Trial Outcomes & Findings for A Study of the Effectiveness of Armodafinil to Treat Cancer-Related Fatigue in Patients With Multiple Myeloma (NCT NCT01160380)

NCT ID: NCT01160380

Last Updated: 2014-11-06

Results Overview

Survey measuring fatigue. The scale contains 9 items; range=0-90 (0-10 per item). Mild = 1-3 Moderate = 4-7 Severe = 8-10

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

50 participants

Primary outcome timeframe

Day 1, Day 28 and Day 56

Results posted on

2014-11-06

Participant Flow

Participant milestones

Participant milestones
Measure
Armodafinil
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
17
20
Overall Study
NOT COMPLETED
8
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of the Effectiveness of Armodafinil to Treat Cancer-Related Fatigue in Patients With Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. armodafinil: Armodafinil taken at 150 mg daily. Taken as three 50 mg tablets.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). armodafinil: Armodafinil taken at 150 mg daily. Taken as three 50 mg tablets. Placebo: Placebo taken at 150 mg daily. Taken orally as three 50 mg tablets.
Total
n=50 Participants
Total of all reporting groups
Age, Continuous
63 years
STANDARD_DEVIATION 1.8 • n=5 Participants
67 years
STANDARD_DEVIATION 2.3 • n=7 Participants
65 years
STANDARD_DEVIATION 2.1 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
15 Participants
n=7 Participants
29 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
20 Participants
n=7 Participants
37 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
ECOG (Eastern Cooperative Oncology Group)
0
5 paarticipants
n=5 Participants
7 paarticipants
n=7 Participants
12 paarticipants
n=5 Participants
ECOG (Eastern Cooperative Oncology Group)
1
18 paarticipants
n=5 Participants
17 paarticipants
n=7 Participants
35 paarticipants
n=5 Participants
ECOG (Eastern Cooperative Oncology Group)
2
2 paarticipants
n=5 Participants
1 paarticipants
n=7 Participants
3 paarticipants
n=5 Participants
Fatigue (baseline)-Brief Fatigue Inventory (BFI)
59 units on a scale
n=5 Participants
60.5 units on a scale
n=7 Participants
60 units on a scale
n=5 Participants
Fatigue (baseline)-International Classification of Diseases version 10 (ICD-10)
9 units on a scale
n=5 Participants
9 units on a scale
n=7 Participants
9 units on a scale
n=5 Participants

PRIMARY outcome

Timeframe: Day 1, Day 28 and Day 56

Survey measuring fatigue. The scale contains 9 items; range=0-90 (0-10 per item). Mild = 1-3 Moderate = 4-7 Severe = 8-10

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
BFI Score
Day 1(n=18, 23)
65.0 units on a scale
Standard Deviation 13.2
57.2 units on a scale
Standard Deviation 14.3
BFI Score
Day 28 (n=19, 23)
48.8 units on a scale
Standard Deviation 22.4
41.5 units on a scale
Standard Deviation 18.4
BFI Score
Day 56 (n=15)
43.2 units on a scale
Standard Deviation 18.9
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm

PRIMARY outcome

Timeframe: Day 1, Day 28 and Day 56

Cognitive test that gives a measure of various aspects of cognitive performance. Used to measure cognitive fatigue. The test consists of 25 circles containing 13 sequential numbers (1-13) and 12 sequential letters (A-L) positioned. The test evaluates the time to correctly order letters and numbers; low times = better performance.

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Trail Making Test B Score (TMT-B)
Day 1(n=18, 23)
161.3 seconds
Standard Deviation 77.8
220.5 seconds
Standard Deviation 163.2
Trail Making Test B Score (TMT-B)
Day 28 (n=19, 23)
158.4 seconds
Standard Deviation 81.2
159.8 seconds
Standard Deviation 94.2
Trail Making Test B Score (TMT-B)
Day 56 (n=15)
153.8 seconds
Standard Deviation 78.7
NA seconds
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm

PRIMARY outcome

Timeframe: Day 1, Day 28 and Day 56

Test to evaluate neurocognitive functions (attention, visual scanning and motor speed). The test consists of a key =9 graphic symbols numbered 1 to 9 and the test =120 graphic symbols to be matched with its number. The test evaluates the number of correct matches within 90 seconds. Higher scores= better performance

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Symbol Digit Modalities Test Score (SDMT)
Day 1(n=18, 23)
41.2 Number of correct matches
Standard Deviation 9.2
40.7 Number of correct matches
Standard Deviation 14.7
Symbol Digit Modalities Test Score (SDMT)
Day 28 (n=19, 23)
42.4 Number of correct matches
Standard Deviation 12.0
40.8 Number of correct matches
Standard Deviation 14.7
Symbol Digit Modalities Test Score (SDMT)
Day 56 (n=15)
48.7 Number of correct matches
Standard Deviation 12.3
NA Number of correct matches
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm

PRIMARY outcome

Timeframe: Day 1, Day 28 and Day 56

Test evaluates working memory and attention. The test consists of repeat numeric sequences of 2 to 9 numbers forward or backwards and evaluates the number of items from a sequence correctly named. Higher scores = better performance.

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Digit Span Test Score
Forward-Day 1 (n=18, 23)
9.5 Number of correct items
Standard Deviation 2.7
9.8 Number of correct items
Standard Deviation 2.6
Digit Span Test Score
Backward-Day 1 (n=18, 23)
7.3 Number of correct items
Standard Deviation 2.0
6.3 Number of correct items
Standard Deviation 2.4
Digit Span Test Score
Forward-Day 28 (n=19, 23)
10.6 Number of correct items
Standard Deviation 3.0
10.4 Number of correct items
Standard Deviation 2.3
Digit Span Test Score
Backward- Day 28 (n=19, 23)
7.0 Number of correct items
Standard Deviation 2.6
7.0 Number of correct items
Standard Deviation 2.6
Digit Span Test Score
Forward-Day 56 (n=15)
10.3 Number of correct items
Standard Deviation 2.8
NA Number of correct items
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Digit Span Test Score
Backward-Day 56 (n=15)
7.4 Number of correct items
Standard Deviation 2.8
NA Number of correct items
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm

SECONDARY outcome

Timeframe: Day 1, Day 28 and Day 56

Survey addressing fatigue and patient happiness, coping, etc. Used to assess quality of life. The test consists of 40 items, each item with a response scale of 0-4. Higher scores denote better status Items are added to provide the total score (range 0-160).

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
PWB-Day 1 (n=18, 23)
14.1 units on a scale
Standard Deviation 3.3
15.3 units on a scale
Standard Deviation 5.1
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
SWB-Day 1 (n=18, 23)
20.9 units on a scale
Standard Deviation 6.7
19.8 units on a scale
Standard Deviation 5.1
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
EWB-Day 1 (n=18, 23)
16.9 units on a scale
Standard Deviation 4.3
17.5 units on a scale
Standard Deviation 3.7
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
FWB-Day 1 (n=18, 23)
14.8 units on a scale
Standard Deviation 3.6
14.6 units on a scale
Standard Deviation 4.2
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
Fatigue-Day 1 (n=18, 23)
19.2 units on a scale
Standard Deviation 8.7
18.8 units on a scale
Standard Deviation 8.9
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
FACIT-G-Day 1 (n=18, 23)
67.0 units on a scale
Standard Deviation 11.6
68.9 units on a scale
Standard Deviation 11.4
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
TOI-Day 1 (n=18, 23)
49.0 units on a scale
Standard Deviation 12.2
49.4 units on a scale
Standard Deviation 15.3
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
Total-Day 1 (n=19, 23)
86.2 units on a scale
Standard Deviation 15.8
86.1 units on a scale
Standard Deviation 20.4
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
PWB-Day 28 (n=19, 23)
16.5 units on a scale
Standard Deviation 6.6
17.4 units on a scale
Standard Deviation 6.3
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
EWB-Day 28 (n=19, 23)
16.5 units on a scale
Standard Deviation 5.3
18.7 units on a scale
Standard Deviation 4.3
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
SWB-Day 28 (n=19, 23)
21.3 units on a scale
Standard Deviation 7.5
20.8 units on a scale
Standard Deviation 5.4
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
FWB-Day 28 (n=19, 23)
14.4 units on a scale
Standard Deviation 5.1
16.8 units on a scale
Standard Deviation 4.5
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
Fatigue-Day 28 (n=19, 23)
28.0 units on a scale
Standard Deviation 13.22
26.5 units on a scale
Standard Deviation 11.7
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
FACIT-G-Day 28 (n=19, 23)
68.5 units on a scale
Standard Deviation 20.5
75.8 units on a scale
Standard Deviation 12.9
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
TOI-Day 28 (n=19, 23)
59.4 units on a scale
Standard Deviation 23.5
62.9 units on a scale
Standard Deviation 18.7
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
Total-Day 28 (n=19, 23)
96.5 units on a scale
Standard Deviation 31.3
101.3 units on a scale
Standard Deviation 21.9
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
PWB-Day 56 (n=15)
17.8 units on a scale
Standard Deviation 5.1
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
EWB-Day 56 (n=15)
22.1 units on a scale
Standard Deviation 5.7
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
SWB-Day 56 (n=15)
18.7 units on a scale
Standard Deviation 3.4
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
FWB-Day 56 (n=15)
13.5 units on a scale
Standard Deviation 3.8
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
Fatigue-Day 56 (n=15)
29.7 units on a scale
Standard Deviation 9.2
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
FACIT-G-Day 56 (n=15)
73.2 units on a scale
Standard Deviation 12.1
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
TOI-Day 56 (n=15)
62.7 units on a scale
Standard Deviation 14.6
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm
Functional Assessment of Cancer Therapy - Fatigue (FACIT-F) Score
Total-Day 56 (n=15)
101.8 units on a scale
Standard Deviation 18.7
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm

SECONDARY outcome

Timeframe: Day 1, Day 28 and Day 56

Survey used to assess depression and anxiety. The test consists of 14 items (7 for anxiety and 7 for depression); there are 4 possible answers for each statement. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression. Higher scores= more anxiety or depression.

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Hospital Anxiety and Depression Scale (HADS) Score
Anxiety-Day 1 (n=18, 23)
13.4 units on a scale
Standard Error 21.4
8.3 units on a scale
Standard Error 2.9
Hospital Anxiety and Depression Scale (HADS) Score
Depression-Day 1 (n=18, 23)
7.8 units on a scale
Standard Error 2.7
7.6 units on a scale
Standard Error 3.2
Hospital Anxiety and Depression Scale (HADS) Score
Anxiety-Day 28 (n=19, 23)
6.9 units on a scale
Standard Error 4.6
5.5 units on a scale
Standard Error 3.3
Hospital Anxiety and Depression Scale (HADS) Score
Depression-Day 28 (n=19, 23)
10.3 units on a scale
Standard Error 17.8
6.6 units on a scale
Standard Error 3.6
Hospital Anxiety and Depression Scale (HADS) Score
Anxiety-Day 56 (n=15)
7.0 units on a scale
Standard Error 3.4
NA units on a scale
Standard Error NA
Day 56 data was only evaluated for the Armodafinil arm
Hospital Anxiety and Depression Scale (HADS) Score
Depression-Day 56 (n=15)
5.7 units on a scale
Standard Error 2.9
NA units on a scale
Standard Error NA
Day 56 data was only evaluated for the Armodafinil arm

SECONDARY outcome

Timeframe: Day 1, Day 28 and Day 56

Survey assessing sleep patterns. The test consists of 8 items. The response scale range is 0-24 (range 0-3 per item: 0-No chance to falling asleep; 3-high chance of falling asleep). Interpretation: 0-No chance to falling asleep; 10+ above average chance daytime sleepiness

Outcome measures

Outcome measures
Measure
Armodafinil
n=25 Participants
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily.
Placebo-First
n=25 Participants
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily.
Epworth Sleepiness Scale (ESS) Score
Day 1(n=18, 23)
12.2 units on a scale
Standard Deviation 5.1
11.5 units on a scale
Standard Deviation 4.5
Epworth Sleepiness Scale (ESS) Score
Day 28 (n=19, 23)
10.1 units on a scale
Standard Deviation 5.1
10.0 units on a scale
Standard Deviation 4.6
Epworth Sleepiness Scale (ESS) Score
Day 56 (n=15)
11.5 units on a scale
Standard Deviation 4.5
NA units on a scale
Standard Deviation NA
Day 56 data was only evaluated for the Armodafinil arm

Adverse Events

Armodafinil

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

Placebo-First

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Armodafinil
n=50 participants at risk
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily. All patients receiving armodafinil, including patients that crossover, were evaluated for adverse events (AEs) and serious adverse events (SAEs).
Placebo-First
n=25 participants at risk
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily. AEs presented were those occurring during from Day 1 to Day 28 only
Respiratory, thoracic and mediastinal disorders
Pneumonia
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Eye disorders
Ptosis
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks

Other adverse events

Other adverse events
Measure
Armodafinil
n=50 participants at risk
The patients receive armodafinil for all 56 days of the study. Armodafinil taken orally at 150 mg daily. All patients receiving armodafinil, including patients that crossover, were evaluated for adverse events (AEs) and serious adverse events (SAEs).
Placebo-First
n=25 participants at risk
These patients receive a placebo for the first 28 days of the study. They are then crossed over and receive armodafinil for the final 28 days of the study (days 29-56). Placebo taken orally at 150 mg daily. Armodafinil taken orally at 150 mg daily. AEs presented were those occurring during from Day 1 to Day 28 only
Blood and lymphatic system disorders
G3/G4 Leukopenia
4.0%
2/50 • Number of events 2 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
Blood and lymphatic system disorders
G3/G4 Lymphopenia
6.0%
3/50 • Number of events 3 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
Blood and lymphatic system disorders
G3/G4 Neutropenia
4.0%
2/50 • Number of events 2 • 8 weeks
0.00%
0/25 • 8 weeks
Renal and urinary disorders
G3/G4 BUN (increased)
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Renal and urinary disorders
G3/G4 Creatinine (increased)
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
General disorders
G4 Edema
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Blood and lymphatic system disorders
G3/G4 Eosinophils (increased)
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Metabolism and nutrition disorders
G3/G4 Hypokalemia
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Ear and labyrinth disorders
G3/G4 Infection (ear)
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
G3/G4 Neuroma
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
Infections and infestations
G3/G4 Upper Respiratory Infection
2.0%
1/50 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks

Additional Information

Director of Clinical Operations

Oncotherapeutics

Phone: 310-623-1200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place