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Modafinil for Treatment of Fatigue in ALS Patients
This study is currently recruiting participants.
Verified by Columbia University, April 2008
Sponsored by: Columbia University
Information provided by: Columbia University
ClinicalTrials.gov Identifier: NCT00614926
  Purpose

The purpose of this pilot study is to evaluate whether modafinil is helpful in alleviating fatigue, low energy, drowsiness and difficulty concentrating among patients with amyotrophic lateral sclerosis (ALS), and to evaluate incidence and frequency of adverse events, if any.


Condition Intervention Phase
Fatigue
Drug: modafinil
Drug: placebo for modafinil
Phase IV

Drug Information available for: Modafinil
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Modafinil for Treatment of Fatigue in ALS Patients: Pilot Study

Further study details as provided by Columbia University:

Primary Outcome Measures:
  • Clinical. Global Impressions Scale [ Time Frame: 4 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Number of "impaired" scores on neuropsychological (brief) test battery [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 35
Study Start Date: June 2006
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
3 in 4 patients are randomized to modafinil
Drug: modafinil
Dose schedule: 50 mg/day for 1 week, increasing to 100 mg/day at Week 2. Thereafter, dose may be increased to 300 mg/day as clinically indicated, in the absence of dose-limiting side effects. Dose is daily, in A.M., for 4 weeks.
2: Placebo Comparator
One in 4 patients is randomized to placebo medication
Drug: placebo for modafinil
placebo capsules are administered on the same schedule as active drug: 50 mg/day for 1 week, increasing to 100 mg/day at Week 2. Thereafter, dose may be increased to 300 mg/day in the absence of clinical improvement and dose limiting side effects. Dose is daily, in A.M.

Detailed Description:

ALS is an untreatable, progressive, fatal neurodegenerative disease whose etiology is unknown and whose course is relatively rapid (median survival 3 years after diagnosis). Palliative care, including symptom management, can contribute greatly to improved quality of life. In this context, alleviation of fatigue can help maintain function, extend the duration of time when employment is feasible for those still working, and can enable patients to more fully participate in and enjoy social and recreational activities. Given the prevalence of fatigue in this population, identification of effective treatment is a meaningful goal.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of ALS
  • Ages 18-80
  • Clinically significant fatigue (4.5+ on Fatigue Severity Scale with duration 3+ months plus impairment in 1+ categories of role function)
  • Speaks English
  • Able and willing to give informed consent
  • Can communicate verbally or with assistive device
  • Can swallow capsules
  • Forced vital capacity 50+%

Exclusion Criteria:

  • Untreated hypothyroidism (TSH > 4.25 UIU/ML)
  • Untreated and uncontrolled hypertension
  • Clinically significant anemia (HCT < 33%)
  • Untreated or under-treated major depressive disorder
  • Current clinically significant suicidal ideation
  • Started antidepressant medication for treatment of depression during past 6 weeks
  • Currently taking psychostimulant medication
  • History or current psychosis or bipolar disorder
  • Fecund women not currently using barrier methods of contraception
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00614926

Contacts
Contact: Judith Rabkin, PhD 212 543 5762 jgr1@columbia.edu
Contact: Martin McElhiney 212 543 5331 McElhin@pi.cpmc.columbia.edu

Locations
United States, New York
New York State Psychiatric Institute-Columbia University Recruiting
New York, New York, United States, 10032
Contact: Judith Rabkin, PhD     212-543-5762     jgr1@columbia.edu    
Contact: Martin McElhiney, PhD     212 543 5331     mcelhin@pi.cpmc.columbia.edu    
Sub-Investigator: Paul Gordon, MD            
Sub-Investigator: Hiroshi Mitsumoto, MD            
Sub-Investigator: Martin McElhiney, PhD            
Sub-Investigator: Richard Rabkin, MD            
Sponsors and Collaborators
Columbia University
Investigators
Principal Investigator: Judith G Rabkin, PhD professor
  More Information

Responsible Party: Columbia University ( Judith Rabkin, PhD, principal investigator )
Study ID Numbers: IRB5178
Study First Received: December 28, 2007
Last Updated: April 1, 2008
ClinicalTrials.gov Identifier: NCT00614926  
Health Authority: United States: Institutional Review Board

Keywords provided by Columbia University:
Fatigue
low energy
ALS
treatment

Study placed in the following topic categories:
Signs and Symptoms
Fatigue
Modafinil

Additional relevant MeSH terms:
Therapeutic Uses
Physiological Effects of Drugs
Central Nervous System Stimulants
Protective Agents
Neuroprotective Agents
Central Nervous System Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009