Modafinil in Cancer Related Fatigue (ModCRF)

This study has been completed.
Information provided by (Responsible Party):
Swaroop Revannasiddaiah, Indira Gandhi Medical College Identifier:
First received: September 20, 2011
Last updated: March 21, 2012
Last verified: March 2012

Cancer related fatigue (CRF) is a highly prevalent and highly significant entity among patients with cancer. 'Cancer related fatigue' is not a simple symptom, but is an entity in itself, in that it is different from routine fatigue. Cancer related fatigue is that fatigue which persists even after rest and has significant effects on quality of life.

The incidence of Cancer Related Fatigue (CRF) increases during radiation therapy (RT), with almost every patient on radiotherapy complaining of at-least some magnitude of fatigue.

Given that fatigue can affect treatment adherence by patients, it is important to initiate measures to either prevent or mitigate Cancer Related Fatigue.

The investigators intend to use modafinil in cancer related fatigue, in view of the fact that it has safety and efficacy in other diseases such as narcolepsy, multiple sclerosis and fibromyalgia. In addition, there have been a few small trials which have hinted towards benefit with the use of modafinil in cancer related fatigue.

The investigators have chosen a dose of 100mg/day in the morning, to be compared with placebo. The study arm and the placebo arm will be stratified with respect to age, sex, disease site, baseline performance status.

Primary outcome would be fatigue, which will be assessed by the use of Brief Fatigue Inventory (BFI). Secondary outcomes include Quality of Life, improvements in performance status, changes in systolic and diastolic blood pressure, and changes in weight.

Condition Intervention Phase
Cancer Related Fatigue
Quality of Life
Drug: Modafinil
Drug: Pyridoxine
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver)
Primary Purpose: Supportive Care
Official Title: Randomized Controlled Study to Evaluate the Effects of Modafinil in Cancer Related Fatigue in Patients Undergoing Radiation Therapy

Resource links provided by NLM:

Further study details as provided by Indira Gandhi Medical College:

Primary Outcome Measures:
  • Reduction in Cancer Related Fatigue [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
    Changes in Fatigue measured with the Brief Fatigue Inventory (BFI).

Secondary Outcome Measures:
  • Improvement in Quality of Life [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
    The Spitzer Quality of Life Index (SQLI) to obtain Quality of Life (QOL) measurements.

  • Karnofsky Performance Status Scores [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
    Performance status scores measured with the Karnofsky Performance Status (KPS) scale.

  • Effects of Modafinil on Systolic and Diastolic Blood Pressure [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: Yes ]
  • Changes in weight [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]

Enrollment: 217
Study Start Date: August 2010
Study Completion Date: February 2012
Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Arm M
Will be treated with Tab Modafinil (generic) 100mg Once a Day in the Morning starting from Day 1 of RT till the first follow-up.
Drug: Modafinil
Tablet Modafinil 100mg (Generic) to be given in 100mg once a day dose, at 8AM daily in the morning, and to be given from Day 1 of Radiation Therapy till the first post treatment follow-up
Placebo Comparator: Arm P
Will be given placebo (Tab Pyridoxine 10mg) which physically resembles Tab Modafinil 100mg.
Drug: Pyridoxine
Tablet Pyridoxine 10mg once a day at 8AM daily, from Day one of RT till first post-treatment followup. Tab Pyridoxine 10mg has been chosen as placebo as it resembles Tab Modafinil 100mg in physical appearance, size and shape. Tab Pyridoxine is unlikely to affect Cancer Related Fatigue on its own as all patients on RT are already on multivitamin supplements as per our institutional guidelines.


Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients with pathological confirmation of cancer
  • Age 18 years to 70 years
  • Performance status (Karnofsky scale) not less than 60
  • Providing consent

Exclusion Criteria:

  • Psychiatric illness
  • Hypertension
  • Diabetes
  • Thyroid disorders
  • Epilepsy
  • Tuberculosis
  Contacts and Locations
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, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01440621

Regional Cancer Centre
Shimla, Himachal Pradesh, India, 171001
Sponsors and Collaborators
Indira Gandhi Medical College
  More Information

Additional Information:
Responsible Party: Swaroop Revannasiddaiah, Post-Graduate in Radiation Oncology, Indira Gandhi Medical College Identifier: NCT01440621     History of Changes
Other Study ID Numbers: ModCRF 
Study First Received: September 20, 2011
Last Updated: March 21, 2012
Health Authority: India: Indian Council of Medical Research

Keywords provided by Indira Gandhi Medical College:
Cancer related fatigue
Quality of life
Radiation therapy

Additional relevant MeSH terms:
Signs and Symptoms
Vitamin B 6
Central Nervous System Agents
Central Nervous System Stimulants
Growth Substances
Pharmacologic Actions
Physiological Effects of Drugs
Therapeutic Uses
Vitamin B Complex
Wakefulness-Promoting Agents processed this record on February 10, 2016