Safety and Efficacy of Armodafinil for Fatigue Associated With Taxanes Alone or in Combination With Other Agents

NCT ID: NCT00825227

Last Updated: 2017-11-17

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2010-02-28

Brief Summary

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Evaluate the Safety and Efficacy of Armodafinil Treatment for Patients With Fatigue Associated With Taxane Chemotherapy Alone or in Combination With Other Agents

Detailed Description

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The primary objective of study was to determine whether armodafinil treatment at a dose of 150 mg/day is more effective than placebo treatment in reducing fatigue in patients receiving taxane chemotherapy alone or in combination with other agents by comparing the change from Screening cycle to treatment cycle (cycle 2) in the patient's average daily rating of their worst fatigue severity during the past 24 hours. In addition, the change in the percentage of days with severe fatigue and the mean Brief Fatigue Inventory scores were to be recorded.

Conditions

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Fatigue Chemotherapy Side Effects

Keywords

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Cancer Fatigue Taxanes

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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Patient responses to 150 mg/day armodafinil

* 150 mg/day armodafinil
* taxane chemotherapy treatment alone or in combination with other agents

Group Type ACTIVE_COMPARATOR

Armodafinil 150 mg/day

Intervention Type DRUG

* 150 mg/day armodafinil
* concurrent with one cycle of taxane chemotherapy alone or in combination with other agents
* patients may then continue receiving armodafinil treatment after the double-blind treatment period by entering a 24-week open-label extension period, with continuing taxane chemotherapy alone, or in combination with other agents

Patient responses to placebo

* placebo
* taxane chemotherapy treatment alone or in combination with other agents

Group Type PLACEBO_COMPARATOR

Placebo,

Intervention Type DRUG

* placebo
* concurrent with one cycle of taxane chemotherapy alone or in combination with other agents
* patients may then continue receiving armodafinil treatment after the double-blind treatment period by entering a 24-week open-label extension period, with continuing taxane chemotherapy alone, or in combination with other agents

Interventions

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Armodafinil 150 mg/day

* 150 mg/day armodafinil
* concurrent with one cycle of taxane chemotherapy alone or in combination with other agents
* patients may then continue receiving armodafinil treatment after the double-blind treatment period by entering a 24-week open-label extension period, with continuing taxane chemotherapy alone, or in combination with other agents

Intervention Type DRUG

Placebo,

* placebo
* concurrent with one cycle of taxane chemotherapy alone or in combination with other agents
* patients may then continue receiving armodafinil treatment after the double-blind treatment period by entering a 24-week open-label extension period, with continuing taxane chemotherapy alone, or in combination with other agents

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* The patient has cancer and is receiving, or is scheduled to receive, taxane chemotherapy (paclitaxel, docetaxel, or albumin-bound paclitaxel), either alone or in combination with other agents.
* The patient experiences an average score of 6 or greater for the daily worst fatigue severity assessment during screening.
* The patient has a life expectancy of at least 6 months.
* The patient is able to use the wrist actigraphy device or provide written documentation during the screening period.
* The patient has stable hemoglobin (≥10 g/dL) throughout the screening period.
* Women of childbearing potential (not surgically sterile or 2 years postmenopausal) must use a medically accepted method of contraception (including abstinence) and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study.
* Men not surgically sterile or who are capable of producing offspring must practice abstinence or use a barrier method of birth control, and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study.
* The patient has adequate hepatic and renal function.
* The patient meets the proposed diagnostic criteria for cancer-related fatigue as included in the International Classifications of Disease, Tenth Revision, Clinical Modification (ICD-10-CM).
* If the patient is taking any other chronic medication which may affect fatigue (e.g., antidepressants, anxiolytics, opioid analgesics), the dose has been stable for at least 4 weeks prior to screening and is expected to remain stable during the study.

Exclusion Criteria

* The patient has any untreated reversible medical condition which may cause fatigue (e.g., metabolic disturbance, infection, endocrine abnormalities).
* The patient has received concurrent stimulant medication (e.g., dextroamphetamine or methylphenidate) during the screening period or double-blind treatment period.
* The patient has received concurrent modafinil during the screening period or double-blind treatment period.
* The patient has any delay in chemotherapy treatment such that the screening period extends beyond 6 weeks.
* The patient has known central nervous system (CNS) involvement by metastatic cancer.
* The patient is receiving concurrent radiation therapy (except for palliative radiation) or treatment with another investigational agent.
* The patient has any serious, uncontrolled, non-malignant medical or psychiatric disorder that could impair the conduct of the study or the safety of the patient.
* The patient is pregnant or lactating.
* The patient has known HIV positivity.
* The patient has nausea and vomiting or any gastrointestinal disorder that is severe enough to interfere with study drug absorption in the opinion of the investigator.
* The patient has uncontrolled pain.
* The patient has a known hypersensitivity to the study medication or ingredients of the study medication.
Minimum Eligible Age

18 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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Northwest Alabama Cancer Center

Muscle Shoals, Alabama, United States

Site Status

Saint Joseph Medical Center

Burbank, California, United States

Site Status

Compassionate Cancer Center

Fountain Valley, California, United States

Site Status

Wilshire Oncology

La Verne, California, United States

Site Status

Compassionate Cancer Center

Riverside, California, United States

Site Status

Scripps Cancer Center

San Diego, California, United States

Site Status

Washington Cancer Institute

Washington D.C., District of Columbia, United States

Site Status

Integrated Community Oncology Network

Jacksonville, Florida, United States

Site Status

Southeastern Gynecologic Oncology, LLC

Atlanta, Georgia, United States

Site Status

Augusta Oncology

Augusta, Georgia, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

Summit Cancer Center

Savannah, Georgia, United States

Site Status

Ingalls Cancer Research Center

Harvey, Illinois, United States

Site Status

Iowa Blood and Cancer Care PLC

Cedar Rapids, Iowa, United States

Site Status

Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Frederick Memorial Hospital

Frederick, Maryland, United States

Site Status

Park Nicollet Institute

Saint Louis Park, Minnesota, United States

Site Status

Hematology Oncology Centers of the Northern Rockies

Billings, Montana, United States

Site Status

Montana Cancer Institute

Missoula, Montana, United States

Site Status

Sparta Cancer Center

Sparta, New Jersey, United States

Site Status

Forsyth Regional Cancer Center

Winton, North Carolina, United States

Site Status

Cancer Care Associates

Tulsa, Oklahoma, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Mount Nittany Medical Center

State College, Pennsylvania, United States

Site Status

Chester County Hospital

West Chester, Pennsylvania, United States

Site Status

Charleston Hematology Oncology, PA

Charleston, South Carolina, United States

Site Status

C. Michael Jones

Germantown, Tennessee, United States

Site Status

McLeod Cancer and Blood Center

Johnson City, Tennessee, United States

Site Status

Cancer Outreach Assoc. / Outreach Clinical Trial Consortium

Abingdon, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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C10953/2036/ON/US

Identifier Type: -

Identifier Source: org_study_id