Dose-Finding Study to Evaluate the Efficacy and Safety of Modafinil as Treatment for Adults With ADHD

NCT ID: NCT00315276

Last Updated: 2012-08-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

370 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2007-01-31

Brief Summary

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The purpose of the study is to evaluate the efficacy and safety of modafinil administered once daily for 9 weeks at doses of 255, 340, 425, and 510 mg as treatment for adults with ADHD.

Detailed Description

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The primary objective of the study is to determine whether modafinil at 255, 340, 425, or 510 mg'day is more effective than a placebo in alleviating the symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in adults as determined by the change from baseline in the total score from the investigator-completed Adult ADHD Investigator Symptoms Rating Scale (AISRS) the at endpoint (last post-baseline observation \[week 9 or early termination\]).

Conditions

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Attention Deficit Hyperactivity Disorder ADHD

Keywords

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ADHD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Modafinil

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent is obtained.
* The patient is 18 to 65 years of age (inclusive) at the screening visit and is English speaking.
* At screening (after washout, if required) the patient meets the full Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for ADHD (combined type, predominantly inattentive subtype, or predominantly hyperactivity-impulsive subtype), for which symptoms were present for the age of 7 and symptoms have been persistent for at least the last 6 months, according to a psychiatric/clinical evaluation using the adult ADHD Clinical Diagnosis Scale, Version 1.2 (ACDS).
* The patient has a Hamilton Anxiety Scale (HAM-A) and a Hamilton Depression Scale (HAM-D) score less than 15.
* The patient has an AISRS total score of greater than 24 at the screening and baseline visits, and the difference in the total score from the screening visit to the baseline visit is less than 25%.
* The patient has a Clinical Global Impression of Severity of Illness (CGI-S) rating for ADHD of at least 4 at the baseline visit.
* 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 barrier method with spermicide, steroidal contraceptive (oral, transdermal, implanted, and injected) in conjunction with a barrier method, or intrauterine device \[IUD\].
* The patient must be willing and able to comply with study restrictions and to remain at the clinic for the required duration during the study period, and willing to return to the clinic for the follow-up evaluation as specified in this protocol.

Exclusion Criteria

* The patient has a history or current diagnosis of schizophrenia, bipolar or other psychotic disorders, or clinical assessment of suicide risk.
* The patient has any current psychiatric comorbidity, including but not limited to depression or other mood disorder or anxiety disorder, that requires pharmacotherapy. Comorbidities will be assessed using selected modules (ie, psychosis, substance abuse, mood disorder, anxiety disorders) of the Structured Clinical Interview for DSM-IV-TR (SCID).
* The patient has a current diagnosis of a clinically significant sleep disorder.
* The patient is intellectually challenged, as determined by the investigator.
* The patient is satisfied with current ADHD medication and has no unacceptable medication side effects.
* The patient has previously used modafinil.
* The patient is using other prescription medications for ADHD with psychoactive properties (eg, amphetamine, dextroamphetamine, methylphenidate, pemoline, atomoxetine) at the baseline visit.
* The patient has had drug or alcohol abuse or dependence within the last 6 months.
* The patient has used monoamine oxidase (MAO) inhibitors or selective serotonin reuptake inhibitors (SSRIs) within 2 weeks before the baseline visit.
* The patient has used an investigational drug within 1 month before the baseline visit.
* The patient is pregnant or lactating. (Any patients becoming pregnant during the study will be withdrawn from the study).
* The patient has any clinically significant uncontrolled medical conditions (treated or untreated).
* The patient has a clinically significant deviation from normal in the physical examination.
* The patient has any disorder that may interfere with drug absorption, distribution, metabolism, or excretion.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cephalon

INDUSTRY

Sponsor Role lead

Locations

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Neurology Clinical Study Centers, LLC

Little Rock, Arkansas, United States

Site Status

Bay Area Research Institute

Lafayette, California, United States

Site Status

Pharmacology Research Institute

Northridge, California, United States

Site Status

Peninsula Research Associates

Rolling Hills Estates, California, United States

Site Status

UCSD Medical Center

San Diego, California, United States

Site Status

Clinical Neuroscience Solution, Inc.

Orlando, Florida, United States

Site Status

University of Illinois

Chicago, Illinois, United States

Site Status

Michael J. Reiser, MD, LLC

Lexington, Kentucky, United States

Site Status

Adult ADD Center of Maryland

Lutherville, Maryland, United States

Site Status

Massachusetts General Hospital

Cambridge, Massachusetts, United States

Site Status

Rochester Center for Behavioral Medicine

Rochester, Michigan, United States

Site Status

CRI WorldWide, LLC

Clementon, New Jersey, United States

Site Status

New York University

New York, New York, United States

Site Status

Summit Research Network Inc.

Portland, Oregon, United States

Site Status

CRI WorldWide, LLC

Philadelphia, Pennsylvania, United States

Site Status

South East Health Consultants, LLC

Charleston, South Carolina, United States

Site Status

Clinical Neuroscience Solution

Memphis, Tennessee, United States

Site Status

Neuropsychiatric Associates

Woodstock, Vermont, United States

Site Status

Countries

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United States

Other Identifiers

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C1538/2027/AD/US

Identifier Type: -

Identifier Source: org_study_id