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Trial registered on ANZCTR
Registration number
ACTRN12612000102875
Ethics application status
Approved
Date submitted
20/01/2012
Date registered
20/01/2012
Date last updated
24/01/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Validating fatigue crash risk and ocular measures of alertness in drivers
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Scientific title
A comparison of rested versus sleep deprived driving performance in healthy controls on crash risk and ocular measures of alertness.
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Secondary ID [1]
279657
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nil
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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 deprivation risks
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Condition category
Condition code
Public Health
285648
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0
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Health promotion/education
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Neurological
285662
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0
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Studies of the normal brain and nervous system
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Mental Health
285663
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Two afternoons of testing, separated by at least one week, undertaking a series of tasks assessing driving performance, sustained attention and reaction time. Sessions will last for approximately three hours commencing at 14:30.
The sessions will be randomised between participants, however the testing order will be the same for both sessions: Psychomotor Vigilance Task (PVT), Karolinska Drowsiness Task (KDT), two hour drive on racetrack at 50km/hr, PVT, KDT.
In addition, ten professional drivers will be observed carrying out their normal driving duties for 2000km. Assessments will include lane deviation and ocular measures using Optalert. Daily measures of PVT performance and KSS scores will be taken.
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Intervention code [1]
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Behaviour
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Comparator / control treatment
Participants will partake in the same testing session twice, once when rested and once following a sustained wake period of 30 hours.
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Control group
Active
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Outcomes
Primary outcome [1]
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Driving performance: a 120 minute drive around a racetrack at a designated speed of 50km/hr. Ability to keep to the required speed limit and lane deviation will be assessed (via the AWS-1000 and manual observation/tally kept by driving instructor in the passenger seat).
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Assessment method [1]
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Timepoint [1]
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Following the first PVT and KDT tasks.
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Primary outcome [2]
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Ocular measures: (1) of drowsiness, via Optalert system. (2) visual scanning, via the iView-X.
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Assessment method [2]
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Timepoint [2]
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(1) Optalert measures of drowsiness will be recorded across all tasks.
(2) iView-X eye tracking device will record visual scanning during the drive only.
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Primary outcome [3]
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Number and duration of alpha and theta periods (microsleeps) on the electrencephalogram (EEG).
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Assessment method [3]
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Timepoint [3]
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Assessed across all tasks.
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Secondary outcome [1]
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Performance on the PVT.
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Assessment method [1]
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Timepoint [1]
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Undertaken twice: at the commencement of the testing session and immediately following the drive.
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Secondary outcome [2]
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Performance on the KDT.
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Assessment method [2]
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Timepoint [2]
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Undertaken twice: both times immediately following the two PVT tasks.
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Secondary outcome [3]
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Karolinska Sleepiness Scale (KSS) scores.
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Assessment method [3]
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Timepoint [3]
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(1) Pre-drive: before the PVT, between the PVT and KDT, and following the KDT.
(2) Drive: pre- and post-drive.
(3) Post-drive: before the PVT, between the PVT and KDT, and following the KDT.
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Eligibility
Key inclusion criteria
(1) current full driver licence (no P-plates). Driving on average more than 5000km per year.
(2) no visual problems (unless corrected by contact lenses)
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Minimum age
21
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) high habitual caffeine intake (>300mg/day)
(2) alcohol consumption >5 standard units/week
(3) current smoker
(4) diagnosed sleep disorder (narcolpesy or sleep apnoea)
(5) medical conditions that are a contraindication to driving, eg. uncontrolled epilepsy, stroke, cardiac or respiratory disease.
(6) cognitive impairments, intellectual disability or mental illness that impairs driving ability
(7) use of sedating medications such as benzodiazepines, antihistamines and narcotic analgesics
(8) pregnant women
(9) inability to give informed consent
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Study design
Purpose of the study
Educational / counselling / training
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not 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
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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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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Government body
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Name [1]
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VicRoads
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Address [1]
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Denmark Street
Kew
Victoria 3101
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Institute for Breathing and Sleep
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Address
Austin Hospital
PO Box 5555
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]
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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 Research Ethics Committee
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Ethics committee address [1]
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Research Ethics Unit Austin Hospital PO Box 5555 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]
286486
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Approval date [1]
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22/12/2011
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Ethics approval number [1]
286486
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H2011 / 03994
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Summary
Brief summary
This study will evaluate which ocular measures of alertness are capable of detecting driving impairment during a two hour track driving session. Drivers will be assessed twice: once when rested and once following 30 hours of continuous wakefulness. Additional assessments of reaction time and sustained attention will be undertaken. These findings will help to determine the validity of ocular measures as a tool for fatigue detection, with the aim of reducing sleep-related motor vehicle accidents. In addition, ten professional drivers will be observed carrying out their normal driving duties for 2000km. Assessments will include lane deviation and ocular measures using Optalert. Daily measures of PVT performance and KSS scores will be taken.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Justine Westlake
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Address
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Institute for Breathing and Sleep
Bowen Centre
Austin Hospital
PO Box 5555
Heidelberg
Victoria 3084
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Country
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Australia
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Phone
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+61 3 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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Justine Westlake
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Address
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Institute for Breathing and Sleep
Bowen Centre
Austin Hospital
PO Box 5555
Heidelberg
Victoria 3084
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Country
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Australia
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Phone
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+61 3 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
Embase
Eye-blink parameters detect on-road track-driving impairment following severe sleep deprivation.
2019
https://dx.doi.org/10.5664/jcsm.7918
Embase
A brief assessment of eye blink drowsiness immediately prior to or following driving detects drowsiness related driving impairment.
2023
https://dx.doi.org/10.1111/jsr.13785
N.B. These documents automatically identified may not have been verified by the study sponsor.
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