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Completed

NCT Number: NCT01624480

Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Armodafinil in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy

This study is to evaluate the pharmacokinetics, pharmacodynamics, and safety of single and multiple doses of armodafinil (50, 100, and 150 mg/day) in children and adolescents with excessive sleepiness associated with narcolepsy.

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Key information

Age range

6 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Teva Investigational Site 200, Helsinki, Finland

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Written informed consent is obtained from each patient's parent or legal guardian and written assent is obtained from each patient.
  • The patient is a male or female 6 through 17 years of age with a body mass index (BMI) equal to or greater than 10th percentile for age and gender, inclusive.
  • The patient has a diagnosis of narcolepsy with cataplexy or narcolepsy without cataplexy according to the criteria established by the International Classification of Sleep Disorders (ICSD)-2 for narcolepsy.

Exclusion criteria

  • The patient has any clinically significant uncontrolled medical condition (treated or untreated) other than narcolepsy.
  • The patient has a clinically significant deviation from normal in ECG, physical examination or vital sign findings, as determined by the investigator or medical monitor.
  • The patient is pregnant or lactating. (Any patient becoming pregnant during the study will be withdrawn from the study)
  • The patient has any history of seizures, including febrile seizures, or a family history of seizures (in parents or siblings) which is not a consequence of trauma, stroke, or metabolic disturbance.
  • The patient has a history of head trauma associated with loss of consciousness.
  • The patient has current suicidal ideation, a history of a suicidal ideation, or a history of a suicide attempt.
  • The patient has a history of major depressive disorder, bipolar disorder, other significant mood disorders, schizophrenia and other psychotic disorders, eating disorders, or has a family history of suicide.
  • The patient has left ventricular hypertrophy or the patient has mitral valve prolapse and has experienced mitral valve prolapse syndrome.
  • The patient has received any investigational drug within 30 days or 5 half-lives (whichever is longer) before the 1st dose of study drug, or in the case of a new chemical entity, 3 months or 5 half-lives (whichever is longer) before the 1st dose of study drug.
  • The patient has used any monoamine oxidase inhibitors (MAOIs) or stimulants within 14 days or 5 half-lives (whichever is longer) of the baseline visit.
  • The patient has used modafinil or armodafinil within 4 weeks of the baseline visit.
  • The patient has used an inducer of CYP3A4/5 within 28 days prior to study drug administration.
  • The patient has used an inhibitor of CYP3A4/5 within 14 days or 5 half lives (whichever is longer) prior to study drug administration.
  • The patient has a known sensitivity or idiosyncratic reaction to any compound present in modafinil or armodafinil, their related compounds, or to any metabolites or compound listed as being present in these medications.
  • The patient has a history of any clinically significant cutaneous drug reaction, or a history of clinically significant hypersensitivity reaction, including multiple allergies or drug reactions
  • Other criteria apply, please contact the investigator for additional information

Treatment and study plan

Armodafinil

Drug

The armodafinil tablets to be used in this study contain 50 mg of armodafinil and the following inactive ingredients: lactose monohydrate, starch, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, and povidone.

Other names: R-modafinil, CEP-10953

Primary outcomes

  1. Maximum observed plasma drug concentration (Cmax) by inspection

    Time frame: Day 1 + up to 72 hours after administration

  2. Time to maximum observed plasma drug concentration (tmax) by inspection

    Time frame: Day 1 + up to 72 hours after administration

  3. Area under the plasma drug concentration by time curve from time 0 to infinity

    Time frame: Day 1 + up to 72 hours after administration

  4. Area under the plasma drug concentration by time curve from time 0 to the time of the last measurable drug concentration

    Time frame: Day 1 + up to 72 hours after administration

  5. Terminal half-life

    Time frame: Day 1 + up to 72 hours after administration

  6. Terminal elimination rate constant

    Time frame: Day 1 + up to 72 hours after administration

  7. Apparent total plasma clearance

    Time frame: Day 1 + up to 72 hours after administration

  8. Apparent volume of distribution

    Time frame: Day 1 + up to 72 hours after administration

  9. Predicted accumulation ratio

    Time frame: Day 1 + up to 72 hours after administration

  10. Maximum observed plasma drug concentration (Cmax)

    Time frame: Day 42 + up to 72 hours after administration

  11. Time to maximum observed plasma drug concentration

    Time frame: Day 42 + up to 72 hours after administration

  12. AUC over 1 dosing interval

    Time frame: Day 42 + up to 72 hours after administration

  13. AUC 0-t

    Time frame: Day 42 + up to 72 hours after administration

  14. Observed accumulation ratio

    Time frame: Day 42 + up to 72 hours after administration

  15. Steady-state accumulation ratio

    Time frame: Day 42 + up to 72 hours after administration

Secondary outcomes

  1. Mean sleep latency

    Time frame: 2 Days (Baseline + Day 1)

    An objective assessment of sleepiness that measures the likelihood of falling asleep. The test consists of multiple naps performed on the day before study drug administration in period 1 and on the day of study drug administration in period 1. For each nap, sleep latency will be measured as the elapsed time from lights-out to the first epoch scored as sleep. Mean sleep latency is calculated for each day as the average of the sleep latencies from each nap on that day.

  2. Mean sleep latency

    Time frame: Day 42

    An assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week.

  3. Clinical Global Impression of Change (CGI-C)

    Time frame: Day 1

    An assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week.

  4. Clinical Global Impression of Change (CGI-C)

    Time frame: Outpatient Visits Weeks 1 through 5, once per week

    The Clinical Global Impression of Change (CGI-C) is an assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week. The CGI-C ratings will be assessed using the following 7 categories and scoring assignments: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse

  5. Clinical Global Impression of Change (CGI-C)

    Time frame: Day 42

    The Clinical Global Impression of Change (CGI-C) is an assessment by the investigator of change in the patient's severity of excessive sleepiness during the course of the study. The clinician will ask the guardian to assess the child's home behavior over the past week. The CGI-C ratings will be assessed using the following 7 categories and scoring assignments: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse

Sponsors and collaborators

Lead sponsor

Teva Branded Pharmaceutical Products R&D, Inc.

Industry

Registry information

Official study title

A Randomized, Open-Label Study to Characterize the Pharmacokinetics, Pharmacodynamics, and Safety of Single and Multiple Doses of Armodafinil (50, 100, and 150 mg/Day) in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy

Important dates

Study start
2012
Primary completion
2015
Study completion
2015
First posted
Jun 20, 2012
Registry last updated
Nov 9, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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