Impaired Driving Clinical Trial
Official title:
MedDrive's Responsiveness to Different Blood Alcohol Concentrations and Concurrent Validity Against Performances on a Driving Simulator; a Phase I, Randomised, Double Blind, Placebo, Dose Response Validation Trial
This four-way, dose-response, crossover, double blind, placebo-controlled, randomised
validation study investigates the responsiveness of MedDrive, a computed battery of
neuropsychological tasks, to different doses of alcohol.
The following hypothesis are tested:
1. Measures from MedDrive are influenced by alcohol in a dose dependent way.
2. Effects of alcohol on driving performances are correlated to measures from MedDrive in
a dose dependent way.
3. Within a group of healthy young drivers, MedDrive shows consistent results over
repeated measures (ICC≥0.7).
4. MedDrive models effects of alcohol on driving performances better than does the UFOV or
the trial making task.
Background: There is an increasing need for physicians to advice patients on their fitness
to drive. Current guidelines underline the limitations of existing instruments and the poor
adaptability of batteries of neuropsychological tests assessing fitness to drive in both
experimental and primary care settings. The investigators therefore developed MedDrive, a
free, reliable, computer based measuring instrument capable of detecting effects of age and
drugs on cognitive functions considered as essential for driving.
Objectives: This study aims to test MedDrive responsiveness to different blood alcohol
concentrations (BAC) and validate these measures against performances on a driving
simulator. It also aims to measure MedDrive's reliability following repeated measures during
the training phase, to compare MedDrive's performances in measuring effects of different BAC
against the UFOV, and to model MedDrives measures to predict behaviour on the simulator.
Finally, this study also includes a nested experimental study measuring effects of alcohol
on attention.
Methods: Using Widmark's formula, 16 healthy young drivers are given cranberry juice with
different doses of ethanol to bring their BAC to 0 g/L, 0.5 g/L, 0.65 g/L, and 0.8 g/L. They
are blinded to the presence of ethanol by inhaling vapors of ethanol just before drinking.
BAC is maintained during the entire experiment by using a breathalyser and administrating
drinks throughout the experiment. Three scenarios are planned on a driving simulator
(StSoftware PvW-2010), a road tracking task, a car following task, and a car following task
including dual tasking using peripheral vision.
;
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Diagnostic
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