Page last updated: 2024-10-31

modafinil and MS (Multiple Sclerosis)

modafinil has been researched along with MS (Multiple Sclerosis) in 37 studies

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

Research Excerpts

ExcerptRelevanceReference
"Amantadine, modafinil, and methylphenidate were not superior to placebo in improving multiple sclerosis fatigue and caused more frequent adverse events."9.41Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial. ( Aljarallah, S; Auvray, C; Cordano, C; Creasman, J; Jin, C; Krysko, K; Manguinao, M; McCulloch, C; Morris, B; Mowry, E; Nourbakhsh, B; Revirajan, N; Rutatangwa, A; Waubant, E, 2021)
" Eligible participants with MS and significant fatigue severity are randomly assigned (1:1:1) to received either CBT, modafinil, or a combination of CBT and modafinil for 12 weeks."9.30A randomized pragmatic trial of telephone-delivered cognitive behavioral-therapy, modafinil, and combination therapy of both for fatigue in multiple sclerosis: The design of the "COMBO-MS" trial. ( Alschuler, KN; Braley, TJ; Ehde, DM; Kratz, AL; Kulkarni, S; Little, R; Pickup, K; von Geldern, G, 2019)
"The study is a randomized, placebo-controlled, crossover, four-sequence, four-period, double-blind, multicenter trial of three commonly used medications for the treatment of MS-related fatigue (amantadine, modafinil, methylphenidate) versus placebo in fatigued subjects with MS."9.27Treatment of fatigue with methylphenidate, modafinil and amantadine in multiple sclerosis (TRIUMPHANT-MS): Study design for a pragmatic, randomized, double-blind, crossover clinical trial. ( Nourbakhsh, B; Revirajan, N; Waubant, E, 2018)
"To assess the efficacy of modafinil for the treatment of new learning and memory deficits and fatigue in multiple sclerosis."9.22Cognitive effects of modafinil in patients with multiple sclerosis: A clinical trial. ( Chiaravalloti, ND; DeLuca, J; Elovic, E; Ford-Johnson, L; Lengenfelder, J; Zhang, J, 2016)
"One month treatment with amantadine improved fatigue in patients with relapsing-remitting MS as evaluated by MFIS."9.17Evaluating the effects of amantadin, modafinil and acetyl-L-carnitine on fatigue in multiple sclerosis--result of a pilot randomized, blind study. ( Ledinek, AH; Rot, U; Sajko, MC, 2013)
"Examine the efficacy of armodafinil in improving cognition in patients with multiple sclerosis (MS)."9.16Impact of armodafinil on cognition in multiple sclerosis: a randomized, double-blind crossover pilot study. ( Brown, A; Bruce, J; Hancock, L; Henkelman, E; Lynch, S; Roberg, B, 2012)
"To reassess the effect of modafinil, a wakefulness-promoting artificial psychostimulant, on fatigue and neuropsychological measures in patients with multiple sclerosis."9.15HAGIL (Hamburg Vigil Study): a randomized placebo-controlled double-blind study with modafinil for treatment of fatigue in patients with multiple sclerosis. ( Broemel, F; Daumer, M; Heesen, C; Möller, F; Neuhaus, A; Poettgen, J, 2011)
"To investigate the effects of Modafinil on focused attention, motor function and motor excitability in patients with multiple sclerosis (MS) and fatigue."9.14Modafinil effects in multiple sclerosis patients with fatigue. ( Heesen, C; Lange, R; Liepert, J; Volkmer, M, 2009)
"There was no improvement of fatigue in patients with multiple sclerosis treated with modafinil vs placebo according to the Modified Fatigue Impact Scale."9.11Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study. ( Clanet, M; Confavreux, C; Debouverie, M; Edan, G; Lubetzki, C; Moreau, T; Pelletier, J; Rumbach, L; Stankoff, B; Waubant, E, 2005)
"These data suggest that 200 mg/day modafinil significantly improves fatigue and is well tolerated in patients with MS."9.10Efficacy and safety of modafinil (Provigil) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study. ( Blumenfeld, AM; Lynn, DJ; Nagaraja, HN; Pollak, CP; Rammohan, KW; Rosenberg, JH, 2002)
"Our meta-analysis showed that modafinil was an effective pharmacologic therapy for MS fatigue."8.98Meta-analysis of the efficacy of modafinil versus placebo in the treatment of multiple sclerosis fatigue. ( Jie, C; Kuiqing, L; Shangyan, H; Weixiong, L; Yumin, X, 2018)
"Based on the available data, use of modafinil for the treatment of MS-related fatigue has demonstrated benefit in all uncontrolled studies but has conflicting results from 2 controlled studies."8.86Modafinil for the treatment of multiple sclerosis-related fatigue. ( Brown, JN; Howard, CA; Kemp, DW, 2010)
"Modafinil (Provigil) is approved for treating excessive daytime sleepiness associated with narcolepsy, for shift-work sleep disorder, and as an adjunctive treatment in patients with obstructive sleep apnea syndrome who have residual daytime sleepiness despite optimal treatment with continuous positive airway pressure."8.84Modafinil in the treatment of excessive daytime sleepiness. ( Foldvary-Schaefer, N; Valentino, RM, 2007)
"We audited the patient perceived effectiveness of modafinil when used in clinical practice in a carefully selected group of patients with typical MS fatigue."7.76Modafinil for multiple sclerosis fatigue: does it work? ( Hobart, JC; Littleton, ET; Palace, J, 2010)
"It was the aim of this study to compare fatigue observed in different neurological pathologies, to evaluate the tolerability to modafinil, and to describe changes in subjective fatigue."7.75Effect of modafinil on subjective fatigue in multiple sclerosis and stroke patients. ( Annoni, JM; Bassetti, C; Brioschi, A; Gramigna, S; Ruffieux, C; Schluep, M; Staub, F; Werth, E, 2009)
"To evaluate the value of visual and auditory P300 for predicting the response of multiple sclerosis-related fatigue to modafinil treatment, 33 patients were treated with 100 mg modafinil once daily for 4 weeks, following a 4-week baseline phase and an optional 8-week extension phase."7.74P300 and treatment effect of modafinil on fatigue in multiple sclerosis. ( D'hooghe, MB; De Deyn, PP; Despontin, M; Kos, D; Nagels, G; Vleugels, L, 2007)
"To establish the efficacy, safety and appropriate dose of modafinil in the treatment of fatigue and sleepiness in patients with multiple sclerosis."7.71Modafinil in treatment of fatigue in multiple sclerosis. Results of an open-label study. ( Maida, EM; Rupp, M; Schwarz, S; Zifko, UA; Zipko, HT, 2002)
"Fatigue is a common and distressing symptom of MS which is unrelated to its clinical form, stage of development, the degree of disability, or the lesion load on magnetic resonance imaging."6.78Association of a deficit of arousal with fatigue in multiple sclerosis: effect of modafinil. ( Bibani, RH; Bradshaw, CM; Constantinescu, CS; Langley, RW; Niepel, G; Szabadi, E; Vilisaar, J, 2013)
"Amantadine, modafinil, and methylphenidate were not superior to placebo in improving multiple sclerosis fatigue and caused more frequent adverse events."5.41Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial. ( Aljarallah, S; Auvray, C; Cordano, C; Creasman, J; Jin, C; Krysko, K; Manguinao, M; McCulloch, C; Morris, B; Mowry, E; Nourbakhsh, B; Revirajan, N; Rutatangwa, A; Waubant, E, 2021)
"Fatigue is one of the most frequent and disabling symptoms in multiple sclerosis (MS) patients."5.32[Modafinil and fatigue in multiple sclerosis]. ( Montalbán, X; Téllez, N, 2004)
" Eligible participants with MS and significant fatigue severity are randomly assigned (1:1:1) to received either CBT, modafinil, or a combination of CBT and modafinil for 12 weeks."5.30A randomized pragmatic trial of telephone-delivered cognitive behavioral-therapy, modafinil, and combination therapy of both for fatigue in multiple sclerosis: The design of the "COMBO-MS" trial. ( Alschuler, KN; Braley, TJ; Ehde, DM; Kratz, AL; Kulkarni, S; Little, R; Pickup, K; von Geldern, G, 2019)
"The study is a randomized, placebo-controlled, crossover, four-sequence, four-period, double-blind, multicenter trial of three commonly used medications for the treatment of MS-related fatigue (amantadine, modafinil, methylphenidate) versus placebo in fatigued subjects with MS."5.27Treatment of fatigue with methylphenidate, modafinil and amantadine in multiple sclerosis (TRIUMPHANT-MS): Study design for a pragmatic, randomized, double-blind, crossover clinical trial. ( Nourbakhsh, B; Revirajan, N; Waubant, E, 2018)
"To assess the efficacy of modafinil for the treatment of new learning and memory deficits and fatigue in multiple sclerosis."5.22Cognitive effects of modafinil in patients with multiple sclerosis: A clinical trial. ( Chiaravalloti, ND; DeLuca, J; Elovic, E; Ford-Johnson, L; Lengenfelder, J; Zhang, J, 2016)
"One month treatment with amantadine improved fatigue in patients with relapsing-remitting MS as evaluated by MFIS."5.17Evaluating the effects of amantadin, modafinil and acetyl-L-carnitine on fatigue in multiple sclerosis--result of a pilot randomized, blind study. ( Ledinek, AH; Rot, U; Sajko, MC, 2013)
"Examine the efficacy of armodafinil in improving cognition in patients with multiple sclerosis (MS)."5.16Impact of armodafinil on cognition in multiple sclerosis: a randomized, double-blind crossover pilot study. ( Brown, A; Bruce, J; Hancock, L; Henkelman, E; Lynch, S; Roberg, B, 2012)
"To reassess the effect of modafinil, a wakefulness-promoting artificial psychostimulant, on fatigue and neuropsychological measures in patients with multiple sclerosis."5.15HAGIL (Hamburg Vigil Study): a randomized placebo-controlled double-blind study with modafinil for treatment of fatigue in patients with multiple sclerosis. ( Broemel, F; Daumer, M; Heesen, C; Möller, F; Neuhaus, A; Poettgen, J, 2011)
"To investigate the effects of Modafinil on focused attention, motor function and motor excitability in patients with multiple sclerosis (MS) and fatigue."5.14Modafinil effects in multiple sclerosis patients with fatigue. ( Heesen, C; Lange, R; Liepert, J; Volkmer, M, 2009)
"There was no improvement of fatigue in patients with multiple sclerosis treated with modafinil vs placebo according to the Modified Fatigue Impact Scale."5.11Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study. ( Clanet, M; Confavreux, C; Debouverie, M; Edan, G; Lubetzki, C; Moreau, T; Pelletier, J; Rumbach, L; Stankoff, B; Waubant, E, 2005)
"These data suggest that 200 mg/day modafinil significantly improves fatigue and is well tolerated in patients with MS."5.10Efficacy and safety of modafinil (Provigil) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study. ( Blumenfeld, AM; Lynn, DJ; Nagaraja, HN; Pollak, CP; Rammohan, KW; Rosenberg, JH, 2002)
"Our meta-analysis showed that modafinil was an effective pharmacologic therapy for MS fatigue."4.98Meta-analysis of the efficacy of modafinil versus placebo in the treatment of multiple sclerosis fatigue. ( Jie, C; Kuiqing, L; Shangyan, H; Weixiong, L; Yumin, X, 2018)
" We included studies investigating pemoline and modafinil in participants with multiple sclerosis (MS)-associated fatigue and methylphenidate in patients suffering from advanced cancer and fatigue in meta-analysis."4.91Pharmacological treatments for fatigue associated with palliative care. ( Cuhls, H; Minton, O; Mücke, M; Peuckmann-Post, V; Radbruch, L; Stone, P, 2015)
" Studies investigating amantadine, pemoline, and modafinil in participants with Multiple Sclerosis (MS)-associated fatigue and methylphenidate in patients suffering from advanced cancer and fatigue could be used for meta-analysis."4.86Pharmacological treatments for fatigue associated with palliative care. ( Elsner, F; Krumm, N; Peuckmann, V; Radbruch, L; Trottenberg, P, 2010)
"Based on the available data, use of modafinil for the treatment of MS-related fatigue has demonstrated benefit in all uncontrolled studies but has conflicting results from 2 controlled studies."4.86Modafinil for the treatment of multiple sclerosis-related fatigue. ( Brown, JN; Howard, CA; Kemp, DW, 2010)
"Modafinil (Provigil) is approved for treating excessive daytime sleepiness associated with narcolepsy, for shift-work sleep disorder, and as an adjunctive treatment in patients with obstructive sleep apnea syndrome who have residual daytime sleepiness despite optimal treatment with continuous positive airway pressure."4.84Modafinil in the treatment of excessive daytime sleepiness. ( Foldvary-Schaefer, N; Valentino, RM, 2007)
"We audited the patient perceived effectiveness of modafinil when used in clinical practice in a carefully selected group of patients with typical MS fatigue."3.76Modafinil for multiple sclerosis fatigue: does it work? ( Hobart, JC; Littleton, ET; Palace, J, 2010)
"It was the aim of this study to compare fatigue observed in different neurological pathologies, to evaluate the tolerability to modafinil, and to describe changes in subjective fatigue."3.75Effect of modafinil on subjective fatigue in multiple sclerosis and stroke patients. ( Annoni, JM; Bassetti, C; Brioschi, A; Gramigna, S; Ruffieux, C; Schluep, M; Staub, F; Werth, E, 2009)
"To evaluate the value of visual and auditory P300 for predicting the response of multiple sclerosis-related fatigue to modafinil treatment, 33 patients were treated with 100 mg modafinil once daily for 4 weeks, following a 4-week baseline phase and an optional 8-week extension phase."3.74P300 and treatment effect of modafinil on fatigue in multiple sclerosis. ( D'hooghe, MB; De Deyn, PP; Despontin, M; Kos, D; Nagels, G; Vleugels, L, 2007)
"To establish the efficacy, safety and appropriate dose of modafinil in the treatment of fatigue and sleepiness in patients with multiple sclerosis."3.71Modafinil in treatment of fatigue in multiple sclerosis. Results of an open-label study. ( Maida, EM; Rupp, M; Schwarz, S; Zifko, UA; Zipko, HT, 2002)
"Fatigue is a common and distressing symptom of MS which is unrelated to its clinical form, stage of development, the degree of disability, or the lesion load on magnetic resonance imaging."2.78Association of a deficit of arousal with fatigue in multiple sclerosis: effect of modafinil. ( Bibani, RH; Bradshaw, CM; Constantinescu, CS; Langley, RW; Niepel, G; Szabadi, E; Vilisaar, J, 2013)
"Fatigue is the most common and debilitating symptom in multiple sclerosis (MS) and is believed to be distinctly different from fatigue seen in other chronic conditions."2.48Fatigue in multiple sclerosis - a brief review. ( Constantinescu, CS; Gran, B; Induruwa, I, 2012)
"Fatigue is the most common symptom of MS and is associated with a reduced quality of life."2.42Management of fatigue in patients with multiple sclerosis. ( Zifko, UA, 2004)
"Fatigue is among the most common, yet least understood, symptoms of multiple sclerosis (MS) [1."2.41Fatigue in multiple sclerosis. ( Christodoulou, C; Krupp, LB, 2001)
"The Fatigue Impact Scale for Daily Use (D-FIS) is an eight-item instrument designed to measure subjective daily experience of fatigue."1.34Impact of fatigue in multiple sclerosis: the Fatigue Impact Scale for Daily Use (D-FIS). ( Antigüedad, AR; Benito-León, J; de Andrés, C; Frades, B; Huete-Antón, B; Martínez-Ginés, ML; Martínez-Martín, P; Meca-Lallana, JE; Rodríguez-García, E; Ruiz-Martínez, J, 2007)
"Fatigue is one of the most frequent and disabling symptoms in multiple sclerosis (MS) patients."1.32[Modafinil and fatigue in multiple sclerosis]. ( Montalbán, X; Téllez, N, 2004)

Research

Studies (37)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's19 (51.35)29.6817
2010's14 (37.84)24.3611
2020's4 (10.81)2.80

Authors

AuthorsStudies
Cocco, E1
Fadda, P1
Palotai, M1
Pintye, D1
Glanz, B1
Chitnis, T1
Guttmann, CRG1
Kratz, AL1
Alschuler, KN1
Ehde, DM1
von Geldern, G1
Little, R1
Kulkarni, S1
Pickup, K1
Braley, TJ1
Nourbakhsh, B2
Revirajan, N2
Morris, B1
Cordano, C1
Creasman, J1
Manguinao, M1
Krysko, K1
Rutatangwa, A1
Auvray, C1
Aljarallah, S1
Jin, C1
Mowry, E1
McCulloch, C1
Waubant, E3
Bourdette, D1
Shangyan, H1
Kuiqing, L1
Yumin, X1
Jie, C1
Weixiong, L1
Rubin, SM1
Ledinek, AH1
Sajko, MC1
Rot, U1
Mücke, M1
Cuhls, H1
Peuckmann-Post, V1
Minton, O1
Stone, P1
Radbruch, L2
Ford-Johnson, L1
DeLuca, J1
Zhang, J1
Elovic, E1
Lengenfelder, J1
Chiaravalloti, ND1
Lange, R1
Volkmer, M1
Heesen, C2
Liepert, J1
Brioschi, A1
Gramigna, S1
Werth, E1
Staub, F1
Ruffieux, C1
Bassetti, C1
Schluep, M1
Annoni, JM1
Littleton, ET1
Hobart, JC1
Palace, J1
Brown, JN1
Howard, CA1
Kemp, DW1
Peuckmann, V1
Elsner, F1
Krumm, N1
Trottenberg, P1
Möller, F1
Poettgen, J1
Broemel, F1
Neuhaus, A1
Daumer, M1
Niepel, G1
Bibani, RH1
Vilisaar, J1
Langley, RW1
Bradshaw, CM1
Szabadi, E1
Constantinescu, CS2
Induruwa, I1
Gran, B1
Bruce, J1
Hancock, L1
Roberg, B1
Brown, A1
Henkelman, E1
Lynch, S1
Zifko, UA2
Rupp, M1
Schwarz, S1
Zipko, HT1
Maida, EM1
Téllez, N1
Montalbán, X1
Schwid, SR1
Murray, TJ1
Stankoff, B1
Confavreux, C1
Edan, G1
Debouverie, M2
Rumbach, L1
Moreau, T1
Pelletier, J1
Lubetzki, C1
Clanet, M1
Kraft, GH1
Bowen, J1
Rammohan, KW2
Lynn, DJ2
Pittion, S1
Boërio, D1
Lefaucheur, JP1
Hogrel, JY1
Créange, A1
Nagels, G1
D'hooghe, MB1
Vleugels, L1
Kos, D1
Despontin, M1
De Deyn, PP1
Carrieri, PB1
de Leva, MF1
Carrieri, M1
Buongiorno, M1
Benito-León, J1
Martínez-Martín, P1
Frades, B1
Martínez-Ginés, ML1
de Andrés, C1
Meca-Lallana, JE1
Antigüedad, AR1
Huete-Antón, B1
Rodríguez-García, E1
Ruiz-Martínez, J1
Valentino, RM1
Foldvary-Schaefer, N1
Hohlfeld, R1
Willoughby, E1
Rosenberg, JH1
Blumenfeld, AM1
Pollak, CP1
Nagaraja, HN1
Krupp, LB1
Christodoulou, C1

Clinical Trials (11)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Treatment of Fatigue With Methylphenidate, Modafinil and Amantadine in Multiple Sclerosis[NCT03185065]Phase 3141 participants (Actual)Interventional2017-10-04Completed
A PILOT STUDY OF INTRAVENOUS, SUBANESTHETIC DOSE OF KETAMINE VS PLACEBO, A CROSSOVER DESIGN, FOR MULTIPLE SCLEROSIS RELATED FATIGUE[NCT06064162]Early Phase 120 participants (Anticipated)Interventional2023-10-31Not yet recruiting
Feasibility Study of Adjunctive Bright Light Therapy (BLT) for Amelioration of Fatigue in Chinese Cancer Patients Admitted to a Palliative Care Unit[NCT04525924]42 participants (Anticipated)Interventional2020-08-01Recruiting
Amantadine for Neuroenhancement in Acute Patients Study - A Prospective Pilot Proof of Concept Phase IIb Study in Intensive and Intermediate Care Unit Patients[NCT05479032]Phase 250 participants (Anticipated)Interventional2022-09-30Not yet recruiting
Observational Study of the Effect of Ozanimod on Fatigue in Multiple Sclerosis Patients[NCT05319093]40 participants (Anticipated)Observational2022-04-30Not yet recruiting
Self-Management Program Based on Physical Exercises for People With Multiple Sclerosis With Mild Neurological Impairment: A Randomized Controlled Trial[NCT02607020]100 participants (Anticipated)Interventional2015-12-31Recruiting
Multicenter Study, Randomized, Parallel Group Controlled, Testing the Effectiveness of a Behavioral Cognitive Therapy (BCT) vs Usual Local Practice on the Fatigue of Patients With Relapsing Remittent Multiple Sclerosis (RRMS)[NCT03758820]105 participants (Actual)Interventional2017-05-31Completed
A Randomised, Double Blinded Cross-over Study Comparing the Efficacy of L-carnitine Versus Placebo in the Treatment of Fatigue in Multiple Sclerosis[NCT01149525]Phase 359 participants (Actual)Interventional2010-06-30Completed
Comparison Between the Effects on Fatigue of Aerobic Training Versus Balance Training in Patients With Multiple Sclerosis: a Randomised Crossover Trial.[NCT06051019]39 participants (Actual)Interventional2016-02-17Completed
The Effects of EXOPULSE Mollii Suit on Motor Functions in Patients With Multiple Sclerosis (EXOSEP 2)[NCT05857280]36 participants (Anticipated)Interventional2023-03-21Recruiting
Continuous Positive Airway Pressure for Fatigue Treatment in Patients With Multiple Sclerosis and Obstructive Sleep Apnea[NCT01563900]0 participants (Actual)Interventional2012-02-29Withdrawn (stopped due to Was unable to recruit subjects)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acceptability of Treatment as Assessed by a Single Question Questionnaire

"Participants will answer yes or no to this question: Taken into consideration the possible benefits and/or disadvantages of this medication, would you choose it, going forward to treat your MS fatigue?. The number of participants who answered Yes to this question is reported here." (NCT03185065)
Timeframe: Week 5 of each treatment period

InterventionParticipants (Count of Participants)
Placebo39
Amantadine41
Modafinil55
Methylphenidate55

Epworth Sleepiness Scale (ESS) Score

ESS score during the fifth week of treatment period. The ESS score can range from 0 to 24. The higher the score, the higher that person's average sleep propensity in daily life, or their 'daytime sleepiness'. (NCT03185065)
Timeframe: Week 5 of each treatment period

Interventionscore on a scale (Least Squares Mean)
Placebo9.4
Amantadine9.3
Modafinil8.3
Methylphenidate8.8

Modified Fatigue Impact Scale (MFIS) Score

MFIS score during the fifth week of treatment period. The total score of the MFIS ranges from 0 to 84. Higher scores denote more severe fatigue. (NCT03185065)
Timeframe: Week 5 of each treatment period

Interventionscore on a scale (Least Squares Mean)
Placebo40.6
Amantadine41.3
Modafinil39.0
Methylphenidate38.6

Quality of Life in Neurological Disorders (Neuro-QoL) Item Bank - Fatigue Score

Neuro-QoL Item Bank - Fatigue T score during the fifth week of treatment period. T-score distributions rescale raw scores into standardized scores with a mean of 50 and a standard deviation (SD) of 10. Higher T-scores denote more severe fatigue. (NCT03185065)
Timeframe: Week 5 of each treatment period

Interventionscore on a scale (Least Squares Mean)
Placebo53.1
Amantadine53.0
Modafinil52.5
Methylphenidate52.0

Reviews

11 reviews available for modafinil and MS (Multiple Sclerosis)

ArticleYear
Treatment of multiple sclerosis fatigue with the synthetic psychoactive drug modafinil.
    Experimental neurology, 2022, Volume: 347

    Topics: Activities of Daily Living; Central Nervous System Stimulants; Fatigue; Humans; Modafinil; Multiple

2022
Meta-analysis of the efficacy of modafinil versus placebo in the treatment of multiple sclerosis fatigue.
    Multiple sclerosis and related disorders, 2018, Volume: 19

    Topics: Adult; Benzhydryl Compounds; Cytochrome P-450 CYP3A Inducers; Fatigue; Humans; Middle Aged; Modafini

2018
Management of cognition and fatigue.
    Disease-a-month : DM, 2013, Volume: 59, Issue:7

    Topics: Animals; Antibodies, Monoclonal, Humanized; Benzhydryl Compounds; Cognition Disorders; Depression; D

2013
Pharmacological treatments for fatigue associated with palliative care.
    The Cochrane database of systematic reviews, 2015, May-30, Issue:5

    Topics: Adult; Amantadine; Benzhydryl Compounds; Carnitine; Central Nervous System Stimulants; Chronic Disea

2015
Modafinil for the treatment of multiple sclerosis-related fatigue.
    The Annals of pharmacotherapy, 2010, Volume: 44, Issue:6

    Topics: Animals; Benzhydryl Compounds; Fatigue; Humans; Modafinil; Multiple Sclerosis; Randomized Controlled

2010
Pharmacological treatments for fatigue associated with palliative care.
    The Cochrane database of systematic reviews, 2010, Nov-10, Issue:11

    Topics: Adult; Amantadine; Benzhydryl Compounds; Central Nervous System Stimulants; Fatigue; Humans; Kidney

2010
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Fatigue in multiple sclerosis - a brief review.
    Journal of the neurological sciences, 2012, Dec-15, Volume: 323, Issue:1-2

    Topics: Amantadine; Atrophy; Benzhydryl Compounds; Brain; Clinical Trials as Topic; Cognitive Behavioral The

2012
Management of fatigue in patients with multiple sclerosis.
    Drugs, 2004, Volume: 64, Issue:12

    Topics: Amantadine; Antidepressive Agents; Benzhydryl Compounds; Central Nervous System Stimulants; Clinical

2004
[Pathophysiology and treatment of fatigue in multiple sclerosis].
    Revue neurologique, 2006, Volume: 162, Issue:3

    Topics: 4-Aminopyridine; Acute Disease; Amantadine; Amifampridine; Asthenia; Benzhydryl Compounds; Central N

2006
Modafinil in the treatment of excessive daytime sleepiness.
    Cleveland Clinic journal of medicine, 2007, Volume: 74, Issue:8

    Topics: Attention Deficit Disorder with Hyperactivity; Benzhydryl Compounds; Central Nervous System Stimulan

2007
Fatigue in multiple sclerosis.
    Current neurology and neuroscience reports, 2001, Volume: 1, Issue:3

    Topics: Amantadine; Autoimmune Diseases; Benzhydryl Compounds; Brain; Case Management; Central Nervous Syste

2001

Trials

11 trials available for modafinil and MS (Multiple Sclerosis)

ArticleYear
A randomized pragmatic trial of telephone-delivered cognitive behavioral-therapy, modafinil, and combination therapy of both for fatigue in multiple sclerosis: The design of the "COMBO-MS" trial.
    Contemporary clinical trials, 2019, Volume: 84

    Topics: Central Nervous System Stimulants; Cognitive Behavioral Therapy; Combined Modality Therapy; Fatigue;

2019
Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial.
    The Lancet. Neurology, 2021, Volume: 20, Issue:1

    Topics: Adult; Amantadine; Central Nervous System Stimulants; Cross-Over Studies; Double-Blind Method; Drug

2021
Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial.
    The Lancet. Neurology, 2021, Volume: 20, Issue:1

    Topics: Adult; Amantadine; Central Nervous System Stimulants; Cross-Over Studies; Double-Blind Method; Drug

2021
Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial.
    The Lancet. Neurology, 2021, Volume: 20, Issue:1

    Topics: Adult; Amantadine; Central Nervous System Stimulants; Cross-Over Studies; Double-Blind Method; Drug

2021
Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial.
    The Lancet. Neurology, 2021, Volume: 20, Issue:1

    Topics: Adult; Amantadine; Central Nervous System Stimulants; Cross-Over Studies; Double-Blind Method; Drug

2021
Treatment of fatigue with methylphenidate, modafinil and amantadine in multiple sclerosis (TRIUMPHANT-MS): Study design for a pragmatic, randomized, double-blind, crossover clinical trial.
    Contemporary clinical trials, 2018, Volume: 64

    Topics: Amantadine; Central Nervous System Stimulants; Cross-Over Studies; Double-Blind Method; Fatigue; Hum

2018
Evaluating the effects of amantadin, modafinil and acetyl-L-carnitine on fatigue in multiple sclerosis--result of a pilot randomized, blind study.
    Clinical neurology and neurosurgery, 2013, Volume: 115 Suppl 1

    Topics: Acetylcarnitine; Adult; Amantadine; Benzhydryl Compounds; Drug Combinations; Fatigue; Female; Humans

2013
Cognitive effects of modafinil in patients with multiple sclerosis: A clinical trial.
    Rehabilitation psychology, 2016, Volume: 61, Issue:1

    Topics: Adult; Benzhydryl Compounds; Cognition; Cognition Disorders; Cross-Over Studies; Double-Blind Method

2016
Modafinil effects in multiple sclerosis patients with fatigue.
    Journal of neurology, 2009, Volume: 256, Issue:4

    Topics: Adult; Analysis of Variance; Attention; Benzhydryl Compounds; Double-Blind Method; Evoked Potentials

2009
HAGIL (Hamburg Vigil Study): a randomized placebo-controlled double-blind study with modafinil for treatment of fatigue in patients with multiple sclerosis.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2011, Volume: 17, Issue:8

    Topics: Adult; Benzhydryl Compounds; Double-Blind Method; Fatigue; Female; Humans; Male; Modafinil; Multiple

2011
Association of a deficit of arousal with fatigue in multiple sclerosis: effect of modafinil.
    Neuropharmacology, 2013, Volume: 64

    Topics: Adult; Arousal; Autonomic Nervous System; Benzhydryl Compounds; Cardiovascular Agents; Central Nervo

2013
Impact of armodafinil on cognition in multiple sclerosis: a randomized, double-blind crossover pilot study.
    Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology, 2012, Volume: 25, Issue:3

    Topics: Adult; Benzhydryl Compounds; Cognition; Cognition Disorders; Cross-Over Studies; Double-Blind Method

2012
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Double-Blind Method; Fatigue; Female

2005
Efficacy and safety of modafinil (Provigil) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study.
    Journal of neurology, neurosurgery, and psychiatry, 2002, Volume: 72, Issue:2

    Topics: Adolescent; Adult; Aged; Benzhydryl Compounds; Central Nervous System Agents; Fatigue; Female; Human

2002
Efficacy and safety of modafinil (Provigil) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study.
    Journal of neurology, neurosurgery, and psychiatry, 2002, Volume: 72, Issue:2

    Topics: Adolescent; Adult; Aged; Benzhydryl Compounds; Central Nervous System Agents; Fatigue; Female; Human

2002
Efficacy and safety of modafinil (Provigil) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study.
    Journal of neurology, neurosurgery, and psychiatry, 2002, Volume: 72, Issue:2

    Topics: Adolescent; Adult; Aged; Benzhydryl Compounds; Central Nervous System Agents; Fatigue; Female; Human

2002
Efficacy and safety of modafinil (Provigil) for the treatment of fatigue in multiple sclerosis: a two centre phase 2 study.
    Journal of neurology, neurosurgery, and psychiatry, 2002, Volume: 72, Issue:2

    Topics: Adolescent; Adult; Aged; Benzhydryl Compounds; Central Nervous System Agents; Fatigue; Female; Human

2002

Other Studies

15 other studies available for modafinil and MS (Multiple Sclerosis)

ArticleYear
Fronto-striatal damage may contribute to resistance to fatigue-lowering medications in multiple sclerosis.
    Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2023, Volume: 33, Issue:2

    Topics: Anti-Anxiety Agents; Brain; Cross-Sectional Studies; Humans; Modafinil; Multiple Sclerosis; Retrospe

2023
Are drugs for multiple sclerosis fatigue just placebos?
    The Lancet. Neurology, 2021, Volume: 20, Issue:1

    Topics: Amantadine; Double-Blind Method; Fatigue; Humans; Methylphenidate; Modafinil; Multiple Sclerosis; Ph

2021
Effect of modafinil on subjective fatigue in multiple sclerosis and stroke patients.
    European neurology, 2009, Volume: 62, Issue:4

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Dose-Response Relationship, Drug; Fa

2009
Modafinil for multiple sclerosis fatigue: does it work?
    Clinical neurology and neurosurgery, 2010, Volume: 112, Issue:1

    Topics: Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Fatigue; Female; Follow-Up Studies;

2010
Modafinil in treatment of fatigue in multiple sclerosis. Results of an open-label study.
    Journal of neurology, 2002, Volume: 249, Issue:8

    Topics: Adult; Anxiety; Benzhydryl Compounds; Central Nervous System Stimulants; Dizziness; Fatigue; Female;

2002
[Modafinil and fatigue in multiple sclerosis].
    Neurologia (Barcelona, Spain), 2004, Volume: 19, Issue:8

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Clinical Trials as Topic; Fatigue; Humans;

2004
Treating fatigue in patients with MS: one step forward, one step back.
    Neurology, 2005, Apr-12, Volume: 64, Issue:7

    Topics: Amantadine; Aspirin; Benzhydryl Compounds; Central Nervous System; Central Nervous System Stimulants

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Dec-27, Volume: 65, Issue:12

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Depressive Disorder; Diagnostic Errors; Dos

2005
Modafinil for fatigue in MS: a randomized placebo-controlled double-blind study.
    Neurology, 2005, Dec-27, Volume: 65, Issue:12

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Dose-Response Relationship, Drug; Fatigue S

2005
[Fatigue and episodic exhaustion as a feature of multiple sclerosis].
    Revue neurologique, 2006, Volume: 162, Issue:3

    Topics: 4-Aminopyridine; Amantadine; Amifampridine; Benzhydryl Compounds; Fatigue; Humans; Hypnotics and Sed

2006
P300 and treatment effect of modafinil on fatigue in multiple sclerosis.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2007, Volume: 14, Issue:1

    Topics: Acoustic Stimulation; Adult; Benzhydryl Compounds; Central Nervous System Stimulants; Electroencepha

2007
Modafinil improves primary nocturnal enuresis in multiple sclerosis.
    European journal of neurology, 2007, Volume: 14, Issue:3

    Topics: Adult; Benzhydryl Compounds; Central Nervous System; Central Nervous System Stimulants; Fatigue; Fem

2007
Impact of fatigue in multiple sclerosis: the Fatigue Impact Scale for Daily Use (D-FIS).
    Multiple sclerosis (Houndmills, Basingstoke, England), 2007, Volume: 13, Issue:5

    Topics: Adolescent; Adult; Aged; Amantadine; Benzhydryl Compounds; Central Nervous System Stimulants; Dopami

2007
["Fatigue" in multiple sclerosis].
    Der Nervenarzt, 2000, Volume: 71, Issue:8

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Clinical Trials as Topic; Dose-Response Rel

2000
Modafinil for fatigue in multiple sclerosis.
    Journal of neurology, neurosurgery, and psychiatry, 2002, Volume: 72, Issue:2

    Topics: Benzhydryl Compounds; Central Nervous System Stimulants; Clinical Trials, Phase II as Topic; Fatigue

2002