ClinicalTrials.gg
TerminatedNCT00825227Updated Nov 17, 2017Results posted

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

A Phase 2 interventional study of Armodafinil 150 mg/day and Placebo, in Fatigue and Chemotherapy Side Effects, sponsored by Cephalon. Terminated at 29 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-11-17.

Sponsored by Cephalon (part of Teva Pharmaceutical Industries, Ltd.) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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

Read the detailed description

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.

02

Conditions studied

  • Fatigue
  • Chemotherapy Side Effects

Keywords

  • Cancer
  • Fatigue
  • Taxanes
03

In context

Fatigue

2,229 studies on the registry are indexed under Fatigue; 426 are open to participants now.

This study's enrollment of 10 is below the median of 54 across 1,757 interventional studies indexed under Fatigue.

Browse Fatigue studies →

Lead sponsor

Cephalon is the lead sponsor of 75 studies on the registry; none are open to participants now.

First submitted before Cephalon became part of Teva Pharmaceutical Industries, Ltd..

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key 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 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 (≥10 g/dL) throughout the screening period.
  • Women of (not surgically sterile or 2 years ) must use a medically accepted method of (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.

Key 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 cancer.
  • The patient is receiving concurrent radiation therapy (except for palliative radiation) or treatment with another 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 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 to the study medication or ingredients of the study medication.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • Active comparator
    Patient responses to 150 mg/day armodafinil

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

    Drug: Armodafinil 150 mg/day

  • Placebo comparator
    Patient responses to placebo

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

    Drug: Placebo,

Interventions

  • DrugArmodafinil 150 mg/day

    Drug page: Modafinil

    * 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

  • DrugPlacebo,

    * 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

06

What researchers measure

Primary outcomes

  1. Change Over Time in the Patient's Daily Ratings of Their Worst Fatigue Severity (as Assessed for the Past 24 Hours), Obtained From the Patient's Responses on the Brief Fatigue Inventory (BFI) Questionnaire

    Brief Fatigue Inventory (BFI) measures fatigue severity and impact on function on 11-point scale (0-10). Primary outcome measure is average daily rating of BFI question 3: worst level of fatigue over past 24-hours. 0 = no fatigue, 10 = worst imaginable. Study was terminated after only a few patients enrolled and therefore efficacy results were not analyzed and are not reported. Maximum response (most fatigue) would score 10 and minimum response (least fatigue) would score 0. Change was measured from Baseline (cycle 1) to cycle 2. Changes based on matching baseline period with cycle 2 period.

    Time frame: Recorded once daily by the Patient, for up to 8 weeks total (Screening and Double-Blind)

Secondary outcomes

  1. Percentage of Days With Severe Fatigue, From Patient Responses to the Brief Fatigue Inventory (BFI) Assessment Questionnaire

    The Brief Fatigue Inventory (BFI) measures severity of fatigue and impact of fatigue on daily functioning in past 24 hours. It is a 9-item questionnaire that uses an 11-point scale (0-10) to assess severity. 0 represents no fatigue, 10 represents as bad as you can imagine. The percentage of days with severe fatigue as assessed by the BFI was to be assessed. Study was terminated as a result of a business decision after only a few patients were enrolled and therefore efficacy results were not analyzed and are not reported.

    Time frame: Duration of up to 8 weeks total (Screening and Double-Blind)

  2. Change in the Brief Fatigue Inventory (BFI) Global Score

    The Brief Fatigue Inventory (BFI) measures severity of fatigue and impact of fatigue on daily functioning in past 24 hours. It is a 9-item questionnaire that uses an 11-point scale (0-10) to assess severity. Question 3 asks for worst level of fatigue during past 24-hours. 0 represents no fatigue, 10 represents as bad as you can imagine. The global score (0 to 90) determined by adding each item was to be assessed. Study was terminated as a result of a business decision after only a few patients were enrolled and therefore efficacy results were not analyzed and are not reported.

    Time frame: Duration of up to 8 weeks total (Screening and Double-Blind)

07

Results

Posted Mar 13, 2012
Limitations and caveats
This trial was discontinued early after only 10 of 160 planned subjects had been recruited. No efficacy data was analyzed.

Participant flow

Participant flow — Overall Study
Milestone150 mg/Day ArmodafinilMatching Placebo
Started64
Completed64
Not completed00

Outcome measures

PrimaryChange Over Time in the Patient's Daily Ratings of Their Worst Fatigue Severity (as Assessed for the Past 24 Hours), Obtained From the Patient's Responses on the Brief Fatigue Inventory (BFI) Questionnaire

Brief Fatigue Inventory (BFI) measures fatigue severity and impact on function on 11-point scale (0-10). Primary outcome measure is average daily rating of BFI question 3: worst level of fatigue over past 24-hours. 0 = no fatigue, 10 = worst imaginable. Study was terminated after only a few patients enrolled and therefore efficacy results were not analyzed and are not reported. Maximum response (most fatigue) would score 10 and minimum response (least fatigue) would score 0. Change was measured from Baseline (cycle 1) to cycle 2. Changes based on matching baseline period with cycle 2 period.

Time frame:
Recorded once daily by the Patient, for up to 8 weeks total (Screening and Double-Blind)

No measurements were reported for this outcome.

SecondaryPercentage of Days With Severe Fatigue, From Patient Responses to the Brief Fatigue Inventory (BFI) Assessment Questionnaire

The Brief Fatigue Inventory (BFI) measures severity of fatigue and impact of fatigue on daily functioning in past 24 hours. It is a 9-item questionnaire that uses an 11-point scale (0-10) to assess severity. 0 represents no fatigue, 10 represents as bad as you can imagine. The percentage of days with severe fatigue as assessed by the BFI was to be assessed. Study was terminated as a result of a business decision after only a few patients were enrolled and therefore efficacy results were not analyzed and are not reported.

Time frame:
Duration of up to 8 weeks total (Screening and Double-Blind)

No measurements were reported for this outcome.

SecondaryChange in the Brief Fatigue Inventory (BFI) Global Score

The Brief Fatigue Inventory (BFI) measures severity of fatigue and impact of fatigue on daily functioning in past 24 hours. It is a 9-item questionnaire that uses an 11-point scale (0-10) to assess severity. Question 3 asks for worst level of fatigue during past 24-hours. 0 represents no fatigue, 10 represents as bad as you can imagine. The global score (0 to 90) determined by adding each item was to be assessed. Study was terminated as a result of a business decision after only a few patients were enrolled and therefore efficacy results were not analyzed and are not reported.

Time frame:
Duration of up to 8 weeks total (Screening and Double-Blind)

No measurements were reported for this outcome.

Adverse events

Collected over Study drug was administered during cycle 2 of taxane therapy which lasted 21 or 28 days. This was followed by a 24-week open-label extension period during which they received armodafinil for a total of 28 weeks during which adverse events were collected.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
150 mg/Day Armodafinil—3/6 (50%)5/6 (83.3%)
Matching Placebo—1/4 (25%)3/4 (75%)
Most frequent serious events
Most frequent serious events
Event150 mg/Day ArmodafinilMatching Placebo
Disease Progression (Prostate Cancer) / Prostate CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/61/4
SyncopeNervous system disorders1/60/4
IleusGastrointestinal disorders1/60/4
Urinary Tract InfectionInfections and infestations1/60/4
Most frequent other events
Showing 10 of 26
Most frequent other events
Event150 mg/Day ArmodafinilMatching Placebo
DiarrhoeaGastrointestinal disorders1/62/4
LymphopeniaBlood and lymphatic system disorders0/61/4
Abdominal painGastrointestinal disorders1/61/4
DyspepsiaGastrointestinal disorders0/61/4
NauseaGastrointestinal disorders1/61/4
Chest painGeneral disorders0/61/4
Skin turgor decreasedInvestigations0/61/4
InsomniaPsychiatric disorders1/61/4
DyspnoeaRespiratory, thoracic and mediastinal disorders0/61/4
HypertensionVascular disorders0/61/4

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)150 mg/Day ArmodafinilMatching PlaceboTotal
<=18 years000
Between 18 and 65 years6410
>=65 years000
Age, Continuous
Age, Continuous(years)150 mg/Day ArmodafinilMatching PlaceboTotal
Mean59.5 ± 3.7356.5 ± 5.8058.3 ± 4.62
Sex: Female, Male
Sex: Female, Male(Participants)150 mg/Day ArmodafinilMatching PlaceboTotal
Female325
Male325
Region of Enrollment
Region of Enrollment(participants)150 mg/Day ArmodafinilMatching PlaceboTotal
United States6410
08

Study locations

29 sites
  • Northwest Alabama Cancer Center
    Muscle Shoals, Alabama 35661, United States
  • Saint Joseph Medical Center
    Burbank, California 91505, United States
  • Compassionate Cancer Center
    Fountain Valley, California 92708, United States
  • Wilshire Oncology
    La Verne, California 91750, United States
  • Compassionate Cancer Center
    Riverside, California 92501, United States
  • Scripps Cancer Center
    San Diego, California 92123, United States
  • Washington Cancer Institute
    Washington, D.C., District of Columbia 20010, United States
  • Integrated Community Oncology Network
    Jacksonville, Florida 32256, United States
  • Southeastern Gynecologic Oncology, LLC
    Atlanta, Georgia 30342, United States
  • Augusta Oncology
    Augusta, Georgia 30901, United States
  • Medical College of Georgia
    Augusta, Georgia 30912, United States
  • Summit Cancer Center
    Savannah, Georgia 31405, United States
  • Ingalls Cancer Research Center
    Harvey, Illinois 60426, United States
  • Iowa Blood and Cancer Care PLC
    Cedar Rapids, Iowa 52402, United States
  • Center for Cancer and Blood Disorders
    Bethesda, Maryland 20817, United States
  • Frederick Memorial Hospital
    Frederick, Maryland 21701, United States
  • Park Nicollet Institute
    Saint Louis Park, Minnesota 55426, United States
  • Hematology Oncology Centers of the Northern Rockies
    Billings, Montana 59101, United States
  • Montana Cancer Institute
    Missoula, Montana 59802, United States
  • Sparta Cancer Center
    Sparta, New Jersey 17871, United States
  • Forsyth Regional Cancer Center
    Winton, North Carolina 27103, United States
  • Cancer Care Associates
    Tulsa, Oklahoma 74136, United States
  • Geisinger Medical Center
    Danville, Pennsylvania 17822, United States
  • Mount Nittany Medical Center
    State College, Pennsylvania 16803, United States
  • Chester County Hospital
    West Chester, Pennsylvania 19380, United States
  • Charleston Hematology Oncology, PA
    Charleston, South Carolina 29403, United States
  • C. Michael Jones
    Germantown, Tennessee 38138, United States
  • McLeod Cancer and Blood Center
    Johnson City, Tennessee 37604, United States
  • Cancer Outreach Assoc. / Outreach Clinical Trial Consortium
    Abingdon, Virginia 24211, United States
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Dec 2008, a primary completion of Oct 2009 and a completion of Feb 2010. It does not say whether these dates are actual or estimated.

Results were first posted in Mar 2012, 2 years 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 15, 2009
First posted
Jan 19, 2009
Start
Dec 2008
Primary completionActual
Oct 2009
CompletionActual
Feb 2010
Results first posted
Mar 13, 2012
Last update
Nov 17, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 17, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00825227
Lead sponsor
Cephalon
Responsible party
Sponsor
First posted
Jan 19, 2009
Start date
Dec 2008
Primary completion
Oct 2009
Completion
Feb 2010
Results posted
Mar 13, 2012
Last update
Nov 17, 2017

Study contacts

Sponsor's Medical Expert
study director · Cephalon

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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