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CompletedPhase 4Results posted

"Pilot Study of Armodafinil in Patients With Dementia With Lewy Bodies"

An Open Label, Single-Center Pilot Study of Armodafinil in Patients With Dementia With Lewy Bodies

Lead sponsor

Mayo Clinic

Asset

Armodafinil

Listed sites

1

Recruiting sites

-

Enrollment

20

actual

Study population

Lewy body dementia

Key I/E criteria

Dementia with Lewy bodiesMMSE 10-26Study partner/caregiver required

Primary endpoint

Mean Initial Sleep Latency

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

Org study ID09-003438
NCT IDNCT01023672
NihP50AG016574
NihR01AG015866

Timeline

Milestones

Study start2009-11 (month precision)
Study first posted2009-12-02estimated
Primary completion2012-03actual (month precision)
Study completion2012-03actual (month precision)
Last update posted2013-09-05estimated
Results first posted2013-09-05estimated

Assets

Drug assets

Study populations

Who this study enrolls

Lewy body dementia

Eligibility

Who can enroll

Minimum age50 Years
Maximum age90 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Diagnosis of clinically possible or probable DLB using established criteria
Age 50-90 inclusive
Epworth Sleepiness Scale score of 8 or greater
MMSE score between 10 and 26 inclusive
No active medical disorder that could preclude participation in a drug treatment trial over a 12 week protocol
Stable medication regimen over previous four weeks
Absence of psychotropic medications at doses viewed by the clinician to be significantly impacting the patient's alertness during wakefulness
Absence of clinically significant primary sleep-related breathing disorder causing sleepiness as demonstrated by polysomnography (PSG) [ie, no significant upper airway resistance syndrome (UARS), obstructive sleep apnea (OSA), nor central sleep apnea (CSA) as reflected by a combined respiratory disturbance index (RDI) <15] OR adequate documentation of efficacy of treatment for UARS, OSA, and CSA
Caregiver that is with the patient at least 4 hours/day for at least 5 days per week
Patient and caregiver willing and able to participate in all study-related procedures
Patient is capable of giving informed consent, or if appropriate, has caregiver capable of giving consent on the subject's behalf

Exclusion criteria

Does not fulfill criteria for clinically possible or probable DLB
Age <50 or >90
Women with intact uterus and not post-menopausal unless pregnancy test performed at screening is negative
Epworth Sleepiness Scale score less than 8
MMSE score <10 or >26
Active medical disorder that could preclude participation in a drug treatment trial over a 52 week protocol, such as:
-Hypertension with BP readings exceeding 150 mm Hg systolic and 90 mm Hg diastolic
-Hypersensitivity to modafinil, armodafinil, or any other conventional stimulants
-Myocardial infarction or cerebral infarct over preceding year, stable or unstable angina, known symptomatic coronary artery disease
-History of left ventricular hypertrophy or mitral valve prolapse
-History of chronic or paroxysmal atrial fibrillation, chronic or paroxysmal atrial flutter, ventricular fibrillation, or ventricular tachycardia
-History of cancer over preceding 1 year (excluding squamous or basal cell carcinoma of the skin)
-History of Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug rash with eosinophilia and systemic symptoms (DRESS)
-Pulmonary disease requiring oral or inhalatory medications
-Any other medical disorder considered by the study physicians as inappropriate for any wake-promoting medication
Medication regimen has not been stable over preceding four weeks
Concurrent use of lamotrigine or oxcarbazepine
Presence of over-the-counter and prescription psychotropic medications at doses viewed by the clinician to be significantly impacting the patient's alertness during wakefulness, such as:
-Clonazepam > 1 mg/night
-Seroquel > 100 mg/night
-Zyprexa > 10 mg/night
Presence of another clinically-significant primary sleep disorder (eg, UARS, OSA, CSA) that is not being treated
Clinically significant abnormalities on screening ECG or laboratory tests
Patient or caregiver unwilling or unable to participate in all study-related procedures
Caregiver is not with patient at least 4 hours/day for at least 5 days/week
Patient or caregiver unwilling or unable to provide informed consent
CT or MRI evidence of a clinically significant structural lesion that could account for the participants dementia

Endpoints (2)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Behavior / neuropsychiatric

2 endpoints
Primary/protocol endpoint

Mean Initial Sleep Latency as Measured by the Maintenance of Wakefulness Test (MWT)

Time frame:baseline, 12 weeks

descriptive

Primary/registry result

Mean Initial Sleep Latency as Measured by the Maintenance of Wakefulness Test (MWT)

Time frame:baseline, 12 weeks

descriptive

Posted result

GroupValue (median), minutesReported bounds
ArmodifinilBaselinen=17 Participants7.0-4.25 - 19.07
12 Weeksn=17 Participants19.0-7.19 - 32.76
p0.003Wilcoxon (Mann-Whitney)

The analysis was done per protocol (n=17)

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.