E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
|
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine whether Modafinil is more effective than placebo in reducing subjective fatigue as measured by the Brief Fatigue Inventory. |
|
E.2.2 | Secondary objectives of the trial |
To determine whether Modafinil is more effective than placebo in reducing daytime sleepiness, sleep duration or pain; or improving cognitive function testing, sleep quality or physical health and vitality scores. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
Written Informed Consent
Widespread body pain
A positive tender point count of at least 11 out of 18 points on digital palpation
Daily fatigue of greater than 4 points on the Fatigue Scale
Fatigue for greater than 24 hours following minimal activity
Age 18 to 65 years inclusive |
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E.4 | Principal exclusion criteria |
History of inflammatory disease or neoplasm
Major psychological disorders known to affect sleep as assessed by the PRIME-MD scale.
Pregnancy
Breast feeding mothers
Hypertension
Patients with a score of less than 24 out of 30 on the Mini-Mental State Exam.
Any clinically significant, uncontrolled medical or psychiatric conditions (treated or untreated)
Arrhythmia
History of left ventricular hypertrophy, cor pulmonale or mitral valve prolapse
Lactose intolerance
Known sensitivity to other constituents of modafinil tablet ie maize starch, magnesium silicate, croscarmellose sodium, Povidone K90, Talc or magnesium stearate.
Patient is taking anticonvulsants, anticoagulants, melatonin, St John’s Wort, methylphenidate, amphetamines, pemoline, zolpidem, monoamine oxidase inhibitors, barbiturates, benzodiazepines, lithium or antipsychotic drugs.
Has a significant deviation from normal in the physical examination.
Has any disorder that may interfere with drug absorption, distribution, metabolism or excretion (including gastro-intestinal surgery).
Any other sleep disorder including obstructive sleep apnoea, narcolepsy or periodic leg movement syndrome.
Previous use of Modafinil (Provigil).
Clinical history of heart, kidney or liver disease, heart attack, diseases of the CNS, alcoholism or drug dependence.
|
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E.5 End points |
E.5.1 | Primary end point(s) |
The number of patients with a significant change on the Brief Fatigue Inventory following treatment with Modafinil compared to placebo. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The end of the trial will be defined as the date the last subject completes the last visit. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | |