patient has any untreated reversible medical condition which may cause fatigue (e.g., metabolic disturbance, infection, endocrine abnormalities).
  • The patient has received concurrent stimulant medication (e.g., dextroamphetamine or methylphenidate) during the screening period or double-blind treatment period.
  • The patient has received concurrent modafinil during the screening period or double-blind treatment period.
  • The patient has any delay in chemotherapy treatment such that the screening period extends beyond 6 weeks.
  • The patient has known central nervous system (CNS) involvement by metastatic cancer.
  • The patient is receiving concurrent radiation therapy (except for palliative radiation) or treatment with another investigational agent.
  • The patient has any serious, uncontrolled, non-malignant medical or psychiatric disorder that could impair the conduct of the study or the safety of the patient.
  • The patient is pregnant or lactating.
  • The patient has known HIV positivity.
  • The patient has nausea and vomiting or any gastrointestinal disorder that is severe enough to interfere with study drug absorption in the opinion of the investigator.
  • The patient has uncontrolled pain.
  • The patient has a known hypersensitivity to the study medication or ingredients of the study medication.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00825227


  Show 29 Study Locations
Sponsors and Collaborators
Cephalon
Investigators
Study Director: Sponsor's Medical Expert Cephalon
  More Information

Responsible Party: Cephalon
ClinicalTrials.gov Identifier: NCT00825227     History of Changes
Other Study ID Numbers: C10953/2036/ON/US
First Submitted: January 15, 2009
First Posted: January 19, 2009
Results First Submitted: July 28, 2011
Results First Posted: March 13, 2012
Last Update Posted: November 17, 2017
Last Verified: October 2017

Keywords provided by Teva Pharmaceutical Industries ( Cephalon ):
Cancer
Fatigue
Taxanes

Additional relevant MeSH terms:
Fatigue
Signs and Symptoms
Taxane
Armodafinil
Modafinil
Antineoplastic Agents
Wakefulness-Promoting Agents
Central Nervous System Stimulants
Physiological Effects of Drugs
Cytochrome P-450 CYP3A Inducers
Cytochrome P-450 Enzyme Inducers
Molecular Mechanisms of Pharmacological Action