Plain English Summary
Background and study aims?
Studies have repeatedly shown that modafinil, a drug that promotes alertness, is capable of reversing some of the effects of sleep deprivation. This study aim to assess the impact of modafinil on the thinking skills and hand-eye coordination of a small group of sleep deprived doctors.
Who can take part?
Male training grade doctors working within or affiliated to Imperial College Healthcare NHS Trust. Participants must be healthy and medication free. Specifically, individuals with a history of neurological illness, heart problems, breathing difficulties, substance misuse or psychiatric illness will not be eligible to take part.
What does the study involve?
All participants will undergo a period of skills training following which they will attend the study centre for one night of supervised sleep deprivation. Participants will be randomly allocated to receive either modafinil or placebo at 3am and will undergo a series of laboratory based tests of thinking and hand-eye coordination between 6am and approximately 8am. Doctors will be advised not to return to their clinical work for 48hrs following conclusion of the study.
What are the possible benefits and risks of taking part?
Participants can expect to learn basic technical skills relevant to surgical training. There are no other benefits to the participant form taking part in the study.
Possible side effects of modafinil include: neurological side effects such as headache and dizziness, cardiovascular side effects such as fast heart beat and palpitations, respiratory side effects such as cough and wheeze and gastrointestinal side effects such as dry mouth and bowel disturbance. A more detailed description of the drug and list of side effects is available at patient.co.uk: http://www.patient.co.uk/medicine/Modafinil.htm.
Where is the study run from?
The study will be run from Imperial College London, Department of Surgery and Cancer, St Marys Hospital Campus.
When is the study starting and how long is it expected to run for?
August 2009 to March 2010
Who is funding the study?
Imperial College London, Department of Surgery and Cancer.
Who is the main contact?
Dr Colin Sugden (Academic Clinical Lecturer)
Can modulation of neurochemical pathways in the brain reverse the effects of sleep deprivation on the psychomotor and cognitive performance of surgical trainees?
Modafinil is a well tolerated and effective pharmacological wakefulness promoting agent. We hypothesise that modafinil administration will improve the cognitive and clinical psychomotor performance of a cohort of acutely sleep deprived doctors.
Cambridgeshire 1 Research Ethics Committee approved on 22 June 2009, ref: 09/H0304/24
Randomised double blind placebo controlled trial
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Neuropsychopharmacology, sleep deprivation, medical simulation
1. Modafinil 200mg
2. Single administration per subject
Primary outcome measures
1. Cognitive performance assessed using the Cambridge Neuropsychological Test Automated Battery (CANTAB) battery of neuropsychological tests
2. Clinical psychomotor performance assessed using the MIST-VR simulator
Secondary outcome measures
1. Subjective rating of fatigue - Stanford Scale and Visual Analogue Scale
2. Heart rate & blood pressure monitoring
Overall trial start date
Overall trial end date
Participant inclusion criteria
Healthy male resident doctors taking no regular medication and with experience of less than 10 laparoscopic cases as primary operator
Target number of participants
Participant exclusion criteria
1. History of psychiatric illness
2. Visual, auditory or motor impairment
3. Cardiac or neurological illness
4. Score of greater than 10 on the Epworth Sleepiness Scale
5. More than two positive responses to the CAGE questionnaire
6. History of drug or alcohol addiction
7. Consumption of more than eight cups of coffee per day
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Imperial College London and Imperial College Healthcare NHS Trust
Imperial College London
St Mary's Hospital
Department of Surgery & Cancer, Imperial College London (UK)
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting