Study to Evaluate the Efficacy and Safety of Armodafinil Treatment (150 mg/Day) as Adjunctive Therapy in Adults With Major Depression Associated With Bipolar I Disorder

NCT ID: NCT01305408

Last Updated: 2016-05-26

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

399 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2013-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary objective of the study is to determine whether armodafinil treatment, at a dosage of 150 mg/day, is more effective than placebo treatment as adjunctive therapy to mood stabilizers for treatment of adults with major depression associated with bipolar I disorder.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Depression

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Placebo

Participants began taking placebo to match armodafinil and following the same titration procedure. Treatment was administered for a total of 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo tablets, taken orally, once daily in the morning

Armodafinil 150 mg/day

Participants began taking armodafinil at a dosage of 50 mg/day; the dosage was increased by 50 mg/day on days 2 and 4, up to a dosage of 150 mg/day. Treatment was administered for a total of 8 weeks.

Group Type EXPERIMENTAL

Armodafinil

Intervention Type DRUG

Armodafinil tablets, taken orally, once daily in the morning

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Armodafinil

Armodafinil tablets, taken orally, once daily in the morning

Intervention Type DRUG

Placebo

Matching placebo tablets, taken orally, once daily in the morning

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Nuvigil CEP-10953

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* The patient has a diagnosis of bipolar I disorder according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (Text Revision) (DSM-IV-TR) criteria and is currently experiencing a major depressive episode.
* Documentation that the patient has had at least 1 previous manic or mixed episode.
* The patient has had no more than 6 mood episodes in the last year.
* The patient's current major depressive episode must have started no less than 2 weeks and no more than 12 months prior to the screening visit. The current depressive episode must have begun after the patient's current mood stabilizer regime began.
* The patient must have been taking 1 (or 2) of the following protocol-allowed mood stabilizers: lithium, valproic acid, lamotrigine, aripiprazole, olanzapine, quetiapine, risperidone, ziprasidone (only if taken in combination with lithium, valproic acid, or lamotrigine). The following criteria must also be met:

1. The mood stabilizer(s) must have been taken a minimum 4 weeks before the onset of the major depressive episode and still be taken at the time of the screening visit at dose or blood level considered appropriate for maintenance therapy by the patient's physician.
2. The patient must continue to take the same mood stabilizer(s) during the screening period; no mood stabilizer may be added during the screening period.
3. The mood stabilizer(s) must be taken for a minimum of at least 8 weeks prior to the baseline visit.
4. The dosage of the mood stabilizer(s) must be stable for a minimum of 4 weeks prior to the baseline visit.
5. The mood stabilizer(s) must be taken in an oral formulation, with the exception of risperidone, which can be either in an oral or long-acting injection formulation.
6. The patient may be taking 2 protocol-allowed mood stabilizers only if 1 of the drugs is lithium, valproic acid, or lamotrigine.

Exclusion Criteria

* The patient has any Axis I disorder apart from bipolar I disorder that was the primary focus of treatment within 6 months of the screening visit or during the screening period.
* The patient has psychotic symptoms or has had psychosis within 4 weeks of the screening visit or during the screening period.
* 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 a history of an eating disorder or obsessive compulsive disorder (OCD) within 6 months of the screening visit or during the screening period.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Cephalon

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Sponsor's Medical Expert

Role: STUDY_DIRECTOR

Cephalon

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Teva Investigational Site 225

Birmingham, Alabama, United States

Site Status

Teva Investigational Site 295

Sherman Oaks, California, United States

Site Status

Teva Investigational Site 122

Temecula, California, United States

Site Status

Teva Investigational Site 606

Jacksonville Beach, Florida, United States

Site Status

Teva Investigational Site 127

Lauderhill, Florida, United States

Site Status

Teva Investigational Site 608

Tampa, Florida, United States

Site Status

Teva Investigational Site 116

Atlanta, Georgia, United States

Site Status

Teva Investigational Site 205

Atlanta, Georgia, United States

Site Status

Teva Investigational Site 195

Park Ridge, Illinois, United States

Site Status

Teva Investigational Site 611

Indianapolis, Indiana, United States

Site Status

Teva Investigational Site 600

Lafayette, Indiana, United States

Site Status

Teva Investigational Site 603

Watertown, Massachusetts, United States

Site Status

Teva Investigational Site 207

Brooklyn, New York, United States

Site Status

Teva Investigational Site 202

New York, New York, United States

Site Status

Teva Investigational Site 110

Staten Island, New York, United States

Site Status

Teva Investigational Site 411

Staten Island, New York, United States

Site Status

Teva Investigational Site 614

Wilmington, North Carolina, United States

Site Status

Teva Investigational Site 610

Cincinnati, Ohio, United States

Site Status

Teva Investigational Site 615

Toledo, Ohio, United States

Site Status

Teva Investigational Site 401

Oklahoma City, Oklahoma, United States

Site Status

Teva Investigational Site 609

Oklahoma City, Oklahoma, United States

Site Status

Teva Investigational Site 616

Oklahoma City, Oklahoma, United States

Site Status

Teva Investigational Site 406

Allentown, Pennsylvania, United States

Site Status

Teva Investigational Site 403

DeSoto, Texas, United States

Site Status

Teva Investigational Site 612

Friendswood, Texas, United States

Site Status

Teva Investigational Site 408

Salt Lake City, Utah, United States

Site Status

Teva Investigational Site 613

Kirkland, Washington, United States

Site Status

Teva Investigational Site 605

Spokane, Washington, United States

Site Status

Teva Investigational Site 134

Buenos Aires, , Argentina

Site Status

Teva Investigational Site 136

Buenos Aires, , Argentina

Site Status

Teva Investigational Site 881

Buenos Aires, , Argentina

Site Status

Teva Investigational Site 884

Buenos Aires, , Argentina

Site Status

Teva Investigational Site 888

Buenos Aires, , Argentina

Site Status

Teva Investigational Site 236

Córdoba, , Argentina

Site Status

Teva Investigational Site 135

Córdoba Capital, , Argentina

Site Status

Teva Investigational Site 371

La Plata, , Argentina

Site Status

Teva Investigational Site 886

La Plata, , Argentina

Site Status

Teva Investigational Site 138

La Plata, Buenos Aires, , Argentina

Site Status

Teva Investigational Site 882

Mendoza, , Argentina

Site Status

Teva Investigational Site 883

Mendoza, , Argentina

Site Status

Teva Investigational Site 885

Mendoza, , Argentina

Site Status

Teva Investigational Site 887

Mendoza, , Argentina

Site Status

Teva Investigational Site 238

Rosario, , Argentina

Site Status

Teva Investigational Site 623

Belo Horizonte, , Brazil

Site Status

Teva Investigational Site 626

Curitiba-Parana, , Brazil

Site Status

Teva Investigational Site 621

Distrito de Rubiao Junior, , Brazil

Site Status

Teva Investigational Site 627

Itapira -Sao Paulo, , Brazil

Site Status

Teva Investigational Site 624

Rio de Janeiro, , Brazil

Site Status

Teva Investigational Site 622

Salvador, , Brazil

Site Status

Teva Investigational Site 628

São Paulo, , Brazil

Site Status

Teva Investigational Site 248

Burgas, , Bulgaria

Site Status

Teva Investigational Site 146

Kardzhali, , Bulgaria

Site Status

Teva Investigational Site 148

Kazanlak, , Bulgaria

Site Status

Teva Investigational Site 853

Pazardzhik, , Bulgaria

Site Status

Teva Investigational Site 852

Pleven, , Bulgaria

Site Status

Teva Investigational Site 145

Plovdiv, , Bulgaria

Site Status

Teva Investigational Site 370

Rousse, , Bulgaria

Site Status

Teva Investigational Site 147

Sofia, , Bulgaria

Site Status

Teva Investigational Site 149

Sofia, , Bulgaria

Site Status

Teva Investigational Site 244

Sofia, , Bulgaria

Site Status

Teva Investigational Site 247

Sofia, , Bulgaria

Site Status

Teva Investigational Site 854

Sofia, , Bulgaria

Site Status

Teva Investigational Site 855

Sofia, , Bulgaria

Site Status

Teva Investigational Site 245

Varna, , Bulgaria

Site Status

Teva Investigational Site 851

Varna, , Bulgaria

Site Status

Teva Investigational Site 856

Varna, , Bulgaria

Site Status

Teva Investigational Site 635

Rijeka, , Croatia

Site Status

Teva Investigational Site 631

Split, , Croatia

Site Status

Teva Investigational Site 632

Zagreb, , Croatia

Site Status

Teva Investigational Site 633

Zagreb, , Croatia

Site Status

Teva Investigational Site 634

Zagreb, , Croatia

Site Status

Teva Investigational Site 716

Helsinki, , Finland

Site Status

Teva Investigational Site 717

Helsinki, , Finland

Site Status

Teva Investigational Site 719

Kangasala, , Finland

Site Status

Teva Investigational Site 718

Turku, , Finland

Site Status

Teva Investigational Site 655

Achim, , Germany

Site Status

Teva Investigational Site 656

Berlin, , Germany

Site Status

Teva Investigational Site 653

Cologne, , Germany

Site Status

Teva Investigational Site 651

Dresden, , Germany

Site Status

Teva Investigational Site 654

Freiburg im Breisgau, , Germany

Site Status

Teva Investigational Site 652

Mittweida, , Germany

Site Status

Teva Investigational Site 661

Budapest, , Hungary

Site Status

Teva Investigational Site 662

Budapest, , Hungary

Site Status

Teva Investigational Site 664

Budapest, , Hungary

Site Status

Teva Investigational Site 665

Győr, , Hungary

Site Status

Teva Investigational Site 666

Nagykálló, , Hungary

Site Status

Teva Investigational Site 688

Catania, , Italy

Site Status

Teva Investigational Site 689

Florence, , Italy

Site Status

Teva Investigational Site 686

Genova, , Italy

Site Status

Teva Investigational Site 691

Lido Di Camaiore(LU), , Italy

Site Status

Teva Investigational Site 690

Naples, , Italy

Site Status

Teva Investigational Site 687

Pisa, , Italy

Site Status

Teva Investigational Site 693

Pisa, , Italy

Site Status

Teva Investigational Site 692

Roma, , Italy

Site Status

Teva Investigational Site 259

Bialystok, , Poland

Site Status

Teva Investigational Site 257

Gdansk, , Poland

Site Status

Teva Investigational Site 258

Gdynia, , Poland

Site Status

Teva Investigational Site 155

Krakow, , Poland

Site Status

Teva Investigational Site 255

Skorzewo, , Poland

Site Status

Teva Investigational Site 861

Szczecin, , Poland

Site Status

Teva Investigational Site 157

Tuszyn, , Poland

Site Status

Teva Investigational Site 177

Belgrade, , Serbia

Site Status

Teva Investigational Site 831

Belgrade, , Serbia

Site Status

Teva Investigational Site 832

Belgrade, , Serbia

Site Status

Teva Investigational Site 835

Belgrade, , Serbia

Site Status

Teva Investigational Site 176

Kragujevac, , Serbia

Site Status

Teva Investigational Site 837

Niš, , Serbia

Site Status

Teva Investigational Site 834

Novi Kneževac, , Serbia

Site Status

Teva Investigational Site 700

Bojnice, , Slovakia

Site Status

Teva Investigational Site 699

Bratislava, , Slovakia

Site Status

Teva Investigational Site 697

Rimavská Sobota, , Slovakia

Site Status

Teva Investigational Site 696

Rožňava, , Slovakia

Site Status

Teva Investigational Site 698

Trenčín, , Slovakia

Site Status

Teva Investigational Site 707

Cape Town, , South Africa

Site Status

Teva Investigational Site 709

Cape Town, , South Africa

Site Status

Teva Investigational Site 712

Cape Town, , South Africa

Site Status

Teva Investigational Site 708

Centurion, , South Africa

Site Status

Teva Investigational Site 710

Johannesburg, , South Africa

Site Status

Teva Investigational Site 711

Paarl, , South Africa

Site Status

Teva Investigational Site 706

Pretoria, , South Africa

Site Status

Teva Investigational Site 181

Dnipropetrovsk, , Ukraine

Site Status

Teva Investigational Site 872

Donetsk, , Ukraine

Site Status

Teva Investigational Site 282

Kharkiv, , Ukraine

Site Status

Teva Investigational Site 281

Kiev, , Ukraine

Site Status

Teva Investigational Site 180

Luhansk, , Ukraine

Site Status

Teva Investigational Site 873

Lviv, , Ukraine

Site Status

Teva Investigational Site 875

Odesa, , Ukraine

Site Status

Teva Investigational Site 183

Poltava, , Ukraine

Site Status

Teva Investigational Site 871

S. Oleksandrivka, , Ukraine

Site Status

Teva Investigational Site 182

Vinnytsia, , Ukraine

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Argentina Brazil Bulgaria Croatia Finland Germany Hungary Italy Poland Serbia Slovakia South Africa Ukraine

References

Explore related publications, articles, or registry entries linked to this study.

Frye MA, Amchin J, Bauer M, Adler C, Yang R, Ketter TA. Randomized, placebo-controlled, adjunctive study of armodafinil for bipolar I depression: implications of novel drug design and heterogeneity of concurrent bipolar maintenance treatments. Int J Bipolar Disord. 2015 Dec;3(1):34. doi: 10.1186/s40345-015-0034-0. Epub 2015 Sep 2.

Reference Type DERIVED
PMID: 26330288 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2010-023623-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C10953/3073

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.