Modafinil in the Treatment of PTSD (Posttraumatic Stress Disorder)

NCT ID: NCT01726088

Last Updated: 2012-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2014-05-31

Brief Summary

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The purpose of this study is to determine if modafinil is more effective than placebo in the treatment of posttraumatic stress disorder (PTSD) in male combat veterans who have been deployed to Iraq or Afghanistan.

Detailed Description

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There is a high rate of posttraumatic stress disorder (PTSD) in soldiers exposed to combat in Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). Unfortunately, currently available treatments for combat-related PTSD have produced modest treatment gains at best. New treatment strategies that can be directed toward objectively measured correlates of PTSD are urgently needed.

Specific Aims: 1) To determine if there is evidence for the effectiveness and tolerability of adjunctive modafinil in the treatment of combat-related PTSD. We hypothesize that OEF/OIF veterans with PTSD randomized to modafinil 100mg/day for four weeks will experience more improvement in PTSD symptoms than OEF/OIF veterans with PTSD randomized to placebo treatment for four weeks. 2) To determine if PTSD symptom severity is associated with electrophysiological and neuropsychological measures of pre-attention and attention and if these measures change to a greater degree in participants randomized to modafinil versus those randomized to placebo. We hypothesize modafinil treatment will result in greater changes in electrophysiological and neuropsychological measures of pre-attention and attention than placebo treatment.

Conditions

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Posttraumatic Stress Disorder

Keywords

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Modafinil p50 Attentional Bias

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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modafinil

Study participants randomized to the active arm of the study will take modafinil 100mg capsules orally each day for 4 weeks.

Group Type ACTIVE_COMPARATOR

Modafinil

Intervention Type DRUG

we will compare the effect of modafinil and matching placebo on clinical and objective measures detailed above.

Sugar Pill

Study participants randomized to the placebo arm of the study will take matching capsules orally each day for 4 weeks.

Group Type PLACEBO_COMPARATOR

Modafinil

Intervention Type DRUG

we will compare the effect of modafinil and matching placebo on clinical and objective measures detailed above.

Interventions

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Modafinil

we will compare the effect of modafinil and matching placebo on clinical and objective measures detailed above.

Intervention Type DRUG

Other Intervention Names

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Provigil

Eligibility Criteria

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Inclusion Criteria

* OEF/OIF Veteran with a history of deploying to Afghanistan or Iraq
* right-handed
* male 20-60 years of age
* meets Diagnostic and Statistical Manual (DSM-IV) diagnostic criteria for PTSD
* competent to give informed consent
* access to a telephone
* stable psychotropic medication regimen for a minimum of four weeks prior to enrollment
* able and willing to complete the required schedule of evaluations (Baseline in person, 1 week by phone, 2 week in person, 4 week in person)

Exclusion Criteria

* diagnosis of schizophrenia, schizoaffective disorder or bipolar disorder
* current substance abuse or dependence
* history of seizure disorder or severe traumatic brain injury
* history of attempted suicide within the previous two years or active suicidal ideation within the past month
* currently taking benzodiazepines except for bedtime dosing only
* currently taking stimulant medication
* known allergic reaction to modafinil or currently taking medication
* that may have altered metabolism if taken with modafinil: Tricyclic antidepressants (amitriptyline; nortriptyline; desipramine; imipramine; CNS stimulants (amphetamine; d-ampthetamine; atomoxetine); Carbamazepine; Phenytoin; Phenobarbitol; Rifampin; Ketaconazole; MAO Inhibitors (isoniazid; selegiline); Warfarin; Diazepam; Mephenytoin; Cyclosporine; Theophylline
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Center for Research Resources (NCRR)

NIH

Sponsor Role collaborator

National Institute of General Medical Sciences (NIGMS)

NIH

Sponsor Role collaborator

Biomedical Research Foundation

OTHER

Sponsor Role lead

Responsible Party

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Timothy Kimbrell

Staff Physician; Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tim A Kimbrell, MD

Role: PRINCIPAL_INVESTIGATOR

Central Arkansas VA Healthcare System

Locations

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CAVHS Eugene Towbin VA Medical Center

North Little Rock, Arkansas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Tim A Kimbrell, MD

Role: CONTACT

Phone: 501-257-1084

Email: [email protected]

Jeffry M Pyne, MD

Role: CONTACT

Phone: 501-257-1983

Email: [email protected]

Facility Contacts

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Susan M Jegley, LMSW

Role: primary

Other Identifiers

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5P20RR020146-09

Identifier Type: NIH

Identifier Source: secondary_id

View Link

8P20GM103425-09

Identifier Type: NIH

Identifier Source: secondary_id

View Link

CAVHS209470-1

Identifier Type: -

Identifier Source: org_study_id