Study With Modafinil in Patients Treated With Docetaxel-Based Chemotherapy for Metastatic Breast or Prostate Cancer (MOTIF)
A Prospective, Randomised, Double-Blind, Placebo-Controlled Phase III Study of Modafinil to Improve Fatigue and Quality of Life in Patients Treated With Docetaxel-Based Chemotherapy for Metastatic Breast or Prostate Cancer
The primary objective is:
- To determine the efficacy of modafinil in the reduction of fatigue in patients with metastatic breast or prostate cancer undergoing docetaxel-based chemotherapy
The secondary objectives are:
- To determine the effect of modafinil on quality of life (QoL) during docetaxel-based chemotherapy
- To determine the effect of modafinil on patients physical activity level, functional status, number of chemotherapy cycles tolerated, sleep disturbance and depression, during docetaxel-based chemotherapy
- To investigate the impact of tumour type, patient physical activity level, functional status, sleep disturbance and depression on the efficacy of modafinil at improving fatigue and quality of life during docetaxel-based chemotherapy.
- To determine the safety and tolerability of modafinil during docetaxel-based chemotherapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Macquarie Park, Australia
- Sanofi-Aventis Administrative Office
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Treatment with q3w (every three weeks) docetaxel-based chemotherapy for metastatic breast or prostate cancer at a minimum dose of 50 mg/m2
- Completed at least two cycles of chemotherapy and intention to treat the patient with at least two further cycles of docetaxel-based chemotherapy
- Fatigue > or = to 4 on the MD Anderson Symptom Inventory fatigue assessment scale during the previous docetaxel chemotherapy cycle
- SPHERE somatic (SOMA) subscale score > or = to 3
- Worsening of fatigue after commencement of docetaxel chemotherapy
- Haemoglobin (Hb)> or = to 10 g/dL within two weeks before randomisation
Exclusion criteria:
- Unable to complete the MD Anderson Symptom Inventory fatigue assessment scale or Functional Assessment of Chronic Illness Therapy-Fatigue Quality of Life survey
- Require docetaxel chemotherapy dose reduction to less than 50 mg/m2
- History of chronic fatigue condition
- Uncontrolled hypertension (blood pressure > or = to 150/90 mm Hg
- Known hypersensitivity / intolerance to modafinil or any of the excipients
- Pregnant women
- Psychological, familial, sociological, or geographical conditions that do not permit treatment or medical follow-up and / or prohibit compliance with the study protocol
- Any serious concomitant illness that, in the opinion of the Investigator, would preclude a patient from participating in the study
- Non-English speaking
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: 1
docetaxel chemotherapy + modafinil 100 mg capsules
|
arm 1: best supportive care (docetaxel chemotherapy) plus modafinil 200mg mane daily arm 2: best supportive care (docetaxel chemotherapy) plus placebo of modafinil 200mg mane daily
best supportive care (docetaxel chemotherapy) plus modafinil 200mg mane daily
|
|
PLACEBO_COMPARATOR: 2
docetaxel chemotherapy + placebo (lactose) capsules (matched to modafinil drug)
|
arm 1: best supportive care (docetaxel chemotherapy) plus modafinil 200mg mane daily arm 2: best supportive care (docetaxel chemotherapy) plus placebo of modafinil 200mg mane daily
Best supportive care (docetaxel chemotherapy) + placebo capsules one daily-mane (before noon)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Fatigue scores daily assessed using the 11-point (0-10) 0 is the lower score and 10 is the highest. this score is calculated using the MD Anderson Symptom Inventory
Time Frame: From baseline to the end of study (week 12)
|
From baseline to the end of study (week 12)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Patient quality of life weekly assessed by using the self-administered Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Quality Of Life survey
Time Frame: From baseline to the end of study (week 12)
|
From baseline to the end of study (week 12)
|
|
Fatigue assessed by using the self-administered six-item somatic subscale (SOMA) of the Somatic and Psychological Health Report (SPHERE) questionnaire
Time Frame: At screening and from visit 6 (week 3) of treatment to end of study (week 12)
|
At screening and from visit 6 (week 3) of treatment to end of study (week 12)
|
|
Sleep quality assessed by using the self-administered Pittsburgh Sleep Quality Index (PSQI) questionnaire
Time Frame: At baseline and from visit 6 (week 3) to end of study (week 12)
|
At baseline and from visit 6 (week 3) to end of study (week 12)
|
|
Functional status will be determined using the self-administered Medical Outcomes Study - Short Form Health Survey (SF-36)
Time Frame: At baseline and from visit 6 (week 3) to end of study (week 12)
|
At baseline and from visit 6 (week 3) to end of study (week 12)
|
|
Depression assessed using seven depression-related questions from the self-administered Hospital Anxiety and Depression (HAD) assessment subscale. Patient with depression will be defined as having the HAD-D> or = 8
Time Frame: At baseline and last visit= end of study (week 12)
|
At baseline and last visit= end of study (week 12)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Rosanna DUFFY, Sanofi
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Genital Neoplasms, Male
- Prostatic Diseases
- Prostatic Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 CYP3A Inducers
- Central Nervous System Stimulants
- Wakefulness-Promoting Agents
- Docetaxel
- Modafinil
Other Study ID Numbers
Other Study ID Numbers
- DOCET_L_04203
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