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Sedative-Anxiolytic Effects on Simulated Driving Performance

Alprazolam and Simulated Driving Performance: Next Day Effects

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03297944
Enrollment
15
Registered
2017-09-29
Start date
2017-09-15
Completion date
2018-10-25
Last updated
2020-01-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Psychomotor Impairment

Brief summary

This study evaluates the effect of anxiety drugs taken at night on the ability to drive a car the next day. Participants will receive alprazolam, placebo, or zolpidem at night before bed or in the morning before using a driving simulator to assess impairment.

Interventions

DRUGAlprazolam 2mg (2ALP/PLC)

2mg alprazolam administered at night, placebo administered in the morning.

DRUGAlprazolam 1mg (1ALP/PLC)

1mg alprazolam administered at night, placebo administered in the morning.

DRUGAlprazolam 0.5mg (0.5ALP/PLC)

0.5mg alprazolam administered at night, placebo administered in the morning.

DRUGZolpidem 10mg (ZOL/PLC)

10mg alprazolam administered at night, placebo administered in the morning.

DRUGPlacebo (PLC/PLC)

Placebo administered at night, placebo administered in the morning.

DRUGAlprazolam 1mg (PLC/ALC)

Placebo administered at night, 1mg alprazolam administered in the morning.

Sponsors

National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Marion Coe
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Masking description

Participants and outcomes assessors were masked with respect to each individual intervention.

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* valid driver's license * english-speaking and literate

Exclusion criteria

* using daily medication for chronic condition * acute narrow angle glaucoma * previous adverse experience with study drugs * experiences motion sickness in response to driving simulator * BMI \> 30 * women who are pregnant, lactating, or planning on becoming pregnant * regular use of tobacco products * current substance use disorder * clinically significant ECG * current ongoing psychiatric disorder

Design outcomes

Primary

MeasureTime frameDescription
Standard Deviation of Lane Position (SLDP)16 hoursLane deviation (swerving) on a driving simulator. This is measured as the distance (cm) the driver deviates from the lane.

Countries

United States

Participant flow

Pre-assignment details

All 15 participants received every intervention.

Participants by arm

ArmCount
All Participants
All 15 participants received each intervention.
15
Total15

Baseline characteristics

CharacteristicAll Participants
Age, Continuous30.53 years
STANDARD_DEVIATION 8.18
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
14 Participants
Region of Enrollment
United States
15 Participants
Sex: Female, Male
Female
9 Participants
Sex: Female, Male
Male
6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 150 / 150 / 150 / 150 / 150 / 15
other
Total, other adverse events
0 / 151 / 150 / 152 / 150 / 150 / 15
serious
Total, serious adverse events
0 / 150 / 150 / 150 / 150 / 150 / 15

Outcome results

Primary

Standard Deviation of Lane Position (SLDP)

Lane deviation (swerving) on a driving simulator. This is measured as the distance (cm) the driver deviates from the lane.

Time frame: 16 hours

Population: All 15 participants received each intervention.

ArmMeasureGroupValue (MEAN)
All ParticipantsStandard Deviation of Lane Position (SLDP)2ALP/PLC40.08 distance (cm)
All ParticipantsStandard Deviation of Lane Position (SLDP)1ALP/PLC37.28 distance (cm)
All ParticipantsStandard Deviation of Lane Position (SLDP)0.5ALP/PLC36.06 distance (cm)
All ParticipantsStandard Deviation of Lane Position (SLDP)ZOL/PLC37.61 distance (cm)
All ParticipantsStandard Deviation of Lane Position (SLDP)PLC/PLC36.30 distance (cm)
All ParticipantsStandard Deviation of Lane Position (SLDP)PLC/ALP40.72 distance (cm)

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026