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
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 24
- 主要终点
- Predicted accumulation ratio
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 17 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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 (Any patient becoming pregnant during the study will be withdrawn from the study)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
研究组 & 干预措施
Armodafinil 50 mg
In period 1, patients will receive a single 50-mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose daily on days 1 through 42.
干预措施: Armodafinil (Drug)
Armodafinil 100 mg
In period 1, patients will receive a single 100 mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose on day 1 then daily 100-mg doses on days 2 through 42.
干预措施: Armodafinil (Drug)
Armodafinil 150 mg
In period 1, patients will receive a single 150-mg dose of armodafinil on day 1. In period 2, patients will receive a single 50-mg dose on day 1, 100-mg doses on days 2 and 3, then daily 150-mg doses on days 4 through 42.
干预措施: Armodafinil (Drug)
结局指标
主要结局
Predicted accumulation ratio
时间窗: Day 1 + up to 72 hours after administration
Time to maximum observed plasma drug concentration
时间窗: Day 42 + up to 72 hours after administration
AUC 0-t
时间窗: Day 42 + up to 72 hours after administration
Maximum observed plasma drug concentration (Cmax) by inspection
时间窗: Day 1 + up to 72 hours after administration
Time to maximum observed plasma drug concentration (tmax) by inspection
时间窗: Day 1 + up to 72 hours after administration
Area under the plasma drug concentration by time curve from time 0 to infinity
时间窗: Day 1 + up to 72 hours after administration
Area under the plasma drug concentration by time curve from time 0 to the time of the last measurable drug concentration
时间窗: Day 1 + up to 72 hours after administration
Terminal half-life
时间窗: Day 1 + up to 72 hours after administration
Terminal elimination rate constant
时间窗: Day 1 + up to 72 hours after administration
Apparent total plasma clearance
时间窗: Day 1 + up to 72 hours after administration
Apparent volume of distribution
时间窗: Day 1 + up to 72 hours after administration
AUC over 1 dosing interval
时间窗: Day 42 + up to 72 hours after administration
Observed accumulation ratio
时间窗: Day 42 + up to 72 hours after administration
Maximum observed plasma drug concentration (Cmax)
时间窗: Day 42 + up to 72 hours after administration
Steady-state accumulation ratio
时间窗: Day 42 + up to 72 hours after administration
次要结局
- Mean sleep latency(Day 42)
- Clinical Global Impression of Change (CGI-C)(Day 42)
