search
Back to results

Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Armodafinil in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy

Primary Purpose

Narcolepsy

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Armodafinil
Sponsored by
Teva Branded Pharmaceutical Products R&D, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Narcolepsy focused on measuring Pediatric Narcolepsy

Eligibility Criteria

6 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Written informed consent is obtained from each patient's parent or legal guardian and written assent is obtained from each patient.
  • The patient is a male or female 6 through 17 years of age with a body mass index (BMI) equal to or greater than 10th percentile for age and gender, inclusive.
  • The patient has a diagnosis of narcolepsy with cataplexy or narcolepsy without cataplexy according to the criteria established by the International Classification of Sleep Disorders (ICSD)-2 for narcolepsy.

Exclusion Criteria:

  • The patient has any clinically significant uncontrolled medical condition (treated or untreated) other than narcolepsy.
  • The patient has a clinically significant deviation from normal in ECG, physical examination or vital sign findings, as determined by the investigator or medical monitor.
  • The patient is pregnant or lactating. (Any patient becoming pregnant during the study will be withdrawn from the study)
  • The patient has any history of seizures, including febrile seizures, or a family history of seizures (in parents or siblings) which is not a consequence of trauma, stroke, or metabolic disturbance.
  • The patient has a history of head trauma associated with loss of consciousness.
  • The patient has current suicidal ideation, a history of a suicidal ideation, or a history of a suicide attempt.
  • The patient has a history of major depressive disorder, bipolar disorder, other significant mood disorders, schizophrenia and other psychotic disorders, eating disorders, or has a family history of suicide.
  • The patient has left ventricular hypertrophy or the patient has mitral valve prolapse and has experienced mitral valve prolapse syndrome.
  • The patient has received any investigational drug within 30 days or 5 half-lives (whichever is longer) before the 1st dose of study drug, or in the case of a new chemical entity, 3 months or 5 half-lives (whichever is longer) before the 1st dose of study drug.

    • The patient has used any monoamine oxidase inhibitors (MAOIs) or stimulants within 14 days or 5 half-lives (whichever is longer) of the baseline visit.
    • The patient has used modafinil or armodafinil within 4 weeks of the baseline visit.
    • The patient has used an inducer of CYP3A4/5 within 28 days prior to study drug administration.
    • The patient has used an inhibitor of CYP3A4/5 within 14 days or 5 half lives (whichever is longer) prior to study drug administration.
    • The patient has a known sensitivity or idiosyncratic reaction to any compound present in modafinil or armodafinil, their related compounds, or to any metabolites or compound listed as being present in these medications.
    • The patient has a history of any clinically significant cutaneous drug reaction, or a history of clinically significant hypersensitivity reaction, including multiple allergies or drug reactions
    • Other criteria apply, please contact the investigator for additional information

Sites / Locations

  • Teva Investigational Site 12
  • Teva Investigational Site 17
  • Teva Investigational Site 7
  • Teva Investigational Site 18
  • Teva Investigational Site 16
  • Teva Investigational Site 4
  • Teva Investigational Site 9
  • Teva Investigational Site 26
  • Teva Investigational Site 5
  • Teva Investigational Site 25
  • Teva Investigational Site 1
  • Teva Investigational Site 2
  • Teva Investigational Site 20
  • Teva Investigational Site 15
  • Teva Investigational Site 3
  • Teva Investigational Site 23
  • Teva Investigational Site 10
  • Teva Investigational Site 13
  • Teva Investigational Site 19
  • Teva Investigational Site 8
  • Teva Investigational Site 14
  • Teva Investigational Site 27
  • Teva Investigational Site 24
  • Teva Investigational Site 200

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Armodafinil 50 mg

Armodafinil 100 mg

Armodafinil 150 mg

Arm Description

In period 1, patients will receive a single 50-mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose daily on days 1 through 42.

In period 1, patients will receive a single 100 mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose on day 1 then daily 100-mg doses on days 2 through 42.

In period 1, patients will receive a single 150-mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose on day 1, 100-mg doses on days 2 and 3, then daily 150-mg doses on days 4 through 42.

Outcomes

Primary Outcome Measures

Maximum observed plasma drug concentration (Cmax) by inspection
Time to maximum observed plasma drug concentration (tmax) by inspection
Area under the plasma drug concentration by time curve from time 0 to infinity
Area under the plasma drug concentration by time curve from time 0 to the time of the last measurable drug concentration
Terminal half-life
Terminal elimination rate constant
Apparent total plasma clearance
Apparent volume of distribution
Predicted accumulation ratio
Maximum observed plasma drug concentration (Cmax)
Time to maximum observed plasma drug concentration
AUC over 1 dosing interval
AUC 0-t
Observed accumulation ratio
Steady-state accumulation ratio

Secondary Outcome Measures

Mean sleep latency
An objective assessment of sleepiness that measures the likelihood of falling asleep. The test consists of multiple naps performed on the day before study drug administration in period 1 and on the day of study drug administration in period 1. For each nap, sleep latency will be measured as the elapsed time from lights-out to the first epoch scored as sleep. Mean sleep latency is calculated for each day as the average of the sleep latencies from each nap on that day.
Mean sleep latency
An assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week.
Clinical Global Impression of Change (CGI-C)
An assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week.
Clinical Global Impression of Change (CGI-C)
The Clinical Global Impression of Change (CGI-C) is an assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week. The CGI-C ratings will be assessed using the following 7 categories and scoring assignments: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse
Clinical Global Impression of Change (CGI-C)
The Clinical Global Impression of Change (CGI-C) is an assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week. The CGI-C ratings will be assessed using the following 7 categories and scoring assignments: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse

Full Information

First Posted
June 18, 2012
Last Updated
November 5, 2021
Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT01624480
Brief Title
Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Armodafinil in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy
Official Title
A Randomized, Open-Label Study to Characterize the Pharmacokinetics, Pharmacodynamics, and Safety of Single and Multiple Doses of Armodafinil (50, 100, and 150 mg/Day) in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is to evaluate the pharmacokinetics, pharmacodynamics, and safety of single and multiple doses of armodafinil (50, 100, and 150 mg/day) in children and adolescents with excessive sleepiness associated with narcolepsy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Narcolepsy
Keywords
Pediatric Narcolepsy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Armodafinil 50 mg
Arm Type
Experimental
Arm Description
In period 1, patients will receive a single 50-mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose daily on days 1 through 42.
Arm Title
Armodafinil 100 mg
Arm Type
Experimental
Arm Description
In period 1, patients will receive a single 100 mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose on day 1 then daily 100-mg doses on days 2 through 42.
Arm Title
Armodafinil 150 mg
Arm Type
Experimental
Arm Description
In period 1, patients will receive a single 150-mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose on day 1, 100-mg doses on days 2 and 3, then daily 150-mg doses on days 4 through 42.
Intervention Type
Drug
Intervention Name(s)
Armodafinil
Other Intervention Name(s)
R-modafinil, CEP-10953
Intervention Description
The armodafinil tablets to be used in this study contain 50 mg of armodafinil and the following inactive ingredients: lactose monohydrate, starch, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, and povidone.
Primary Outcome Measure Information:
Title
Maximum observed plasma drug concentration (Cmax) by inspection
Time Frame
Day 1 + up to 72 hours after administration
Title
Time to maximum observed plasma drug concentration (tmax) by inspection
Time Frame
Day 1 + up to 72 hours after administration
Title
Area under the plasma drug concentration by time curve from time 0 to infinity
Time Frame
Day 1 + up to 72 hours after administration
Title
Area under the plasma drug concentration by time curve from time 0 to the time of the last measurable drug concentration
Time Frame
Day 1 + up to 72 hours after administration
Title
Terminal half-life
Time Frame
Day 1 + up to 72 hours after administration
Title
Terminal elimination rate constant
Time Frame
Day 1 + up to 72 hours after administration
Title
Apparent total plasma clearance
Time Frame
Day 1 + up to 72 hours after administration
Title
Apparent volume of distribution
Time Frame
Day 1 + up to 72 hours after administration
Title
Predicted accumulation ratio
Time Frame
Day 1 + up to 72 hours after administration
Title
Maximum observed plasma drug concentration (Cmax)
Time Frame
Day 42 + up to 72 hours after administration
Title
Time to maximum observed plasma drug concentration
Time Frame
Day 42 + up to 72 hours after administration
Title
AUC over 1 dosing interval
Time Frame
Day 42 + up to 72 hours after administration
Title
AUC 0-t
Time Frame
Day 42 + up to 72 hours after administration
Title
Observed accumulation ratio
Time Frame
Day 42 + up to 72 hours after administration
Title
Steady-state accumulation ratio
Time Frame
Day 42 + up to 72 hours after administration
Secondary Outcome Measure Information:
Title
Mean sleep latency
Description
An objective assessment of sleepiness that measures the likelihood of falling asleep. The test consists of multiple naps performed on the day before study drug administration in period 1 and on the day of study drug administration in period 1. For each nap, sleep latency will be measured as the elapsed time from lights-out to the first epoch scored as sleep. Mean sleep latency is calculated for each day as the average of the sleep latencies from each nap on that day.
Time Frame
2 Days (Baseline + Day 1)
Title
Mean sleep latency
Description
An assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week.
Time Frame
Day 42
Title
Clinical Global Impression of Change (CGI-C)
Description
An assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week.
Time Frame
Day 1
Title
Clinical Global Impression of Change (CGI-C)
Description
The Clinical Global Impression of Change (CGI-C) is an assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week. The CGI-C ratings will be assessed using the following 7 categories and scoring assignments: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse
Time Frame
Outpatient Visits Weeks 1 through 5, once per week
Title
Clinical Global Impression of Change (CGI-C)
Description
The Clinical Global Impression of Change (CGI-C) is an assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week. The CGI-C ratings will be assessed using the following 7 categories and scoring assignments: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse
Time Frame
Day 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent is obtained from each patient's parent or legal guardian and written assent is obtained from each patient. The patient is a male or female 6 through 17 years of age with a body mass index (BMI) equal to or greater than 10th percentile for age and gender, inclusive. The patient has a diagnosis of narcolepsy with cataplexy or narcolepsy without cataplexy according to the criteria established by the International Classification of Sleep Disorders (ICSD)-2 for narcolepsy. Exclusion Criteria: The patient has any clinically significant uncontrolled medical condition (treated or untreated) other than narcolepsy. The patient has a clinically significant deviation from normal in ECG, physical examination or vital sign findings, as determined by the investigator or medical monitor. The patient is pregnant or lactating. (Any patient becoming pregnant during the study will be withdrawn from the study) The patient has any history of seizures, including febrile seizures, or a family history of seizures (in parents or siblings) which is not a consequence of trauma, stroke, or metabolic disturbance. The patient has a history of head trauma associated with loss of consciousness. The patient has current suicidal ideation, a history of a suicidal ideation, or a history of a suicide attempt. The patient has a history of major depressive disorder, bipolar disorder, other significant mood disorders, schizophrenia and other psychotic disorders, eating disorders, or has a family history of suicide. The patient has left ventricular hypertrophy or the patient has mitral valve prolapse and has experienced mitral valve prolapse syndrome. The patient has received any investigational drug within 30 days or 5 half-lives (whichever is longer) before the 1st dose of study drug, or in the case of a new chemical entity, 3 months or 5 half-lives (whichever is longer) before the 1st dose of study drug. The patient has used any monoamine oxidase inhibitors (MAOIs) or stimulants within 14 days or 5 half-lives (whichever is longer) of the baseline visit. The patient has used modafinil or armodafinil within 4 weeks of the baseline visit. The patient has used an inducer of CYP3A4/5 within 28 days prior to study drug administration. The patient has used an inhibitor of CYP3A4/5 within 14 days or 5 half lives (whichever is longer) prior to study drug administration. The patient has a known sensitivity or idiosyncratic reaction to any compound present in modafinil or armodafinil, their related compounds, or to any metabolites or compound listed as being present in these medications. The patient has a history of any clinically significant cutaneous drug reaction, or a history of clinically significant hypersensitivity reaction, including multiple allergies or drug reactions Other criteria apply, please contact the investigator for additional information
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Teva Medical Expert, MD
Organizational Affiliation
Teva Branded Pharmaceutical Products R&D, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Teva Investigational Site 12
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
Teva Investigational Site 17
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
Teva Investigational Site 7
City
Little Rock
State/Province
Arkansas
Country
United States
Facility Name
Teva Investigational Site 18
City
Orange
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 16
City
San Diego
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 4
City
Stanford
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 9
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 26
City
Miami Lakes
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 5
City
Spring Hill
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 25
City
Winter Park
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 1
City
Atlanta
State/Province
Georgia
Country
United States
Facility Name
Teva Investigational Site 2
City
Atlanta
State/Province
Georgia
Country
United States
Facility Name
Teva Investigational Site 20
City
Louisville
State/Province
Kentucky
Country
United States
Facility Name
Teva Investigational Site 15
City
Grand Blanc
State/Province
Michigan
Country
United States
Facility Name
Teva Investigational Site 3
City
West Seneca
State/Province
New York
Country
United States
Facility Name
Teva Investigational Site 23
City
Raleigh
State/Province
North Carolina
Country
United States
Facility Name
Teva Investigational Site 10
City
Toledo
State/Province
Ohio
Country
United States
Facility Name
Teva Investigational Site 13
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
Teva Investigational Site 19
City
West Chester
State/Province
Pennsylvania
Country
United States
Facility Name
Teva Investigational Site 8
City
Houston
State/Province
Texas
Country
United States
Facility Name
Teva Investigational Site 14
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Teva Investigational Site 27
City
Everett
State/Province
Washington
Country
United States
Facility Name
Teva Investigational Site 24
City
Seattle
State/Province
Washington
Country
United States
Facility Name
Teva Investigational Site 200
City
Helsinki
Country
Finland

12. IPD Sharing Statement

Learn more about this trial

Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Armodafinil in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy

We'll reach out to this number within 24 hrs