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A Pilot Study of Modafinil for Treatment of Fatigue and Neurobehavioral Dysfunction in Adult Brain Tumor Patients

21 Years
65 Years
Not Enrolling
Brain and Central Nervous System Tumors, Cognitive/Functional Effects, Fatigue

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Trial Information

A Pilot Study of Modafinil for Treatment of Fatigue and Neurobehavioral Dysfunction in Adult Brain Tumor Patients


- Compare the effectiveness of low-dose vs high-dose modafinil for treatment of fatigue
and neurobehavioral dysfunction in patients with primary brain tumors.

- Determine the safety of this drug in these patients.

- Compare quality of life of patients treated with 2 different doses of this drug.

OUTLINE: This is a randomized, double-blind, parallel-group study. Patients are randomized
to 1 of 2 arms.

- Randomized phase:

- Arm I: Patients receive oral high-dose modafinil twice daily.

- Arm II: Patients receive oral low-dose modafinil twice daily. In both arms,
treatment in this phase continues for 3 weeks followed by a 1-week washout period.

- Extended treatment phase:After the 1-week washout period, all patients receive oral
low-dose modafinil once daily on days 1-3. The dose is then titrated to an optimal
level and administered in divided doses.

Fatigue, neurobehavioral dysfunction, and quality of life are assessed during the randomized
phase at baseline and on days 7 and 21 and then during the extended treatment phase at
baseline and on days 28 and 56.

PROJECTED ACCRUAL: Approximately 30 patients will be accrued for this study.

Inclusion Criteria:

- Diagnosis of primary malignant brain tumor and receiving treatment in the UCLA
Neuro-Oncology Program

- Nonmalignant cerebral tumors also allowed

- Received some combination of prior therapy for disease, including neurosurgical
resection, radiotherapy, and cytotoxic or cytostatic chemotherapy

- Mild to severe fatigue and/or attention/memory impairment, as measured by the
Clinical Global Impression of Severity Scale

- Age 21 to 65

- Able to speak English

- Capable of completing self-rating scales and one-on-one psychometric tests

- Negative pregnancy test

- Fertile patients must use effective contraception

- Concurrent conventional chemotherapy (e.g., carboplatin, lomustine, temozolomide)

- Concurrent glucocorticoids (e.g., dexamethasone) allowed

- Concurrent tamoxifen allowed

- At least 30 days since prior stimulants (e.g., amphetamines or methylphenidate)

- Concurrent anticonvulsants allowed

- Concurrent isotretinoin allowed

Exclusion Criteria:

- Have significant hepatic disease, defined as SGOT greater than or equal to 2.5 times
the upper limit of normal.

- Have significant renal disease, defined as creatinine greater than or equal to

- severe cognitive impairment

- other terminal illness

- emergency patient

- institutional resident

- prisoner or parolee

- UCLA students or staff

- pregnant or nursing

- concurrent irinotecan

- concurrent participation in UCLA experimental chemotherapy trials

- prior modafinil

- concurrent experimental anticancer medication

- concurrent tricyclic antidepressants and/or monoamine oxidase inhibitors

Type of Study:


Study Design:

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Supportive Care

Outcome Measure:

Neurocognitive functioning

Outcome Time Frame:

at baseline and weeks 1, 3, 4, 8, and 10

Safety Issue:


Principal Investigator

Timothy F. Cloughesy, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Jonsson Comprehensive Cancer Center


United States: Institutional Review Board

Study ID:




Start Date:

September 2002

Completion Date:

Related Keywords:

  • Brain and Central Nervous System Tumors
  • Cognitive/Functional Effects
  • Fatigue
  • adult brain tumor
  • fatigue
  • cognitive/functional effects
  • Fatigue
  • Nervous System Neoplasms
  • Central Nervous System Neoplasms



Jonsson Comprehensive Cancer Center at UCLA Los Angeles, California  90095-1781