NarcolepsyPhase 3NCT00107796
Study of PROVIGIL ® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy
A Phase 3 study testing Modafinil in people with Narcolepsy, run by Cephalon at 73 sites in 2 countries.
Trial summary
Primary Objectives: The primary objectives of the study are to determine the effectiveness of PROVIGIL treatment, compared to placebo treatment, in children and adolescents with excessive sleepiness (ES) associated with narcolepsy, as assessed by: mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average… Read more about this study
- Who is it for?
- Ages 6 to 16 yearsHealthy volunteers can take part
- Conditions the study is for
- Narcolepsy
- What is being tested?
- Modafinil
- How many people
- 140 participants
- Where
- 73 sitesin 2 countries
- Study dates
- Oct 2004to Sep 2005
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 to 16 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Diagnosis and Main Criteria for Inclusion (Patients are included in the study if all of the following criteria are met):
- Written informed consent/assent is obtained
- A boy or girl aged 6 through 16 years, inclusive
- Meet the minimal criteria established by the International Classification of Sleep Disorders (ICSD) manual of the American Academy of Sleep Medicine (AASM) for narcolepsy (or presumed narcolepsy) as assessed by all of the following: *clinical history;
- NPSG (nocturnal polysomnogram) (as evaluated by the investigator) to rule out other sleep disorders (ie, obstructive sleep apnea/hypopnea syndrome [OSAHS] or periodic limb movement with sleep [PLMs]);
- narcolepsy (or presumed narcolepsy) as identified by at least 1 of the following: MSLT (as evaluated by the investigator) (mean sleep latency [from 4 naps] <10 minutes); 2 sleep onset REM periods (SOREMP); cataplexy; sleep paralysis; hypnogogic hallucinations -OR- *have a previous diagnosis of narcolepsy on the basis of NPSG and/or MSLT at any time before the screening visit
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- Have ES (MSLT <10 minutes and/or CGI S ≥4) that is not a direct result of inadequate sleep hygiene or other medical disorder
- Are in good health as determined by a medical and psychiatric history, physical examination, ECG, and clinical laboratory tests
- Have blood pressure values greater than those for the 5th percentile and less than the 95th percentile for age on the National High Blood Pressure Education Program guidelines for blood pressure levels for boys and girls ages 6 through 16 years
- Girls who are post menarche or sexually active must have a negative urine pregnancy test prior to the baseline visit, must be using a medically acceptable 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). Acceptable methods of birth control include: barrier method with spermicide; steroidal contraceptive (eg, oral, transdermal, implanted, or injected) in conjunction with a barrier method; intrauterine device (IUD); or abstinence.
- Be able to swallow a placebo tablet the same size and shape as the study drug tablet
- Negative UDS (urine drug screen) for any illicit drug, alcohol (ethanol), stimulants, or modafinil at screening; if positive for stimulants or modafinil (prescribed for ES) at the screening visit, UDS to be repeated after a washout period and before the baseline visit
- Have a parent or legal guardian who is willing to participate in the study
Who cannot join
- Main Criteria for Exclusion (Patients are excluded from participating in this study if 1 or more of the following criteria are met):
- Have any other disorder(s) that could be considered the primary cause of ES (eg, self induced sleep deprivation)
- Have a past or present seizure disorder (except history of a single febrile seizure), a history of psychosis, or of clinically significant head trauma (eg, brain damage) or past neurosurgery
- Have a history of suicide attempt, or are at suicidal risk
- Have an average of 5 or more apneic/hypopneic episodes per hour of nocturnal sleep as assessed by NPSG at the baseline visit
- A clinically significant drug sensitivity to stimulants such as amphetamine, dextroamphetamine, methylphenidate, or pemoline; and/or modafinil or any of its components
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- Use of any prescription (eg, clonidine, guanfacine) or nonprescription (over the counter [OTC]) medications, including dietary supplements with psychoactive properties (eg, any OTC medications or supplements containing ephedrine [ie, ma huang or ephedra], pseudoephedrine, caffeine, or phenylpropanolamine) or sedating properties (ie, antihistamines or sedative hypnotics) within 1 week of the baseline visit (Note: Medications for the treatment of cataplexy will be permitted if the patient has been on a stable dose for at least 1 month.)
- Use of any MAO (monoamine oxidase) inhibitors or SSRIs (Selective Serotonin Reuptake Inhibitors) within 2 weeks of the baseline visit (unless used for cataplexy)
- Received any investigational drug (except modafinil) within 4 weeks of the baseline visit
- Any disorder that could interfere with drug absorption, distribution, metabolism, or excretion (including previous gastrointestinal surgery)
- Active, clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematologic, neoplastic, endocrine, neurologic, immunodeficiency, pulmonary, or other major clinically significant disorder/disease
- Any clinically significant deviation from the normal range(s) in the physical examination or ECG findings, or clinical laboratory test results (ie, serum chemistry, hematology, and urinalysis) at the screening or baseline visit
- ANC (absolute neutrophil count) below the lower limit of normal at the screening visit (Note: If the ANC is below the lower limit of normal at the baseline visit, the medical monitor will be consulted for continued eligibility in the study.)
- Seated pulse outside the range of 60 through 115 bpm after resting for 5 minutes
- A history of alcohol, narcotic, or any other substance abuse or dependence as defined by the Diagnostic and Statistical Manual of the American Psychiatric Association, 4th Edition (DSM IV) criteria
- A total daily intake of more than 250 mg of caffeine per day (eg, approximately five 12 ounce caffeinated sodas, 2.5 cups of coffee or tea, or about 12.5 ounces of chocolate per day) within 1 week of the baseline visit
- Pregnant or lactating/nursing girl; any girl who becomes pregnant during the study will be withdrawn
- A clinically significant illness within 4 weeks of the baseline visit; or is symptomatic for any clinically significant illness at the screening or baseline visit
Trial locations and contacts
73 sites in 2 countries.
73 sites in 2 countries
United States68 sites
William Pistone, M.D.
Allentown, Pennsylvania, 18104
Daniela Minecan, M.D.
Ann Arbor, Michigan, 48109
D. Alan Lankford, Ph.D.
Atlanta, Georgia, 30342
Gary Montgomery, M.D.
Atlanta, Georgia, 30342
Jerry Silverboard, M.D.
Atlanta, Georgia, 30342
John Hudson, M.D.
Austin, Texas, 78756
Jeffery Gould, M.D.
Bethlehem, Pennsylvania, 18015
Robert Doekel, Jr., M.D.
Birmingham, Alabama, 35213
Chris M. Makris, M.D.
Birmingham, Alabama, 35233
James Lee, M.D.
Charlotte, North Carolina, 28226
Helene A. Emsellem, M.D.
Chevy Chase, Maryland, 20815
Stephen H. Sheldon, D.O., FAAP
Chicago, Illinois, 60614
Michael Kohrman, M.D.
Chicago, Illinois, 60637
Bruce Corser, M.D.
Cincinnati, Ohio, 45219
Raouf Amin, MD
Cincinnati, Ohio, 45229
Martin Scharf, Ph.D.
Cincinnati, Ohio, 45246
Guillermo Borrero, M.D.
Clairton, Pennsylvania, 15025
Carol Rosen, M.D.
Cleveland, Ohio, 44106
Pradeep Sahota, M.D.
Columbia, Missouri, 65212
Richard Bogan, M.D., FCCP
Columbia, South Carolina, 29201
David Sperry, M.D.
Dallas, Texas, 75230
James Cook, M.D.
Danville, Indiana, 46122
Markus H. Schmidt, M.D., Ph.D.
Dublin, Ohio, 43017
Dainis Irbe, M.D.
Eugene, Oregon, 97401
George Zureikat, M.D.
Flint, Michigan, 48503
Joseph McCarty, M.D.
Fort Smith, Arkansas, 72913
Marc Raphaelson, M.D.
Frederick, Maryland, 21702
John Harsh, Ph.D., DABSM
Hattiesburg, Mississippi, 39401
Todd J. Swick, M.D.
Houston, Texas, 77024
Julie Thompson-Dobkin, D.O.
Huntington Beach, California, 92648
John L. Carroll, M.D.
Little Rock, Arkansas, 72202
Samuel Boellner, M.D.
Little Rock, Arkansas, 72205
Mark Buchfuhrer, M.D.
Long Beach, California, 90806
Yury Furman, M.D.
Los Angeles, California, 90048
Karen Waters, M.D.
Louisville, Kentucky, 40202
Charles Wells, Jr., M.D.
Macon, Georgia, 31208
Anna Ivanenko, M.D., Ph.D.
Maywood, Illinois, 60153
Amerigo Padilla, M.D.
Miami, Florida, 33173
Julie Jacques, D.O.
Morristown, Tennessee, 37814
Kathleen Ryan, M.D.
Mount Laurel, New Jersey, 08054
Martin A. Cohn, M.D.
Naples, Florida, 34110
Sushmita Mikkilineni, M.D.
New Brunswick, New Jersey, 08903
Gary Zammit, M.D.
New York, New York, 10025
Monroe Karetzky, M.D.
Newark, New Jersey, 07112
Henry Lahmeyer, M.D.
Northfield, Illinois, 60093
William C. Orr, Ph.D.
Oklahoma City, Oklahoma, 73112
Jorg Pahl, M.D.
Oklahoma City, Oklahoma, 73118
Stuart Menn, M.D.
Palm Springs, California, 92262
Richard Shubin, M.D.
Pasadena, California, 91105
Lee Brooks, M.D.
Philadelphia, Pennsylvania, 19104
Barbara Harris, Ph.D.
Phoenix, Arizona, 85050
Lee Brooks, M.D.
Princeton, New Jersey, 08540
Judith Owens, M.D., MPH
Providence, Rhode Island, 02903
William Torch, M.D., MS
Reno, Nevada, 89502
Lawrence Sher, M.D.
Rolling Hills Estates, California, 90274
James M. Ferguson, M.D.
Salt Lake City, Utah, 84107
Jerry J. Tomasovic, M.D.
San Antonio, Texas, 78258
Milton K. Erman, M.D.
San Diego, California, 92121
Stephen Brooks, M.D.
San Francisco, California, 94109
Paul Haberman, M.D.
Santa Monica, California, 90404
Ralph A. Pascualy, M.D.
Seattle, Washington, 98122
Margaret Ann Springer, M.D.
Shreveport, Louisiana, 71103
Jed Black, M.D.
Stanford, California, 94305
Michael Neeb, Ph.D.
Toledo, Ohio, 43608
William Leeds, D.O.
Topeka, Kansas, 66606
Marc Seelagy, M.D.
Trenton, New Jersey, 08629
Derek Loewy, Ph.D.
Tucson, Arizona, 85712
Stuart Quan, M.D.
Tucson, Arizona, 85724
Canada5 sites
Adam Moscovitch, M.D.
Calgary, Alberta, T2X2A8
Leonid Kayumov, M.D.
Scarborough Village, Ontario, M1S1T7
Mortimer Mamelak, M.D.
Toronto, Ontario, M2J2K9
Colin Shapiro, Ph.D.
Toronto, Ontario, M5T2S8
Allen Denys, M.D.
Windsor, Ontario, N9A1C9
About this study
Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Assess the Efficacy and Safety of PROVIGIL ® (Modafinil) Treatment (100, 200, and 400 mg/Day) in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy
Primary Objectives: The primary objectives of the study are to determine the effectiveness of PROVIGIL treatment, compared to placebo treatment, in children and adolescents with excessive sleepiness (ES) associated with narcolepsy, as assessed by:
- mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average of 4 naps performed at 0900, 1100, 1300, and 1500) at the last post-baseline observation (week 6 or early termination)
- the Clinical Global Impression of Change (CGI-C) ratings for ES, at the last post-baseline observation (week 6 or early termination).
- Conditions
- Narcolepsy
- Being tested
- Modafinil
- Keywords
- Pediatric Narcolepsy, Excessive sleepiness
- Medical subject headings
- Narcolepsy, Disorders of Excessive Somnolence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ModafinilDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average of 4 naps performed at 0900, 1100, 1300, and 1500) at the last post baseline observation (week 6 or early termination)
The Clinical Global Impression of Change (CGI-C) ratings for ES, at the last post baseline observation (week 6 or early termination)
Secondary outcomes (3)
Clinical Global Impression of Change (CGI-C) ratings for ES at weeks 3 and 6
Total score from the Pediatric Daytime Sleepiness Scale (PDSS) at weeks 3 and 6, and last postbaseline observation
Mean sleep latency from the MSLT (average of 4 naps performed at 0900, 1100, 1300, and 1500) at week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2005 (estimated)
- Study startOct 2004
- Study completionSep 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for NarcolepsyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 140 participants
Sponsor and investigators
- Lead sponsor
- Cephalon
- Sponsor type
- Industry (pharma, biotech, devices)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00107796
- Sponsor's protocol ID
- C1538/3027/NA/MN-Narcolepsy
- Status last verified
- May 2006
- First submitted
- 8 Apr 2005
- Last updated
- 24 Aug 2012
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Aug 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Assess the Efficacy and Safety of PROVIGIL ® (Modafinil) Treatment (100, 200, and 400 mg/Day) in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy
- ClinicalTrials.gov ID
- NCT00107796
- Acronym / sponsor ID
- C1538/3027/NA/MN-Narcolepsy
- Conditions
- Narcolepsy
- Keywords
- Pediatric Narcolepsy, Excessive sleepiness
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 140 participants
- Lead sponsor
- CephalonIndustry (pharma, biotech, devices)
- Study start
- Oct 2004
- Study completion
- Sep 2005
- First posted
- 11 Apr 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objectives: The primary objectives of the study are to determine the effectiveness of PROVIGIL treatment, compared to placebo treatment, in children and adolescents with excessive sleepiness (ES) associated with narcolepsy, as assessed by:
- mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average of 4 naps performed at 0900, 1100, 1300, and 1500) at the last post-baseline observation (week 6 or early termination)
- the Clinical Global Impression of Change (CGI-C) ratings for ES, at the last post-baseline observation (week 6 or early termination).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
Who may qualify
- Ages
- 6 to 16 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (13 listed)
- Diagnosis and Main Criteria for Inclusion (Patients are included in the study if all of the following criteria are met):
- Written informed consent/assent is obtained
- A boy or girl aged 6 through 16 years, inclusive
- Meet the minimal criteria established by the International Classification of Sleep Disorders (ICSD) manual of the American Academy of Sleep Medicine (AASM) for narcolepsy (or presumed narcolepsy) as assessed by all of the following: *clinical history;
- Have ES (MSLT <10 minutes and/or CGI S ≥4) that is not a direct result of inadequate sleep hygiene or other medical disorder
Key exclusion criteria (18 listed)
- Main Criteria for Exclusion (Patients are excluded from participating in this study if 1 or more of the following criteria are met):
- Have any other disorder(s) that could be considered the primary cause of ES (eg, self induced sleep deprivation)
- Have a past or present seizure disorder (except history of a single febrile seizure), a history of psychosis, or of clinically significant head trauma (eg, brain damage) or past neurosurgery
- Have a history of suicide attempt, or are at suicidal risk
- Have an average of 5 or more apneic/hypopneic episodes per hour of nocturnal sleep as assessed by NPSG at the baseline visit
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Modafinil | Drug | – |
Primary outcome
Mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average of 4 naps performed at 0900, 1100, 1300, and 1500) at the last post baseline observation (week 6 or early termination)
The Clinical Global Impression of Change (CGI-C) ratings for ES, at the last post baseline observation (week 6 or early termination)
3 secondary outcomes
Clinical Global Impression of Change (CGI-C) ratings for ES at weeks 3 and 6
Total score from the Pediatric Daytime Sleepiness Scale (PDSS) at weeks 3 and 6, and last postbaseline observation
Mean sleep latency from the MSLT (average of 4 naps performed at 0900, 1100, 1300, and 1500) at week 6
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Aug 2012.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
73 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Modafinil in people with Narcolepsy, run by Cephalon at 73 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 13 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 73 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average of 4 naps performed at 0900, 1100, 1300, and 1500) at the last post baseline observation (week 6 or early termination). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2012; AzTrials last refreshed its copy on 8 Nov 2026.