Enhancing Operational Performance in Healthy Rested Soldiers With Pharmacological Stimulants

Study Overview
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Brief Summary
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Considerable research has documented the optimization utility of stimulants in sleep deprived Soldiers and aviators, however, the research for enhancement purposes has demonstrated mixed results. One significant factor that may influence enhancement properties is general intelligence such that low performers exhibit stronger enhancement effects than high performers. The objective of this study is to determine whether stimulants (specifically, modafinil and Adderall) can enhance Soldier cognitive abilities and performance on military tasks. To do so, a within-subjects design will be employed using healthy, rested Soldiers and measuring performance on a set of basic cognitive assessments and operationally relevant tasks.

Official Title
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Enhancing Operational Performance in Healthy Rested Soldiers With Pharmacological Stimulants

Conditions
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Cognition

Intervention / Treatment
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* Drug: Modafinil 200mg
* Drug: mixed amphetamine salts
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be at least 18 years old. Must have normal hearing, vision or corrected to normal vision, and cognitive function as determined by self-report Must have obtained at minimum 6 hours of sleep prior to all testing sessions, as assessed by actigraphy data and self-report. Should the actiwatch malfunction, reliance on self-report will suffice. If the subject does not meet this requirement, he will be asked to reschedule Must have refrained from consumption of stimulants (including caffeine) and over the counter medications which may induce drowsiness for a minimum of 16 hours prior to each test session, and nicotine, 8 hours, prior to all testing sessions, assessed by self-report. Exclusion Criteria: Currently taking medications which induce drowsiness, such as over-the-counter antihistamines. Any self-medication will be assessed through self-report. No current medical conditions or medications affecting cognitive function or attention as determined by screening by study physician or medical practitioner Current or recent use (as determined by study physician or medical practitioner) of medications that may interact with the test articles. Determined by self-report and exclusion at the discretion of the study physician or medical practitioner. Any history of any attention deficit condition requiring medication. A history of any attention deficit condition with medication is disqualifying as the potential interactions with testing are unknown and would therefore produce a potential source of confounding or bias into the results of the study. Any history of psychological/psychiatric disorder. Any history of addiction or substance abuse as assessed through self-report. Any history of metabolic disorder such as dysthyriodism. Any history of significant cardiovascular disease or hypertension. Any history of hepatic or renal disorder. Females will be excluded given that the drugs administered could potentially negatively impact the very early stages of pregnancy. Any ingestion of substances that may interact with the test articles or potentially skew the results within the last 16 hours prior to testing including over-the-counter medications, supplements, etc. (see attached list to be reviewed with subject).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Modafinil 200mg<br>single, 200 mg dose of modafinil | Drug: Modafinil 200mg<br>* single 200 mg dose<br>|
| Experimental: mixed amphetamine salts<br>single 10 mg dose of mixed amphetamine salts | Drug: mixed amphetamine salts<br>* single 10 mg dose<br>|
| Placebo Comparator: placebo<br>placebo | Drug: Placebo<br>* single oral-administration placebo tablet<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change from baseline in working memory performance | Digit span task | 2-hours post-dosing | 
| change from baseline in selective attention performance | Stroop test | 2-hours post-dosing | 
| change from baseline in sustained attention performance | Rapid Visual Information Processing Task | 2-hours post-dosing | 
| change from baseline in executive function performance | Digit symbol substitution task | 2-hours post-dosing | 
| change from baseline in marksmanship performance | number of targets acquired on marksmanship trainer | 2-hours post-dosing | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change from baseline in impulsivity | Stop signal task - response inhibition | 2-hours post-dosing | 
| change from baseline in impulsivity | Continuous Performance test - rapid response initiation | 2-hours post-dosing | 
| change from baseline in risk-taking behavior | Evaluation of Risks Scale; measures individual variability in risk assessment; three scores are produced (need for control, self-confidence, risk/thrill seeking), all scores range from 0 to 100 with higher scores indicating a higher degree of the construct (e.g., higher risk/thrill seeking scores indicate a greater degree of risk/thrill seeking) | 2-hours post-dosing |