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The primary objective of this study is to determine whether treatment with Armodafinil (CEP-10953) is more effective than placebo treatment for patients with excessive sleepiness associated with narcolepsy by measuring mean sleep latency from the Maintenance of Wakefulness Test (MWT) (20-minute version)(average of 4 naps at 0900, 1100, 1300, and 1500) and by the Clinical Global Impressions of Change (CGI-C) ratings (as related to general condition) at week 12 (or last postbaseline observation)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Armodafinil 250 mg |
|
| 2 | Experimental | Armodafinil 150 mg |
|
| 3 | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Armodafinil | Drug | Armodafinil 250 mg once daily in the morning |
| |
| Armodafinil |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Maintenance of Wakefullness Test (MWT) Score at 12 Weeks | The Maintenance of Wakefulness Test (MWT) is an objective assessment of sleepiness that measures the ability of a subject to remain awake. Long latencies to sleep are indicative of a patient's ability to remain awake. The change from baseline in the mean sleep latency from the MWT (average of 4 tests at 0900, 1100, 1300, and 1500) was analyzed at weeks 4, 8, and 12. The primary efficacy variable was the mean change from the baseline assessment in MWT sleep latency as assessed at week 12 (or last post-baseline visit). | change from baseline at 12 weeks |
| Change From Baseline in Clinical Global Impression of Change (CGI-C) Score at 12 Weeks | Number of participants who had at least minimal improvement in CGI-C ratings at Week 12 or last post-baseline visit. The CGI-C uses the following categories and scoring assignments: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; and 7=Very much worse. Severity of illness was assessed at baseline by the CGI-S, which consists of the following categories: 1=Normal (shows no signs of illness); 2=Borderline ill; 3=Mildly (Slightly) ill; 4=Moderately ill; 5=Markedly ill; 6=Severely ill; and 7=Among the most extremely ill patients. | change from baseline at 12 weeks |
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Diagnosis and Criteria for Inclusion:
Patients are included in the study if all of the following criteria are met:
Criteria for Exclusion:
Patients are excluded from participating in this study if 1 or more of the following criteria are met. The patient:
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2 female patients withdrew after randomization but prior to receiving study drug (1 withdrew consent and 1 was lost to follow-up)
47 centers in the US, Canada, France, Germany, Russia, and Australia. First patient enrolled (treatment): 23 March 2004/ Last patient last visit: 10 January 2005
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| ID | Title | Description |
|---|---|---|
| FG000 | Armodafinil 250 mg/Day | Armodafinil 250 mg once daily in the morning |
| FG001 | Armodafinil 150 mg/Day | Armodafinil 150 mg once daily in the morning |
| FG002 | Placebo | Matching placebo tablets once daily in the morning |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Armodafinil 250 mg/Day | Armodafinil 250 mg once daily in the morning |
| BG001 | Armodafinil 150 mg/Day | Armodafinil 150 mg once daily in the morning |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Categorical | 2 female patients withdrew after randomization but prior to receiving study drug (1 withdrew consent and 1 was lost to follow-up) |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Maintenance of Wakefullness Test (MWT) Score at 12 Weeks | The Maintenance of Wakefulness Test (MWT) is an objective assessment of sleepiness that measures the ability of a subject to remain awake. Long latencies to sleep are indicative of a patient's ability to remain awake. The change from baseline in the mean sleep latency from the MWT (average of 4 tests at 0900, 1100, 1300, and 1500) was analyzed at weeks 4, 8, and 12. The primary efficacy variable was the mean change from the baseline assessment in MWT sleep latency as assessed at week 12 (or last post-baseline visit). | Safety Analysis set of 194 total patients: 2 patients withdrew after randomization but prior to receiving study drug (1 withdrew consent and 1 was lost to follow-up). Full Analysis set of 176 total patients: 18 patients that had withdrawn from the study were non-evaluable for efficacy. | Posted | Mean | Standard Deviation | Minutes | change from baseline at 12 weeks |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Armodafinil 250 mg/Day | Armodafinil 250 mg once daily in the morning |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angioneurotic oedema | Skin and subcutaneous tissue disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sponsor's Medical Director, Clinical Research | Cephalon, Inc. | 1-877-237-4879 |
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| ID | Term |
|---|---|
| D009290 | Narcolepsy |
| D006970 | Disorders of Excessive Somnolence |
| D002385 | Cataplexy |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077408 | Modafinil |
| ID | Term |
|---|---|
| D001559 | Benzhydryl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Drug |
Armodafinil 150 mg once daily in the morning |
|
| Placebo | Drug | Matching placebo tablets once daily |
|
| Lost to Follow-up |
|
| Physician Decision |
|
| Withdrawal by Subject |
|
| Miscellaneous |
|
| BG002 | Placebo | Matching placebo tablets once daily in the morning |
| BG003 | Total | Total of all reporting groups |
| Number |
| participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Gender | 2 female patients withdrew after randomization but prior to receiving study drug (1 withdrew consent and 1 was lost to follow-up) | Number | participants |
|
| Region of Enrollment | Number | participants |
|
Armodafinil 250 mg once daily in the morning |
| OG001 | Armodafinil 150 mg/Day | Armodafinil 150 mg once daily in the morning |
| OG002 | Placebo | Matching placebo tablets once daily in the morning |
| OG003 | Armodafinil Combined Group (250 mg/Day and 150 mg/Day) |
|
|
|
| Primary | Change From Baseline in Clinical Global Impression of Change (CGI-C) Score at 12 Weeks | Number of participants who had at least minimal improvement in CGI-C ratings at Week 12 or last post-baseline visit. The CGI-C uses the following categories and scoring assignments: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; and 7=Very much worse. Severity of illness was assessed at baseline by the CGI-S, which consists of the following categories: 1=Normal (shows no signs of illness); 2=Borderline ill; 3=Mildly (Slightly) ill; 4=Moderately ill; 5=Markedly ill; 6=Severely ill; and 7=Among the most extremely ill patients. | Safety Analysis set of 194 total patients (received at least 1 dose of study drug): 2 patients withdrew after randomization but prior to receiving study drug (1 withdrew consent and 1 was lost to follow-up). Full Analysis set of 176 total patients: 18 patients that had withdrawn from the study were non-evaluable for efficacy analysis. | Posted | Number | Participants | change from baseline at 12 weeks |
|
|
|
|
| 0 |
| 67 |
| 29 |
| 67 |
| EG001 | Armodafinil 150 mg/Day | Armodafinil 150 mg once daily in the morning | 1 | 64 | 21 | 64 |
| EG002 | Placebo | Matching placebo tablets once daily in the morning | 0 | 63 | 11 | 63 |
| Nasopharyngitis | Infections and infestations | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | Systematic Assessment |
|
| Headache | Nervous system disorders | Systematic Assessment |
|
| Dizziness | Nervous system disorders | Systematic Assessment |
|
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| D001523 |
| Mental Disorders |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |