Status:

COMPLETED

Effectiveness of Modafinil for Treating Fatigue in Adults With HIV/AIDS

Lead Sponsor:

New York State Psychiatric Institute

Collaborating Sponsors:

National Institute of Mental Health (NIMH)

Conditions:

HIV Infections

Fatigue

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

This study will determine whether modafinil (Provigil®), a medication approved for the treatment of narcolepsy, is effective in reducing fatigue in adults with HIV/AIDS.

Detailed Description

Fatigue is a common problem for many people with HIV/AIDS, interfering with daily activities and serving as a significant barrier to working among those whose health is otherwise stable or restored by...

Eligibility Criteria

Inclusion

  • Ages 18-75
  • HIV+
  • Clinically significant fatigue (score of 4.5+ on Fatigue Severity Scale, plus impairment on 1+ categories of Role Function Scale)
  • Fatigue duration for 3+ months
  • English-speaking
  • Able to give informed consent
  • Fecund women uses barrier method of contraception

Exclusion

  • Primary care doctor does not approve of study participation
  • Unstable medical condition (e.g. liver failure;cirrhosis, new onset opportunistic infection \[O.I.\] in past month)
  • Untreated hypogonadism, except for men for whom testosterone replacement is medically contraindicated (serum testosterone below the reference range)
  • Untreated hypothyroidism (thyroid stimulating hormone \[TSH\] over 5 IUI/mL)
  • Untreated and uncontrolled hypertension
  • Clinically significant anemia (hematocrit \<30%)
  • Started testosterone or nandrolone in past 6 weeks
  • Started or changed an antiretroviral regimen in past 4 weeks if fatigue predated the change; otherwise, started or changed regimen in past 2 months
  • Untreated or under-treated major depressive disorder
  • Started antidepressant medication within past 6 weeks
  • Substance abuse/dependence (past 4 months)
  • Regular and frequent cannabis use (\> twice/week regularly)
  • Currently clinically significant suicidal ideation or Hamilton Depression Rating Scale (HAM-D) \>24
  • History or current psychosis or bipolar disorder
  • Pregnant or breastfeeding
  • Significant untreated insomnia (score \>3 on HAM-D insomnia items)
  • Currently taking psychostimulant medication or past nonresponse to modafinil
  • Has no alternative viable antiretroviral regimen after the current one
  • Left ventricular hypertrophy; mitral valve prolapse

Key Trial Info

Start Date :

December 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2010

Estimated Enrollment :

115 Patients enrolled

Trial Details

Trial ID

NCT00118378

Start Date

December 1 2004

End Date

November 1 2010

Last Update

May 10 2017

Active Locations (1)

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New York State Psychiatric Institute

New York, New York, United States, 10032