Page last updated: 2024-10-31

modafinil and Bipolar Disorder

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.

Research Excerpts

ExcerptRelevanceReference
"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)."7.79Superior 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."5.12A 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."4.93Stimulants 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."4.89Modafinil 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)."3.79Superior 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."3.77Severe 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."3.72Modafinil 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."2.82Long-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."2.80Adjunctive 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."2.79Efficacy 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."2.75Adjunctive 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."2.72Repurposed 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."2.49Use 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)."2.48Pharmacokinetic 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."2.47Pharmacotherapy 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."2.44Adjunctive 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."1.91High-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."1.42Evaluation 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."1.31Modafinil augmentation of antidepressant treatment in depression. ( Castellanos, A; Kaufman, KR; Menza, MA, 2000)

Research

Studies (41)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's12 (29.27)29.6817
2010's25 (60.98)24.3611
2020's4 (9.76)2.80

Authors

AuthorsStudies
Bartoli, F1
Cavaleri, D1
Bachi, B1
Moretti, F1
Riboldi, I1
Crocamo, C1
Carrà, G1
Kwok, WY1
Stephens, V1
Nasrallah, HA1
Nunez, NA1
Singh, B1
Romo-Nava, F1
Joseph, B1
Veldic, M1
Cuellar-Barboza, A1
Cabello Arreola, A1
Vande Voort, JL1
Croarkin, P1
Moore, KM1
Biernacka, J1
McElroy, SL2
Frye, MA6
Henry, C1
Smadja, S1
Francois, D1
Chelidze, K1
McIntyre, RS1
Cha, DS1
Kim, RD1
Mansur, RB1
Bavle, A1
Phatak, A1
Goss, AJ1
Kaser, M1
Costafreda, SG1
Sahakian, BJ1
Fu, CH1
Calabrese, JR2
Yang, R4
Ketter, TA7
El-Mallakh, RS2
Ostacher, MJ1
Darwish, M1
Bond, M1
Hellriegel, ET1
Robertson, P1
Wang, PW2
Miller, S2
Malhi, GS1
Byrow, Y1
Bassett, D1
Boyce, P1
Hopwood, M1
Lyndon, W1
Mulder, R1
Porter, R1
Singh, A1
Murray, G1
Amchin, J1
Gross, N1
Willavize, S1
Fiedler-Kelly, J1
Ludwig, E1
Guan, L1
Shelton, RC1
Reddy, R1
Schoenknecht, P1
Olbrich, S1
Sander, C1
Spindler, P1
Hegerl, U1
Black, W1
Hoey, P1
Mayze, T1
Youakim, JM1
Tiller, JM1
Elmaadawi, AZ1
Loganathan, M1
Lohano, K1
Gao, Y1
Swartz, HA1
Thase, ME1
Maser, RV1
Liao, B1
Pandya, R1
Crosby, MI1
Bradshaw, DA1
McLay, RN1
Videbech, P1
Dell'Osso, B2
Niemegeers, P1
Maudens, KE1
Morrens, M1
Patteet, L1
Joos, L1
Neels, H1
Sabbe, BG1
van Enkhuizen, J1
Geyer, MA1
Young, JW1
Timtim, S1
Hooshmand, F1
Hill, SJ1
Portillo, N1
Fernandes, PP1
Petty, F1
Berigan, T1
Vorspan, F1
Warot, D1
Consoli, A1
Cohen, D1
Mazet, P1
Ranjan, S1
Chandra, PS1
Even, C1
Thuile, J1
Santos, J1
Bourgin, P1
Wolf, J1
Fiedler, U1
Anghelescu, I1
Schwertfeger, N1
Belmaker, RH1
Grunze, H1
Suppes, T1
Keck, PE1
Walden, J1
Leverich, GS1
Altshuler, LL1
Nakelsky, S1
Hwang, S1
Mintz, J1
Post, RM1
Fountoulakis, KN1
Siamouli, M1
Panagiotidis, P1
Magiria, S1
Kantartzis, S1
Iacovides, A1
Kaprinis, GS1
Plante, DT1
Menza, MA1
Kaufman, KR1
Castellanos, A1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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 3433 participants (Actual)Interventional2010-01-31Completed
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 3492 participants (Actual)Interventional2010-03-31Completed
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 2257 participants (Actual)Interventional2007-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline to Endpoint in the Hamilton Anxiety Scale (HAM-A) Total Score

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)

Interventionunits on a scale (Mean)
Placebo-4.2
Armodafinil 150 mg/Day-4.2
Armodafinil 200 mg/Day-3.3

Change From Baseline to Endpoint in the Insomnia Severity Index (ISI) Total Score

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)

Interventionunits on a scale (Mean)
Placebo-6.4
Armodafinil 150 mg/Day-6.5
Armodafinil 200 mg/Day-5.6

Change From Baseline to Endpoint in the Young Mania Rating Scale (YMRS) Total Score

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)

Interventionunits on a scale (Mean)
Placebo-1.1
Armodafinil 150 mg/Day-1.1
Armodafinil 200 mg/Day-1.0

Change From Baseline to Week 8 in the Total Score From the 30-Item Inventory of Depressive Symptomatology-Clinician-Rated (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. Negative change from baseline values indicate improvement in the severity of depression." (NCT01072929)
Timeframe: Day 0 (baseline), Week 8

Interventionunits on a scale (Least Squares Mean)
Placebo-17.9
Armodafinil 150 mg/Day-21.7
All Armodafinil-20.8

Change From Baseline to Different Treatment Weeks in the Clinical Global Impression of Severity (CGI-S) for Depression

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)

,,
Interventionunits 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

Change From Baseline to Different Treatment Weeks in the Total Score From the 16-Item Quick Inventory of Depressive Symptomatology-Clinician-Rated (QIDS-C16)

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)

,,
Interventionunits 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

Change From Baseline to Different Treatment Weeks in the Total Score From the 30-Item Inventory of Depressive Symptomatology-Clinician-Rated (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. 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)

,,
Interventionunits 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

Change From Baseline to Weeks 4, 8 and Endpoint in the Global Assessment for Functioning (GAF) Scale

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)

,,
Interventionunits on a scale (Mean)
Week 4 (175, 168, 27)Week 8 (153, 150, 24)Endpoint (191, 189, 29)
Armodafinil 150 mg/Day7.715.612.8
Armodafinil 200 mg/Day8.913.612.2
Placebo7.211.410.2

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Aborted Attempt Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Actual Attempt Question

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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Completed Suicide Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Interrupted Attempt Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Non-Suicidal Self-Injurious Behavior Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Preparatory Acts or Behavior Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Suicidal Behavior Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Any Methods (Not Plan) Without Intent to Act Question

"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)

,,
Interventionparticipants (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/Day0010003
Armodafinil 200 mg/Day0000000
Placebo1000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Non-Specific Active Suicidal Thoughts Question

"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)

,,
Interventionparticipants (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/Day1111003
Armodafinil 200 mg/Day1000000
Placebo1000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Some Intent to Act Without a Specific Plan Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Specific Plan and Intent Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Wish to Be Dead Question

"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)

,,
Interventionparticipants (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/Day7455027
Armodafinil 200 mg/Day1000000
Placebo4230116

Participants With Treatment-Emergent Adverse Events (TEAE)

"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

,,
Interventionparticipants (Number)
>=1 adverse eventSevere adverse eventTreatment-related adverse eventDeathsOther serious adverse eventsWithdrawn from study due to adverse eventsProtocol-defined adverse events
Armodafinil 150 mg/Day9564403117
Armodafinil 200 mg/Day234131220
Placebo918440574

Percentage of Participants in Remission At Different Treatment Weeks According to the 30-Item Inventory of Depressive Symptomatology-Clinician Rated (IDS-C30) Total Score

"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)

,,
Interventionpercentage 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/Day12415172821
Armodafinil 200 mg/Day371110161713
Placebo12616222217

Percentage of Responders At Different Treatment Weeks According to the 30-Item Inventory of Depressive Symptomatology-Clinician Rated (IDS-C30) Total Score

"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)

,,
Interventionpercentage 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/Day682639515546
Armodafinil 200 mg/Day10263743474239
Placebo4122338393934

Change From Baseline to Endpoint in the Hamilton Anxiety Scale (HAM-A) Total Score

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)

Interventionunits on a scale (Mean)
Placebo-4.3
Armodafinil 150 mg/Day-4.0
Armodafinil 200 mg/Day-2.6

Change From Baseline to Endpoint in the Insomnia Severity Index (ISI) Total Score

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)

Interventionunits on a scale (Mean)
Placebo-5.2
Armodafinil 150 mg/Day-6.7
Armodafinil 200 mg/Day-6.2

Change From Baseline to Endpoint in the Young Mania Rating Scale Total Score

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)

Interventionunits on a scale (Mean)
Placebo-0.6
Armodafinil 150 mg/Day-0.5
Armodafinil 200 mg/Day-0.5

Change From Baseline to Week 8 in the Total Score From the 30-Item Inventory of Depressive Symptomatology-Clinician-Rated (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. Negative change from baseline values indicate improvement in the severity of depression." (NCT01072630)
Timeframe: Day 0 (baseline), Week 8

Interventionunits on a scale (Least Squares Mean)
Placebo-18.8
Armodafinil 150 mg/Day-20.9
All Armodafinil-20.7

Change From Baseline to Different Treatment Weeks in the Clinical Global Impression of Severity (CGI-S) for Depression

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)

,,
Interventionunits 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

Change From Baseline to Different Treatment Weeks in the Total Score From the 16-Item Quick Inventory of Depressive Symptomatology-Clinician-Rated (QIDS-C16)

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)

,,
Interventionunits 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

Change From Baseline to Different Treatment Weeks in the Total Score From the 30-Item Inventory of Depressive Symptomatology-Clinician-Rated (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. 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)

,,
Interventionunits 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-7.2-11.8-16.7-19.1021.0-22.4-19.1
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

Change From Baseline to Weeks 4, 8 and Endpoint in the Global Assessment for Functioning (GAF) Scale

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)

,,
Interventionunits on a scale (Mean)
Week 4 (193, 190, 22)Week 8 (172, 171, 17)Endpoint (213, 219, 25)
Armodafinil 150 mg/Day7.211.69.3
Armodafinil 200 mg/Day10.013.410.5
Placebo6.410.89.6

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Aborted Attempt Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Actual Attempt Question

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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Completed Suicide Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Interrupted Attempt Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Non-Suicidal Self-Injurious Behavior Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Preparatory Acts or Behavior Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Behavior - Suicidal Behavior Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Any Methods (Not Plan) Without Intent to Act Question

"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)

,,
Interventionparticipants (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/Day0112002
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Non-Specific Active Suicidal Thoughts Question

"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)

,,
Interventionparticipants (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/Day2113012
Armodafinil 200 mg/Day1000001
Placebo0010002

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Some Intent to Act Without a Specific Plan Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000001

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Specific Plan and Intent Question

"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)

,,
Interventionparticipants (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/Day0000000
Armodafinil 200 mg/Day0000000
Placebo0000000

Columbia-Suicide Severity Rating Scale 'Since Last Visit' Version (C-SSRS-SLV) For Weeks 1, 2, 4, 6, 7, 8, and Endpoint For the Suicidal Ideation - Wish to Be Dead Question

"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)

,,
Interventionparticipants (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/Day1111963510
Armodafinil 200 mg/Day2000012
Placebo10746337

Participants With Treatment-Emergent Adverse Events (TEAE)

"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

,,
Interventionparticipants (Number)
>=1 adverse eventSevere adverse eventTreatment-related adverse eventDeathsOther serious adverse eventsWithdrawn from study due to adverse eventsProtocol-defined adverse events
Armodafinil 150 mg/Day12377815193
Armodafinil 200 mg/Day211160223
Placebo10275901115

Percentage of Participants in Remission At Different Treatment Weeks According to the 30-Item Inventory of Depressive Symptomatology-Clinician Rated (IDS-C30) Total Score

"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)

,,
Interventionpercentage 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/Day14815172318
Armodafinil 200 mg/Day7121839434729
Placebo.571119192217

Percentage of Responders At Different Treatment Weeks According to the 30-Item Inventory of Depressive Symptomatology-Clinician Rated (IDS-C30) Total Score

"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)

,,
Interventionpercentage 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/Day7172741444940
Armodafinil 200 mg/Day22204156575939
Placebo5162836404739

Change From Baseline to 4 Weeks in the Hamilton Anxiety Scale (HAM A) Total Score

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-3.6
Placebo-3.5

Change From Baseline to 8 Weeks in the Hamilton Anxiety Scale (HAM A) Total Score

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-4.7
Placebo-4.4

Change From Baseline to Endpoint (8 Weeks or Last Observation After Baseline) in Hamilton Anxiety Scale (HAM-A) Total Score

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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-4.1
Placebo-3.9

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-12.3
Placebo-10.2

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)

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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day8.2
Placebo7.4

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-7.0
Placebo-6.5

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) - Item 4

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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-0.4
Placebo-0.2

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) Combination of Items 1-3

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. 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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-1.6
Placebo-1.2

Change From Baseline to Week 1 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-3.5
Placebo-3.7

Change From Baseline to Week 2 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-5.0
Placebo-4.1

Change From Baseline to Week 3 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-5.8
Placebo-5.0

Change From Baseline to Week 4 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-9.6
Placebo-8.9

Change From Baseline to Week 4 in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day5.9
Placebo4.6

Change From Baseline to Week 4 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-6.4
Placebo-5.6

Change From Baseline to Week 4 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) - Item 4

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-0.2
Placebo-0.2

Change From Baseline to Week 4 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) Combination of Items 1-3

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. 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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-1.2
Placebo-1.1

Change From Baseline to Week 6 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-7.8
Placebo-6.7

Change From Baseline to Week 8 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-13.4
Placebo-11.0

Change From Baseline to Week 8 in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day10.1
Placebo8.5

Change From Baseline to Week 8 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-8.2
Placebo-7.6

Change From Baseline to Week 8 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) - Item 4

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-0.3
Placebo-0.2

Change From Baseline to Week 8 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) Combination of Items 1-3

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. 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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-2.0
Placebo-1.6

The Mean Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-15.6
Placebo-12.5

The Mean Change From Baseline to Week 1 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-6.5
Placebo-4.8

The Mean Change From Baseline to Week 2 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-10.0
Placebo-7.3

The Mean Change From Baseline to Week 3 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-13.1
Placebo-10.7

The Mean Change From Baseline to Week 4 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-13.7
Placebo-12.1

The Mean Change From Baseline to Week 6 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-16.7
Placebo-13.7

The Mean Change From Baseline to Week 8 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

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

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-17.8
Placebo-14.8

"Number of Patients Achieving Response at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)"

"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)

,
InterventionParticipants (Number)
ResponseNo Response
Armodafinil 150 mg/Day4678
Placebo4776

"Number of Patients Achieving Sustained Remission at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)"

"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)

,
InterventionParticipants (Number)
Sustained RemissionNo Sustained Remission
Armodafinil 150 mg/Day13111
Placebo8115

"Number of Patients Achieving Sustained Response at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)"

"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)

,
InterventionParticipants (Number)
Sustained ResponseNo Sustained Response
Armodafinil 150 mg/Day23101
Placebo17106

Number of Patients Achieving Remission at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)

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)

,
InterventionParticipants (Number)
RemissionNo Remission
Armodafinil 150 mg/Day3094
Placebo22101

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Endpoint (Week 8 or Last Observation After Baseline)

"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)

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day6460
Placebo6062

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 1

"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

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day12107
Placebo12105

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 2

"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

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day2583
Placebo2684

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 3

"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

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day3864
Placebo3268

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 4

"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

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day4653
Placebo4255

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 6

"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

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day4745
Placebo4349

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 8

"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

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day5237
Placebo4741

Reviews

12 reviews available for modafinil and Bipolar Disorder

ArticleYear
Repurposed drugs as adjunctive treatments for mania and bipolar depression: A meta-review and critical appraisal of meta-analyses of randomized placebo-controlled trials.
    Journal of psychiatric research, 2021, Volume: 143

    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.
    Bipolar disorders, 2020, Volume: 22, Issue:2

    Topics: Bipolar Disorder; Female; Humans; Modafinil; Randomized Controlled Trials as Topic

2020
A review of FDA-approved treatment options in bipolar depression.
    CNS spectrums, 2013, Volume: 18 Suppl 1

    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.
    The Journal of clinical psychiatry, 2013, Volume: 74, Issue:11

    Topics: Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Depressive Disorder

2013
Bipolar therapeutics update 2014: A tale of 3 treatments.
    The Journal of clinical psychiatry, 2015, Volume: 76, Issue:1

    Topics: Antipsychotic Agents; Benzhydryl Compounds; Bipolar Disorder; Dopamine Agonists; Dopamine Plasma Mem

2015
Stimulants for depression: On the up and up?
    The Australian and New Zealand journal of psychiatry, 2016, Volume: 50, Issue:3

    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?
    Current psychiatry reports, 2008, Volume: 10, Issue:6

    Topics: Affect; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Central Ner

2008
Bipolar disorder: an update.
    Postgraduate medicine, 2010, Volume: 122, Issue:4

    Topics: Anticonvulsants; Antidepressive Agents; Antipsychotic Agents; Benzhydryl Compounds; Benzothiazoles;

2010
Pharmacotherapy for the treatment of acute bipolar II depression: current evidence.
    The Journal of clinical psychiatry, 2011, Volume: 72, Issue:3

    Topics: Acute Disease; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Benzothiazoles; Bipola

2011
[Modafinil in the treatment of depression].
    Ugeskrift for laeger, 2012, Feb-06, Volume: 174, Issue:6

    Topics: Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; De

2012
Use of adjunctive stimulants in adult bipolar depression.
    The international journal of neuropsychopharmacology, 2013, Volume: 16, Issue:1

    Topics: Adult; Antipsychotic Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulan

2013
Pharmacokinetic evaluation of armodafinil for the treatment of bipolar depression.
    Expert opinion on drug metabolism & toxicology, 2012, Volume: 8, Issue:9

    Topics: Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Clinical Trials as Topic;

2012

Trials

5 trials available for modafinil and Bipolar Disorder

ArticleYear
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.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:10

    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.
    Journal of affective disorders, 2015, Aug-01, Volume: 181

    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.
    Journal of affective disorders, 2016, Volume: 197

    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.
    The Journal of clinical psychiatry, 2010, Volume: 71, Issue:10

    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.
    The American journal of psychiatry, 2007, Volume: 164, Issue:8

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervo

2007

Other Studies

24 other studies available for modafinil and Bipolar Disorder

ArticleYear
High-dose armodafinil in treatment-refractory bipolar depression.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2023, Volume: 35, Issue:3

    Topics: Aged; Benzhydryl Compounds; Bipolar Disorder; COVID-19; Depressive Disorder, Major; Female; Humans;

2023
Towards a shift in the treatment of bipolar depression?
    Bipolar disorders, 2020, Volume: 22, Issue:8

    Topics: Bipolar Disorder; Humans; Modafinil; Randomized Controlled Trials as Topic

2020
Modafinil-Induced Mania in an Elderly Man.
    The primary care companion for CNS disorders, 2018, May-24, Volume: 20, Issue:3

    Topics: Aged; Bipolar Disorder; Central Nervous System Stimulants; Disorders of Excessive Somnolence; Humans

2018
Armodafinil induced mania in schizophrenia.
    The Australian and New Zealand journal of psychiatry, 2014, Volume: 48, Issue:4

    Topics: Benzhydryl Compounds; Bipolar Disorder; Dose-Response Relationship, Drug; Female; Humans; Modafinil;

2014
Innovation in the treatment of bipolar depression.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:10

    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.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:10

    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.
    Clinical therapeutics, 2015, Feb-01, Volume: 37, Issue:2

    Topics: Adult; Anticonvulsants; Benzhydryl Compounds; Bipolar Disorder; Carbamazepine; Cytochrome P-450 CYP3

2015
Population Pharmacokinetic Modeling of Armodafinil and Its Major Metabolites.
    Journal of clinical pharmacology, 2017, Volume: 57, Issue:2

    Topics: Adult; Area Under Curve; Benzhydryl Compounds; Biotransformation; Bipolar Disorder; Central Nervous

2017
Treatment of acute mania with modafinil monotherapy.
    Biological psychiatry, 2010, Jun-01, Volume: 67, Issue:11

    Topics: Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Electroencephalography; F

2010
Modafinil use in patients with a primary psychiatric illness.
    The Australian and New Zealand journal of psychiatry, 2010, Volume: 44, Issue:6

    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.
    The Journal of neuropsychiatry and clinical neurosciences, 2010,Fall, Volume: 22, Issue:4

    Topics: Aged; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Humans; Male; Modafinil; Moveme

2010
Severe mania complicating treatment of narcolepsy with cataplexy.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2011, Apr-15, Volume: 7, Issue:2

    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.
    Psychopharmacology, 2013, Volume: 225, Issue:3

    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.
    Journal of affective disorders, 2013, Aug-15, Volume: 150, Issue:1

    Topics: Adult; Benzhydryl Compounds; Benzothiazoles; Bipolar Disorder; Chemotherapy, Adjuvant; Drug Toleranc

2013
Modafinil for remitted bipolar depression with hypersomnia.
    The Annals of pharmacotherapy, 2003, Volume: 37, Issue:12

    Topics: Benzhydryl Compounds; Bipolar Disorder; Disorders of Excessive Somnolence; Female; Humans; Male; Mid

2003
Modafinil treatment of excessive sedation associated with divalproex sodium.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2004, Volume: 49, Issue:1

    Topics: Adult; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants;

2004
Mania in a boy treated with modafinil for narcolepsy.
    The American journal of psychiatry, 2005, Volume: 162, Issue:4

    Topics: Adolescent; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Humans; Male;

2005
Modafinil-induced irritability and aggression? A report of 2 bipolar patients.
    Journal of clinical psychopharmacology, 2005, Volume: 25, Issue:6

    Topics: Adult; Aggression; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Humans

2005
Modafinil as an adjunctive treatment to sleep deprivation in depression.
    Journal of psychiatry & neuroscience : JPN, 2005, Volume: 30, Issue:6

    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.
    The Journal of clinical psychiatry, 2006, Volume: 67, Issue:11

    Topics: Benzhydryl Compounds; Bipolar Disorder; Drug Resistance; Female; Humans; Middle Aged; Modafinil; Rec

2006
Modafinil add-on in the treatment of bipolar depression.
    The American journal of psychiatry, 2007, Volume: 164, Issue:8

    Topics: Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; Do

2007
Ultra short manic-like episodes after antidepressant augmentation with modafinil.
    Progress in neuro-psychopharmacology & biological psychiatry, 2008, Apr-01, Volume: 32, Issue:3

    Topics: Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimulants; De

2008
Treatment-emergent hypomania or mania with modafinil.
    The American journal of psychiatry, 2008, Volume: 165, Issue:1

    Topics: Adult; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System Stimula

2008
Modafinil augmentation of antidepressant treatment in depression.
    The Journal of clinical psychiatry, 2000, Volume: 61, Issue:5

    Topics: Adult; Aged; Antidepressive Agents; Benzhydryl Compounds; Bipolar Disorder; Central Nervous System S

2000