modafinil has been researched along with Bipolar Disorder in 41 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.
Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.
Excerpt | Relevance | Reference |
---|---|---|
"Suboptimal outcomes are common in bipolar disorder (BD) pharmacotherapy, and may be mitigated with novel adjunctive agents such as modafinil (a low-affinity dopamine transport inhibitor) and pramipexole (a dopamine D2/D3 receptor agonist)." | 7.79 | Superior chronic tolerability of adjunctive modafinil compared to pramipexole in treatment-resistant bipolar disorder. ( Dell'osso, B; Hill, SJ; Hooshmand, F; Ketter, TA; Miller, S; Portillo, N; Timtim, S; Wang, PW, 2013) |
"These data suggest that adjunctive modafinil at doses of 100-200 mg a day may improve depressive symptoms in patients with bipolar disorder." | 5.12 | A placebo-controlled evaluation of adjunctive modafinil in the treatment of bipolar depression. ( Altshuler, LL; Frye, MA; Grunze, H; Hwang, S; Keck, PE; Leverich, GS; McElroy, SL; Mintz, J; Nakelsky, S; Post, RM; Suppes, T; Walden, J, 2007) |
"The use of traditional psychostimulants (methylphenidate and dexamphetamine) and stimulant-like drugs (modafinil and armodafinil) for the treatment of depression is a growing concern given the lack of research evidence supporting their effectiveness." | 4.93 | Stimulants for depression: On the up and up? ( Bassett, D; Boyce, P; Byrow, Y; Hopwood, M; Lyndon, W; Malhi, GS; Mulder, R; Murray, G; Porter, R; Singh, A, 2016) |
"Modafinil is an effective augmentation strategy for acute depressive episodes, including for symptoms of fatigue, in both unipolar and bipolar disorders." | 4.89 | Modafinil augmentation therapy in unipolar and bipolar depression: a systematic review and meta-analysis of randomized controlled trials. ( Costafreda, SG; Fu, CH; Goss, AJ; Kaser, M; Sahakian, BJ, 2013) |
"Suboptimal outcomes are common in bipolar disorder (BD) pharmacotherapy, and may be mitigated with novel adjunctive agents such as modafinil (a low-affinity dopamine transport inhibitor) and pramipexole (a dopamine D2/D3 receptor agonist)." | 3.79 | Superior chronic tolerability of adjunctive modafinil compared to pramipexole in treatment-resistant bipolar disorder. ( Dell'osso, B; Hill, SJ; Hooshmand, F; Ketter, TA; Miller, S; Portillo, N; Timtim, S; Wang, PW, 2013) |
"We report the case of a 22-year-old male who exhibited severe manic behavior shortly after beginning treatment with modafinil and venlafaxine for narcolepsy with cataplexy." | 3.77 | Severe mania complicating treatment of narcolepsy with cataplexy. ( Bradshaw, DA; Crosby, MI; McLay, RN, 2011) |
"To report 2 cases of bipolar disorder with recent depression in remission with prominent residual hypersomnia, responding well to the addition of the psychostimulant modafinil." | 3.72 | Modafinil for remitted bipolar depression with hypersomnia. ( Fernandes, PP; Petty, F, 2003) |
" Headache, insomnia, and anxiety were the most common adverse events (AEs) reported, whereas akathisia, nausea, sedation/somnolence, and weight increase were uncommon." | 2.82 | Long-term safety and efficacy of armodafinil in bipolar depression: A 6-month open-label extension study. ( Amchin, J; Frye, MA; Gross, N; Ketter, TA, 2016) |
"Armodafinil was well-tolerated." | 2.80 | Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder. ( Frye, MA; Ketter, TA; Yang, R, 2015) |
" Adverse events (AEs) observed in > 5% of either the armodafinil 150 mg or placebo groups and more frequently with 150 mg armodafinil were diarrhea (9% [17/198] vs 7% [13/199]), and nausea (6% [11/198] vs 5% [9/199]), respectively." | 2.79 | Efficacy and safety of adjunctive armodafinil in adults with major depressive episodes associated with bipolar I disorder: a randomized, double-blind, placebo-controlled, multicenter trial. ( Calabrese, JR; Frye, MA; Ketter, TA; Yang, R, 2014) |
"Armodafinil was not associated with an increased incidence and/or severity of suicidality, depression, or mania or with changes in metabolic profile measurements." | 2.75 | Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder: a randomized, multicenter, double-blind, placebo-controlled, proof-of-concept study. ( Calabrese, JR; Frye, MA; Ketter, TA; Tiller, JM; Yang, R; Youakim, JM, 2010) |
"Concerning bipolar depression, modafinil/armodafinil (for response, remission, and symptoms reduction at 6-8 weeks) and pramipexole (for response and symptoms reduction at 6 weeks) were superior to placebo, despite the low quality of evidence." | 2.72 | Repurposed drugs as adjunctive treatments for mania and bipolar depression: A meta-review and critical appraisal of meta-analyses of randomized placebo-controlled trials. ( Bachi, B; Bartoli, F; Carrà, G; Cavaleri, D; Crocamo, C; Moretti, F; Riboldi, I, 2021) |
"Moreover, the use of antidepressants in bipolar depression is controversial due to concerns regarding the risks of inefficacy or switching to mood elevation." | 2.49 | Use of adjunctive stimulants in adult bipolar depression. ( Dell'Osso, B; Ketter, TA, 2013) |
" Armodafinil shows a linear pharmacokinetic profile over a broad dose range of 50 - 400 mg (maximal plasma concentration and area under concentration-time curve)." | 2.48 | Pharmacokinetic evaluation of armodafinil for the treatment of bipolar depression. ( Joos, L; Maudens, KE; Morrens, M; Neels, H; Niemegeers, P; Patteet, L; Sabbe, BG, 2012) |
"Lamotrigine was considered to have mixed support." | 2.47 | Pharmacotherapy for the treatment of acute bipolar II depression: current evidence. ( Swartz, HA; Thase, ME, 2011) |
"Modafinil is a novel stimulant approved for treating improving wakefulness in patients with excessive sleepiness associated with narcolepsy, obstructive sleep apnea, and shift-work sleep disorder." | 2.44 | Adjunctive use of modafinil in bipolar patients: just another stimulant or not? ( Reddy, R; Shelton, RC, 2008) |
"Standard antidepressants approved for treating major depressive disorder fail to exert efficacy in bipolar depression." | 1.91 | High-dose armodafinil in treatment-refractory bipolar depression. ( Kwok, WY; Nasrallah, HA; Stephens, V, 2023) |
" This study was designed to evaluate the bidirectional carbamazepine-armodafinil pharmacokinetic drug-drug interaction." | 1.42 | Evaluation of the potential for pharmacokinetic drug-drug interaction between armodafinil and carbamazepine in healthy adults. ( Bond, M; Darwish, M; Hellriegel, ET; Robertson, P; Yang, R, 2015) |
"Modafinil is a novel psychostimulant that has shown efficacy in, and was recently marketed for, treating excessive daytime sleepiness associated with narcolepsy." | 1.31 | Modafinil augmentation of antidepressant treatment in depression. ( Castellanos, A; Kaufman, KR; Menza, MA, 2000) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 12 (29.27) | 29.6817 |
2010's | 25 (60.98) | 24.3611 |
2020's | 4 (9.76) | 2.80 |
Authors | Studies |
---|---|
Bartoli, F | 1 |
Cavaleri, D | 1 |
Bachi, B | 1 |
Moretti, F | 1 |
Riboldi, I | 1 |
Crocamo, C | 1 |
Carrà, G | 1 |
Kwok, WY | 1 |
Stephens, V | 1 |
Nasrallah, HA | 1 |
Nunez, NA | 1 |
Singh, B | 1 |
Romo-Nava, F | 1 |
Joseph, B | 1 |
Veldic, M | 1 |
Cuellar-Barboza, A | 1 |
Cabello Arreola, A | 1 |
Vande Voort, JL | 1 |
Croarkin, P | 1 |
Moore, KM | 1 |
Biernacka, J | 1 |
McElroy, SL | 2 |
Frye, MA | 6 |
Henry, C | 1 |
Smadja, S | 1 |
Francois, D | 1 |
Chelidze, K | 1 |
McIntyre, RS | 1 |
Cha, DS | 1 |
Kim, RD | 1 |
Mansur, RB | 1 |
Bavle, A | 1 |
Phatak, A | 1 |
Goss, AJ | 1 |
Kaser, M | 1 |
Costafreda, SG | 1 |
Sahakian, BJ | 1 |
Fu, CH | 1 |
Calabrese, JR | 2 |
Yang, R | 4 |
Ketter, TA | 7 |
El-Mallakh, RS | 2 |
Ostacher, MJ | 1 |
Darwish, M | 1 |
Bond, M | 1 |
Hellriegel, ET | 1 |
Robertson, P | 1 |
Wang, PW | 2 |
Miller, S | 2 |
Malhi, GS | 1 |
Byrow, Y | 1 |
Bassett, D | 1 |
Boyce, P | 1 |
Hopwood, M | 1 |
Lyndon, W | 1 |
Mulder, R | 1 |
Porter, R | 1 |
Singh, A | 1 |
Murray, G | 1 |
Amchin, J | 1 |
Gross, N | 1 |
Willavize, S | 1 |
Fiedler-Kelly, J | 1 |
Ludwig, E | 1 |
Guan, L | 1 |
Shelton, RC | 1 |
Reddy, R | 1 |
Schoenknecht, P | 1 |
Olbrich, S | 1 |
Sander, C | 1 |
Spindler, P | 1 |
Hegerl, U | 1 |
Black, W | 1 |
Hoey, P | 1 |
Mayze, T | 1 |
Youakim, JM | 1 |
Tiller, JM | 1 |
Elmaadawi, AZ | 1 |
Loganathan, M | 1 |
Lohano, K | 1 |
Gao, Y | 1 |
Swartz, HA | 1 |
Thase, ME | 1 |
Maser, RV | 1 |
Liao, B | 1 |
Pandya, R | 1 |
Crosby, MI | 1 |
Bradshaw, DA | 1 |
McLay, RN | 1 |
Videbech, P | 1 |
Dell'Osso, B | 2 |
Niemegeers, P | 1 |
Maudens, KE | 1 |
Morrens, M | 1 |
Patteet, L | 1 |
Joos, L | 1 |
Neels, H | 1 |
Sabbe, BG | 1 |
van Enkhuizen, J | 1 |
Geyer, MA | 1 |
Young, JW | 1 |
Timtim, S | 1 |
Hooshmand, F | 1 |
Hill, SJ | 1 |
Portillo, N | 1 |
Fernandes, PP | 1 |
Petty, F | 1 |
Berigan, T | 1 |
Vorspan, F | 1 |
Warot, D | 1 |
Consoli, A | 1 |
Cohen, D | 1 |
Mazet, P | 1 |
Ranjan, S | 1 |
Chandra, PS | 1 |
Even, C | 1 |
Thuile, J | 1 |
Santos, J | 1 |
Bourgin, P | 1 |
Wolf, J | 1 |
Fiedler, U | 1 |
Anghelescu, I | 1 |
Schwertfeger, N | 1 |
Belmaker, RH | 1 |
Grunze, H | 1 |
Suppes, T | 1 |
Keck, PE | 1 |
Walden, J | 1 |
Leverich, GS | 1 |
Altshuler, LL | 1 |
Nakelsky, S | 1 |
Hwang, S | 1 |
Mintz, J | 1 |
Post, RM | 1 |
Fountoulakis, KN | 1 |
Siamouli, M | 1 |
Panagiotidis, P | 1 |
Magiria, S | 1 |
Kantartzis, S | 1 |
Iacovides, A | 1 |
Kaprinis, GS | 1 |
Plante, DT | 1 |
Menza, MA | 1 |
Kaufman, KR | 1 |
Castellanos, A | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Double-Blind, Placebo-Controlled, Parallel-Group, Fixed-Dosage Study to Evaluate the Efficacy and Safety of Armodafinil Treatment (150 and 200 mg/Day) as Adjunctive Therapy in Adults With Major Depression Associated With Bipolar I Disorder[NCT01072929] | Phase 3 | 433 participants (Actual) | Interventional | 2010-01-31 | Completed | ||
A Double-Blind, Placebo-Controlled, Parallel-Group, Fixed-Dosage Study to Evaluate the Efficacy and Safety of Armodafinil Treatment (150 and 200 mg/Day) as Adjunctive Therapy in Adults With Major Depression Associated With Bipolar I Disorder[NCT01072630] | Phase 3 | 492 participants (Actual) | Interventional | 2010-03-31 | Completed | ||
An 8 Week Double Blind, Placebo-Controlled, Parallel Group, Fixed Dosage Study to Evaluate the Efficacy and Safety of Armodafinil Treatment (150mg/Day) as Adjunctive Therapy in Adults With Major Depression Associated With Bipolar I Disorder[NCT00481195] | Phase 2 | 257 participants (Actual) | Interventional | 2007-06-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
HAM-A measures the severity of anxiety symptoms. The scale consists of 14 items, each defined by a series of symptoms, and measures both psychic anxiety (mental agitation and psychological distress) and somatic anxiety (physical complaints related to anxiety). Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Negative change from baseline scores indicate a decrease in severity of anxiety. (NCT01072929)
Timeframe: Day 0 (baseline), last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) |
---|---|
Placebo | -4.2 |
Armodafinil 150 mg/Day | -4.2 |
Armodafinil 200 mg/Day | -3.3 |
The ISI is a participant-rated, 7-item questionnaire designed to assess the severity of the participant's insomnia. Each item is ranked 0 (none) through 4 (very severe) and has a descriptor associated with each severity level. Total range is 0 (no insomnia) to 28 (very severe insomnia). Responses to each item are added to obtain a total score to determine the severity of insomnia. Negative change from baseline scores indicate a decrease in severity of insomnia. (NCT01072929)
Timeframe: Day 0 (baseline), last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) |
---|---|
Placebo | -6.4 |
Armodafinil 150 mg/Day | -6.5 |
Armodafinil 200 mg/Day | -5.6 |
The YMRS is a clinician-rated, 11-item checklist used to measure the severity of manic episodes. Information for assigning scores is gained from the participant's subjective reported symptoms over the previous 48 hours and from clinical observation during the interview. Seven items are ranked 0 through 4 and have descriptors associated with each severity level. Four items (irritability, speech, content, and disruptive-aggressive behavior) are scored 0 through 8 and have descriptors for every second increment. The total scale is 0-60. A score of ≤12 indicates remission of manic symptoms, and higher scores indicate greater severity of mania. Negative change from baseline scores indicate a decrease in severity of mania. (NCT01072929)
Timeframe: Day 0 (baseline), last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) |
---|---|
Placebo | -1.1 |
Armodafinil 150 mg/Day | -1.1 |
Armodafinil 200 mg/Day | -1.0 |
"The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression. Negative change from baseline values indicate improvement in the severity of depression." (NCT01072929)
Timeframe: Day 0 (baseline), Week 8
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | -17.9 |
Armodafinil 150 mg/Day | -21.7 |
All Armodafinil | -20.8 |
The CGI-S is an observer-rated scale that measures illness severity on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal) through to 7 (amongst the most severely ill patients). Negative change from baseline values indicate improvement in the severity of depression. (NCT01072929)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 28) | Week 4 (178, 168, 27) | Week 6 (160, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (196, 197, 31) | |
Armodafinil 150 mg/Day | -0.4 | -0.6 | -0.9 | -1.4 | -1.6 | -1.7 | -1.4 |
Armodafinil 200 mg/Day | -0.5 | -0.5 | -0.8 | -0.9 | -1.1 | -1.3 | -1.2 |
Placebo | -0.3 | -0.5 | -0.9 | -1.2 | -1.3 | -1.5 | -1.3 |
The QIDS-C16 was derived from specified items in the IDS-C30, clinician-rated scale to assess the severity of a participant's depressive symptoms. Total scores range from 0-27, with a score of 0 indicating no depression and a score of 27 indicating the most severe depression. Negative change from baseline values indicate improvement in the severity of depression. (NCT01072929)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (160, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (196, 197, 31) | |
Armodafinil 150 mg/Day | -2.8 | -4.4 | -6.5 | -8.1 | -8.6 | -9.4 | -8.0 |
Armodafinil 200 mg/Day | -4.1 | -5.0 | -6.4 | -7.4 | -7.6 | -7.3 | -6.6 |
Placebo | -2.3 | -3.8 | -5.6 | -6.9 | -7.2 | -7.6 | -6.6 |
"The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression. Negative change from baseline values indicate improvement in the severity of depression." (NCT01072929)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 193, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (160, 158, 21) | Week 7 (152, 144, 19) | Week 8 (155, 150, 24) | Endpoint (196, 197, 31) | |
Armodafinil 150 mg/Day | -6.5 | -10.4 | -15.6 | -19.7 | -21.7 | -23.3 | -20.2 |
Armodafinil 200 mg/Day | -9.8 | -12.9 | -15.3 | -17.4 | -17.8 | -17.0 | -15.8 |
Placebo | -6.1 | -10.2 | -14.3 | -18.3 | -18.8 | -19.7 | -17.3 |
The Global Assessment of Functioning (GAF) is a numeric scale (1 through 100) used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of adults, e.g., how well or adaptively one is meeting various problems-in-living. Ratings of 1 - 10 mean the participant is in persistent danger of severely hurting self or others (e.g., recurrent violence) or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of death. Ratings of 91 - 100 indicate no symptoms, and the participant exhibits superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many positive qualities. Positive change from baseline values indicate improvement in functioning. (NCT01072929)
Timeframe: Day 0 (baseline), Weeks 4, 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||
---|---|---|---|
Week 4 (175, 168, 27) | Week 8 (153, 150, 24) | Endpoint (191, 189, 29) | |
Armodafinil 150 mg/Day | 7.7 | 15.6 | 12.8 |
Armodafinil 200 mg/Day | 8.9 | 13.6 | 12.2 |
Placebo | 7.2 | 11.4 | 10.2 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Aborted Attempt question records whether the participant began to take steps toward making a suicide attempt but stops themselves before starting the potentially self-injurious act since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation. The Suicidal Behavior - Actual Attempt question records whether the participant committed a potentially self-injurious act with at least some wish to die since the last visit. (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Completed Suicide question records whether the participant intentionally causing his/her's own death since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Interrupted Attempt question records whether the participant was interrupted by an outside circumstance from starting the potentially self-injurious act with at least some wish to die since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Non-Suicidal Self-Injurious Behavior question records whether the participant committed a potentially self-injurious act that was not associated with a wish to die since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Preparatory Acts or Behavior question records whether the participant exhibited acts or preparations towards imminently making a suicide attempt since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Suicidal Behavior question records whether in the clinician's opinion, the participant exhibited suicidal behavior since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Any Methods (Not Plan) Without Intent to Act question records whether the participant endorses thoughts of suicide and has thought of at least one method but has no specific plan of action since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (3, 6, 1) | Week 2 (2, 2, 0) | Week 4 (2, 4, 0) | Week 6 (0, 2, 0) | Week 7 (1, 0, 0) | Week 8 (0, 2, 0) | Endpoint (11, 11, 1) | |
Armodafinil 150 mg/Day | 0 | 0 | 1 | 0 | 0 | 0 | 3 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Non-Specific Active Suicidal Thoughts question records whether the participant shares general non-specific thoughts of wanting to end one's life/commit suicide since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 1 | 1 | 1 | 1 | 0 | 0 | 3 |
Armodafinil 200 mg/Day | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Some Intent to Act Without a Specific Plan question records whether the participant has active suicidal thoughts of killing oneself and reports having some intent to act on such thoughts since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (3, 6, 1) | Week 2 (2, 2, 0) | Week 4 (2, 4, 0) | Week 6 (0, 2, 0) | Week 7 (1, 0, 0) | Week 8 (0, 2, 0) | Endpoint (11, 11, 1) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Specific Plan and Intent question records whether the participant has active suicidal thoughts of killing oneself with details of plan fully or partially worked out and the participant has some intent to carry out the plan since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (3, 6, 1) | Week 2 (2, 2, 0) | Week 4 (2, 4, 0) | Week 6 (0, 2, 0) | Week 7 (1, 0, 0) | Week 8 (0, 2, 0) | Endpoint (11, 11, 1) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Wish to Be Dead question records whether the participant endorses thoughts about a wish to dead or not alive anymore, or a wish to fall asleep and not wake up since the last visit." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 194, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (159, 158, 21) | Week 7 (152, 145, 19) | Week 8 (155, 150, 24) | Endpoint (197, 198, 31) | |
Armodafinil 150 mg/Day | 7 | 4 | 5 | 5 | 0 | 2 | 7 |
Armodafinil 200 mg/Day | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 4 | 2 | 3 | 0 | 1 | 1 | 6 |
"AEs were graded by the investigator for severity on a three-point scale: mild, moderate and severe. Causality is graded as either related or not related. A serious adverse event (SAE) is an AE resulting in death, a life-threatening adverse event, hospitalization, a persistent or significant disability/incapacity, a congenital anomaly/birth defect, or an important medical event that may require medical intervention to prevent any of the previous results.~Protocol-defined adverse events requiring expedited reporting included skin rash, hypersensitivity reaction, emergent suicidal ideation or suicide attempt, and psychosis." (NCT01072929)
Timeframe: Day 1 to Week 9
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
>=1 adverse event | Severe adverse event | Treatment-related adverse event | Deaths | Other serious adverse events | Withdrawn from study due to adverse events | Protocol-defined adverse events | |
Armodafinil 150 mg/Day | 95 | 6 | 44 | 0 | 3 | 11 | 7 |
Armodafinil 200 mg/Day | 23 | 4 | 13 | 1 | 2 | 2 | 0 |
Placebo | 91 | 8 | 44 | 0 | 5 | 7 | 4 |
"A participant in remission was defined as a participant with an IDS-C30 total score of 11 or less.~The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression." (NCT01072929)
Timeframe: Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | percentage of participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 193, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (160, 158, 21) | Week 7 (152, 144, 19) | Week 8 (155, 150, 24) | Endpoint (196, 197, 31) | |
Armodafinil 150 mg/Day | 1 | 2 | 4 | 15 | 17 | 28 | 21 |
Armodafinil 200 mg/Day | 3 | 7 | 11 | 10 | 16 | 17 | 13 |
Placebo | 1 | 2 | 6 | 16 | 22 | 22 | 17 |
"A responder is a participant with a ≥50% decrease or greater from baseline in the total score of the IDS-C30. The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression." (NCT01072929)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | percentage of participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (191, 193, 29) | Week 2 (188, 181, 27) | Week 4 (178, 168, 27) | Week 6 (160, 158, 21) | Week 7 (152, 144, 19) | Week 8 (155, 150, 24) | Endpoint (196, 197, 31) | |
Armodafinil 150 mg/Day | 6 | 8 | 26 | 39 | 51 | 55 | 46 |
Armodafinil 200 mg/Day | 10 | 26 | 37 | 43 | 47 | 42 | 39 |
Placebo | 4 | 12 | 23 | 38 | 39 | 39 | 34 |
HAM-A measures the severity of anxiety symptoms. The scale consists of 14 items, each defined by a series of symptoms, and measures both psychic anxiety (mental agitation and psychological distress) and somatic anxiety (physical complaints related to anxiety). Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Negative change from baseline scores indicate a decrease in severity of anxiety. (NCT01072630)
Timeframe: Day 0 (baseline), Week 8 or last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) |
---|---|
Placebo | -4.3 |
Armodafinil 150 mg/Day | -4.0 |
Armodafinil 200 mg/Day | -2.6 |
The ISI is a participant-rated, 7-item questionnaire designed to assess the severity of the participant's insomnia. Each item is ranked 0 (none) through 4 (very severe) and has a descriptor associated with each severity level. Total range is 0 (no insomnia) to 28 (very severe insomnia). Responses to each item are added to obtain a total score to determine the severity of insomnia. Negative change from baseline scores indicate a decrease in severity of insomnia. (NCT01072630)
Timeframe: Day 0 (baseline), Week 8 or last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) |
---|---|
Placebo | -5.2 |
Armodafinil 150 mg/Day | -6.7 |
Armodafinil 200 mg/Day | -6.2 |
The YMRS is a clinician-rated, 11-item checklist used to measure the severity of manic episodes. Information for assigning scores is gained from the participant's subjective reported symptoms over the previous 48 hours and from clinical observation during the interview. Seven items are ranked 0 through 4 and have descriptors associated with each severity level. Four items (irritability, speech, content, and disruptive-aggressive behavior) are scored 0 through 8 and have descriptors for every second increment. The total scale is 0-60. A score of ≤12 indicates remission of manic symptoms, and higher scores indicate greater severity of mania. Negative change from baseline scores indicate a decrease in severity of mania. (NCT01072630)
Timeframe: Day 0 (baseline), Week 8 or last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) |
---|---|
Placebo | -0.6 |
Armodafinil 150 mg/Day | -0.5 |
Armodafinil 200 mg/Day | -0.5 |
"The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression. Negative change from baseline values indicate improvement in the severity of depression." (NCT01072630)
Timeframe: Day 0 (baseline), Week 8
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | -18.8 |
Armodafinil 150 mg/Day | -20.9 |
All Armodafinil | -20.7 |
The CGI-S is an observer-rated scale that measures illness severity on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal) through to 7 (amongst the most severely ill patients). Negative change from baseline values indicate improvement in the severity of depression. (NCT01072630)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (224, 230, 28) | |
Armodafinil 150 mg/Day | -0.3 | -0.6 | -0.9 | -1.1 | -1.3 | -1.5 | -1.2 |
Armodafinil 200 mg/Day | -0.6 | -0.8 | -1.1 | -1.3 | -1.4 | -1.8 | -1.3 |
Placebo | -0.2 | -0.6 | -0.9 | -1.1 | -1.3 | -1.4 | -1.2 |
The QIDS-C16 was derived from specified items in the IDS-C30, clinician-rated scale to assess the severity of a participant's depressive symptoms. Total scores range from 0-27, with a score of 0 indicating no depression and a score of 27 indicating the most severe depression. Negative change from baseline values indicate improvement in the severity of depression. (NCT01072630)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (172, 169, 17) | Endpoint (224, 230, 28) | |
Armodafinil 150 mg/Day | -2.9 | -4.5 | -6.5 | -7.5 | -8.1 | -8.6 | -7.4 |
Armodafinil 200 mg/Day | -4.5 | -6.0 | -7.4 | -8.8 | -9.6 | -9.8 | -8.1 |
Placebo | -2.7 | -4.2 | -5.7 | -6.8 | -7.2 | -7.7 | -6.7 |
"The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression. Negative change from baseline values indicate improvement in the severity of depression." (NCT01072630)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (172, 169, 17) | Endpoint (224, 230, 28) | |
Armodafinil 150 mg/Day | -7.2 | -11.8 | -16.7 | -19.1 | 021.0 | -22.4 | -19.1 |
Armodafinil 200 mg/Day | -9.9 | -13.9 | -17.8 | -20.7 | -22.8 | -21.8 | -18.6 |
Placebo | -6.6 | -11.1 | -15.1 | -18.1 | -19.0 | -20.2 | -17.5 |
The Global Assessment of Functioning (GAF) is a numeric scale (1 through 100) used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of adults, e.g., how well or adaptively one is meeting various problems-in-living. Ratings of 1 - 10 mean the participant is in persistent danger of severely hurting self or others (e.g., recurrent violence) or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of death. Ratings of 91 - 100 indicate no symptoms, and the participant exhibits superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many positive qualities. Positive change from baseline values indicate improvement in functioning. (NCT01072630)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | units on a scale (Mean) | ||
---|---|---|---|
Week 4 (193, 190, 22) | Week 8 (172, 171, 17) | Endpoint (213, 219, 25) | |
Armodafinil 150 mg/Day | 7.2 | 11.6 | 9.3 |
Armodafinil 200 mg/Day | 10.0 | 13.4 | 10.5 |
Placebo | 6.4 | 10.8 | 9.6 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Aborted Attempt question records whether the participant began to take steps toward making a suicide attempt but stops themselves before starting the potentially self-injurious act since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation. The Suicidal Behavior - Actual Attempt question records whether the participant committed a potentially self-injurious act with at least some wish to die since the last visit. (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Completed Suicide question records whether the participant intentionally causing his/her's own death since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Interrupted Attempt question records whether the participant was interrupted by an outside circumstance from starting the potentially self-injurious act with at least some wish to die since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Non-Suicidal Self-Injurious Behavior question records whether the participant committed a potentially self-injurious act that was not associated with a wish to die since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Preparatory Acts or Behavior question records whether the participant exhibited acts or preparations towards imminently making a suicide attempt since the last visit.~." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Behavior - Suicidal Behavior question records whether in the clinician's opinion, the participant exhibited suicidal behavior since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Any Methods (Not Plan) Without Intent to Act question records whether the participant endorses thoughts of suicide and has thought of at least one method but has no specific plan of action since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (9, 10, 1) | Week 2 (6, 10, 0) | Week 4 (4, 8, 0) | Week 6 (5, 7, 0) | Week 7 (3, 3, 0) | Week 8 (2, 5, 0) | Endpoint (18, 21, 1) | |
Armodafinil 150 mg/Day | 0 | 1 | 1 | 2 | 0 | 0 | 2 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Non-Specific Active Suicidal Thoughts question records whether the participant shares general non-specific thoughts of wanting to end one's life/commit suicide since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 2 | 1 | 1 | 3 | 0 | 1 | 2 |
Armodafinil 200 mg/Day | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
Placebo | 0 | 0 | 1 | 0 | 0 | 0 | 2 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Some Intent to Act Without a Specific Plan question records whether the participant has active suicidal thoughts of killing oneself and reports having some intent to act on such thoughts since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (9, 10, 1) | Week 2 (6, 10, 0) | Week 4 (4, 8, 0) | Week 6 (5, 7, 0) | Week 7 (3, 3, 0) | Week 8 (2, 5, 0) | Endpoint (18, 21, 1) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Specific Plan and Intent question records whether the participant has active suicidal thoughts of killing oneself with details of plan fully or partially worked out and the participant has some intent to carry out the plan since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (9, 10, 1) | Week 2 (6, 10, 0) | Week 4 (4, 8, 0) | Week 6 (5, 7, 0) | Week 7 (3, 3, 0) | Week 8 (2, 5, 0) | Endpoint (18, 21, 1) | |
Armodafinil 150 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Armodafinil 200 mg/Day | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Placebo | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
"The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies. The C-SSRS-B (baseline) was performed at screening and the C-SSRS-SLV ('Since Last Visit') was performed at baseline and weeks 1, 2, 4, 6, 7, and 8 or last postbaseline observation.~The Suicidal Ideation - Wish to Be Dead question records whether the participant endorses thoughts about a wish to dead or not alive anymore, or a wish to fall asleep and not wake up since the last visit." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, 8, and Endpoint (up to 8 weeks)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (174, 171, 17) | Endpoint (226, 230, 28) | |
Armodafinil 150 mg/Day | 11 | 11 | 9 | 6 | 3 | 5 | 10 |
Armodafinil 200 mg/Day | 2 | 0 | 0 | 0 | 0 | 1 | 2 |
Placebo | 10 | 7 | 4 | 6 | 3 | 3 | 7 |
"AEs were graded by the investigator for severity on a three-point scale: mild, moderate and severe. Causality is graded as either related or not related. A serious adverse event (SAE) is an AE resulting in death, a life-threatening adverse event, hospitalization, a persistent or significant disability/incapacity, a congenital anomaly/birth defect, or an important medical event that may require medical intervention to prevent any of the previous results.~Protocol-defined adverse events requiring expedited reporting included skin rash, hypersensitivity reaction, emergent suicidal ideation or suicide attempt, and psychosis." (NCT01072630)
Timeframe: Day 1 to Week 9
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
>=1 adverse event | Severe adverse event | Treatment-related adverse event | Deaths | Other serious adverse events | Withdrawn from study due to adverse events | Protocol-defined adverse events | |
Armodafinil 150 mg/Day | 123 | 7 | 78 | 1 | 5 | 19 | 3 |
Armodafinil 200 mg/Day | 21 | 1 | 16 | 0 | 2 | 2 | 3 |
Placebo | 102 | 7 | 59 | 0 | 1 | 11 | 5 |
"A participant in remission was defined as a participant with an IDS-C30 total score of 11 or less.~The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression." (NCT01072630)
Timeframe: Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | percentage of participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (172, 169, 17) | Endpoint (224, 230, 28) | |
Armodafinil 150 mg/Day | 1 | 4 | 8 | 15 | 17 | 23 | 18 |
Armodafinil 200 mg/Day | 7 | 12 | 18 | 39 | 43 | 47 | 29 |
Placebo | .5 | 7 | 11 | 19 | 19 | 22 | 17 |
"A responder is a participant with a ≥50% decrease or greater from baseline in the total score of the IDS-C30. The IDS-C30 is a standardized 30-item, clinician-rated scale to assess the severity of a participant's depressive symptoms. Every effort was made to have the same rater evaluate a participant across all visits.~Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression." (NCT01072630)
Timeframe: Day 0 (baseline), Weeks 1, 2, 4, 6, 7, and 8, and last postbaseline observation (up to 8 weeks)
Intervention | percentage of participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Week 1 (218, 223, 27) | Week 2 (209, 212, 25) | Week 4 (193, 190, 22) | Week 6 (182, 181, 18) | Week 7 (172, 178, 14) | Week 8 (172, 169, 17) | Endpoint (224, 230, 28) | |
Armodafinil 150 mg/Day | 7 | 17 | 27 | 41 | 44 | 49 | 40 |
Armodafinil 200 mg/Day | 22 | 20 | 41 | 56 | 57 | 59 | 39 |
Placebo | 5 | 16 | 28 | 36 | 40 | 47 | 39 |
The HAM-A is a clinician-rated 14 item scale that provides an overall measure of global anxiety, including psychic (mental agitation and psychological distress) and somatic (physical complaints related to anxiety) symptoms. Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0 - 56, where less than 17 indicates mild anxiety, 18 - 24 mild to moderate anxiety and 25-30 moderate to severe. The data presented here summarizes the change in HAM-A score from Baseline to 4 Weeks (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -3.6 |
Placebo | -3.5 |
The HAM-A is a clinician-rated 14 item scale that provides an overall measure of global anxiety, including psychic (mental agitation and psychological distress) and somatic (physical complaints related to anxiety) symptoms. Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0 - 56, where less than 17 indicates mild anxiety, 18 - 24 mild to moderate anxiety and 25-30 moderate to severe. The data presented here summarizes the change in HAM-A score from Baseline to 8 Weeks (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -4.7 |
Placebo | -4.4 |
The HAM-A is a clinician-rated 14 item scale that provides an overall measure of global anxiety, including psychic (mental agitation and psychological distress) and somatic (physical complaints related to anxiety) symptoms. Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0 - 56, where less than 17 indicates mild anxiety, 18 - 24 mild to moderate anxiety, 25-30 moderate to severe, >30 very severe. The data presented here summarizes the change in HAM-A score from Baseline to Endpoint (8 weeks or last observation after baseline). (NCT00481195)
Timeframe: baseline and 8 weeks (or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -4.1 |
Placebo | -3.9 |
The MADRS is a 10-item scale to evaluate the overall severity of a patient's depressive symptoms, that is completed by the physician. The rating scale makes use of both observational clues as to the subject's level of depression (eg. apparent sadness) and verbal indicators of depression expressed by the patient. Each of the 10 items is graded on a 6-point scale with anchors at 2 point intervals. Total scores range from 0 to 60, with the higher number indicating more severe symptoms of depression. Here we present data summarizing the change in MADRS from Baseline to Endpoint. (NCT00481195)
Timeframe: Baseline and Endpoint (8 weeks following the start of study drug administration or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -12.3 |
Placebo | -10.2 |
The Q-LES-Q-SF is an instrument designed to measure general activities of daily living. It is a patient-rated quality of life questionnaire and consists of 16 items, but only the first 14 are included in the total score. Each item is rated by the patient on a scale from 1 - 5 (1=very poor, 2=poor, 3=fair, 4=good, and 5=very good). The minimum score is 14 and the maximum score is 70, with lower scores indicating poorer quality of life. The data presented here summarizes the change in score from baseline to endpoint (8 weeks or last observation after baseline). (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | 8.2 |
Placebo | 7.4 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Endpoint (Week 8 or last observation after baseline). (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -7.0 |
Placebo | -6.5 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Item 4 assesses hypersomnia on a scale from 0 (sleeps no longer than 7-8 hours a night) to 3 (sleeps longer than 12 hours in 24 hour period). The data presented here summarizes the change from baseline to Endpoint in the score of Item 4 assessing hypersomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -0.4 |
Placebo | -0.2 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Items 1 - 3 assess sleep onset insomnia, mid-nocturnal insomnia, and early morning insomnia respectively each on a 0 - 3 scale. The data presented here summarizes the change from baseline to Endpoint in the combined score of these three items assessing insomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -1.6 |
Placebo | -1.2 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 1 (NCT00481195)
Timeframe: Baseline and 1 week following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -3.5 |
Placebo | -3.7 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 2 (NCT00481195)
Timeframe: Baseline and 2 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -5.0 |
Placebo | -4.1 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 3. (NCT00481195)
Timeframe: Baseline and 3 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -5.8 |
Placebo | -5.0 |
The MADRS is a 10-item scale to evaluate the overall severity of a patient's depressive symptoms, that is completed by the physician. The rating scale makes use of both observational clues as to the subject's level of depression (eg. apparent sadness) and verbal indicators of depression expressed by the patient. Each of the 10 items is graded on a 6-point scale with anchors at 2 point intervals. Total scores range from 0 to 60, with the higher number indicating more severe symptoms of depression. Here we present data summarizing the difference in MADRS score from Baseline to Week 4. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -9.6 |
Placebo | -8.9 |
The Q-LES-Q-SF is an instrument designed to measure general activities of daily living. It is a patient-rated quality of life questionnaire and consists of 16 items, but only the first 14 are included in the total score. Each item is rated by the patient on a scale from 1 - 5 (1=very poor, 2=poor, 3=fair, 4=good, and 5=very good). The minimum score is 14 and the maximum score is 70, with lower scores indicating poorer quality of life. The data presented here summarizes the change in score from baseline to 4 weeks. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | 5.9 |
Placebo | 4.6 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 4. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -6.4 |
Placebo | -5.6 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Item 4 assesses hypersomnia on a scale from 0 (sleeps no longer than 7-8 hours a night) to 3 (sleeps longer than 12 hours in 24 hour period). The data presented here summarizes the change from baseline to week 4 in the score of Item 4 assessing hypersomnia. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -0.2 |
Placebo | -0.2 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Items 1 - 3 assess sleep onset insomnia, mid-nocturnal insomnia, and early morning insomnia respectively each on a 0 - 3 scale. The data presented here summarizes the change from baseline to week 4 in the combined score of these three items assessing insomnia. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -1.2 |
Placebo | -1.1 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 6. (NCT00481195)
Timeframe: Baseline and 6 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -7.8 |
Placebo | -6.7 |
The MADRS is a 10-item scale to evaluate the overall severity of a patient's depressive symptoms, that is completed by the physician. The rating scale makes use of both observational clues as to the subject's level of depression (eg. apparent sadness) and verbal indicators of depression expressed by the patient. Each of the 10 items is graded on a 6-point scale with anchors at 2 point intervals. Total scores range from 0 to 60, with the higher number indicating more severe symptoms of depression. Here we present data summarizing the difference in MADRS score from Baseline to Week 8. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -13.4 |
Placebo | -11.0 |
The Q-LES-Q-SF is an instrument designed to measure general activities of daily living. It is a patient-rated quality of life questionnaire and consists of 16 items, but only the first 14 are included in the total score. Each item is rated by the patient on a scale from 1 - 5 (1=very poor, 2=poor, 3=fair, 4=good, and 5=very good). The minimum score is 14 and the maximum score is 70, with lower scores indicating poorer quality of life. The data presented here summarizes the change in score from baseline to 8 weeks. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | 10.1 |
Placebo | 8.5 |
The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 8. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -8.2 |
Placebo | -7.6 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Item 4 assesses hypersomnia on a scale from 0 (sleeps no longer than 7-8 hours a night) to 3 (sleeps longer than 12 hours in 24 hour period). The data presented here summarizes the change from baseline to week 8 in the score of Item 4 assessing hypersomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -0.3 |
Placebo | -0.2 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Items 1 - 3 assess sleep onset insomnia, mid-nocturnal insomnia, and early morning insomnia respectively each on a 0 - 3 scale. The data presented here summarizes the change from baseline to week 8 in the combined score of these three items assessing insomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -2.0 |
Placebo | -1.6 |
The IDS C30 is a standardized 30 item, clinician rated scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Endpoint (either week 8 or the last observation after baseline) in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 8 weeks from start of study drug administration (or last observation after baseline)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -15.6 |
Placebo | -12.5 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 1 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 1 week following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -6.5 |
Placebo | -4.8 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 2 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 2 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -10.0 |
Placebo | -7.3 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 3 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 3 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -13.1 |
Placebo | -10.7 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 4 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -13.7 |
Placebo | -12.1 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 6 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 6 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -16.7 |
Placebo | -13.7 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 8 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -17.8 |
Placebo | -14.8 |
"The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a response (> 50% decrease from baseline in total score)." (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)
Intervention | Participants (Number) | |
---|---|---|
Response | No Response | |
Armodafinil 150 mg/Day | 46 | 78 |
Placebo | 47 | 76 |
"The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a sustained remission (total score <= 11 that persists over the four week period from Week 4 to Week 8)." (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)
Intervention | Participants (Number) | |
---|---|---|
Sustained Remission | No Sustained Remission | |
Armodafinil 150 mg/Day | 13 | 111 |
Placebo | 8 | 115 |
"The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a sustained response (> 50% decrease from baseline in total score that persisted over the four week period between Week 4 and Week 8)." (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)
Intervention | Participants (Number) | |
---|---|---|
Sustained Response | No Sustained Response | |
Armodafinil 150 mg/Day | 23 | 101 |
Placebo | 17 | 106 |
The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a remission (total score <=11). (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)
Intervention | Participants (Number) | |
---|---|---|
Remission | No Remission | |
Armodafinil 150 mg/Day | 30 | 94 |
Placebo | 22 | 101 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Endpoint are presented." (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 64 | 60 |
Placebo | 60 | 62 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 1 are presented." (NCT00481195)
Timeframe: Baseline and 1 week following the start of study drug administration
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 12 | 107 |
Placebo | 12 | 105 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 2 are presented." (NCT00481195)
Timeframe: Baseline and 2 weeks following the start of study drug administration
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 25 | 83 |
Placebo | 26 | 84 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 3 are presented." (NCT00481195)
Timeframe: Baseline and 3 weeks following the start of study drug administration
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 38 | 64 |
Placebo | 32 | 68 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 4 are presented." (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 46 | 53 |
Placebo | 42 | 55 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 6 are presented." (NCT00481195)
Timeframe: Baseline and 6 weeks following the start of study drug administration
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 47 | 45 |
Placebo | 43 | 49 |
"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 8 are presented." (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 52 | 37 |
Placebo | 47 | 41 |
12 reviews available for modafinil and Bipolar Disorder
Article | Year |
---|---|
Repurposed drugs as adjunctive treatments for mania and bipolar depression: A meta-review and critical appraisal of meta-analyses of randomized placebo-controlled trials.
Topics: Bipolar Disorder; Humans; Mania; Meta-Analysis as Topic; Modafinil; Pharmaceutical Preparations; Ran | 2021 |
Efficacy and tolerability of adjunctive modafinil/armodafinil in bipolar depression: A meta-analysis of randomized controlled trials.
Topics: Bipolar Disorder; Female; Humans; Modafinil; Randomized Controlled Trials as Topic | 2020 |
A review of FDA-approved treatment options in bipolar depression.
Topics: Antidepressive Agents; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Benzhydryl Co | 2013 |
Modafinil augmentation therapy in unipolar and bipolar depression: a systematic review and meta-analysis of randomized controlled trials.
Topics: Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Depressive Disorder | 2013 |
Bipolar therapeutics update 2014: A tale of 3 treatments.
Topics: Antipsychotic Agents; Benzhydryl Compounds; Bipolar Disorder; Dopamine Agonists; Dopamine Plasma Mem | 2015 |
Stimulants for depression: On the up and up?
Topics: Amphetamine; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System S | 2016 |
Adjunctive use of modafinil in bipolar patients: just another stimulant or not?
Topics: Affect; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Central Ner | 2008 |
Bipolar disorder: an update.
Topics: Anticonvulsants; Antidepressive Agents; Antipsychotic Agents; Benzhydryl Compounds; Benzothiazoles; | 2010 |
Pharmacotherapy for the treatment of acute bipolar II depression: current evidence.
Topics: Acute Disease; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Benzothiazoles; Bipola | 2011 |
[Modafinil in the treatment of depression].
Topics: Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; De | 2012 |
Use of adjunctive stimulants in adult bipolar depression.
Topics: Adult; Antipsychotic Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulan | 2013 |
Pharmacokinetic evaluation of armodafinil for the treatment of bipolar depression.
Topics: Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Clinical Trials as Topic; | 2012 |
5 trials available for modafinil and Bipolar Disorder
Article | Year |
---|---|
Efficacy and safety of adjunctive armodafinil in adults with major depressive episodes associated with bipolar I disorder: a randomized, double-blind, placebo-controlled, multicenter trial.
Topics: Adult; Benzhydryl Compounds; Bipolar Disorder; Depressive Disorder, Major; Double-Blind Method; Drug | 2014 |
Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder.
Topics: Adult; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Double-Blind Method; Drug Ther | 2015 |
Long-term safety and efficacy of armodafinil in bipolar depression: A 6-month open-label extension study.
Topics: Adult; Aged; Anxiety; Benzhydryl Compounds; Bipolar Disorder; Double-Blind Method; Female; Headache; | 2016 |
Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder: a randomized, multicenter, double-blind, placebo-controlled, proof-of-concept study.
Topics: Adolescent; Adult; Aged; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Benzodiazepi | 2010 |
A placebo-controlled evaluation of adjunctive modafinil in the treatment of bipolar depression.
Topics: Adult; Anticonvulsants; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervo | 2007 |
24 other studies available for modafinil and Bipolar Disorder
Article | Year |
---|---|
High-dose armodafinil in treatment-refractory bipolar depression.
Topics: Aged; Benzhydryl Compounds; Bipolar Disorder; COVID-19; Depressive Disorder, Major; Female; Humans; | 2023 |
Towards a shift in the treatment of bipolar depression?
Topics: Bipolar Disorder; Humans; Modafinil; Randomized Controlled Trials as Topic | 2020 |
Modafinil-Induced Mania in an Elderly Man.
Topics: Aged; Bipolar Disorder; Central Nervous System Stimulants; Disorders of Excessive Somnolence; Humans | 2018 |
Armodafinil induced mania in schizophrenia.
Topics: Benzhydryl Compounds; Bipolar Disorder; Dose-Response Relationship, Drug; Female; Humans; Modafinil; | 2014 |
Innovation in the treatment of bipolar depression.
Topics: Benzhydryl Compounds; Bipolar Disorder; Depressive Disorder, Major; Female; Humans; Male; Modafinil; | 2014 |
When positive isn't positive: the hopes and disappointments of clinical trials.
Topics: Benzhydryl Compounds; Bipolar Disorder; Depressive Disorder, Major; Female; Humans; Male; Modafinil; | 2014 |
Evaluation of the potential for pharmacokinetic drug-drug interaction between armodafinil and carbamazepine in healthy adults.
Topics: Adult; Anticonvulsants; Benzhydryl Compounds; Bipolar Disorder; Carbamazepine; Cytochrome P-450 CYP3 | 2015 |
Population Pharmacokinetic Modeling of Armodafinil and Its Major Metabolites.
Topics: Adult; Area Under Curve; Benzhydryl Compounds; Biotransformation; Bipolar Disorder; Central Nervous | 2017 |
Treatment of acute mania with modafinil monotherapy.
Topics: Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Electroencephalography; F | 2010 |
Modafinil use in patients with a primary psychiatric illness.
Topics: Adult; Affect; Arousal; Benzhydryl Compounds; Bipolar Disorder; Brain Injury, Chronic; Central Nervo | 2010 |
Modafinil-induced orofacial dyskinesia in an elderly patient with refractory bipolar depression.
Topics: Aged; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Humans; Male; Modafinil; Moveme | 2010 |
Severe mania complicating treatment of narcolepsy with cataplexy.
Topics: Antidepressive Agents, Second-Generation; Benzhydryl Compounds; Bipolar Disorder; Central Nervous Sy | 2011 |
Differential effects of dopamine transporter inhibitors in the rodent Iowa gambling task: relevance to mania.
Topics: Amphetamine; Animals; Behavior, Animal; Benzhydryl Compounds; Bipolar Disorder; Choice Behavior; Con | 2013 |
Superior chronic tolerability of adjunctive modafinil compared to pramipexole in treatment-resistant bipolar disorder.
Topics: Adult; Benzhydryl Compounds; Benzothiazoles; Bipolar Disorder; Chemotherapy, Adjuvant; Drug Toleranc | 2013 |
Modafinil for remitted bipolar depression with hypersomnia.
Topics: Benzhydryl Compounds; Bipolar Disorder; Disorders of Excessive Somnolence; Female; Humans; Male; Mid | 2003 |
Modafinil treatment of excessive sedation associated with divalproex sodium.
Topics: Adult; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; | 2004 |
Mania in a boy treated with modafinil for narcolepsy.
Topics: Adolescent; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Humans; Male; | 2005 |
Modafinil-induced irritability and aggression? A report of 2 bipolar patients.
Topics: Adult; Aggression; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Humans | 2005 |
Modafinil as an adjunctive treatment to sleep deprivation in depression.
Topics: Aged; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Depressive Disorder | 2005 |
Manic switch in a patient with treatment-resistant bipolar depression treated with modafinil.
Topics: Benzhydryl Compounds; Bipolar Disorder; Drug Resistance; Female; Humans; Middle Aged; Modafinil; Rec | 2006 |
Modafinil add-on in the treatment of bipolar depression.
Topics: Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Do | 2007 |
Ultra short manic-like episodes after antidepressant augmentation with modafinil.
Topics: Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; De | 2008 |
Treatment-emergent hypomania or mania with modafinil.
Topics: Adult; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimula | 2008 |
Modafinil augmentation of antidepressant treatment in depression.
Topics: Adult; Aged; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System S | 2000 |