Page last updated: 2024-10-31

modafinil and Apnea, Sleep

modafinil has been researched along with Apnea, Sleep in 19 studies

Modafinil: A benzhydryl acetamide compound, central nervous system stimulant, and CYP3A4 inducing agent that is used in the treatment of NARCOLEPSY and SLEEP WAKE DISORDERS.
modafinil : A racemate comprising equimolar amounts of armodafinil and (S)-modafinil. A central nervous system stimulant, it is used for the treatment of sleeping disorders such as narcolepsy, obstructive sleep apnoea, and shift-work sleep disorder. The optical enantiomers of modafinil have similar pharmacological actions in animals.
2-[(diphenylmethyl)sulfinyl]acetamide : A sulfoxide that is dimethylsulfoxide in which two hydrogens attached to one of the methyl groups are replaced by phenyl groups, while one hydrogen attached to the other methyl group is replaced by a carbamoyl (aminocarbonyl) group.

Research Excerpts

ExcerptRelevanceReference
"We hypothesized that wakefulness-promoter armodafinil would improve driving task performance over placebo in patients undergoing weight loss."9.27Does Armodafinil Improve Driving Task Performance and Weight Loss in Sleep Apnea? A Randomized Trial. ( Cayanan, EA; Chapman, JL; Comas, M; Grunstein, RR; Hoyos, CM; Marshall, NS; Serinel, Y; Wong, KKH; Yee, BJ, 2018)
"This was a double-blind, placebo-controlled, crossover study of sarcoidosis patients followed up in one sarcoidosis clinic Sarcoidosis patients with fatigue received either armodafinil or placebo with eight weeks of therapy for each arm and a two week washout period before crossover to the other treatment."9.17Armodafinil for sarcoidosis-associated fatigue: a double-blind, placebo-controlled, crossover trial. ( Baughman, RP; Lower, EE; Malhotra, A; Surdulescu, V, 2013)
"This study indicates that modafinil is effective and well tolerated in the treatment of posttraumatic EDS but not of fatigue."9.14Modafinil ameliorates excessive daytime sleepiness after traumatic brain injury. ( Bassetti, CL; Baumann, CR; Kaiser, PR; Meier, J; Stocker, R; Thomann, J; Valko, PO; Werth, E, 2010)
" The aim of this single center study was to determine the efficacy and safety of the novel wake-promoting medication modafinil in the treatment of CPAP-resistant daytime sleepiness."9.09Randomized, double-blind, placebo-controlled crossover trial of modafinil in the treatment of residual excessive daytime sleepiness in the sleep apnea/hypopnea syndrome. ( Coleman, EL; Douglas, NJ; Engleman, HM; Kingshott, RN; Mackay, TW; Vennelle, M, 2001)
"We hypothesized that wakefulness-promoter armodafinil would improve driving task performance over placebo in patients undergoing weight loss."5.27Does Armodafinil Improve Driving Task Performance and Weight Loss in Sleep Apnea? A Randomized Trial. ( Cayanan, EA; Chapman, JL; Comas, M; Grunstein, RR; Hoyos, CM; Marshall, NS; Serinel, Y; Wong, KKH; Yee, BJ, 2018)
"This was a double-blind, placebo-controlled, crossover study of sarcoidosis patients followed up in one sarcoidosis clinic Sarcoidosis patients with fatigue received either armodafinil or placebo with eight weeks of therapy for each arm and a two week washout period before crossover to the other treatment."5.17Armodafinil for sarcoidosis-associated fatigue: a double-blind, placebo-controlled, crossover trial. ( Baughman, RP; Lower, EE; Malhotra, A; Surdulescu, V, 2013)
"This study indicates that modafinil is effective and well tolerated in the treatment of posttraumatic EDS but not of fatigue."5.14Modafinil ameliorates excessive daytime sleepiness after traumatic brain injury. ( Bassetti, CL; Baumann, CR; Kaiser, PR; Meier, J; Stocker, R; Thomann, J; Valko, PO; Werth, E, 2010)
" The aim of this single center study was to determine the efficacy and safety of the novel wake-promoting medication modafinil in the treatment of CPAP-resistant daytime sleepiness."5.09Randomized, double-blind, placebo-controlled crossover trial of modafinil in the treatment of residual excessive daytime sleepiness in the sleep apnea/hypopnea syndrome. ( Coleman, EL; Douglas, NJ; Engleman, HM; Kingshott, RN; Mackay, TW; Vennelle, M, 2001)
" Treatment with continuous positive airway pressure (CPAP) for OSA, non-invasive ventilation (NIV) for respiratory failure, modafinil for excessive daytime sleepiness were commenced."3.83Sleepiness and Sleep-related Breathing Disorders in Myotonic Dystrophy and Responses to Treatment: A Prospective Cohort Study. ( Anderson, KN; Atalaia, A; Baudouin, SV; Hughes, J; Lochmüller, H; Marini-Bettolo, C; West, SD, 2016)
" No adverse events of treatment with modafinil and intranasal mometasone furoate were reported."1.48Comparison of the Efficacy, Side Effects, and Cost of Modafinil and Intranasal Mometasone Furoate in Obstructive Sleep Apnea-Hypopnea Syndrome: A Preliminary Clinical Study. ( Duan, Z; Fu, J; Zhang, S, 2018)
"Modafinil users were matched with nonusers."1.48Modafinil and the risk of cardiovascular events: Findings from three US claims databases. ( Goehring, EL; Jones, JK; Kaplan, S; Knebel, H; Melamed-Gal, S; Nguyen-Khoa, BA, 2018)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (10.53)18.2507
2000's6 (31.58)29.6817
2010's11 (57.89)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Zhang, S1
Fu, J1
Duan, Z1
Chapman, JL1
Cayanan, EA1
Hoyos, CM1
Serinel, Y1
Comas, M1
Yee, BJ1
Wong, KKH1
Grunstein, RR2
Marshall, NS2
Borker, PV1
Patel, SR1
Kaplan, S1
Goehring, EL1
Melamed-Gal, S1
Nguyen-Khoa, BA1
Knebel, H1
Jones, JK1
Laberge, L1
Gagnon, C1
Dauvilliers, Y1
West, SD1
Lochmüller, H1
Hughes, J1
Atalaia, A1
Marini-Bettolo, C1
Baudouin, SV1
Anderson, KN1
Akins, BE1
Miranda, E1
Lacy, JM1
Logan, BK1
Krystal, AD1
Harsh, JR1
Yang, R1
Yang, RR1
Rippon, GA1
Lankford, DA1
Williams, SC1
Kennerson, M1
Rogers, NL1
Liu, PY1
Kaiser, PR1
Valko, PO1
Werth, E1
Thomann, J1
Meier, J1
Stocker, R1
Bassetti, CL1
Baumann, CR1
Crowley, RK1
Woods, C1
Fleming, M1
Rogers, B1
Behan, LA1
O'Sullivan, EP1
Kane, T1
Agha, A1
Smith, D1
Costello, RW1
Thompson, CJ1
Lower, EE1
Malhotra, A1
Surdulescu, V1
Baughman, RP1
Pollak, CP1
Pack, AI1
Cormican, LJ1
Williams, AJ1
Nikolaou, A1
Schiza, SE1
Giakoumaki, SG1
Roussos, P1
Siafakas, N1
Bitsios, P1
Arnulf, I1
Homeyer, P1
Garma, L1
Whitelaw, WA1
Derenne, JP1
Heitmann, J1
Cassel, W1
Grote, L1
Bickel, U1
Hartlaub, U1
Penzel, T1
Peter, JH1
Kingshott, RN1
Vennelle, M1
Coleman, EL1
Engleman, HM1
Mackay, TW1
Douglas, NJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Double-Blind, Placebo-Controlled, Study to Evaluate the Efficacy and Safety of Armodafinil for Adults With Excessive Sleepiness Associated With Obstructive Sleep Apnea/Hypopnea Syndrome With Major Depressive Disorder or Dysthymic Disorder[NCT00518986]Phase 4249 participants (Actual)Interventional2007-10-31Completed
A Randomized, Double Blind, Placebo Controlled Evaluation of Modafinil vs Placebo for the Treatment of General Anesthesia Related Delayed Emergence in Patients With the Diagnosis of Obstructive Sleep Apnea[NCT02494102]Phase 4105 participants (Actual)Interventional2016-02-29Terminated
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in the Excessive Sleepiness (ES) Symptom Rating Form - Sleepiness Scores at 12 Weeks

"Cephalon created the Excessive Sleepiness Symptom Rating Form to assess symptoms of excessive sleepiness. Patients rate 7 symptoms(Tiredness, Fatigue, Sleepiness, Lack of energy, Trouble paying attention, Forgetfulness, Trouble staying organized) each on an 11-point Likert scale(0=no problem at all 10=as bad as you can imagine). ES Symptom Rating Form was designed to follow the response to treatment (measuring severity) of each of these 7 symptoms using the same 11-point scale. Change from Baseline to 12 Weeks is presented only for the symptom of Sleepiness." (NCT00518986)
Timeframe: Baseline and 12 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-2.2
Placebo-1.3

Change From Baseline in the Excessive Sleepiness (ES) Symptom Rating Form - Sleepiness Scores at 2 Weeks

"Cephalon created the Excessive Sleepiness Symptom Rating Form to assess symptoms of excessive sleepiness. Patients rate 7 symptoms(Tiredness, Fatigue, Sleepiness, Lack of energy, Trouble paying attention, Forgetfulness, Trouble staying organized) each on an 11-point Likert scale(0=no problem at all 10=as bad as you can imagine). ES Symptom Rating Form was designed to follow the response to treatment (measuring severity) of each of these 7 symptoms using the same 11-point scale. Change from Baseline to 2 Weeks is presented only for the symptom of Sleepiness." (NCT00518986)
Timeframe: Baseline and 2 weeks

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.6
Placebo-1.2

Change From Baseline in the Excessive Sleepiness (ES) Symptom Rating Form - Sleepiness Scores at 4 Weeks

"Cephalon created the Excessive Sleepiness Symptom Rating Form to assess symptoms of excessive sleepiness. Patients rate 7 symptoms(Tiredness, Fatigue, Sleepiness, Lack of energy, Trouble paying attention, Forgetfulness, Trouble staying organized) each on an 11-point Likert scale(0=no problem at all 10=as bad as you can imagine). ES Symptom Rating Form was designed to follow the response to treatment (measuring severity) of each of these 7 symptoms using the same 11-point scale. Change from Baseline to 4 Weeks is presented only for the symptom of Sleepiness." (NCT00518986)
Timeframe: Baseline and 4 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-2.1
Placebo-1.1

Change From Baseline in the Excessive Sleepiness (ES) Symptom Rating Form - Sleepiness Scores at 8 Weeks

"Cephalon created the Excessive Sleepiness Symptom Rating Form to assess symptoms of excessive sleepiness. Patients rate 7 symptoms(Tiredness, Fatigue, Sleepiness, Lack of energy, Trouble paying attention, Forgetfulness, Trouble staying organized) each on an 11-point Likert scale(0=no problem at all 10=as bad as you can imagine). ES Symptom Rating Form was designed to follow the response to treatment (measuring severity) of each of these 7 symptoms using the same 11-point scale. Change from Baseline to 8 Weeks is presented only for the symptom of Sleepiness." (NCT00518986)
Timeframe: baseline and 8 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.8
Placebo-0.9

Change From Baseline in the Excessive Sleepiness (ES) Symptom Rating Form - Sleepiness Scores at Endpoint (12 Weeks or Last Observation After Baseline)

"The Excessive Sleepiness Symptom Rating Form was used to assess symptoms of excessive sleepiness. Patients rate 7 symptoms(tiredness, fatigue, sleepiness, lack of energy, trouble paying attention, forgetfulness, trouble staying organized) on an 11-point Likert scale (0 = no problem at all to 10 = as bad as you can imagine). ES Symptom Rating Form was designed to follow the response to treatment measuring severity of each of these 7 symptoms using the same 11-point scale. Change from Baseline to Endpoint (12 weeks or last baseline observation) is presented only for the symptom of Sleepiness." (NCT00518986)
Timeframe: Baseline and Endpoint (12 weeks or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.8
Placebo-1.4

Change From Baseline on Brief Fatigue Inventory (BFI) Interference Score at 12 Weeks (or Last Observation After Baseline)

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The Interference Score consists of 6 questions that ask subjects to rate on a 0 to 10 scale how during the past 24 hours fatigue has interfered with their general activity, mood, walking ability, normal work, relations with other people, and enjoyment of life. The scores are averaged (0-10) for the Interference Score. (NCT00518986)
Timeframe: Baseline and 12 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.1
Placebo-0.3

Change From Baseline on Brief Fatigue Inventory (BFI) Interference Score at 2 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The Interference Score consists of 6 questions that ask subjects to rate on a 0 to 10 scale how during the past 24 hours fatigue has interfered with their general activity, mood, walking ability, normal work, relations with other people, and enjoyment of life. The scores are averaged (0-10) for the Interference Score. (NCT00518986)
Timeframe: Baseline and 2 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-0.6
Placebo0.0

Change From Baseline on Brief Fatigue Inventory (BFI) Interference Score at 4 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The Interference Score consists of 6 questions that ask subjects to rate on a 0 to 10 scale how during the past 24 hours fatigue has interfered with their general activity, mood, walking ability, normal work, relations with other people, and enjoyment of life. The scores are averaged (0-10) for the Interference Score. (NCT00518986)
Timeframe: Baseline and 4 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.0
Placebo-0.6

Change From Baseline on Brief Fatigue Inventory (BFI) Interference Score at 8 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The Interference Score consists of 6 questions that ask subjects to rate on a 0 to 10 scale how during the past 24 hours fatigue has interfered with their general activity, mood, walking ability, normal work, relations with other people, and enjoyment of life. The scores are averaged (0-10) for the Interference Score. (NCT00518986)
Timeframe: Baseline and 8 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-0.9
Placebo-0.2

Change From Baseline on Brief Fatigue Inventory (BFI) Interference Score at Endpoint (12 Weeks or Last Observation After Baseline)

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The Interference Score consists of 6 questions that ask subjects to rate on a 0 to 10 scale how during the past 24 hours fatigue has interfered with their general activity, mood, walking ability, normal work, relations with other people, and enjoyment of life. The scores are averaged (0-10) for the Interference Score. (NCT00518986)
Timeframe: Baseline and at endpoint (12 weeks or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-0.9
Placebo-0.3

Change From Baseline on Brief Fatigue Inventory (BFI) Total Score at 12 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The total score is calculated by taking the sum of all 9 rating scales for a minimum score of 0 and a maximum score of 90. This assessment examines the difference in total BFI score from Baseline to 12 weeks. (NCT00518986)
Timeframe: Baseline and 12 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-10.5
Placebo-3.3

Change From Baseline on Brief Fatigue Inventory (BFI) Total Score at 2 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The total score is calculated by taking the sum of all 9 rating scales for a minimum score of 0 and a maximum score of 90. This assessment examines the difference in total BFI score from Baseline to 2 weeks. (NCT00518986)
Timeframe: Baseline and 2 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-6.1
Placebo-0.9

Change From Baseline on Brief Fatigue Inventory (BFI) Total Score at 4 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The total score is calculated by taking the sum of all 9 rating scales for a minimum score of 0 and a maximum score of 90. This assessment examines the difference in total BFI score from Baseline to 4 weeks. (NCT00518986)
Timeframe: Baseline and 4 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-9.5
Placebo-5.8

Change From Baseline on Brief Fatigue Inventory (BFI) Total Score at 8 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The total score is calculated by taking the sum of all 9 rating scales for a minimum score of 0 and a maximum score of 90. This assessment examines the difference in total BFI score from Baseline to 8 weeks. (NCT00518986)
Timeframe: Baseline and 8 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-8.8
Placebo-3.0

Change From Baseline on Brief Fatigue Inventory (BFI) Worse Daily Fatigue Score at 12 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. This measure compares the change in score from baseline to Week 12. (NCT00518986)
Timeframe: 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.4
Placebo-0.6

Change From Baseline on Brief Fatigue Inventory (BFI) Worse Daily Fatigue Score at 2 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. This measure compares the change in score from baseline to Week 2. (NCT00518986)
Timeframe: Baseline and 2 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.1
Placebo-0.2

Change From Baseline on Brief Fatigue Inventory (BFI) Worse Daily Fatigue Score at 4 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. This measure compares the change in score from baseline to Week 4. (NCT00518986)
Timeframe: Baseline and 4 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.2
Placebo-0.8

Change From Baseline on Brief Fatigue Inventory (BFI) Worse Daily Fatigue Score at 8 Weeks

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. This measure compares the change in score from baseline to Week 8. (NCT00518986)
Timeframe: Baseline and 8 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.2
Placebo-0.3

Change From Baseline on Epworth Sleepiness Scale (ESS) at 12 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The change in ESS total score from baseline to 12 weeks are summarized. (NCT00518986)
Timeframe: 12 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-6.8
Placebo-4.8

Change From Baseline on Epworth Sleepiness Scale (ESS) at 2 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The change in ESS total score from baseline to two weeks are summarized. (NCT00518986)
Timeframe: Baseline and 2 weeks following start of study drug administration

InterventionUnit on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-4.8
Placebo-3.8

Change From Baseline on Epworth Sleepiness Scale (ESS) at 4 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The change in ESS total score from baseline to 4 weeks are summarized. (NCT00518986)
Timeframe: Baseline and 4 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-5.5
Placebo-4.2

Change From Baseline on Epworth Sleepiness Scale (ESS) at 8 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The change in ESS total score from baseline to 8 weeks are summarized. (NCT00518986)
Timeframe: Baseline and 8 weeks after start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-6.0
Placebo-4.8

Change From Baseline on Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at 12 Weeks

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum = 2 maximum = 120) was calculated from the responses. The change in total score from baseline to 12 weeks is presented here. (NCT00518986)
Timeframe: baseline and 12 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day2.6
Placebo1.6

Change From Baseline on Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at 2 Weeks

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum = 2 maximum = 120) was calculated from the responses. The change in total score from baseline to 2 weeks is presented here. (NCT00518986)
Timeframe: baseline and 2 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day1.7
Placebo1.1

Change From Baseline on Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at 4 Weeks

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum = 2 maximum = 120) was calculated from the responses. The change in total score from baseline to 4 weeks is presented here. (NCT00518986)
Timeframe: baseline and 4 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day2.2
Placebo1.4

Change From Baseline on Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at 8 Weeks

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum = 2 maximum = 120) was calculated from the responses. The change in total score from baseline to 8 weeks is presented here. (NCT00518986)
Timeframe: baseline and 8 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day2.2
Placebo1.4

Change From Baseline on Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at Endpoint (12 Weeks or Last Observation After Baseline)

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum of 2 maximum of 120) was calculated from the responses. The change in total score from baseline to Endpoint (12 weeks or last observation after baseline) is presented here. (NCT00518986)
Timeframe: Baseline and endpoint (12 weeks after start of study drug or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day2.3
Placebo1.5

Change From Baseline on Maintenance of Wakefulness Test (MWT) at 12 Weeks

MWT measures ability of subject to remain awake. Subjects instructed to try and remain awake during series of four 30-minute periods (0900, 1100, 1300, and 1500) reclining in dark room. Each period was terminated immediately after sleep onset or at end of 30 minutes if no sleep occured. If subject fell asleep, they were awakened and not allowed to sleep for remainder of that 30 minute period. Change from Baseline to 12 weeks in mean sleep latency (measured in minutes)averaged from each of the four testing intervals was measured. The poorest outcome was 0 minutes the best was 30 minutes. (NCT00518986)
Timeframe: baseline and 12 weeks (or last observation after baseline)

InterventionMinutes (Least Squares Mean)
Armodafinil 200 mg/Day2.5
Placebo1.4

Change From Baseline on Maintenance of Wakefulness Test (MWT) at 4 Weeks

MWT measures ability of subject to remain awake. Subjects instructed to try and remain awake during series of four 30-minute periods (0900, 1100, 1300, and 1500) reclining in dark room. Each period was terminated immediately after sleep onset or at end of 30 minutes if no sleep occured. If subject fell asleep, they were awakened and not allowed to sleep for remainder of that 30 minute period. Change from Baseline to 4 weeks in mean sleep latency (measured in minutes)averaged from each of the four testing intervals was measured. The poorest outcome was 0 minutes the best was 30 minutes. (NCT00518986)
Timeframe: baseline and 4 weeks

InterventionMinutes (Least Squares Mean)
Armodafinil 200 mg/Day2.7
Placebo-0.1

Change From Baseline on Maintenance of Wakefulness Test (MWT) at 8 Weeks

MWT measures ability of subject to remain awake. Subjects instructed to try and remain awake during series of four 30-minute periods (0900, 1100, 1300, and 1500) reclining in dark room. Each period was terminated immediately after sleep onset or at end of 30 minutes if no sleep occured. If subject fell asleep, they were awakened and not allowed to sleep for remainder of that 30 minute period. Change from Baseline to 8 weeks in mean sleep latency (measured in minutes)averaged from each of the four testing intervals was measured. The poorest outcome was 0 minutes the best was 30 minutes. (NCT00518986)
Timeframe: Baseline and 8 weeks following start of study drug administration

InterventionMinutes (Least Squares Mean)
Armodafinil 200 mg/Day2.1
Placebo1.2

Change From Baseline on Maintenance of Wakefulness Test (MWT) to Endpoint (12 Weeks or Last Observation After Baseline)

MWT measures ability of subject to remain awake. Subjects instructed to try and remain awake during series of 4 30-minute periods (0900, 1100, 1300, and 1500) reclining in dark room. Each period was terminated immediately after sleep onset or at end of 30 minutes if no sleep occurred. If subject fell asleep, they were awakened and not allowed to sleep for remainder of that 30 minute period. Change from Baseline to Endpoint (12 weeks or last observation after baseline) in mean sleep latency averaged from the 4 intervals was measured. Poorest outcome was 0 minutes the best was 30 minutes. (NCT00518986)
Timeframe: Baseline and 12 weeks (or last observation after baseline)

InterventionMinutes (Mean)
Armodafinil 200 mg/Day2.6
Placebo1.1

Change From Baseline on Medical Outcomes Study 6 Item Cognitive Functioning (MOS-CF6) Scale at 12 Weeks

"The MOS-CF6 assesses self-reported cognitive function. Items were selected to cover 6 relevant aspects of cognitive functioning as follows: confusion, concentration/thinking, attention, memory, reasoning, problem-solving, and processing speed. The MOS-CF6 responses includes 6 choices, ranging from none of the time to all of the time. The MOS-CF6 is scored by summing responses across the 6 items and converting the total to a 0 - 100 point scale, with the higher score indicating better cognitive functioning. Data is presented showing the change in score from baseline to 12 weeks." (NCT00518986)
Timeframe: baseline and 12 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day3.3
Placebo2.4

Change From Baseline on Medical Outcomes Study 6 Item Cognitive Functioning (MOS-CF6) Scale at 2 Weeks

"The MOS-CF6 assesses self-reported cognitive function. Items were selected to cover 6 relevant aspects of cognitive functioning as follows: confusion, concentration/thinking, attention, memory, reasoning, problem-solving, and processing speed. The MOS-CF6 responses includes 6 choices, ranging from none of the time to all of the time. The MOS-CF6 is scored by summing responses across the 6 items and converting the total to a 0 - 100 point scale, with the higher score indicating better cognitive functioning. Data is presented showing the change in score from baseline to 2 weeks." (NCT00518986)
Timeframe: baseline and 2 weeks

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day2.0
Placebo1.9

Change From Baseline on Medical Outcomes Study 6 Item Cognitive Functioning (MOS-CF6) Scale at 4 Weeks

"The MOS-CF6 assesses self-reported cognitive function. Items were selected to cover 6 relevant aspects of cognitive functioning as follows: confusion, concentration/thinking, attention, memory, reasoning, problem-solving, and processing speed. The MOS-CF6 responses includes 6 choices, ranging from none of the time to all of the time. The MOS-CF6 is scored by summing responses across the 6 items and converting the total to a 0 - 100 point scale, with the higher score indicating better cognitive functioning. Data is presented showing the change in score from baseline to 4 weeks." (NCT00518986)
Timeframe: baseline and 4 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day3.4
Placebo2.4

Change From Baseline on Medical Outcomes Study 6 Item Cognitive Functioning (MOS-CF6) Scale at 8 Weeks

"The MOS-CF6 assesses self-reported cognitive function. Items were selected to cover 6 relevant aspects of cognitive functioning as follows: confusion, concentration/thinking, attention, memory, reasoning, problem-solving, and processing speed. The MOS-CF6 responses includes 6 choices, ranging from none of the time to all of the time. The MOS-CF6 is scored by summing responses across the 6 items and converting the total to a 0 - 100 point scale, with the higher score indicating better cognitive functioning. Data is presented showing the change in score from baseline to 8 weeks." (NCT00518986)
Timeframe: baseline and 8 weeks following start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day3.3
Placebo2.1

Change From Baseline on Medical Outcomes Study 6 Item Cognitive Functioning (MOS-CF6) Scale at Endpoint (12 Weeks or Last Observation After Baseline)

"The MOS-CF6 assesses self-reported cognitive function. Items were selected to cover 6 relevant aspects of cognitive functioning:confusion, concentration/thinking, attention, memory, reasoning, problem-solving, and processing speed. Responses range from none of the time to all of the time. The MOS-CF6 is scored by summing responses across the 6 items and converting the total to a 0 - 100 point scale, with the higher score indicating better cognitive functioning. Data is presented showing the change in score from baseline to Endpoint (12 weeks or last observation after baseline)." (NCT00518986)
Timeframe: Baseline and Endpoint (12 weeks or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day3.2
Placebo2.4

Change From Baseline on the Brief Fatigue Inventory (BFI) Worst Daily Fatigue Score at Endpoint (12 Weeks or Last Observation After Baseline)

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with >= 7 indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. This measure compares the change in score from baseline to Week 12 (or last observation after baseline). (NCT00518986)
Timeframe: Baseline and 12 weeks or last observation after baseline

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-1.3
Placebo-0.7

Change From Baseline on the Epworth Sleepiness Scale (ESS) at Endpoint (12 Weeks or Last Measurement After Baseline)

For this key secondary outcome the ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The change in ESS total score from baseline to Endpoint (12 weeks or last observation after baseline) are summarized. (NCT00518986)
Timeframe: Baseline and 12 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-6.5
Placebo-4.6

Change From Baseline to Endpoint (Week 12 or Last Observation After Baseline) in the Brief Fatigue Inventory (BFI) Total Score

The Brief Fatigue Inventory (BFI) is a subjective-completed tool for the assessment of the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The total score is calculated by taking the sum of all 9 rating scales for a minimum score of 0 and a maximum score of 90. This assessment examines the difference in total BFI score from Baseline to 12 weeks or last observation after baseline. (NCT00518986)
Timeframe: Baseline and 12 weeks following start of study drug administration or last recorded observation

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 200 mg/Day-8.9
Placebo-3.8

Clinical Global Impression of Change (CGI C) at 4 Weeks - Full Scale

The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates 7 responses: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. The results for the number of participants who responded to each item on the full scale at 4 weeks are presented. (NCT00518986)
Timeframe: 4 weeks after start of treatment

,
InterventionParticipants (Number)
Very much improvedMuch improvedMinimally improvedNo changeMinimally worseMuch worseVery much worse
Armodafinil 200 mg/Day15342632310
Placebo11213237520

Clinical Global Impression of Change (CGI-C) at 12 Weeks

The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates 7 responses: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. Proportion of responders who had at least minimal improvement in CGI-C ratings (as related to sleepiness) were assessed. (NCT00518986)
Timeframe: 12 weeks after beginning treatment

,
InterventionParticipants (Number)
At least minimal improvementNo improvement
Armodafinil 200 mg/Day6927
Placebo5342

Clinical Global Impression of Change (CGI-C) at 12 Weeks - Full Scale

The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates 7 responses: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. The results for the number of participants who responded to each item on the full scale at 12 weeks are presented. (NCT00518986)
Timeframe: 12 weeks after starting study drug treatment

,
InterventionParticipants (Number)
Very much improvedMuch improvedMinimally improvedNo changeMinimally worseMuch worseVery much worse
Armodafinil 200 mg/Day27202222410
Placebo11222034710

Clinical Global Impression of Change (CGI-C) at 4 Weeks

"The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates 7 responses: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. Proportion of responders who had at least minimally improved in CGI-C ratings (as related to sleepiness) at 4 weeks were assessed." (NCT00518986)
Timeframe: 4 weeks after beginning study drug treatment

,
InterventionParticipants (Number)
At least minimal improvementNo improvement
Armodafinil 200 mg/Day7536
Placebo6444

Clinical Global Impression of Change (CGI-C) at 8 Weeks

"The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates 7 responses: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. Proportion of responders who had at least minimally improved in CGI-C ratings (as related to sleepiness) at 8 weeks were assessed." (NCT00518986)
Timeframe: 8 weeks after beginning study drug treatment

,
InterventionParticipants (Number)
At least minimal improvementNo improvement
Armodafinil 200 mg/Day7628
Placebo5246

Clinical Global Impression of Change (CGI-C) at 8 Weeks - Full Scale

The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates 7 responses: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. The results for the number of participants who responded to each item on the full scale at 8 weeks are presented. (NCT00518986)
Timeframe: 8 weeks after start of study drug treatment

,
InterventionParticipants (Number)
Very much improvedMuch improvedMinimally improvedNo changeMinimally worseMuch worseVery much worse
Armodafinil 200 mg/Day16392126110
Placebo11192237720

Clinical Global Impression of Change (CGI-C) at Endpoint (12-weeks or Last Observation After Baseline)

"The CGI-C is a clinician's rating of disease severity compared with baseline as assessed by Clinical Global Impression of Severity (CGI-S). CGI-C rates improvement by 7 categories: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. CGI-S measured 7 categories of illness as well: normal, borderline ill, mildly ill, moderately ill, markedly ill, severely ill, among most extremely ill. Proportion of responders who had at least minimally improved in CGI-C ratings (as related to sleepiness) were assessed." (NCT00518986)
Timeframe: 12 weeks (or last observation after baseline)

,
InterventionParticipants (Number)
At least minimal improvementNo improvement
Armodafinil 200 mg/Day7835
Placebo5953

Number of Responders According to Brief Fatigue Inventory (BFI) Worst Fatigue Score at Endpoint (12 Weeks or Last Observation After Baseline)

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. Subjects were considered responders if the final Worst Fatigue Score was < 7 at Week 12 or last observation after baseline. (NCT00518986)
Timeframe: 12 weeks after start of study drug administration (or last observation after baseline)

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day6349
Placebo5655

Number of Responders According to the Brief Fatigue Inventory (BFI) Worst Fatigue Score at 12 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. Subjects were considered responders if the final Worst Fatigue Score was < 7 at Week 12. (NCT00518986)
Timeframe: 12 weeks after start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day5541
Placebo4847

Number of Responders According to the Brief Fatigue Inventory (BFI) Worst Fatigue Score at 2 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. Subjects were considered responders if the final Worst Fatigue Score was < 7 at Week 2. (NCT00518986)
Timeframe: 2 weeks after start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day6248
Placebo4365

Number of Responders According to the Brief Fatigue Inventory (BFI) Worst Fatigue Score at 4 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. Subjects were considered responders if the final Worst Fatigue Score was < 7 at Week 4. (NCT00518986)
Timeframe: 4 weeks after start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day6249
Placebo5751

Number of Responders According to the Brief Fatigue Inventory (BFI) Worst Fatigue Score at 8 Weeks

The Brief Fatigue Inventory (BFI) assesses the impact of fatigue on daily functioning. Simple numeric rating scales from 0 to 10 are used. The higher scores are associated with more severe fatigue, with any score >= 7 considered to be indicative of severe fatigue. The worst daily fatigue score reports the outcome of a single item on the BFI that rates the worst fatigue experienced over the day on a scale from 0 to 10 with 0 being no fatigue and 10 being most severe. Subjects were considered responders if the final Worst Fatigue Score was < 7 at Week 8. (NCT00518986)
Timeframe: 8 weeks after start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day6341
Placebo4256

Number of Responders According to the Epworth Sleepiness Scale (ESS) Total Score at 12 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The number of responders who had a total ESS score < 10 and the number of non-responders with a total score >= 10 at 12 weeks are presented. (NCT00518986)
Timeframe: 12 weeks

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day6531
Placebo4748

Number of Responders According to the Epworth Sleepiness Scale (ESS) Total Score at 2 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The number of responders who had a total ESS score < 10 and the number of non-responders with a total score >= 10 at 2 weeks are presented. (NCT00518986)
Timeframe: 2 weeks

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day5453
Placebo4064

Number of Responders According to the Epworth Sleepiness Scale (ESS) Total Score at 4 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The number of responders who had a total ESS score < 10 and the number of non-responders with a total score >= 10 at 4 weeks are presented. (NCT00518986)
Timeframe: 4 weeks

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day5952
Placebo4563

Number of Responders According to the Epworth Sleepiness Scale (ESS) Total Score at 8 Weeks

ESS score is based on responses to questions (self administered) that assessed the propensity of the subject to fall asleep in 8 everyday situations (sitting and reading, talking to someone, being stopped in traffic, etc.) Scores for the ESS range from 0 to 24, with a higher score indicating greater daytime sleepiness. The number of responders who had a total ESS score < 10 and the number of non-responders with a total score >= 10 at 8 weeks are presented. (NCT00518986)
Timeframe: 8 weeks

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day6439
Placebo4751

Number of Responders According to the Functional Outcomes of Sleep Questionnaire (FOSQ) at Week 12

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum = 2 maximum = 120) was calculated from the responses. A responder analysis defining responders as patients with a total score > 17.9 at 12 weeks is presented here. (NCT00518986)
Timeframe: 12 weeks following the start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day4351
Placebo2866

Number of Responders According to the Functional Outcomes of Sleep Questionnaire (FOSQ) at Week 4

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum=2 maximum = 120) was calculated from the responses. A responder analysis defining responders as patients with a total score > 17.9 at 4 weeks is presented here. (NCT00518986)
Timeframe: 4 weeks following start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day4560
Placebo2479

Number of Responders According to the Functional Outcomes of Sleep Questionnaire (FOSQ) at Week 8

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score was calculated from the responses (minimum = 2 maximum = 120). A responder analysis defining responders as patients with a total score > 17.9 at 8 weeks is presented here. (NCT00518986)
Timeframe: 8 weeks following start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day3665
Placebo2077

Number of Responders According to the Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at 2 Weeks

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum=2 maximum=120) was calculated from the responses. A responder analysis defining responders as patients with a total score > 17.9 at 2 weeks is presented here. (NCT00518986)
Timeframe: 2 weeks following start of study drug administration

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day3075
Placebo1984

Number of Responders According to the Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score at Endpoint (Week 12 or Last Observation After Baseline)

The FOSQ is a self-administered questionnaire that assess the impact of excessive sleepiness on functional outcomes relevant to daily behaviors. The questionnaire contains 30 questions each rated from 1 to 4 (1 indicating extreme difficulty 4 indicating no difficulty, or 0 indicating not applicable). A total score (minimum = 2 maximum = 120) was calculated from the responses. A responder analysis defining responders as patients with a total score > 17.9 at Endpoint (12 weeks or last observation after baseline) is presented. (NCT00518986)
Timeframe: Endpoint (week 12 or last observation after baseline)

,
InterventionParticipants (Number)
RespondersNon-responders
Armodafinil 200 mg/Day4961
Placebo3078

Length of Time From Extubation to Discharge From Postanesthesia Recovery Unit

Length of time of above compared between groups (NCT02494102)
Timeframe: 24 hours

Interventionminutes (Mean)
Placebo53.5
Modafinil61.0

Postanesthesia Quality Recovery Scale Score

Postanesthesia quality recovery scale (PQRS). Component and aggregate scoring on the scale. Measures physiology, nociceptive, emotional activities of daily living cognitive and overall patient perspective. The scale is dimensionless and the aggregate of all individually tested dimensions is scaled from 17-65. A higher value implies improved postanesthesia recovery. Mean difference was assessed in each patient and aggregated thus patients with no difference between pre- and post-operative scores were zeroed (received a zero score if the difference was zero). A negative value was associated with worse outcome. (NCT02494102)
Timeframe: baseline and 6 hours after surgery

Interventionunits on a scale (Mean)
Placebo-5.67
Modafinil-8.91

Reviews

2 reviews available for modafinil and Apnea, Sleep

ArticleYear
Daytime sleepiness and myotonic dystrophy.
    Current neurology and neuroscience reports, 2013, Volume: 13, Issue:4

    Topics: Age of Onset; Alternative Splicing; Benzhydryl Compounds; Brain Chemistry; Brain Stem; Combined Moda

2013
Should a pharmaceutical be approved for the broad indication of excessive sleepiness?
    American journal of respiratory and critical care medicine, 2003, Jan-15, Volume: 167, Issue:2

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Disorders of Excessive Somnolence; Drug App

2003

Trials

10 trials available for modafinil and Apnea, Sleep

ArticleYear
Does Armodafinil Improve Driving Task Performance and Weight Loss in Sleep Apnea? A Randomized Trial.
    American journal of respiratory and critical care medicine, 2018, 10-01, Volume: 198, Issue:7

    Topics: Adult; Australia; Automobile Driving; Combined Modality Therapy; Diet, Reducing; Double-Blind Method

2018
A double-blind, placebo-controlled study of armodafinil for excessive sleepiness in patients with treated obstructive sleep apnea and comorbid depression.
    The Journal of clinical psychiatry, 2010, Volume: 71, Issue:1

    Topics: Antidepressive Agents; Benzhydryl Compounds; Central Nervous System Stimulants; Continuous Positive

2010
Modafinil effects during acute continuous positive airway pressure withdrawal: a randomized crossover double-blind placebo-controlled trial.
    American journal of respiratory and critical care medicine, 2010, Apr-15, Volume: 181, Issue:8

    Topics: Accidents, Traffic; Automobile Driving; Benzhydryl Compounds; Central Nervous System Stimulants; Con

2010
Modafinil ameliorates excessive daytime sleepiness after traumatic brain injury.
    Neurology, 2010, Nov-16, Volume: 75, Issue:20

    Topics: Adult; Aged; Benzhydryl Compounds; Brain Injuries; Disorders of Excessive Somnolence; Double-Blind M

2010
Somnolence in adult craniopharyngioma patients is a common, heterogeneous condition that is potentially treatable.
    Clinical endocrinology, 2011, Volume: 74, Issue:6

    Topics: Adult; Aged; Benzhydryl Compounds; Central Nervous System Stimulants; Continuous Positive Airway Pre

2011
Armodafinil for sarcoidosis-associated fatigue: a double-blind, placebo-controlled, crossover trial.
    Journal of pain and symptom management, 2013, Volume: 45, Issue:2

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Cross-Over Studies; Dose-Response Re

2013
The 5-min pupillary alertness test is sensitive to modafinil: a placebo controlled study in patients with sleep apnea.
    Psychopharmacology, 2008, Volume: 196, Issue:2

    Topics: Adult; Arousal; Benzhydryl Compounds; Body Mass Index; Central Nervous System Stimulants; Circadian

2008
Modafinil in obstructive sleep apnea-hypopnea syndrome: a pilot study in 6 patients.
    Respiration; international review of thoracic diseases, 1997, Volume: 64, Issue:2

    Topics: Aged; Benzhydryl Compounds; Central Nervous System Stimulants; Cross-Over Studies; Double-Blind Meth

1997
Does short-term treatment with modafinil affect blood pressure in patients with obstructive sleep apnea?
    Clinical pharmacology and therapeutics, 1999, Volume: 65, Issue:3

    Topics: Adult; Benzhydryl Compounds; Blood Pressure; Central Nervous System Stimulants; Cross-Over Studies;

1999
Randomized, double-blind, placebo-controlled crossover trial of modafinil in the treatment of residual excessive daytime sleepiness in the sleep apnea/hypopnea syndrome.
    American journal of respiratory and critical care medicine, 2001, Volume: 163, Issue:4

    Topics: Administration, Oral; Adult; Aged; Analysis of Variance; Benzhydryl Compounds; Circadian Rhythm; Cro

2001

Other Studies

7 other studies available for modafinil and Apnea, Sleep

ArticleYear
Comparison of the Efficacy, Side Effects, and Cost of Modafinil and Intranasal Mometasone Furoate in Obstructive Sleep Apnea-Hypopnea Syndrome: A Preliminary Clinical Study.
    Medical science monitor : international medical journal of experimental and clinical research, 2018, May-11, Volume: 24

    Topics: Administration, Intranasal; Adult; Benzhydryl Compounds; Female; Humans; Male; Modafinil; Mometasone

2018
Managing Sleep Apnea in Those Who Fail Continuous Positive Airway Pressure. Dealing with the Invisible Epidemic.
    American journal of respiratory and critical care medicine, 2018, 10-01, Volume: 198, Issue:7

    Topics: Continuous Positive Airway Pressure; Humans; Modafinil; Sleep Apnea Syndromes; Task Performance and

2018
Modafinil and the risk of cardiovascular events: Findings from three US claims databases.
    Pharmacoepidemiology and drug safety, 2018, Volume: 27, Issue:11

    Topics: Administrative Claims, Healthcare; Adolescent; Adult; Aged; Cause of Death; Confounding Factors, Epi

2018
Sleepiness and Sleep-related Breathing Disorders in Myotonic Dystrophy and Responses to Treatment: A Prospective Cohort Study.
    Journal of neuromuscular diseases, 2016, 11-29, Volume: 3, Issue:4

    Topics: Adolescent; Adult; Aged; Benzhydryl Compounds; Cohort Studies; Comorbidity; Continuous Positive Airw

2016
A multi-drug intoxication fatality involving Xyrem (GHB).
    Journal of forensic sciences, 2009, Volume: 54, Issue:2

    Topics: Amines; Benzhydryl Compounds; Carisoprodol; Central Nervous System Depressants; Cetirizine; Cyclohex

2009
Con: modafinil has no role in management of sleep apnea.
    American journal of respiratory and critical care medicine, 2003, Jan-15, Volume: 167, Issue:2

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Controlled Clinical Trials as Topic; Female

2003
Fragmentation of sleep-wake cycle secondary to narcolepsy and Cheyne-Stokes respiration.
    Sleep medicine, 2005, Volume: 6, Issue:1

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Cheyne-Stokes Respiration; Humans; Male; Mi

2005