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Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil and PROVIGIL

Primary Purpose

Chronic Shift Work Sleep Disorder

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
PROVIGIL 200 mg
Armodafinil 250 mg
Armodafinil 200 mg
Armodafinil 150 mg
Placebo
Sponsored by
Cephalon
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Shift Work Sleep Disorder

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients are included in the study if all of the following criteria are met: The patient speaks and writes in English. The patient is a man or woman of any ethnic origin aged 18 through 65 years. The patient is in good health as determined by a medical and psychiatric history, medical examination, serum chemistry, and hematology. The patient has a diagnosis of SWSD according to the International Classification of Sleep Disorders (ICSD) criteria, and must have had excessive sleepiness during night shifts for at least 3 months. The patient must be planning to work at least 3 to 5 nights (per week), of which at least 3 nights will be consecutive. The patient must work night shifts that include at least 6 hours between 2200 and 0800 (+30 minutes) and be no longer than 12 hours (+30 minutes) in duration. The patient has a mean sleep latency of 6 minutes or less as determined by the MSLT (average of naps at 0100, 0300, 0500, and 0700). The patient has a Clinical Global Impression of Severity of Illness (CGI-S) rating of 4 or more as it pertains to sleepiness during night shifts including the commute from work. Women of childbearing potential (not surgically sterile or 2 years postmenopausal) must use a medically accepted method of contraception and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study. Acceptable methods of contraception include abstinence, barrier method with spermicide, steroidal contraceptive (oral, transdermal, implanted and injected) in conjunction with a barrier method, and intrauterine device (IUD). The patient is willing to comply with study restrictions and remain at the clinic overnight as required. The patient may have been prescribed PROVIGIL or stimulant therapy for their sleep disorder; however, they must have undergone a washout period of at least 7 days prior to screening assessments done at the second screening visit. Exclusion Criteria: Patients are excluded from participating in this study if 1 or more of the following criteria are met: The patient has any clinically significant medical or psychiatric conditions (treated or untreated). The patient has a probable diagnosis of a current sleep disorder other than SWSD. The patient consumes caffeine including coffee, tea, and/or other caffeine-containing beverages or foods averaging more than 600 mg of caffeine/day within 2 weeks of the start of study drug administration. The patient has medically unexplainable positive urine drug screen (UDS) result at the screening visit. The patient has clinically significant deviation from normal in clinical laboratory results, vital signs, or physical examination. The patient has received any investigational drug within 30 days or 5 half-lives (whichever is longer) before study drug administration, or in the case of a new chemical entity, 3 months or 5 half-lives (whichever is longer) before study drug adminstration. The patient used any prescription drugs disallowed by the protocol or clinical significant use of over-the-counter (OTC) drugs within 7 days before the second screening/baseline visit. The patient has any disorder (including gastrointestinal surgery) that may interfere with drug absorption, distribution, metabolism, or excretion. The patient has known or suspected hypersensitivity to stimulants and/or modafinil or any ingredient present in the study drug. The patient has a history (within the past 5 years) of alcohol, narcotic, or any other drug abuse as defined by the Diagnostic and Statistical Manual or Mental Disorders of the American Psychiatric Association, Fourth Edition, Text Revision (DSM-IV-TR). The patient is a pregnant or lactating woman. The patient has donated, within 56 days prior to study drug administration, any blood or plasma in excess of 450 mL.

Sites / Locations

  • Psypharma Clinical Research
  • PsyPharma Clinical Tucson
  • Central Arkansas Research
  • Pacific Sleep Medicine Service
  • Pacific Sleep Medicine Service
  • BMR HealthQuest
  • Stanford University
  • Neurotrials Research
  • SLEEPMED, Inc.
  • Henry Lahmeyer, MD
  • Vince and Associates Clinical
  • Center for Sleep/Wake Disorder
  • Brigham and Women's Hospital
  • Clinical Rsch Center of Nevada
  • Clinilabs / Sleep Disorders In
  • Wake Research Associates
  • St. Vincent Mercy Medical Cent
  • Consolidated Clinical Trials
  • SleepMed of South Carolina
  • Radiant Research Salt Lake

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

1

2

3

4

5

Arm Description

PROVIGIL 200 mg/day

Armodafinil 250 mg/day

Armodafinil 200 mg/day

Armodafinil 150 mg/day

Placebo

Outcomes

Primary Outcome Measures

Multiple Sleep Latency Test (MSLT)
The Multiple Sleep Latency Test (MSLT) is an objective assessment of sleepiness that measures the likelihood of falling asleep. Five 20-minute (maximum) MSLT naps were performed (at 2300, 0100, 0300, 0500, and 0700) at both the screening/baseline assessment visit (Visit 2) and at endpoint (Visit 4). Each nap was terminated after 20 minutes if no sleep occurred. Sleep latency was measured as the elapsed time from lights out to the first epoch scored as sleep.
Psychomotor Vigilance Task (PVT)
The computer-based PVT took 10 minutes to complete and measured reaction time stimulus in milliseconds. The reaction time consisted of the digits 000 initially appearing in a window on the PVT device, after which the 3-digit numbers increased in milliseconds until the response button was pressed by the patient. The resulting number at the button press was the reaction time in milliseconds. There was a variable 1- to 10-second interstimulus interval. After pressing the button in response to each stimulus, the button was released and the patient awaited the next stimulus.

Secondary Outcome Measures

Full Information

First Posted
October 7, 2005
Last Updated
July 12, 2013
Sponsor
Cephalon
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1. Study Identification

Unique Protocol Identification Number
NCT00236080
Brief Title
Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil and PROVIGIL
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil (150, 200, and 250 mg) and PROVIGIL® (200 mg) in Patients With Chronic Shift Work Sleep Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Completed
Study Start Date
August 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Cephalon

4. Oversight

5. Study Description

Brief Summary
The purpose of the study is to compare the overnight efficacy and plasma concentration-time profiles of armodafinil and PROVIGIL, after multiple doses, in patients with excessive sleepiness associated with chronic Shift Work Sleep Disorder (SWSD).
Detailed Description
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil and PROVIGIL in Patients with Chronic Shift Work Sleep Disorder

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Shift Work Sleep Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
136 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
PROVIGIL 200 mg/day
Arm Title
2
Arm Type
Experimental
Arm Description
Armodafinil 250 mg/day
Arm Title
3
Arm Type
Experimental
Arm Description
Armodafinil 200 mg/day
Arm Title
4
Arm Type
Experimental
Arm Description
Armodafinil 150 mg/day
Arm Title
5
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
PROVIGIL 200 mg
Intervention Description
PROVIGIL 200 mg/day
Intervention Type
Drug
Intervention Name(s)
Armodafinil 250 mg
Intervention Description
Armodafinil 250 mg/day
Intervention Type
Drug
Intervention Name(s)
Armodafinil 200 mg
Intervention Description
Armodafinil 200 mg/day
Intervention Type
Drug
Intervention Name(s)
Armodafinil 150 mg
Intervention Description
Armodafinil 150 mg/day
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo tablets
Primary Outcome Measure Information:
Title
Multiple Sleep Latency Test (MSLT)
Description
The Multiple Sleep Latency Test (MSLT) is an objective assessment of sleepiness that measures the likelihood of falling asleep. Five 20-minute (maximum) MSLT naps were performed (at 2300, 0100, 0300, 0500, and 0700) at both the screening/baseline assessment visit (Visit 2) and at endpoint (Visit 4). Each nap was terminated after 20 minutes if no sleep occurred. Sleep latency was measured as the elapsed time from lights out to the first epoch scored as sleep.
Time Frame
Endpoint (Visit 4) change from baseline (Visit 2)
Title
Psychomotor Vigilance Task (PVT)
Description
The computer-based PVT took 10 minutes to complete and measured reaction time stimulus in milliseconds. The reaction time consisted of the digits 000 initially appearing in a window on the PVT device, after which the 3-digit numbers increased in milliseconds until the response button was pressed by the patient. The resulting number at the button press was the reaction time in milliseconds. There was a variable 1- to 10-second interstimulus interval. After pressing the button in response to each stimulus, the button was released and the patient awaited the next stimulus.
Time Frame
Endpoint (Visit 4) change from baseline (Visit 2)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients are included in the study if all of the following criteria are met: The patient speaks and writes in English. The patient is a man or woman of any ethnic origin aged 18 through 65 years. The patient is in good health as determined by a medical and psychiatric history, medical examination, serum chemistry, and hematology. The patient has a diagnosis of SWSD according to the International Classification of Sleep Disorders (ICSD) criteria, and must have had excessive sleepiness during night shifts for at least 3 months. The patient must be planning to work at least 3 to 5 nights (per week), of which at least 3 nights will be consecutive. The patient must work night shifts that include at least 6 hours between 2200 and 0800 (+30 minutes) and be no longer than 12 hours (+30 minutes) in duration. The patient has a mean sleep latency of 6 minutes or less as determined by the MSLT (average of naps at 0100, 0300, 0500, and 0700). The patient has a Clinical Global Impression of Severity of Illness (CGI-S) rating of 4 or more as it pertains to sleepiness during night shifts including the commute from work. Women of childbearing potential (not surgically sterile or 2 years postmenopausal) must use a medically accepted method of contraception and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study. Acceptable methods of contraception include abstinence, barrier method with spermicide, steroidal contraceptive (oral, transdermal, implanted and injected) in conjunction with a barrier method, and intrauterine device (IUD). The patient is willing to comply with study restrictions and remain at the clinic overnight as required. The patient may have been prescribed PROVIGIL or stimulant therapy for their sleep disorder; however, they must have undergone a washout period of at least 7 days prior to screening assessments done at the second screening visit. Exclusion Criteria: Patients are excluded from participating in this study if 1 or more of the following criteria are met: The patient has any clinically significant medical or psychiatric conditions (treated or untreated). The patient has a probable diagnosis of a current sleep disorder other than SWSD. The patient consumes caffeine including coffee, tea, and/or other caffeine-containing beverages or foods averaging more than 600 mg of caffeine/day within 2 weeks of the start of study drug administration. The patient has medically unexplainable positive urine drug screen (UDS) result at the screening visit. The patient has clinically significant deviation from normal in clinical laboratory results, vital signs, or physical examination. The patient has received any investigational drug within 30 days or 5 half-lives (whichever is longer) before study drug administration, or in the case of a new chemical entity, 3 months or 5 half-lives (whichever is longer) before study drug adminstration. The patient used any prescription drugs disallowed by the protocol or clinical significant use of over-the-counter (OTC) drugs within 7 days before the second screening/baseline visit. The patient has any disorder (including gastrointestinal surgery) that may interfere with drug absorption, distribution, metabolism, or excretion. The patient has known or suspected hypersensitivity to stimulants and/or modafinil or any ingredient present in the study drug. The patient has a history (within the past 5 years) of alcohol, narcotic, or any other drug abuse as defined by the Diagnostic and Statistical Manual or Mental Disorders of the American Psychiatric Association, Fourth Edition, Text Revision (DSM-IV-TR). The patient is a pregnant or lactating woman. The patient has donated, within 56 days prior to study drug administration, any blood or plasma in excess of 450 mL.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gwendolyn Neibler, DO
Organizational Affiliation
Cephalon
Official's Role
Study Director
Facility Information:
Facility Name
Psypharma Clinical Research
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85050
Country
United States
Facility Name
PsyPharma Clinical Tucson
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
Facility Name
Central Arkansas Research
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
71913
Country
United States
Facility Name
Pacific Sleep Medicine Service
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Pacific Sleep Medicine Service
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States
Facility Name
BMR HealthQuest
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Stanford University
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Neurotrials Research
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Facility Name
SLEEPMED, Inc.
City
Macon
State/Province
Georgia
ZIP/Postal Code
31202
Country
United States
Facility Name
Henry Lahmeyer, MD
City
Northfield
State/Province
Illinois
ZIP/Postal Code
60093
Country
United States
Facility Name
Vince and Associates Clinical
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Center for Sleep/Wake Disorder
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Facility Name
Brigham and Women's Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Clinical Rsch Center of Nevada
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89104
Country
United States
Facility Name
Clinilabs / Sleep Disorders In
City
New York
State/Province
New York
ZIP/Postal Code
10025
Country
United States
Facility Name
Wake Research Associates
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
St. Vincent Mercy Medical Cent
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43608
Country
United States
Facility Name
Consolidated Clinical Trials
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15221
Country
United States
Facility Name
SleepMed of South Carolina
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29201
Country
United States
Facility Name
Radiant Research Salt Lake
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States

12. IPD Sharing Statement

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Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil and PROVIGIL

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