Study to Evaluate the Efficacy and Safety of Armodafinil as Adjunctive Therapy in Adults With Schizophrenia

NCT ID: NCT00772005

Last Updated: 2012-07-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

287 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2010-05-31

Brief Summary

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The primary objective of the study is to evaluate whether armodafinil treatment is more effective than placebo as adjunctive therapy to antipsychotic medication in alleviating the negative symptoms of schizophrenia

Detailed Description

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This study was designed and was powered to evaluate the efficacy and safety of armodafinil treatment at dosages of 150, 200, and 250 mg/day compared with placebo over 24 weeks as an adjunctive therapy to antipsychotic medication (olanzapine, oral risperidone, or paliperidone) in adults with schizophrenia who were clinically stable at study entry. Specifically, the effects of armodafinil treatment on the negative symptoms of schizophrenia were the primary assessment in this study.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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150 mg/day armodafinil

At the baseline visit, patients were randomly assigned to 1 of 3 armodafinil treatment groups or to the placebo treatment group. Patients took 5 tablets orally each day, once daily in the morning. Study drug was titrated (using blister cards) during the double-blind treatment period starting with 50 mg/day of armodafinil or matching placebo. The dosage of armodafinil or matching placebo tablet was increased, as applicable, by 50 mg/day on days 2, 4, 6, and 8, up to the randomized dosage of 150, 200, or 250 mg/day. Patients remained at their randomized dosage for the duration of the study.

Group Type ACTIVE_COMPARATOR

armodafinil

Intervention Type DRUG

150 mg/day armodafinil

200 mg/day armodafinil

At the baseline visit, patients were randomly assigned to 1 of 3 armodafinil treatment groups or to the placebo treatment group. Patients took 5 tablets orally each day, once daily in the morning. Study drug was titrated (using blister cards) during the double-blind treatment period starting with 50 mg/day of armodafinil or matching placebo. The dosage of armodafinil or matching placebo tablet was increased, as applicable, by 50 mg/day on days 2, 4, 6, and 8, up to the randomized dosage of 150, 200, or 250 mg/day. Patients remained at their randomized dosage for the duration of the study.

Group Type ACTIVE_COMPARATOR

armodafinil

Intervention Type DRUG

200 mg/day armodafinil

250 mg/day armodafinil

At the baseline visit, patients were randomly assigned to 1 of 3 armodafinil treatment groups or to the placebo treatment group. Patients took 5 tablets orally each day, once daily in the morning. Study drug was titrated (using blister cards) during the double-blind treatment period starting with 50 mg/day of armodafinil or matching placebo. The dosage of armodafinil or matching placebo tablet was increased, as applicable, by 50 mg/day on days 2, 4, 6, and 8, up to the randomized dosage of 150, 200, or 250 mg/day. Patients remained at their randomized dosage for the duration of the study.

Group Type ACTIVE_COMPARATOR

armodafinil

Intervention Type DRUG

250 mg/day armodafinil

Matching Placebo

At the baseline visit, patients were randomly assigned to 1 of 3 armodafinil treatment groups or to the placebo treatment group. Patients took 5 tablets orally each day, once daily in the morning. Study drug was titrated (using blister cards) during the double-blind treatment period starting with 50 mg/day of armodafinil or matching placebo. The dosage of armodafinil or matching placebo tablet was increased, as applicable, by 50 mg/day on days 2, 4, 6, and 8, up to the randomized dosage of 150, 200, or 250 mg/day. Patients remained at their randomized dosage for the duration of the study.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo

Interventions

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armodafinil

150 mg/day armodafinil

Intervention Type DRUG

placebo

placebo

Intervention Type DRUG

armodafinil

200 mg/day armodafinil

Intervention Type DRUG

armodafinil

250 mg/day armodafinil

Intervention Type DRUG

Other Intervention Names

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R-modafinil CEP-10953 R-modafinil CEP-10953 R-modafinil CEP-10953

Eligibility Criteria

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Inclusion Criteria

* The patient has a diagnosis of schizophrenia according to the DSM-IV-TR criteria and the patient has been clinically stable in a nonacute phase of their illness.
* Documentation that the patient has received treatment with olanzapine, oral risperidone, or paliperidone for schizophrenia for at least 6 weeks prior to the screening visit and has been on a stable dose of that antipsychotic medication for at least 4 weeks prior to the screening visit.
* The patient is in good health (except for the diagnosis of schizophrenia) as judged by the investigator.
* 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, intrauterine device (IUD), steroidal contraceptive (oral, transdermal, implanted, and injected) in conjunction with a barrier method, or documented abstinence.
* The patient has a PANSS negative symptom score of 15 or more at the screening and baseline visits.

Exclusion Criteria

* The patient has a severity rating of moderate or worse on any item of the PANSS positive symptom subscale.
* The patient has any Axis I disorder according to DSM-IV-TR criteria, including schizoaffective disorder, apart from schizophrenia and nicotine dependence, or any Axis II disorder that would interfere with the conduct of the study.
* The patient has moderate to severe depressive symptoms, as indicated by the CDSS.
* The patient has current active suicidal ideation, is at imminent risk of self-harm, or has a history of significant suicidal ideation or suicide attempt at any time in the past that causes concern at present.
* The patient has tardive dyskinesia, akathisia, moderate or worse level of extrapyramidal symptoms, or any other clinically significant movement disorder.
* The patient has a history of any cutaneous drug reaction or drug hypersensitivity reaction, a history of any clinically significant hypersensitivity reaction, or has a history of multiple clinically relevant allergies.
* The patient is a pregnant or lactating woman.
* The patient has previously received modafinil or armodafinil, or the patient has a known sensitivity to any ingredients in the study drug tablets.
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

Principal Investigators

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Sponsor's Medical Expert

Role: STUDY_DIRECTOR

Cephalon

Locations

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K and S Professional Research Services, LLC

Little Rock, Arkansas, United States

Site Status

Omega Clinical Trials

Anaheim, California, United States

Site Status

Synergy Clinical Research Center

Escondido, California, United States

Site Status

Collaborative NeuroScience

Garden Grove, California, United States

Site Status

Excell Research

Oceanside, California, United States

Site Status

CNRI Los Angeles LLC

Pico Rivera, California, United States

Site Status

CNRI-San Diego LLC

San Diego, California, United States

Site Status

Neuropsychiatric Research Center of Orange County

Santa Ana, California, United States

Site Status

Collaborative NeuroScience Network

Torrance, California, United States

Site Status

The Hospital of Central Connecticut

New Britain, Connecticut, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Scientific Clinical Research, Inc.

Aventura, Florida, United States

Site Status

Mental Health Advocates. Inc

Boca Raton, Florida, United States

Site Status

Fidelity Clinical Research

Lauderhill, Florida, United States

Site Status

Stedman Clinical Trials, LLC

Tampa, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

Comprehensive Neuroscience Inc

Atlanta, Georgia, United States

Site Status

Carman Research

Smyrna, Georgia, United States

Site Status

Uptown Research Institute. LLC

Chicago, Illinois, United States

Site Status

Via Christi Research

Wichita, Kansas, United States

Site Status

Lake Charles Clinical Trials

Lake Charles, Louisiana, United States

Site Status

Clinical Insights

Glen Burnie, Maryland, United States

Site Status

Sheppard Pratt Health System

Towson, Maryland, United States

Site Status

St Louis Clinical Trials LC

St Louis, Missouri, United States

Site Status

CRI Worldwide LLC

Clementon, New Jersey, United States

Site Status

Behavioral Medical Research of Brooklyn

Brooklyn, New York, United States

Site Status

Social Psychiatry Research Institute

Brooklyn, New York, United States

Site Status

Finger Lakes Clinical Research

Rochester, New York, United States

Site Status

Behavioral Medical Research of Staten Island

Staten Island, New York, United States

Site Status

Midwest Clinical Research Center

Dayton, Ohio, United States

Site Status

Keystone Clinical Studies LLC

Norristown, Pennsylvania, United States

Site Status

Belmont Center for Comprehensive Treatment

Philadelphia, Pennsylvania, United States

Site Status

CRI Worldwide

Philadelphia, Pennsylvania, United States

Site Status

Carolina Clinical Trials. Inc

Charleston, South Carolina, United States

Site Status

Community Clinical Research

Austin, Texas, United States

Site Status

FutureSearch Trials

Austin, Texas, United States

Site Status

University Hills Clinical Research

Irving, Texas, United States

Site Status

Alliance Research Group

Richmond, Virginia, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

Countries

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United States

References

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Kane JM, Yang R, Youakim JM. Adjunctive armodafinil for negative symptoms in adults with schizophrenia: a double-blind, placebo-controlled study. Schizophr Res. 2012 Mar;135(1-3):116-22. doi: 10.1016/j.schres.2011.11.006. Epub 2011 Dec 16.

Reference Type DERIVED
PMID: 22178084 (View on PubMed)

Other Identifiers

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C10953/2034/SZ/MN

Identifier Type: -

Identifier Source: org_study_id