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Modafinil in Treating Fatigue in Patients Receiving Chemotherapy for Cancer



Modafinil in Treating Fatigue in Patients Receiving Chemotherapy for Cancer

For Condition: unspecified adult solid tumor, protocol specific,Fatigue
Status: Recruiting
Sponsor(s): University of Rochester , National Cancer Institute (NCI)
Synopsis: RATIONALE: Modafinil may be effective in relieving fatigue in patients with cancer who are undergoing chemotherapy. The effectiveness of modafinil in relieving chemotherapy-related fatigue is not yet known. PURPOSE: Randomizedphase III trial to determine the effectiveness of modafinil in treating fatigue in patients who are receiving chemotherapy for cancer.
Details: OBJECTIVES: - Assess the degree to which modafinil can reduce fatigue in cancer patients receiving chemotherapy. - Assess the relationship between depression and fatigue in patients treated with this drug. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are randomized to 1 of 2 treatment arms. - Arm I: Beginning on day 10 of the second course of chemotherapy, patients receive oral modafinil once daily. - Arm II: Beginning on day 10 of the second course of chemotherapy, patients receive oral placebo once daily. Treatment is temporarily discontinued for 3 days during courses 3 and 4 of chemotherapy (i.e., the days before, during, and after chemotherapy). Treatment in both arms continues until day 7 of course 4 of chemotherapy in the absence of disease progression or unacceptable toxicity. Fatigue and quality of life are assessed on day 7 of courses 2-4 of chemotherapy. PROJECTED ACCRUAL: A total of 837 patients will be accrued for this study within approximately 2.5 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Diagnosis of cancer - Concurrently receiving or has previously received chemotherapy and is scheduled for at least 3 additional courses of chemotherapy - Each course of chemotherapy must be at least 2 weeks in duration - No concurrent radiotherapy or interferon therapy - Brief Fatigue Inventory question #3 "fatigue worst" score of 2 or greater 1 week after first chemotherapy course PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Not specified Life expectancy - At least 6 months Hematopoietic - Not specified Hepatic - No uncontrolled anemia Renal - Not specified Cardiovascular - No history of clinically significant cardiac disease - No uncontrolled hypertension Gastrointestinal - Able to swallow medication - No narrowing (pathological or iatrogenic) or obstruction of the gastrointestinal tract Other - No severe headaches - No glaucoma - No seizure disorder - No narcolepsy - No psychotic disorder - No Tourette's syndrome - No alcohol or drug abuse - Not pregnant or nursing - Fertile patients must use effective barrier contraception during and for at least 1 full menstrual cycle after study completion PRIOR CONCURRENT THERAPY: Biologic therapy - See Disease Characteristics - No concurrent interferon alfa or interleukin-2 Chemotherapy - See Disease Characteristics Endocrine therapy - Concurrent oral or IV corticosteroids, such as dexamethasone or prednisolone, used to enhance effects of antiemetics allowed - No other concurrent chronic corticosteroids Radiotherapy - See Disease Characteristics Surgery - Not specified Other - No prior modafinil - At least 30 days since prior investigational drugs - At least 30 days since prior anticonvulsants (e.g., phenytoin), psychostimulants (e.g., amphetamines or methylphenidate), pemoline, or monoamine oxidase inhibitors (MAOIs) - Concurrent low-dose warfarin for maintenance of venous access devices allowed - No concurrent alcohol - Concurrent acetaminophen with codeine or hydrocodone bitartrate allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
GaryMorrow,  Study Chair,  James P. Wilmot Cancer Center

CCOP - Virginia Mason Research Center *Recruiting*
Seattle,  Washington,  98101
United States
Recruiting Andrew  Jacobs 206-341-0446

St. Joseph Hospital *Recruiting*
Denver,  Colorado,  80218-1191
United States
Recruiting Michael  McLaughlin 303-861-3302

St. Mary-Corwin Regional Medical Center *Recruiting*
Pueblo,  Colorado,  81004
United States
Recruiting Marlow  Sloan 719-560-6000

Porter Adventist Hospital *Recruiting*
Denver,  Colorado,  80210
United States
Recruiting David  Trevarthen 303-788-8675

Penrose Cancer Center *Recruiting*
Colorado Springs,  Colorado,  80933
United States
Recruiting Robert  Sayre 719-577-2555

MBCCOP - Gulf Coast *Recruiting*
Mobile,  Alabama,  36607
United States
Recruiting Paul  Schwarzenberger 251-435-3941

CCOP - Greenville *Recruiting*
Greenville,  South Carolina,  29615
United States
Recruiting Jeffrey  Giguere 864-241-6251

CCOP - Central Illinois *Recruiting*
Decatur,  Illinois,  62526
United States
Recruiting James  Wade 217-876-6600

CCOP - Marshfield Clinic Research Foundation *Recruiting*
Marshfield,  Wisconsin,  54449
United States
Recruiting Tarit  Banerjee 715-387-5134

CCOP - Northwest *Recruiting*
Tacoma,  Washington,  98405-0986
United States
Recruiting Lauren  Colman 253-403-1677

Longmont United Hospital *Recruiting*
Longmont,  Colorado,  80501
United States
Recruiting Robert  Fisher 303-485-4132

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784

Rocky Mountain Cancer Centers - Rose *Recruiting*
Denver,  Colorado,  80220
United States
Recruiting Scot  Sedlacek 303-321-0302

CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C. *Recruiting*
Syracuse,  New York,  13217
United States
Recruiting Jeffrey  Kirshner 315-472-7504

Presbyterian-St Luke's Medical Center *Recruiting*
Denver,  Colorado,  80218
United States
Recruiting Robert  Jotte 303-388-4876

CCOP - Columbus *Recruiting*
Columbus,  Ohio,  43206
United States
Recruiting J.  Kuebler 614-488-2118

Swedish Medical Center *Recruiting*
Englewood,  Colorado,  80110
United States
Recruiting Marshall  Davis 303-788-5860

CCOP - Metro-Minnesota *Recruiting*
St. Louis Park,  Minnesota,  55416
United States
Recruiting Patrick  Flynn 612-863-8585

CCOP - Dayton *Recruiting*
Dayton,  Ohio,  45429
United States
Recruiting Howard  Gross 937-832-1093

MBCCOP - Hawaii *Recruiting*
Honolulu,  Hawaii,  96813
United States
Recruiting Brian  Issell 808-586-3013

Boulder Community Hospital *Recruiting*
Boulder,  Colorado,  80301-9019
United States
Recruiting John  Fleagle 303-440-2399

CCOP - Colorado Cancer Research Program, Incorporated *Recruiting*
Denver,  Colorado,  80224
United States
Recruiting Eduardo  Pajon 303-777-2663

CCOP - Northern New Jersey *Recruiting*
Hackensack,  New Jersey,  07601
United States
Recruiting Richard  Rosenbluth 201-996-5900

Rocky Mountain Cancer Centers *Recruiting*
Thornton,  Colorado,  80260
United States
Recruiting Alvin  Otsuka 303-386-7622

CCOP - Southeast Cancer Control Consortium *Recruiting*
Winston Salem,  North Carolina,  27104-4241
United States
Recruiting James  Atkins 336-777-3036

CCOP - Mayo Clinic Scottsdale Oncology Program *Recruiting*
Scottsdale,  Arizona,  85259-5404
United States
Recruiting Tom  Fitch 480-301-9875

Medical Center of Aurora - South Campus *Recruiting*
Aurora,  Colorado,  80012-0000
United States
Recruiting Sami  Diab 303-418-7600

CCOP - Kalamazoo *Recruiting*
Kalamazoo,  Michigan,  49007-3731
United States
Recruiting Raymond  Lord 269-373-7488

Sky Ridge Medical Center *Recruiting*
Lone Tree,  Colorado,  80124
United States
Recruiting Dennis  Carter 720-225-4211


Additional Information:
Study ID Numbers:
  CDR0000069477;  URCC-U2901,NCI-P02-0228,NCI-5952
Study Start Date: 
Record last reviewed: April 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00042848

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