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Caffeine Optimization Versus Standard Caffeine Dosage (2B-2) (2B-2)

Primary Purpose

Sleep Deprivation, Caffeine

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Caffeine Gum
Placebo Gum
Sponsored by
University of Arizona
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Sleep Deprivation focused on measuring SLEEP, CAFFEINE

Eligibility Criteria

18 Years - 39 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age 18-39 years of age
  • Must demonstrate adequate comprehension of the protocol by achieving a score of at least 80% correct on a short multiple-choice quiz

Exclusion Criteria:

  • Self-reported habitual nightly sleep amounts outside the target range of approximately 6-9 hours (i.e., less than 6 hours per night or more than 9 hours per night, on average)
  • Self-reported nighttime bedtimes earlier than approximately 2100 hours on average during weeknights (Sunday through Thursday)
  • Self-reported morning wake-up times later than approximately 0900 on average during weekdays (Monday through Friday)
  • Self-reported habitual napping (> 3 times per week)
  • Self-reported symptoms suggestive of a sleep disorder (to include but not limited to sleep disordered breathing/sleep apnea, narcolepsy, idiopathic hypersomnia, restless leg syndrome, parasomnias, rapid eye movement (REM) behavior disorder, etc.)
  • History of a sleep disorder (to include all of the above)
  • Any use of prescription or over-the-counter sleep aids during the 6-month period prior to screening indicative of a potential sleep disorder as determined by the examining study physician
  • History of neurologic disorder (e.g., seizure disorder, amnesia for any reason, hydrocephalus, multiple sclerosis)
  • Self-reported caffeine use > 400 mg per day on average
  • Score of 14 or above on the Beck Depression Inventory (BDI)
  • Score of 41 or above on the Spielberger Trait Anxiety Inventory (STAI-T)
  • Score below 31 or above 69 on the Morningness-Eveningness Questionnaire
  • Self-reported regular nicotine use (> 1 cigarette or equivalent per week) within the last 1 year) or positive nicotine/cotinine result during screening visit
  • Self-reported heavy alcohol use (≥14 drinks per week or as determined by the examining study physician) or positive saliva alcohol result during screening visit
  • History of cardiovascular disease (to include but not limited to arrhythmias, valvular heart disease, congestive heart failure, history of sudden cardiac death or myocardial infarction)
  • Underlying acute or chronic pulmonary disease requiring daily inhaler use
  • Kidney disease or kidney abnormalities
  • Liver disease or liver abnormalities
  • Self-reported history of psychiatric disorder requiring hospitalization or use of psychiatric medication for any length of time
  • Self-reported use of products or drugs that cannot be safely discontinued during in-laboratory phases (determined on a case-by-case basis by the examining study physician)
  • Self-reported current use of other illicit drugs (to include but not limited to benzodiazepines, amphetamines, cocaine, marijuana) or positive urine drug screen
  • (Females only) positive urine pregnancy result
  • (Females only) self-reported or suspected current breast-feeding or collecting breast milk
  • Resting blood pressure above 140/90 or resting pulse > 110 beats per minute (if a physician performs a repeat measurement, ~20 minutes after original measure, and it is within range, volunteer will not be excluded)
  • BMI ≥ 30 (Obese Class I or greater)
  • Clinically significant values (as determined by the reviewing study physician) for any hematology or chemistry parameter
  • Inability to read and sign consent
  • (Military only) failure to obtain required approved official leave to participate
  • Failure to cooperate with requirements of the study, e.g. failure to complete 80% of Smart-Psychomotor Vigilance Tests (PVTs) during Phase 1 (Days 2-13)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Placebo Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    Placebo Dose Both Nights

    Standard Caffeine Dose Both Nights

    Optimized Caffeine Dose Both Nights

    Placebo Dose 1st Night/Standard Caffeine Dose 2nd Night

    Placebo Dose 1st Night/Optimized Caffeine Dose 2nd Night

    Arm Description

    Participants will be administer non-caffeinated, placebo gum during both nights of Phase 2.

    Participants will be administer the standard caffeine recommendation (200mg/2 hr. up to 800mg/24 hr.) using caffeinated and non-caffeinated gum during both nights of Phase 2.

    Participants will be administer the optimized caffeine recommendation (0-300mg/2 hr. up to 800mg/24 hr.) potentially using caffeinated and non-caffeinated gum, depending on optimized dosage, during both nights of Phase 2.

    Participants will be administer non-caffeinated, placebo gum during the first night of Phase 2. Then, participants will be administer the standard caffeine recommendation (200mg/2 hr. up to 800mg/24 hr.) using caffeinated and non-caffeinated gum during the second night of Phase 2.

    Participants will be administer non-caffeinated, placebo gum during the first night of Phase 2. Then, participants will be administer the optimized caffeine recommendation (0-300mg/2 hr. up to 800mg/24 hr.) potentially using caffeinated and non-caffeinated gum, depending on optimized dosage, during the second night of Phase 2.

    Outcomes

    Primary Outcome Measures

    Mean psychomotor vigilance test reaction time
    The mean response time to psychomotor vigilance tests during the Peak Alertness Window.

    Secondary Outcome Measures

    Full Information

    First Posted
    October 17, 2022
    Last Updated
    October 20, 2022
    Sponsor
    University of Arizona
    Collaborators
    U.S. Army Medical Research Acquisition Activity, Biotechnology High Performance Computing Software Applications Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05588934
    Brief Title
    Caffeine Optimization Versus Standard Caffeine Dosage (2B-2)
    Acronym
    2B-2
    Official Title
    A Head-to-Head Comparison of the 2B-Alert Caffeine Optimization Algorithm Versus Standard Caffeine Dosing on Performance During Sleep Deprivation (2B-2)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 2023 (Anticipated)
    Primary Completion Date
    March 2026 (Anticipated)
    Study Completion Date
    March 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Arizona
    Collaborators
    U.S. Army Medical Research Acquisition Activity, Biotechnology High Performance Computing Software Applications Institute

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This clinical trial will be a comparison between personalized recommended caffeine dosing regimen versus the standard recommended caffeine dosing regimen for sustaining performance during sleep deprivation and minimizing side effects and subsequent sleep disruption. The questions this study aims to answer are: Whether the personalized caffeine recommendations improve vigilance, sleepiness, and cognition after total sleep deprivation, compared to standard recommendations; Whether the personalized caffeine recommendation better addresses the physical and emotional side effects of total sleep deprivation, compared to standard recommendations; And whether personalized caffeine recommendations aids in better recovery sleep after total sleep deprivation, compared to standard recommendations. Participants will be asked to: Complete a 13-day at-home portion, wearing an actigraph watch to measure activity and sleep, and complete motor vigilance tests up to six times a day. Complete a 4-day in-lab portion, where participants will have to complete one night of baseline sleep, undergo 62-hours of total sleep deprivation, and then complete one night of recovery sleep. During the in-lab portion of the study, participants will be asked to complete more motor vigilance tests. Researchers will be comparing the personalized caffeine recommendation group against the standard caffeine recommendation to see if it is better at addressing each of the main questions.
    Detailed Description
    This clinical trial will be examining whether the 2B-Alert Caffeine Optimization algorithm provides greater performance optimization, side effect minimization, and quality of recovery sleep during sleep deprivation compared to the standard published recommendations for caffeine use. The objective of this clinical trial will be to conduct a head-to-head comparison between the 2B-Alert app versus a commonly recommended caffeine dosing regimen for sustaining optimal performance during sleep deprivation and minimizing side effects and subsequent sleep disruption. The specific aims are to: Determine the effectiveness of 2B-Alert versus standard caffeine dosing on psychomotor vigilance, subjective sleepiness, and cognition on single and multiple nights of sleep deprivation; Determine the effectiveness of 2B-Alert versus standard caffeine dosing at mitigating physiological and emotional side effects; Determine the effectiveness of 2B-Alert versus standard caffeine dosing at minimizing disruptions in recovery sleep. This clinical trial will consist of three phases. Phase 1 includes the enrollment visit where participants will come into the lab, complete baseline personality and mood testing, and be given the actigraph watch and phone with the 2B-Alert app. Then the participant will undergo 13-days of at-home psychomotor vigilance testing and sleep data collection. Phase 2 begins with the participant arrives at the lab for the 4-day in-lab portion of the study. During this phase the participant will complete a night of baseline sleep using polysomnography to collect sleep data. At the end of baseline sleep, the participant will begin the 62-hour sleep deprivation portion. During the deprivation portion, data will be collected periodically on the participants psychomotor vigilance. After 37-49 hours of continuous sleep deprivation participants will be administered either caffeine gum or placebo gum. There are four different experimental conditions and one control condition that determines the ratio of caffeine gum to placebo gum that is administered to participants: Standard Caffeine Dose Both Nights (200mg/2 hr. up to 800mg/24 hr.) Optimized Caffeine Dose Both Nights (0-300mg/2 hr. up to 800mg/24 hr.) Placebo Dose 1st Night/Standard Caffeine Dose 2nd Night (0mg) / (200mg/2 hr. up to 800mg/24 hr.) Placebo Dose 1st Night/Optimized Caffeine Dose 2nd Night (0mg) / (0-300mg/2 hr. up to 800mg/24 hr.) Placebo Dose Both Nights (0mg) Participants will be randomly assigned to 1 of the 5 conditions, so 20% of the study population will be in each condition. After the 62-hour period of total sleep deprivation, participants will complete Phase 3, a night of recovery sleep; During this phase, participants' sleep data will be collected using polysomnography. After the night of recovery sleep participants will remain in the lab for further psychomotor vigilance testing. Once this is complete individuals will be released from the lab and their participation will be complete.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Sleep Deprivation, Caffeine
    Keywords
    SLEEP, CAFFEINE

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Factorial Assignment
    Model Description
    There are four different experimental conditions and one control condition that determines the ratio of caffeine gum to placebo gum that is administered to participants. Standard Caffeine Dose Both Nights (200mg/2 hr. up to 800mg/24 hr.) Optimized Caffeine Dose Both Nights (0-300mg/2 hr. up to 800mg/24 hr.) Placebo Dose 1st Night/Standard Caffeine Dose 2nd Night (0mg) / (200mg/2 hr. up to 800mg/24 hr.) Placebo Dose 1st Night/Optimized Caffeine Dose 2nd Night (0mg) / (0-300mg/2 hr. up to 800mg/24 hr.) Placebo Dose Both Nights (0mg) Participants will be randomly assigned to 1 of the 5 conditions, so 20% of the study population will be in each condition.
    Masking
    ParticipantInvestigator
    Masking Description
    Participants will not have any knowledge of which of the five condition groups they are apart of during or after the study. The investigator will not have any knowledge of which of the five condition groups the participant is apart of during or after the study. A third party will prepare the caffeine dosing and not participate in the administration to avoid knowledge of what participants are in what categories.
    Allocation
    Randomized
    Enrollment
    180 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Placebo Dose Both Nights
    Arm Type
    Placebo Comparator
    Arm Description
    Participants will be administer non-caffeinated, placebo gum during both nights of Phase 2.
    Arm Title
    Standard Caffeine Dose Both Nights
    Arm Type
    Active Comparator
    Arm Description
    Participants will be administer the standard caffeine recommendation (200mg/2 hr. up to 800mg/24 hr.) using caffeinated and non-caffeinated gum during both nights of Phase 2.
    Arm Title
    Optimized Caffeine Dose Both Nights
    Arm Type
    Active Comparator
    Arm Description
    Participants will be administer the optimized caffeine recommendation (0-300mg/2 hr. up to 800mg/24 hr.) potentially using caffeinated and non-caffeinated gum, depending on optimized dosage, during both nights of Phase 2.
    Arm Title
    Placebo Dose 1st Night/Standard Caffeine Dose 2nd Night
    Arm Type
    Active Comparator
    Arm Description
    Participants will be administer non-caffeinated, placebo gum during the first night of Phase 2. Then, participants will be administer the standard caffeine recommendation (200mg/2 hr. up to 800mg/24 hr.) using caffeinated and non-caffeinated gum during the second night of Phase 2.
    Arm Title
    Placebo Dose 1st Night/Optimized Caffeine Dose 2nd Night
    Arm Type
    Active Comparator
    Arm Description
    Participants will be administer non-caffeinated, placebo gum during the first night of Phase 2. Then, participants will be administer the optimized caffeine recommendation (0-300mg/2 hr. up to 800mg/24 hr.) potentially using caffeinated and non-caffeinated gum, depending on optimized dosage, during the second night of Phase 2.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Caffeine Gum
    Other Intervention Name(s)
    Military Energy Gum
    Intervention Description
    Commercially available caffeinated gum that contains 100mg of caffeine per piece of gum.
    Intervention Type
    Other
    Intervention Name(s)
    Placebo Gum
    Intervention Description
    Commercially available non-caffeinated gum.
    Primary Outcome Measure Information:
    Title
    Mean psychomotor vigilance test reaction time
    Description
    The mean response time to psychomotor vigilance tests during the Peak Alertness Window.
    Time Frame
    Peak Alertness Window: During each overnight sleep deprivation period from 3:00am to 9:00am

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    39 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Age 18-39 years of age Must demonstrate adequate comprehension of the protocol by achieving a score of at least 80% correct on a short multiple-choice quiz Exclusion Criteria: Self-reported habitual nightly sleep amounts outside the target range of approximately 6-9 hours (i.e., less than 6 hours per night or more than 9 hours per night, on average) Self-reported nighttime bedtimes earlier than approximately 2100 hours on average during weeknights (Sunday through Thursday) Self-reported morning wake-up times later than approximately 0900 on average during weekdays (Monday through Friday) Self-reported habitual napping (> 3 times per week) Self-reported symptoms suggestive of a sleep disorder (to include but not limited to sleep disordered breathing/sleep apnea, narcolepsy, idiopathic hypersomnia, restless leg syndrome, parasomnias, rapid eye movement (REM) behavior disorder, etc.) History of a sleep disorder (to include all of the above) Any use of prescription or over-the-counter sleep aids during the 6-month period prior to screening indicative of a potential sleep disorder as determined by the examining study physician History of neurologic disorder (e.g., seizure disorder, amnesia for any reason, hydrocephalus, multiple sclerosis) Self-reported caffeine use > 400 mg per day on average Score of 14 or above on the Beck Depression Inventory (BDI) Score of 41 or above on the Spielberger Trait Anxiety Inventory (STAI-T) Score below 31 or above 69 on the Morningness-Eveningness Questionnaire Self-reported regular nicotine use (> 1 cigarette or equivalent per week) within the last 1 year) or positive nicotine/cotinine result during screening visit Self-reported heavy alcohol use (≥14 drinks per week or as determined by the examining study physician) or positive saliva alcohol result during screening visit History of cardiovascular disease (to include but not limited to arrhythmias, valvular heart disease, congestive heart failure, history of sudden cardiac death or myocardial infarction) Underlying acute or chronic pulmonary disease requiring daily inhaler use Kidney disease or kidney abnormalities Liver disease or liver abnormalities Self-reported history of psychiatric disorder requiring hospitalization or use of psychiatric medication for any length of time Self-reported use of products or drugs that cannot be safely discontinued during in-laboratory phases (determined on a case-by-case basis by the examining study physician) Self-reported current use of other illicit drugs (to include but not limited to benzodiazepines, amphetamines, cocaine, marijuana) or positive urine drug screen (Females only) positive urine pregnancy result (Females only) self-reported or suspected current breast-feeding or collecting breast milk Resting blood pressure above 140/90 or resting pulse > 110 beats per minute (if a physician performs a repeat measurement, ~20 minutes after original measure, and it is within range, volunteer will not be excluded) BMI ≥ 30 (Obese Class I or greater) Clinically significant values (as determined by the reviewing study physician) for any hematology or chemistry parameter Inability to read and sign consent (Military only) failure to obtain required approved official leave to participate Failure to cooperate with requirements of the study, e.g. failure to complete 80% of Smart-Psychomotor Vigilance Tests (PVTs) during Phase 1 (Days 2-13)
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    William D Killgore, Ph.D.
    Phone
    (520) 621-0605
    Email
    killgore@psychiatry.arizona.edu
    First Name & Middle Initial & Last Name or Official Title & Degree
    Lindsey Hildebrand, MA
    Phone
    (520) 626-2203
    Email
    hildebrandll@arizona.edu

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    There is no plan to make individual participant data available to other researchers. All data that will be shared from this clinical trial will be shared in summary data sets.
    Citations:
    PubMed Identifier
    16313140
    Citation
    Kamimori GH, Johnson D, Thorne D, Belenky G. Multiple caffeine doses maintain vigilance during early morning operations. Aviat Space Environ Med. 2005 Nov;76(11):1046-50.
    Results Reference
    background
    PubMed Identifier
    19238808
    Citation
    Killgore WD, Kahn-Greene ET, Grugle NL, Killgore DB, Balkin TJ. Sustaining executive functions during sleep deprivation: A comparison of caffeine, dextroamphetamine, and modafinil. Sleep. 2009 Feb;32(2):205-16. doi: 10.1093/sleep/32.2.205.
    Results Reference
    background
    PubMed Identifier
    33364521
    Citation
    Killgore WDS, Kamimori GH. Multiple caffeine doses maintain vigilance, attention, complex motor sequence expression, and manual dexterity during 77 hours of total sleep deprivation. Neurobiol Sleep Circadian Rhythms. 2020 May 31;9:100051. doi: 10.1016/j.nbscr.2020.100051. eCollection 2020 Nov.
    Results Reference
    background
    PubMed Identifier
    28436072
    Citation
    Liu J, Ramakrishnan S, Laxminarayan S, Balkin TJ, Reifman J. Real-time individualization of the unified model of performance. J Sleep Res. 2017 Dec;26(6):820-831. doi: 10.1111/jsr.12535. Epub 2017 Apr 24.
    Results Reference
    background
    PubMed Identifier
    26518594
    Citation
    Ramakrishnan S, Wesensten NJ, Balkin TJ, Reifman J. A Unified Model of Performance: Validation of its Predictions across Different Sleep/Wake Schedules. Sleep. 2016 Jan 1;39(1):249-62. doi: 10.5665/sleep.5358.
    Results Reference
    background
    PubMed Identifier
    27397562
    Citation
    Ramakrishnan S, Wesensten NJ, Kamimori GH, Moon JE, Balkin TJ, Reifman J. A Unified Model of Performance for Predicting the Effects of Sleep and Caffeine. Sleep. 2016 Oct 1;39(10):1827-1841. doi: 10.5665/sleep.6164.
    Results Reference
    background
    PubMed Identifier
    27634801
    Citation
    Reifman J, Kumar K, Wesensten NJ, Tountas NA, Balkin TJ, Ramakrishnan S. 2B-Alert Web: An Open-Access Tool for Predicting the Effects of Sleep/Wake Schedules and Caffeine Consumption on Neurobehavioral Performance. Sleep. 2016 Dec 1;39(12):2157-2159. doi: 10.5665/sleep.6318.
    Results Reference
    background
    PubMed Identifier
    29808510
    Citation
    Vital-Lopez FG, Ramakrishnan S, Doty TJ, Balkin TJ, Reifman J. Caffeine dosing strategies to optimize alertness during sleep loss. J Sleep Res. 2018 Oct;27(5):e12711. doi: 10.1111/jsr.12711. Epub 2018 May 28.
    Results Reference
    background

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    Caffeine Optimization Versus Standard Caffeine Dosage (2B-2)

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