Cochrane · systematic review · CD011376

Interventions for the management of fatigue in adults with a primary brain tumour

Day, J, Yust-Katz, S, Cachia, D, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
22
current version
GRADE rated
22
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 18 · 81.8%Low 4 · 18.2%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Boele 2013: modafinil compared with placebo for fatigue in people with a primary brain tumour

Population: people with a primary brain tumour
CD011376.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue –concentration problems Subscale from CIS
Boele 2013: modafinil vs placebo
no estimate extracted1 study · 37 participantsVery low
Fatigue –reduced motivation Subscale from CIS
Boele 2013: modafinil vs placebo
no estimate extracted1 study · 37 participantsVery low
Fatigue –reduced activity Subscale from CIS
Boele 2013: modafinil vs placebo
no estimate extracted1 study · 37 participantsVery low
Fatigue –severity Subscale from CIS
Boele 2013: modafinil vs placebo
no estimate extracted1 study · 37 participantsVery low
Adverse events (
Boele 2013: modafinil vs placebo
RR 2.79 [0.59, 13.16]1 study · 37 participantsVery low

Laigle‐Donadey 2019: dexamfetamine sulfate compared with placebo for fatigue in primary brain tumour

Population: people with a primary brain tumour
CD011376.PUB3 (current) · 13 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue MFI‐20 scale (
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Fatigue ('asthenia') Norris Scale
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Cognition Trail Making Test A
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Cognition Trail Making Test B
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Cognition Semantic Fluency
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Cognition Lexical Fluency
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Cognition Episodic memory (Grober and Buschke test)
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Cognition Mattis Scale
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Affectivity Norris Scale
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Apathy Marin Scale
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Depression HADS
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Quality of life EORTC QLQ‐C30
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low
Quality of life EORTC QLQ‐BN 20
Laigle‐Donadey 2019: dexamfetamine sulfate vs placebo
no estimate extracted1 study · 41 participantsVery low

Porter 2020: armodafinil compared with placebo for fatigue in high‐grade glioma

Population: people with primary brain tumour
CD011376.PUB3 (current) · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue Brief Fatigue Inventory (number of participants with an improvement in 2 points from baseline at 8 weeks (%))
Porter 2020: armodafinil vs placebo
no estimate extracted1 study · 297 participantsLow
Downgraded: risk of bias
Cognition Symbol Digit Modalities Test (median (range))
Porter 2020: armodafinil vs placebo
no estimate extracted1 study · 180 participantsLow
Downgraded: risk of bias
Quality of life Linear Analogue Self Assessment (median (range))
Porter 2020: armodafinil vs placebo
no estimate extracted1 study · 232 participantsLow
Downgraded: risk of bias
Adverse events Grade 3 or higher (number of participants (%))
Porter 2020: armodafinil vs placebo
no estimate extracted1 study · 328 participantsLow
Downgraded: risk of bias

Modafinil compared with placebo for fatigue in people with a primary brain tumour

Population: people with a primary brain tumour
CD011376.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue ‐ concentration problems Sub‐scale from Checklist Individual Strength Scale from: 0 to 35 (
Modafinil vs placebo
no estimate extracted1 study · 37 participantsLow
Fatigue ‐ reduced motivation Sub‐scale from Checklist Individual Strength Scale from: 0 to 28 (
Modafinil vs placebo
no estimate extracted1 study · 37 participantsLow
Fatigue ‐ reduced activity Sub‐scale from Checklist Individual Strength Scale from: 0 to 21 (
Modafinil vs placebo
no estimate extracted1 study · 37 participantsLow
Fatigue ‐ fatigue severity Sub‐scale from Checklist Individual Strength Scale from: 0 to 56
Modafinil vs placebo
no estimate extracted1 study · 37 participantsLow
Adverse events (
Modafinil vs placebo
RR 2.791 study · 37 participantsLow