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Trial registered on ANZCTR
Registration number
ACTRN12609000289213
Ethics application status
Approved
Date submitted
4/12/2008
Date registered
18/05/2009
Date last updated
18/11/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Ocular measures for detection of driving impairment due to sleep loss, alcohol and benzodiazepine use
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Scientific title
Ocular measures for detection of driving impairment due to sleep loss, alcohol and benzodiazepine use
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Secondary ID [1]
283611
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
sleep- and drug-related motor vehicle accident risk
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healthy volunteers
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Condition category
Condition code
Injuries and Accidents
4270
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0
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Other injuries and accidents
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Public Health
4631
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All participants will undergo three randomised sessions, seperated by a 1 week washout period. 1. Sleep restriction session: sleep will be restricted to 4 hours on the night prior to testing (2am to 6am).
2. benzodiazepine session: a single, 20mg oral dose of benzodiazepine administered at 9am, 2 hours prior to testing
3. alcohol session: measured doses of vodka in orange juice will be administrered orally until a blood alcohol concentration (BAC) of 0.05% and 0.08% is reached (checked by alcometer). Testing will commence immediately at each alcohol level.
During testing, driving simulation and a reaction time task will be completed, while ocular parameters are measured, using optalert and electrooculography (EOG).
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Intervention code [1]
3784
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Behaviour
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Comparator / control treatment
Alll participants will also complete baseline testing durng each session:
Sleep restriction session: testing after a normal night of sleep
benzodiazepine session: testing following a single acute oral dose of 20mg placebo (lactose)
alcohol session: testing at baseline, prior to alcohol administration (BAC = 0.00%)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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ocular measures tested by Optalert: slow eyelid closure, blink amplitude, saccades, EOG
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Assessment method [1]
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Timepoint [1]
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baseline, following intervention during each session
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Secondary outcome [1]
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driving performance using the AusEd driving simulator: lane position variability
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Assessment method [1]
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Timepoint [1]
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baseline, following intervention in each session
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Eligibility
Key inclusion criteria
healthy, drivers licence, alcohol intake in standard drinks >0 average <5/day for males and < 3/day for females
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Epilepsy
2. Diabetes requiring insulin
3. Chronic psychiatric illness
4. Visual impairment which does not correct with glasses
5. Unable to speak and read English
6. Drink more than 5 caffeinated beverages per day
7. Significant daytime sleepiness (Epworth Sleepiness Scale score > 11).
8. Chronic neurological illness
9. Chronic liver disease, diabetes requiring insulin or renal impairment
10. Pregnancy or breast feeding
11. Sleep apnoea, narcolepsy
12. Use of sedating medication
13. Anticoagulation with warfarin
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Potential particpants will undergo a medical examination, and those who meet the inclusion criteria will be given a randomisation number. Each participant will complete each of the three sessions; the randomisation number indicates the order in which the sessions will be completed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation sequence is created by the pharmacy at Austin Health.The sequence will be generated using a simple computerised sequence randomisation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2008
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Actual
1/04/2009
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Date of last participant enrolment
Anticipated
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Actual
6/12/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
32
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Institute for Breathing & Sleep
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Address [1]
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Studley Rd, Heidelberg, Victoria 3084
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
Studley Rd, Heidelberg, Victoria 3084
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
4494
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Ethics Comittee
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Ethics committee address [1]
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Research Ethics Unit Level 8 HSB Room 8322 Austin Health Heidelberg, Victoria 3084
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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05/12/2008
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Approval date [1]
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26/10/2010
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Ethics approval number [1]
6609
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3435
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Summary
Brief summary
This study will examine whether the impairing effects of sleep loss, alcohol and hypnotic drugs can be detected using a simulated driving task and drowsiness monitoring technology in the laboratory setting. The hypothesis of this study is that performance deterioration, as a result of sleep restriction and acute benzodiazepine administration, can be detected by increases in slow eyelid closure, a reduction in amplitude of eyelid opening and a reduction in saccadic eye movements, as measured by Optalert.
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Trial website
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Trial related presentations / publications
Wilkinson VE, Jackson ML, Barnes M, Stevens B, Westlake J, Stevens B, Swann P, Rajaratnam S, Howard ME. (in press).The accuracy of eyelid movement parameters for detecting behavioral lapses following sleep restriction. Journal of Clinical Sleep Medicine. Accepted 14th September, 2013. Wilkinson VE, Jackson ML, Barnes M, Stevens B, Westlake J, Swann P, Howard ME. (2012). Perception of driving ability is impaired by sleep enhancing medication. Sleep & Biological Rhythms, 10 (Supp 1): 6. Howard ME, Wilkinson VE, Jackson ML, Barnes M, Stevens B, Westlake J, Swann P, Rajaratnam SW. (2012). The accuracy of eyelid movement parameters for detecting lapses following sleep restriction. Sleep, 35: A108. Wilkinson VE, Jackson ML, Barnes M, Stevens B, Westlake J, Swann P, Howard ME. (2012). Changes in ocular measures due to benzodiazepines and alcohol consumption. Occupational Safety in Transport (OSIT) Conference.
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Public notes
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Contacts
Principal investigator
Name
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Dr Mark Howard
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Address
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Institute for Breathing and Sleep, Austin Health
Heidelberg, Victoria, 3084
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Country
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Australia
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Phone
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+613 9496 3877
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Melinda Jackson
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Address
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Institute for Breathing & Sleep
Studley Rd, Heidelberg, Victoria 3084
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Country
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Australia
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Phone
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+613 9496 3528
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Bronwyn Stevens
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Address
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Institute for Breathing & Sleep
Studley Rd, Heidelberg, Victoria 3084
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Country
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Australia
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Phone
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+613 9496 3528
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Assessing the validity of eyelid parameters to detect impairment due to benzodiazepines
2020
https://doi.org/10.1002/hup.2723
Embase
The impact of alcohol consumption on commercial eye blink drowsiness detection technology.
2023
https://dx.doi.org/10.1002/hup.2870
N.B. These documents automatically identified may not have been verified by the study sponsor.
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