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The main objective of the project is to assess whether there is an interaction between the effects of ethanol and energy drinks on driving performance.
Secondary objectives include: to evaluate subjective effects (drunkenness) after administration of alcohol and energy drinks, to assess pharmacokinetics of alcohol, caffeine and taurine after alcohol and energy drinks administration and to assess if there is an increased risk of bleeding when both drinks are taken together.
Consumption of energy drinks improve psychomotor performance and alertness. These drinks contain mostly caffeine, taurine and vitamins. Its consumption associated with ethanol may reduce feelings of drunkenness as the stimulant effects of caffeine could counteract the depressing effects of ethanol on the central nervous system. Reducing the perception of intoxication may predispose the intoxicated person to engage in risky behaviors such as driving under the influence of ethanol and therefore can increase the risk of a traffic accident. Furthermore, the combination of both beverages may increase the risk of bleeding in case of injury as anticoagulant effects have been described for ethanol while antiplatelet effects have been described for caffeine and taurine. A randomized clinical trial will be performed in healthy volunteers administering 4 treatment conditions: alcohol+energy drink, alcohol+placebo of energy drink, placebo of alcohol+energy drink and placebo of alcohol+placebo of energy drink. A multiple dose will be administered separated by 1 hour.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Alcohol and energy drink | Experimental | Alcohol 60 g, multiple dose (30 g+30 g), oral administration. 3 energy drinks (750 ml), multiple dose (375 ml+375 ml), oral administration. |
|
| Alcohol | Active Comparator | Alcohol 60 g, multiple dose (30 g+30 g), oral administration. 3 non-caffeinated soft drinks (750 ml), multiple dose (375 ml+375 ml), oral administration. |
|
| Energy drink | Active Comparator | 3 energy drinks (750 ml), multiple dose (375 ml+ 375 ml), oral administration. Font Vella water (188ml), multiple dose (94 ml+ 94 ml), oral administration. |
|
| Placebo | Placebo Comparator | 3 non-caffeinated soft drinks (750 ml), multiple dose (375 ml+375 ml), oral administration. Font Vella water (188ml), multiple dose (94 ml+ 94 ml), oral administration. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alcohol and energy drink | Dietary Supplement | Multiple oral dose of alcohol Multiple oral dose of energy drink |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in tracking test performance | The total time outside the road will be measured in the tracking test | From baseline till 4 hours after administration |
| Measure | Description | Time Frame |
|---|---|---|
| Change in simple reaction time (SRT) | Test will be performed using the computerized cognitive testing battery CANTAB and mean latency will be measured | From baseline till 4 hours after administration |
| Change in movement estimation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clara Pérez Mañá, PhD, MD | IMIM | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IMIM | Barcelona | Barcelona | 08003 | Spain | ||
| Parc de Salut Mar-IMIM |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34338762 | Derived | Perez-Mana C, Mateus JA, Diaz-Pellicer P, Diaz-Baggerman A, Perez M, Pujadas M, Fonseca F, Papaseit E, Pujol J, Langohr K, de la Torre R. Effects of Mixing Energy Drinks With Alcohol on Driving-Related Skills. Int J Neuropsychopharmacol. 2022 Jan 12;25(1):13-25. doi: 10.1093/ijnp/pyab051. |
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| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D000066448 | Driving Under the Influence |
| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D000066479 | Criminal Behavior |
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| ID | Term |
|---|---|
| D000431 | Ethanol |
| D061215 | Energy Drinks |
| ID | Term |
|---|---|
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D001628 | Beverages |
| D000066888 | Diet, Food, and Nutrition |
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| Alcohol | Dietary Supplement | Multiple oral dose of alcohol |
|
| Energy drink | Dietary Supplement | Multiple oral dose of energy drink |
|
| Placebo | Dietary Supplement | Multiple oral dose of water Multiple oral dose of non-caffeinated soft drink |
|
|
The lapse of time between actual and predicted time will be measured in a movement estimation task
| From baseline till 4 hours after administration |
| Change in memory function | The N-Back test will be performed with 2 different options: 0 back test and 2 back test | From baseline till 4 hours after administration |
| Change in drunkenness | Drunkenness will be measured using a visual analog scale (0-100 mm) | From baseline till 8 hours after administration |
| Change in drowsiness | Drowsiness will be measured using a visual analog scale (0-100 mm) | From baseline till 8 hours after administration |
| Change in headache | Headache will be measured using a visual analog scale (0-100 mm) | From baseline till 8 hours after administration |
| Change in palpitations | Palpitations will be measured using a visual analog scale (0-100 mm) | From baseline till 8 hours after administration |
| Change in anxiety | Anxiety will be measured using a visual analog scale (0-100 mm) | From baseline till 8 hours after administration |
| Change in subjective effects measured with Addiction Research Center Inventory (ARCI) | Subjective effects of alcohol and caffeine will be measured using Addiction Research Center Inventory | From baseline till 8 hours after administration |
| Change in subjective effects measured with Biphasic alcohol effects scale (BAES) | Subjective effects of alcohol will be measured using BAES | From baseline till 8 hours after administration |
| Change in blood pressure | Systolic and diastolic blood pressure will be measured | From baseline till 8 hours after administration |
| Change in heart rate | Heart rate will be measured | From baseline till 8 hours after administration |
| Change in oral temperature | Oral temperature will be measured | From baseline till 8 hours after administration |
| Number of participants with serious and non-serious adverse events | Collection of adverse effects spontaneously reported by the participants and/or observed by the investigators | From inclusion till one week after the last experimental session |
| Area under the concentration-time curve (AUC 0-8h) of ethanol blood concentrations | Calculation of AUC of ethanol concentrations obtained baseline and 0.25, 0.50h , 0.75, 1, 1.50, 1.75, 2, 2.25, 2.5, 3, 4, 6 and 8h after administration | From baseline till 8 hours after administration |
| Area under the concentration-time curve (AUC 0-8h) of taurine blood concentrations | Calculation of AUC of ethanol concentrations obtained baseline and 0.50,1, 1.50, 2, 4, 6 and 8h after administration | From baseline till 8 hours after administration |
| Area under the concentration-time curve (AUC 0-8h) of caffeine blood concentrations | Calculation of AUC of ethanol concentrations obtained baseline and 0,25, 0.50,1, 1.50, 2, 3, 4, 6 and 8h after administration | From baseline till 8 hours after administration |
| Area under the concentration-time curve (AUC 0-8h) of ethanol breath air concentrations | Calculation of AUC of ethanol concentrations obtained baseline and 0.25, 0.50, 0.75,1, 1.50, 1.75, 2, 2.25, 2.5, 3, 4, 6 and 8h after administration | From baseline till 8 hours after administration |
| Maximum concentration (Cmax) of taurine | From baseline till 8 hours after administration |
| Maximum concentration (Cmax) of ethanol | From baseline till 8 hours after administration |
| Maximum concentration (Cmax) of caffeine | From baseline till 8 hours after administration |
| Time to reach maximum concentration (tmax) of ethanol | From baseline till 8 hours after administration |
| Time to reach maximum concentration (tmax) of caffeine | From baseline till 8 hours after administration |
| Time to reach maximum concentration (tmax) of taurine | From baseline till 8 hours after administration |
| Blood coagulation prothrombin | Prothrombin time (PT) and ratio will be measured | From baseline till 2 hours after administration |
| Blood coagulation thromboplastin | Activated partial thromboplastin time (APTT) and ratio will be measured | From baseline till 2 hours after administration |
| Platelet aggregation (function) | Platelet function (PFA) will be measured | From baseline till 2 hours after administration |
| Platelet count | Platelet count will be measured | From baseline till 2 hours after administration |
| Change in willingness to drive | Willingness to drive in 3 different situations will be measured by means of a visual analog scale | From baseline till 6 hours after administration |
| Like the drug (drink) | Drug liking will be measured using a visual analog scale (0-100 mm) | At the end of each experimental session |
| Barcelona |
| Barcelona |
| 08003 |
| Spain |
| D001519 | Behavior |
| D003617 | Dangerous Behavior |
| D010829 |
| Physiological Phenomena |
| D019602 | Food and Beverages |