Status:

NOT_YET_RECRUITING

Modafinil to Improve Fatiguability

Lead Sponsor:

Ottawa Hospital Research Institute

Collaborating Sponsors:

The Ottawa Hospital

Bruyère Health Research Institute.

Conditions:

Cancer-related Cognitive Difficulties

Cancer-related Problem/Condition

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

Cancer-related fatigue (CRF) and cancer-related cognitive impairment (CRCI) are among the most commonly reported disabling symptoms experienced by patients with advanced cancer. However, there are cur...

Detailed Description

Background: Patients with advanced cancer often experience various disabling symptoms. Cancer-related fatigue (CRF) and cancer-related cognitive impairment (CRCI) are among the most common reported s...

Eligibility Criteria

Inclusion

  • Stage III or IV cancer diagnosis;
  • Has been off cytotoxic chemotherapy for at least 6 weeks;
  • Eastern Cooperative Oncology Group (ECOG) score of 0-2;
  • Experiencing CRF, defined as score of 4 or greater on the Fatigue item of the Edmonton Symptom Assessment System-revised (ESAS-r);
  • Prognosis of at least 3 months;
  • Able to understand and communicate in English and/or French;
  • Able to give first-person informed consent.

Exclusion

  • Allergy to modafinil;
  • Dose change of prednisone or dexamethasone in the past 7 days or planned dose change during study period;
  • Received blood transfusion in the past 2 weeks;
  • Hemoglobin lower than 80 g/L measured within 2 weeks of enrolment;
  • Thyroid Stimulating Hormone (TSH) above normal range (measured within 2 weeks or start date);
  • Patients with known brain metastasis or primary brain tumors;
  • Documented dementia diagnosis;
  • Documented major psychiatric illness including major depressive episode, bipolar disorder, or schizophrenia;
  • Uncontrolled hypertension, defined as blood pressure higher than 140/80;
  • Inability to ingest oral capsule;
  • Pregnant or lactating;
  • Severe liver dysfunction, defined as newly developed liver enzyme elevation total bilirubin \>3 upper limits of normal, aspartate aminotransferase or alanine aminotransferase \>5 upper limits of normal.

Key Trial Info

Start Date :

January 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT05333250

Start Date

January 1 2025

End Date

March 1 2026

Last Update

August 12 2024

Active Locations (1)

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1

The Ottawa Hospital

Ottawa, Ontario, Canada