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Clinical Trials/NCT01624480
NCT01624480
Completed
Phase 1

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

Teva Branded Pharmaceutical Products R&D, Inc.24 sites in 2 countries40 target enrollmentJuly 2012
ConditionsNarcolepsy
InterventionsArmodafinil

Overview

Phase
Phase 1
Intervention
Armodafinil
Conditions
Narcolepsy
Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
Enrollment
40
Locations
24
Primary Endpoint
Predicted accumulation ratio
Status
Completed
Last Updated
4 years ago

Overview

Brief Summary

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.

Registry
clinicaltrials.gov
Start Date
July 2012
End Date
December 2015
Last Updated
4 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

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 (Any patient becoming pregnant during the study will be withdrawn from the study)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.

Arms & Interventions

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.

Intervention: Armodafinil

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.

Intervention: Armodafinil

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.

Intervention: Armodafinil

Outcomes

Primary Outcomes

Predicted accumulation ratio

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

Time to maximum observed plasma drug concentration

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

AUC 0-t

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

Maximum observed plasma drug concentration (Cmax) by inspection

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

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

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

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

Time Frame: 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

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

Terminal half-life

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

Terminal elimination rate constant

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

Apparent total plasma clearance

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

Apparent volume of distribution

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

AUC over 1 dosing interval

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

Observed accumulation ratio

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

Maximum observed plasma drug concentration (Cmax)

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

Steady-state accumulation ratio

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

Secondary Outcomes

  • Mean sleep latency(Day 42)
  • Clinical Global Impression of Change (CGI-C)(Day 42)

Study Sites (24)

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