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modafinil

Phase 3

ADHD | Small molecule | Psychiatry |Teva Pharmaceutical Industries Limited|Trials Updated: May 9, 2014

modafinil development status

Highest phase Phase 3
Registered trials 17 across 8 sponsors since Apr 2005

modafinil target and mechanism

Molecular targetSLC6A3
Target classInhibitor
ModalitySmall molecule

Also known as Provigil

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials9
Total Enrollment1,278

FDA Designations

No designations recorded

modafinil clinical trials

modafinil · 9 trials · 6 indications

Phase 3 8Phase 2 1
NCT00228540Study to Assess Satisfaction With Modafinil Treatment in Children and Adolescents With ADHDADHD
COMPLETED- Analytics
NCT00214981Evaluate the Safety and Efficacy of Modafinil in Children and Adolescents With ADHDAttention Deficit/Hyperactivity Disorder
COMPLETED- Analytics
NCT00236080Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil and PROVIGILChronic Shift Work Sleep Disorder
COMPLETED136 Analytics
NCT00107796Study of PROVIGIL ® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With NarcolepsyNarcolepsy
COMPLETED140 Analytics
NCT00107848PROVIGIL® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy or Obstructive Sleep Apnea/Hypopnea SyndromeNarcolepsy
COMPLETED280 Analytics
NCT00343811Study to Evaluate the Efficacy of Modafinil Treatment in Patients With Attention Deficit Hyperactivity Disorder (ADHD) Who Are Responders to Modafinil TreatmentAttention Deficit Hyperactivity Disorder
COMPLETED120 Analytics
NCT00214968Assess the Safety and Effectiveness of PROVIGIL Treatment in Children and Adolescents With Excessive SleepinessNarcolepsy
COMPLETED92 Analytics
NCT00107809Study of PROVIGIL ® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With Obstructive Sleep Apnea/Hypopnea SyndromeSleep Apnea, Obstructive
COMPLETED140 Analytics
PHASE3COMPLETED
Study to Assess Satisfaction With Modafinil Treatment in Children and Adolescents With ADHD
ADHDUnlock trial analytics
PHASE3COMPLETED
Evaluate the Safety and Efficacy of Modafinil in Children and Adolescents With ADHD
Attention Deficit/Hyperactivity DisorderUnlock trial analytics
PHASE3COMPLETED
Study of the Efficacy and Multiple-Dose Plasma Concentration-Time Profiles of Armodafinil and PROVIGIL
Chronic Shift Work Sleep DisorderUnlock trial analytics
PHASE3COMPLETED
Study of PROVIGIL ® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy
NarcolepsyUnlock trial analytics
PHASE3COMPLETED
PROVIGIL® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With Narcolepsy or Obstructive Sleep Apnea/Hypopnea Syndrome
NarcolepsyUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Efficacy of Modafinil Treatment in Patients With Attention Deficit Hyperactivity Disorder (ADHD) Who Are Responders to Modafinil Treatment
Attention Deficit Hyperactivity DisorderUnlock trial analytics
PHASE3COMPLETED
Assess the Safety and Effectiveness of PROVIGIL Treatment in Children and Adolescents With Excessive Sleepiness
NarcolepsyUnlock trial analytics
PHASE3COMPLETED
Study of PROVIGIL ® (Modafinil) Treatment in Children and Adolescents With Excessive Sleepiness Associated With Obstructive Sleep Apnea/Hypopnea Syndrome
Sleep Apnea, ObstructiveUnlock trial analytics

Study Endpoints

Primary Endpoints

Evaluate the safety of treatment with the modafinil film coated tablet.
Multiple Sleep Latency Test (MSLT)
Endpoint (Visit 4) change from baseline (Visit 2)

The Multiple Sleep Latency Test (MSLT) is an objective assessment of sleepiness that measures the likelihood of falling asleep. Five 20-minute (maximum) MSLT naps were performed (at 2300, 0100, 0300, 0500, and 0700) at both the screening/baseline assessment visit (Visit 2) and at endpoint (Visit 4). Each nap was terminated after 20 minutes if no sleep occurred. Sleep latency was measured as the elapsed time from lights out to the first epoch scored as sleep.

Psychomotor Vigilance Task (PVT)
Endpoint (Visit 4) change from baseline (Visit 2)

The computer-based PVT took 10 minutes to complete and measured reaction time stimulus in milliseconds. The reaction time consisted of the digits 000 initially appearing in a window on the PVT device, after which the 3-digit numbers increased in milliseconds until the response button was pressed by the patient. The resulting number at the button press was the reaction time in milliseconds. There was a variable 1- to 10-second interstimulus interval. After pressing the button in response to each stimulus, the button was released and the patient awaited the next stimulus.

Mean sleep latency from the Multiple Sleep Latency Test (MSLT) (average of 4 naps performed at 0900, 1100, 1300, and 1500) at the last post baseline observation (week 6 or early termination)
The Clinical Global Impression of Change (CGI-C) ratings for ES, at the last post baseline observation (week 6 or early termination)
The primary objective of the study is to evaluate the safety and tolerability of treatment with PROVIGIL in children and adolescents with excessive sleepiness (ES) associated with narcolepsy or OSAHS, when administered for up to 12 months.
Adverse event evaluations
up to 6 months

Evaluate the safety and tolerability of treatment in children and adolescents with excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea/hypopnea syndrome, when administered for up to 6 months

Secondary Endpoints

Clinical Global Impression of Change (CGI-C) ratings for ES at weeks 3 and 6
Total score from the Pediatric Daytime Sleepiness Scale (PDSS) at weeks 3 and 6, and last postbaseline observation
Mean sleep latency from the MSLT (average of 4 naps performed at 0900, 1100, 1300, and 1500) at week 6
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelFACTORIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALPROVIGIL 200 mg/day
2EXPERIMENTALArmodafinil 250 mg/day
3EXPERIMENTALArmodafinil 200 mg/day
4EXPERIMENTALArmodafinil 150 mg/day
5PLACEBO_COMPARATORPlacebo
ModafinilEXPERIMENTALSubjects began taking Provigil at a dosage of 100 mg/day (1 tablet) and increased their dosage by 100 mg/day each week for up to 4 weeks

Interventions

NameTypeDescription
ModafinilDRUG -
PROVIGIL 200 mgDRUGPROVIGIL 200 mg/day
Armodafinil 250 mgDRUGArmodafinil 250 mg/day
Armodafinil 200 mgDRUGArmodafinil 200 mg/day
Armodafinil 150 mgDRUGArmodafinil 150 mg/day
PlaceboDRUGMatching placebo tablets
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Eligibility Criteria

Age Range6 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites39

Inclusion Criteria: Patients are included in the study if all of the following criteria are met: * Written informed consent/assent is obtained. * The patient is a boy or girl 6 through 17 years of age (inclusive) at the screening visit, and both the patient and parent/legal guardian are English-sp...

Countries:United StatesCanada
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Competitive Landscape -ADHD 10 trials

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Frequently asked questions about modafinil

What is modafinil?

Modafinil is a small molecule drug developed by Teva Pharmaceutical Industries Limited for psychiatric and sleep-related conditions. It is being studied in Phase 3 clinical development for attention deficit hyperactivity disorder (ADHD), narcolepsy, and obstructive sleep apnea. It is an investigational agent in these programs rather than a newly approved product.

What does modafinil target?

Modafinil targets SLC6A3, the dopamine transporter, and acts as an inhibitor of this target. By inhibiting SLC6A3, modafinil modulates dopamine reuptake, which is the mechanism underlying its activity in ADHD and sleep-wake disorders. This target class places it among dopamine transporter inhibitors used in psychiatry.

Who makes modafinil?

Modafinil is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is the sponsor associated with the clinical development program covering ADHD, narcolepsy, and obstructive sleep apnea indications for this small molecule asset.

What phase is modafinil in?

Modafinil is in Phase 3 clinical development for its psychiatric and sleep-related indications. The program includes completed Phase 3 and Phase 2 trials, with no active trials currently listed. It should be described as investigational in these development programs rather than as a newly approved therapy.

What clinical trials is modafinil in?

Modafinil has been studied in completed trials including NCT00343811, a Phase 3 ADHD study in patients who responded to modafinil, NCT00315276, a Phase 2 dose-finding study in adults with ADHD, NCT00228540, a Phase 3 satisfaction study in children and adolescents, and NCT00214981, a Phase 3 safety and efficacy study in children and adolescents with ADHD.

What is modafinil used for in ADHD?

Modafinil is being developed for attention deficit hyperactivity disorder, including studies in both adults and children as young as six years old. Its ADHD program spans Phase 2 dose-finding and Phase 3 efficacy and safety trials conducted in the United States, with enrollment across these completed studies totaling several hundred participants.