`
`I _‘ _-__.___‘_.»_.,__.- -
`
`._ _
`
`Multiple Dose PK Studies
`
`5. A Double-Blind, Ascending dose, Seven-Day Administration of Modafinil Tablets
`for Safety, Tolerance, And Pharmacokinetic Profile In Normal Male Subjects (CEP-
`2101).
`.
`-
`
`Objectives:
`To study the safety and PK ofmultiple dosing ofModafinil, and its enantiomers.
`
`Introduction:
` .
`
` .
`
`ran omized, placebo-controlled study evaluating PK of both modafinil and
`on e-
`its enantiomers in escalating doses for 7 days in healthy young male subjects.
`
`Study Design and Sampling:
`.
`A total of 32 volunteers, with 8 people in each of the following dose groups: 200
`mg/day, 400 mg/day, 600 mg/day, and 800 mg/day. In each dose group, 6 subjects were
`randomly assigned to receive the indicated dose ofmodafinil and 2 received placebo.
`Modafinil was administered orally in the form ofmultiple 100 mg tablets once daily with
`~3 00 ml of water one hour afier a light breakfast for 7 consecutive days. (Except subjects
`in the 800 mg/day dose group, who only received 3 daily doses, because ofsevere
`hypertension observed in one subject).
`administration ofthe next dosetLBjood samples ( [0 mL). drawn into lithium heparin
`vacutainers® (“green top“), were obtained immediately predosc (0 hr). and at 0.5. l, [5.
`2, 3. 4, 6. 8, and 12 hours after administration ofthe Day 1 dose. immediately predose (0
`
`hr trough sample) and 4 hours after dosing on Day 2 through Day 6, and immediately
`predose (0 hr). and at 0.5. l. 1.5, 2, 3. 4. 6, 8, 12, 24. and 48 hours after dosing on Dayfl
`The prepared plasma samples were shipped and stored at -20°C, or below. awaiting
`
`analysis.
`
`{Dune samples were collected at predose. 0.4, 4-8. 8- 12; 12-24 for Days [-7 and 24-48
`
`\hours post dose on Day 7. The urine volume was recorded. The urine samples were
`
`shipped and stored at -20°C. or below, awaiting analysis.
`
`.
`
`Results (Attachment 5) and Conclusions:
`The modafinil 800 mg dose group was terminated after 3 daily doses (due to an
`e event observed in subject #23), therefore, the PK parameters were not calculated
`
`{ advers
`
`.
`
`~
`
`( _\
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`7____—__—
`
`10
`
`
`
`elimination rate ofd-(+)-modafinil was 3—fold faste ,
`Cl/F (~100 ml/min) and the short
`
`(+)-Modafinil couldn’t
`
`'
`Modafinil (since Tmax=2 hr for both).
`
`sorbed after oral dosmg vv1th
`
`Comments:
`
`1. In this study, the apparent volume ofdistribution (V/F) ofthe cnantiomers of
`Modafinjl was calculated as V/F=Dose/(AUC(;inf *lamda), where Dose was that of
`Modafinil, mstead ofthe actual dose ofthe e
`‘
`
`11
`'
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`»
`
`
`
`
`
`
`
`:25.gazicosfiaf.,_
`.
`
`a8.3.55:89.
`238.83,x/nr..-
`
`
`
`3.8:8a.:3<
`
`.uEéééozigm:88.182.:
`-q—c.aV
`
`_@coo.ofiv~..NE
`
`cacodulwxo
`
`
`
`n..ofiond
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`.Tw._Q~,
`N\.‘s,MNR.\m\H.W;\n\‘NxMgsgm.\¢\‘Iw.‘Am~..,
`
`
`F43%4:5:2:0:5....._03.5:qu30W»KOWA.«.0..\_o>o_4msaUnthEE:.va.€570.5-m.,‘3Q.ma.a$9is45.0Nas52..Amwquw
`
`”Hubs$5555.
`
`J‘.a.x5322.32:1....
`
`
`
`.wd!N\.__DSo...“AnaAva—w39—0meh—EfiuEn—Ema_
`
`
`
`,3.‘W
`
`
`
`0mA
`
`.-4.:-.§.i§
`
`
`
`obi5.50555.
`
`
`
`
`
`
`
`
`
`BEST POSSIBLE copv
`BEST POSSIBLE COPY
`
`
`
`
`
`
`
`
`.:oaomutuzigmshnfa.
`
`n5.3.3can
`
`228.083,w(n..
`
`
`
`35539:23
`
`.Wlp—
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`.65.555%“
`
`
`
`.u2...E8:53.08633a...
`
`
`
`
`
`
`8%m.ESoSo...Each...»5.505%._AnnEB...E8».6acacia—w~
`
`
`
`
`
`
` 83.53%.,
`
`
`:83.23:385....“5.;
`
`20.3.3:83.
`ENiMU—on.S.Q(‘1'...
`
`
`.3563:he38..aa.“3:2308.25—utouioofifiuifiwfi
`4.a“525
`
`
`
`3.8%8.2%.;
`
`.
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`
`._AnnEa....5th32.8555.
`
`
`
`
`
`
`
`
`
`
`III.
`
`
`
`
`l-..fill/l[VIR—.can!ozucioon=tnamu~o~Nawngnmtonoxfi.
`
`
`.D‘‘fl.
`S«8.T
`
`
`
`--'~ “A, 4‘54“!
`
`--_....___ - V.
`
`u
`
`a
`
`So..u..mM.m_.(l
`M3.uMa.,a.a
`.u.
`3.552.:oo AQ¢EJ§£+YVDrvk
`
`fish-.530.0
`
`’-
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`
`
`
`.u ~ -m--- *A‘ L.
`
`
`
`U)
`
`5 EU>HO
`
`'5
`
`29
`
`EaU
`
`UEO U E
`
`a
`S >~
`° '5
`Z c:
`1" M
`E g
`a
`
`(”I‘ll/9H) uqumuaouog
`‘
`'
`7
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`:
`
`.l
`
`4.
`
`~i mgeOral400
`Ld-(+)—Modafin S'
`
`CU
`.2
`.0
`£35a“
`'6
`°E
`55“—
`N
`E”
`3:
`“-5A
`~03
`"E
`53
`:9.
`:0
`£5
`-"‘
`g
`
`30
`:fi
`
`/j
`
`~
`
`f‘.
`we
`
`
`
`t:
`a
`a
`.g
`g
`.3
`u
`g
`5
`&
`
`r'\
`
`mmr‘‘
`
`Report0.
`
`
`
`
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`
`__.S,A.._.==.._E..o_e.‘Qt
`
`
`
`S...act.:a
`
`:
`
`.A
`
`.4_._.Mg...
`
`A
`
`
`
`“mo—:952:3.
`
`.3u5:35«ENE.
`
`,Mm2m_m.Am.m.w.....w2:
`..o.3
`uEC.
`
`
`
`2:..«33.3.3....utn3:2:
`
`:8.
`
`-.c
`
`om
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
` .n
`
`
`
`
`
` .
`
`
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`MW”
`
`
`
`
`
`
`
`
`
`”10.0225 x no
`SCH-1.207. M333
`l-(-)-Modaflnfl. C-{(0.014 x Dose)+M98. 14-0343. “23. ”0.0001
`a “-23. "0.0001
`
`d-(+)-Moduflnu. CHI-(0.002 x DoseMJw. r'-o.78
`
`
`
`9. 0-23. "0.0001
`
` .
`
`
`
`200
`
`400
`
`600
`Doses of Modafinil (mg/day)
`
`abo
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`
`
`
`
`Protocol CEP-ZIOI: Pharmacokinetic Re
`Report: DP-95-013
`
`port
`
`q;
`
`350 \N- ‘9 D-yLAU
`F
`~
`“mammogram. Mama-m. p-aooox
`‘3‘
`buy7. AIM... AUG-(n36! x Dad-+1.61. 9-0375. III-18. Hm
`
` .
`
`
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`
`
`
`
`
`Day 1 Mid D
`
`'
`
`““5 ”05¢ Relau'
`.
`
`Singleon,I:7DosesofModafinfl Duringa7~dayRegan? “whim-anon of
`5“ (200. 400. 600 and 800mg) orMadman in} "fine: Dan,
`
`0mm!” Follow; A
`n
`
`.
`
`.
`
`thy Males
`
`AUC(ug-hr/mL) (n0
`
` .
`
`
`
`
`800
`
`
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`
`i
`
`I
`
`Is
`
`
`
`
`
`
`
` .
`
`BEST POSSIBLE copv
`BEST POSSIBLE COPY
`M_____ _
`
`
`
`Pr0toco_l CEP-2l01: Phannacoldnetic Report
`Report: DP-9S-Ol3
`
` r3If i,
`
`-x
`
`
`
`A
`
`0.1
`
`
`........ .......
`
`Duo 0! mud-u:
`
`” 20033140
`D‘U mug/day
`A" “Outs/day
`
`5
`
`
`15
`20
`25
`IO
`Time (hours post-dose)
`
`10.0
`
`
`
`Modafinil(pg/mL)
`
`— G
`
`a
`En
`§
`5
`
`g2
`
`gs;
`2
`in
`
`§
`~
`
`
`
`0
`
`
`IO
`20
`30
`40
`50
`Time (hours postodosc)‘
`' DmingmdadonDanyothcBOOngdmcm.
`
`Wm. ., M“ g
`BEST P0§SIBLE COPY
`BEST POSSIBLE COPY
`Mb—
`
`
`
`
`
`Protocol CEP-lell: Philnnacoldnetic Report
`Report: DP-95-013
`
`M
`
`“2““ ‘0‘ Mean("'SD)“‘5'“!d-(fi-ModafinilConcentration versusTimeProfiles
`Following Day 1 and Day 7 Doses ofModafinil in Healthy Males Receiving '
`Single Oral 200 mg. 400 mg. 600 mg. or 800 mg“ Daily Doses of Modafinil
`for 7 Days
`'
`Z..
`
` 5
`
`20
`
`25
`
`15
`[0
`Time (harm pod-dose)
`
`
`
`BEST Poé’SIBLE copv
`BEST POSSIBLE COPY
`M
`
`Wm, ( mm M.
`
`10.0
`
`lO
`.
`
`in
`
`5 ‘
`
`3
`‘5
`'3
`
`2 3
`
`%
`
`0.l
`
`DouclMHddl:
`M zooms/m
`0-D Mmglday
`
`A“ soon/m
`
`
`
`IO
`
`30
`20
`Tim: (hour: post-dose)
`' NoDny1phmIcoltjncticdnucxmforthc3mmgdaeymp. Donngaflodmbaylfuwmomgduem.
`
`.
`
`40
`
`50
`
`
`
`
`
`
`
`31:-
`
`’ Protocol CEP-ZIOI: Phannacoldnetic Report
`Report: DP-95-Ol3
`
`.
`thy Male: Receiving
`Single Oral 200 mg, 400 mg, 600 mg, or' 800 mg“ Du‘ly Doses ofModafinfl
`
`10.0
`
`
`
`l-(-)-Modafinil(pg/ml.) S
`
`10.0
`
`
`
`I-(-)-Modafinil(pg/mL) 2
`
`0.!
`0|
`
`
`IO
`
`30
`20
`Time (ham post-dose)
`' Dosagudadcn nyJforlheMmgdou yup.
`
`40
`
`50
`
`
`
`BEST POSSIBLE COPY
`BEST POSSIBLE COPY
`w
`
`
`
` Modnfixu'lAcid(pg/mu
`
`0.1
`
` 30
`40
`50
`
`BEST POSSIBLE COPY
`-
`BEST POSSIBLE COPY
`WS
`
`