Table 3.
Summary outcomes for patients receiving modafinil or placebo in the SWD studies
Study/Reference | Measure | Treatment | Mean (SD) at baseline | Mean (SD) at final visit | Mean (SD) change from baseline to final visit | P-valuea |
---|---|---|---|---|---|---|
12-week study #1/Czeisler et al 2005 | MSLT sleep latency (min) | Modafinil 200 mg | 2.07 (0.2) | 3.77 (0.5) | 1.7 (0.4) | 0.002 |
Placebo | 2.04 (0.2) | 2.37 (0.3) | 0.3 (0.3) | |||
KSS score | Modafinil 200 mg | 7.3 (0.1) | 5.8 (0.2) | −1.5 (0.2) | <0.001 | |
Placebo | 7.1 (0.1) | 6.7 (0.2) | −0.4 (0.2) | |||
PVT number of lapses | Modafinil 200 mg | 12.50b | 10.25b | −2.6c | <0.001 | |
Placebo | 16.13b | 23.75b | 3.8c | |||
12-week study #2/Erman et al 2007 | FOSQ total scored | Modafinil 300 mg | 2.3 | <0.05 | ||
Placebo | 1.6 | |||||
FOSQ vigilance | Modafinil 300 mg | 0.6 | <0.05 | |||
Placebo | 0.4 | |||||
FOSQ activity | Modafinil 200 mg | 0.5 | <0.05 | |||
Placebo | 0.3 | |||||
Modafinil 300 mg | 0.5 | <0.01 | ||||
Placebo | 0.3 | |||||
FOSQ productivity | Modafinil 300 mg | 0.4 | <0.01 | |||
Placebo | 0.3 | |||||
SF-36 mental component scoree | Modafinil 200 mg | 3.7 | <0.05 | |||
Modafinil 300 mg | 3.2 | <0.05 | ||||
Placebo | 0.7 | |||||
SF-36 vitality | Modafinil 200 mg | 15.0 | <0.001 | |||
Modafinil 300 mg | 14.8 | <0.0001 | ||||
Placebo | 5.3 | |||||
SF-36 role emotional | Modafinil 300 mg | 4.3 | <0.05 | |||
Placebo | −2.9 |
For the change from baseline for modafinil versus placebo.
Median number of lapses.
Median change from baseline.
FOSQ total scores at baseline were similar for modafinil 200 mg, modafinil 300 mg, and placebo (range: 14.3–14.7 points).
SF-36 mental component scores at baseline were similar for the 3 groups (range: 45.3–47.4).
Abbreviations: SD, standard deviation; SWD, shift work disorder; MSLT, Multiple Sleep Latency Test; PVT, Psychomotor Vigilance Task; KSS, Karolinska Sleepiness Score; FOSQ, Functional Outcomes of Sleep Questionnaire; SF-36, 36-item Short Form Health Survey.