Efficacy and Safety of Armodafinil for Adults With Excessive Sleepiness Obstructive Sleep Apnea/Hypopnea and Depression

NCT ID: NCT00518986

Last Updated: 2013-07-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

249 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2009-03-31

Brief Summary

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The primary objective of the study is to evaluate whether armodafinil at a target dosage of 200 mg/day is more effective than placebo treatment in improving excessive sleepiness in patients with obstructive sleep apnea/hypopnea syndrome (OSAHS) who have comorbid major depressive disorder or dysthymic disorder.

Detailed Description

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Conditions

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Sleep Disorders Obstructive Sleep Apnea Major Depressive Disorder Dysthymic Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

armodafinil 200 mg/day

Group Type ACTIVE_COMPARATOR

armodafinil

Intervention Type DRUG

200 mg/day

2

Placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo

Interventions

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armodafinil

200 mg/day

Intervention Type DRUG

placebo

placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Current diagnosis of obstructive sleep apnea/hypopnea syndrome (OSAHS)
* Complaint of residual excessive sleepiness despite nasal continuous positive airway pressure (nCPAP) therapy being effective
* Current or prior diagnosis of major depressive disorder or dysthymic disorder
* Clinically stable with regard to depressed mood and has shown a treatment response to selective serotonin reuptake inhibitor (SSRI) therapy or serotonin and norepinephrine reuptake inhibitor (SNRI) therapy
* Patient has been on a stable monotherapy dose of an allowed SSRI or SNRI for at least 8 weeks at the time of screening
* Women of childbearing potential must use a medically accepted method of contraception.

Exclusion Criteria

* Confirmed or suspected diagnosis of a currently active sleep disorder other than obstructive sleep apnea/hypopnea syndrome (OSAHS)
* Current episode of major depression that is considered to be treatment-resistant
* A primary diagnosis of: eating disorder, psychotic disorder, delirium, dementia, substance-related disorders, or moderate to severe hypochondriasis
* Patient has a history of bipolar disorder, psychotic depression, schizophrenia, schizoaffective disorder, any other psychotic disorder, or other clinically significant uncontrolled psychiatric condition.
* Patient has a history of homicidal ideation or significant aggression
* Patient has a diagnosis of severe antisocial or borderline personality disorder
* Has a history of significant suicidal ideation, or has current active suicidal ideation, or is considered at imminent risk of self harm.
* Patient has a history consistent with fibromyalgia or chronic fatigue syndrome
* A high consumption of caffeinated products, approximately equivalent to 5 or more cups of coffee per day
* Patient history of any clinically significant cutaneous drug reaction, or a history of clinically significant hypersensitivity reaction
* Has a past or present seizure disorder
* Patient has a history of alcohol, narcotic, or any other substance abuse or dependence (with the exception of nicotine)
* Psychotherapeutic intervention for the patient was initiated within 8 weeks of the screening visit.
* Patient has known human immunodeficiency virus (HIV)
* Patient has any clinically significant uncontrolled medical condition (including illnesses related to the cardiovascular, renal, or hepatic systems) or surgical condition (treated or untreated)
* Patient is a pregnant or lactating woman
* Patient has previously received armodafinil; or, patient has used modafinil or any investigational product within 28 days of the baseline visit.
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

Responsible Party

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Responsibility Role SPONSOR

Locations

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Jasper Summit Research, LLC

Jasper, Alabama, United States

Site Status

Pulmonary Associates, P.A.

Phoenix, Arizona, United States

Site Status

Psypharma Clinical Research

Phoenix, Arizona, United States

Site Status

PsyPharm Clinical Research, Inc.

Tucson, Arizona, United States

Site Status

Behavioral Research Specialists

Glendale, California, United States

Site Status

California Clinical Trials Medical Group, Inc.

Glendale, California, United States

Site Status

Pacific Sleep Medicine Services, Inc.

Redlands, California, United States

Site Status

Pacific Research Network, Inc.

San Diego, California, United States

Site Status

Pacific Sleep Medicine Services, Inc.

San Diego, California, United States

Site Status

California Clinical Trials Medical Group, Inc.

San Diego, California, United States

Site Status

SDS Clinical Research

Santa Ana, California, United States

Site Status

St. Johns Medical Plaza Sleep Disorders Center

Santa Monica, California, United States

Site Status

National Jewish Medical and Research Center

Denver, Colorado, United States

Site Status

Rocky Mountain Center for Clinical Research

Wheat Ridge, Colorado, United States

Site Status

PAB Clinical Research

Brandon, Florida, United States

Site Status

Florida Sleep Institute

Spring Hill, Florida, United States

Site Status

Clinical Research Group of St. Petersburg

St. Petersburg, Florida, United States

Site Status

SomnoMedics

Tampa, Florida, United States

Site Status

Stedman Clinical Trials, LLC

Tampa, Florida, United States

Site Status

Florida Pulmonary Research Center, LLC

Winter Park, Florida, United States

Site Status

The Sleep Disorders Center

Atlanta, Georgia, United States

Site Status

Neurotrials Research, Inc

Atlanta, Georgia, United States

Site Status

Sleep Disorders Center of Georgia

Atlanta, Georgia, United States

Site Status

SleepMed, Inc

Macon, Georgia, United States

Site Status

Chicago Research Center

Chicago, Illinois, United States

Site Status

Peoria Pulmonary Associates

Peoria, Illinois, United States

Site Status

Sleep and Behavior Medicine

Vernon Hills, Illinois, United States

Site Status

The Center for Sleep and Wake Disorders

Danville, Indiana, United States

Site Status

Vince & Associates Clinical Research

Overland Park, Kansas, United States

Site Status

Graves Gilbert Clinic

Bowling Green, Kentucky, United States

Site Status

Community Research

Crestview, Kentucky, United States

Site Status

Clinical Trials of America

Shreveport, Louisiana, United States

Site Status

The Center for Sleep & Wake Disorders

Chevy Chase, Maryland, United States

Site Status

Sleep Health Centers

Brighton, Massachusetts, United States

Site Status

AccelRx Research

Fall River, Massachusetts, United States

Site Status

The Center for Sleep Medicine

Hattiesburg, Mississippi, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Somnos Sleep Center

Lincoln, Nebraska, United States

Site Status

Brooklyn Medical Institute

Brooklyn, New York, United States

Site Status

Clinilabs, Inc

New York, New York, United States

Site Status

Sleep Medicine Centers

West Seneca, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Clinical Trials of America

Hickory, North Carolina, United States

Site Status

Tri-State Sleep Disorders Center

Cincinnati, Ohio, United States

Site Status

Ohio Sleep Medicine Institute

Dublin, Ohio, United States

Site Status

North Star Medical Research, LLC

Middleburg Heights, Ohio, United States

Site Status

St. Vincent Mercy Medical Center

Toledo, Ohio, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Sleep Lab of Northeastern PA

Clarks Summit, Pennsylvania, United States

Site Status

University of Pennsylvania Center for Sleep

Philadelphia, Pennsylvania, United States

Site Status

CRI Worldwide

Philadelphia, Pennsylvania, United States

Site Status

University Services

West Chester, Pennsylvania, United States

Site Status

AccelRx Research

Lincoln, Rhode Island, United States

Site Status

Lowcountry Lung and Critical Care

Charleston, South Carolina, United States

Site Status

SleepMed of South Carolina

Columbia, South Carolina, United States

Site Status

Sleep Medicine of Middle Tennessee

Nashville, Tennessee, United States

Site Status

FutureSearch Trials of Neurology

Austin, Texas, United States

Site Status

Sleep Medicine Associates of Texas, P.A.

Dallas, Texas, United States

Site Status

Baylor College of Medicine VAMC Sleep Research

Houston, Texas, United States

Site Status

Houston Sleep Center

Houston, Texas, United States

Site Status

Northwest Clinical Research

Bellevue, Washington, United States

Site Status

Pacific Sleep Medicine Services, Inc.

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Krystal AD, Harsh JR, Yang R, Rippon GA, Lankford DA. A double-blind, placebo-controlled study of armodafinil for excessive sleepiness in patients with treated obstructive sleep apnea and comorbid depression. J Clin Psychiatry. 2010 Jan;71(1):32-40. doi: 10.4088/JCP.09m05536gry. Epub 2009 Dec 29.

Reference Type DERIVED
PMID: 20051221 (View on PubMed)

Other Identifiers

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C10953/4024/ES/US

Identifier Type: -

Identifier Source: org_study_id

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