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HealthyPhase 4NCT06800378

Zolpidem's Effects on Road Cycling Performance

A Phase 4 study testing Zolpidem 10 mg in people with Healthy, run by National Taiwan Normal University at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will recruit 15 healthy participants who regularly engage in cycling as their primary physical activity. Recruitment will take place at the hospital, where participants will sign an informed consent form and complete a health survey. Read more about this study

Who is it for?
Ages 20 years and older, men only
Conditions the study is for
Healthy
What is being tested?
Zolpidem 10 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
15 participants
Where
1 siteTaiwan
Study dates
26 Jun 2024to 29 Dec 2024
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults over 20 years old
  • Bicycle age over 2 years
  • Rides more than twice a week
  • Does not regularly use sedative-hypnotic drugs or first-generation antihistamines that aid in sleep
  • Does not have drinking or smoking habits (≤1 time per week)
  • Has competition experience (has participated in cycling competitions over 100 kilometers or other cycling races)
  • Has used an indoor bicycle trainer
  • Average sleep time is between 11:00 PM and 1:00 AM

Who cannot join

  • Irregular sleep and shift workers
  • Individuals with medical, psychiatric, and sleep disorders

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Ten-Chan General hospital

    Taoyuan, Taiwan, 320

Other trials in Taiwan

About this study

Official title: The Impact of the Sedative-Hypnotic Medication Zolpidem on Performance in Road Cycling

This study will recruit 15 healthy participants who regularly engage in cycling as their primary physical activity. Recruitment will take place at the hospital, where participants will sign an informed consent form and complete a health survey. The experiments will be conducted at the Exercise Physiology Laboratory in Gongguan, National Taiwan Normal University. Participants will need to familiarize themselves with the procedures before the formal tests. Prior to the measurements, participants must complete: (1) a Sleep Quality Questionnaire and (2) a Sleep Pattern Questionnaire.

This study follows a double-blind design and involves two formal experiments. Two weeks before the experiments, participants will complete forms regarding sleep quality, recent Functional Threshold Power (FTP) over the past 1-2 months, and will receive an explanation of the study. One week before the experiments, participants will visit Dr. Kuo-Yi Weng at the Rheumatology and Immunology Clinic of Zhongli Ten-Chan Hospital to obtain the study medication, Zolpidem .

On the evening before the first experiment, participants will report to the laboratory before 7:00 PM. At 8:59 PM, they will be randomly assigned to take either 10 mg of Zolpidem or a placebo. At 9:00 PM, participants will go to bed wearing a sleep monitoring device (Fitbit Charge 4). At 4:00 AM, they will wake up, complete the Leeds Sleep Evaluation Questionnaire (Self-reported), and have breakfast. The formal experiment will begin at 5:00 AM, during which participants will use the Zwift online platform to simulate a 60-kilometer ride to measure athletic performance. The two formal experiments will be spaced one week apart.

Read the detailed description
  1. Specimen Collection:
  2. On the test day, arm tissue glucose levels will be collected using continuous glucose monitoring (CGM), which will continue until the experiment concludes.
  3. Fingerstick blood samples will be taken using a lancet to measure glucose and lactate levels at 0,10,20,40,50 and 60 kilometers.
  4. Prohibitions, Restrictions, and Requirements for Participants During the Trial:
  5. Training and Sleep Patterns: Participants are required to maintain their usual training routines and sleep patterns without changing their schedules increasing training intensity. This is to control for changes in physical performance and sleep quality during the trial period.
  6. Diet: Participants should consume the same or similar foods the day before and the day of the trial to minimize the impact of dietary changes on the experiment. 3.Restrictions: Participants are prohibited from consuming caffeinated beverages such as tea, coffee, or energy drinks on the night before and the morning of the trial to avoid potential interference with the results.
Conditions
Healthy
Being tested
Zolpidem 10 mg, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Zolpidem 10 mgDrug

    Zolpidem tartrate 10 mg tablet (taken before bedtime)

  • PlaceboOther

    Starch 10 mg tablet (taken before bedtime)

Study groups in NCT06800378
Study groupRoleWhat they receive
PlaceboOther10 mg starch
Receives: Other: Placebo
DrugExperimental10 mg Zolpidem
Receives: Drug: Zolpidem 10 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Physiological Indicator (Lactate) for 40km at 70%FTP

    Lactate in mmol/L .Testing will be conducted using an indoor trainer (TACX NEO) to assess whether taking medication affects lactate changes.Lactate will be collected at 10, 20, 30, 40 kilometers, respectively. A total of four times.

    Measured: Approximately 1 to 1.5 hours during each study intervention.

  2. Physiological Indicator (Blood Glucose) for 40km at 70%FTP

    Glucose in mg/dL . Testing will be conducted using an indoor trainer (TACX NEO) to evaluate whether taking medication affects blood glucose changes.The evaluation will be conducted when the participants complete 10, 20, 30, and 40 km of cycling(Using CGM). A total of four times.

    Measured: Approximately 1 to 1.5 hours during each study intervention.

  3. Rate of Perceived Exertion for 40 km at 70% FTP

    Borg Scale (6-20) .Testing will be conducted using an indoor trainer (TACX NEO) to determine whether taking medication influences changes in the Rate of Perceived Exertion (RPE).The evaluation will be conducted when the participants complete 10, 20, 30, and 40 km of cycling. A total of four times.

    Measured: Approximately 1 to 1.5 hours during each study intervention.

  4. 20KM Time Trial

    Time trial (minute) .Testing will be conducted using an indoor trainer (TACX NEO) to assess whether taking medication affects the time trial (TT) performance.Participants performed a 20 km time trial (TT) after completing 40 km at 70% FTP, and the completion time was recorded.A total of one times.

    Measured: Approximately 30 to 60 min during each study intervention.

  5. Average Power for 20KM Time Trial

    Average Power(W).Testing will be conducted using an indoor trainer (TACX NEO) to evaluate whether taking medication affects the average power output.Participants performed a 20 km time trial (TT) after completing 40 km at 70% FTP, and the average power was recorded.A total of one times.

    Measured: Approximately 30 to 60 min during each study intervention.

  6. Physiological Indicator (Blood Glucose) for 20KM Time Trial

    Glucose in mg/dl . Testing will be conducted using an indoor trainer (TACX NEO) to assess whether taking medication affects blood glucose changes during the time trial.The evaluation will be conducted when the participants complete 10, 20 km of Time Trial. A total of two times.

    Measured: Approximately 30 to 60 min during each study intervention.

  7. Physiological Indicator (Lactate) for 20KM Time Trial

    Testing will be conducted using an indoor trainer (TACX NEO) to evaluate whether taking medication affects lactate changes during the time trial.The evaluation will be conducted when the participants complete 10, 20 km of Time trial . A total of two times .

    Measured: Approximately 30 to 60 minutes during each study intervention.

  8. Rate of Perceived Exertion for 20km Time trial

    RPE:Borg Scale (Score:6-20 ).Testing will be conducted using an indoor trainer (TACX NEO) to determine whether taking medication influences changes in the Rate of Perceived Exertion (RPE) during the time trial.The evaluation will be conducted when the participants complete 10, 20 km of Time trial . A total of two times .

    Measured: Approximately 30 to 60 minutes during each study intervention.

  9. Sleep Duration (Minutes)

    Sleep Duration in Minutes.Sleep duration will be measured using Fitbit Charge 4 to evaluate the differences in sleep length between taking and not taking medication.Measurements will begin after taking medication at 9:00 PM and conclude upon waking up the next day at 4:00 AM. Sleep duration will be recorded using Fitbit Charge 4.

    Measured: The monitoring duration is 7 hours during each study intervention.

  10. Sleep Latency (Minutes):

    Sleep latency in minutes . Sleep latency will be measured using Fitbit Charge 4 to evaluate the differences in the time taken to fall asleep between taking and not taking medication.Measurements will begin after taking medication at 9:00 PM and conclude upon waking up the next day at 4:00 AM. Sleep potency will be recorded using Fitbit Charge 4.

    Measured: The monitoring duration is 7 hours during each study intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jan 2025
  2. Study start26 Jun 2024
  3. Primary completion22 Dec 2024
  4. Study completion29 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06800378
Sponsor's protocol ID
113-A-01-02
Status last verified
Jan 2025
First submitted
23 Dec 2024
Last updated
30 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wilms B, Chamorro R, Hallschmid M, Trost D, Forck N, Schultes B, Molle M, Sayk F, Lehnert H, Schmid SM. Timing Modulates the Effect of Sleep Loss on Glucose Homeostasis. J Clin Endocrinol Metab. 2019 Jul 1;104(7):2801-2808. doi: 10.1210/jc.2018-02636.

    PubMed 30807636
  • Temesi J, Arnal PJ, Davranche K, Bonnefoy R, Levy P, Verges S, Millet GY. Does central fatigue explain reduced cycling after complete sleep deprivation? Med Sci Sports Exerc. 2013 Dec;45(12):2243-53. doi: 10.1249/MSS.0b013e31829ce379.

    PubMed 23760468
  • Saner NJ, Lee MJ, Kuang J, Pitchford NW, Roach GD, Garnham A, Genders AJ, Stokes T, Schroder EA, Huo Z, Esser KA, Phillips SM, Bishop DJ, Bartlett JD. Exercise mitigates sleep-loss-induced changes in glucose tolerance, mitochondrial function, sarcoplasmic protein synthesis, and diurnal rhythms. Mol Metab. 2021 Jan;43:101110. doi: 10.1016/j.molmet.2020.101110. Epub 2020 Oct 31.

    PubMed 33137489
  • Rosenberg RP, Hull SG, Lankford DA, Mayleben DW, Seiden DJ, Furey SA, Jayawardena S, Roth T. A randomized, double-blind, single-dose, placebo-controlled, multicenter, polysomnographic study of gabapentin in transient insomnia induced by sleep phase advance. J Clin Sleep Med. 2014 Oct 15;10(10):1093-100. doi: 10.5664/jcsm.4108.

    PubMed 25317090
  • Papanikolaou DD, Astara K, Vavougios GD, Daniil Z, Gourgoulianis KI, Stavrou VT. Elements of Sleep Breathing and Sleep-Deprivation Physiology in the Context of Athletic Performance. J Pers Med. 2022 Mar 2;12(3):383. doi: 10.3390/jpm12030383.

    PubMed 35330382
  • Mougin F, Simon-Rigaud ML, Davenne D, Renaud A, Garnier A, Kantelip JP, Magnin P. Effects of sleep disturbances on subsequent physical performance. Eur J Appl Physiol Occup Physiol. 1991;63(2):77-82. doi: 10.1007/BF00235173.

    PubMed 1748108
  • Leong RLF, Cheng GH, Chee MWL, Lo JC. The effects of sleep on prospective memory: A systematic review and meta-analysis. Sleep Med Rev. 2019 Oct;47:18-27. doi: 10.1016/j.smrv.2019.05.006. Epub 2019 May 31.

    PubMed 31216498
  • Horoszok L, Baleeiro T, D'Aniello F, Gropper S, Santos B, Guglietta A, Roth T. A single-dose, randomized, double-blind, double dummy, placebo and positive-controlled, five-way cross-over study to assess the pharmacodynamic effects of lorediplon in a phase advance model of insomnia in healthy Caucasian adult male subjects. Hum Psychopharmacol. 2014 May;29(3):266-73. doi: 10.1002/hup.2395.

    PubMed 24911577
  • Holgado D, Manresa-Rocamora A, Zamboni L, Lugoboni F, Peiro AM, Zandonai T. The effect of benzodiazepines on exercise in healthy adult participants: A systematic review. J Addict Dis. 2022 Jul-Sep;40(3):336-344. doi: 10.1080/10550887.2021.1990640. Epub 2021 Nov 9.

    PubMed 34751107
  • Haraldsdottir K, Sanfilippo J, McKay L, Watson AM. Decreased Sleep and Subjective Well-Being as Independent Predictors of Injury in Female Collegiate Volleyball Players. Orthop J Sports Med. 2021 Sep 9;9(9):23259671211029285. doi: 10.1177/23259671211029285. eCollection 2021 Sep.

    PubMed 34527756
  • Grobler LA, Schwellnus MP, Trichard C, Calder S, Noakes TD, Derman WE. Comparative effects of zopiclone and loprazolam on psychomotor and physical performance in active individuals. Clin J Sport Med. 2000 Apr;10(2):123-8. doi: 10.1097/00042752-200004000-00007.

    PubMed 10798794
  • Gramaglia E, Ramella Gigliardi V, Olivetti I, Tomelini M, Belcastro S, Calvi E, Dotta A, Ghigo E, Benso A, Broglio F. Impact of short-term treatment with benzodiazepines and imidazopyridines on glucose metabolism in healthy subjects. J Endocrinol Invest. 2014 Feb;37(2):203-6. doi: 10.1007/s40618-013-0016-y. Epub 2014 Jan 9.

    PubMed 24497220
  • Craven J, McCartney D, Desbrow B, Sabapathy S, Bellinger P, Roberts L, Irwin C. Effects of Acute Sleep Loss on Physical Performance: A Systematic and Meta-Analytical Review. Sports Med. 2022 Nov;52(11):2669-2690. doi: 10.1007/s40279-022-01706-y. Epub 2022 Jun 16.

    PubMed 35708888
  • Collomp K, Fortier M, Cooper S, Long A, Ahmaidi S, Prefaut C, Wright F, Picot M, Cote MG. Performance and metabolic effects of benzodiazepine during submaximal exercise. J Appl Physiol (1985). 1994 Aug;77(2):828-33. doi: 10.1152/jappl.1994.77.2.828.

    PubMed 8002535
  • Chase JD, Roberson PA, Saunders MJ, Hargens TA, Womack CJ, Luden ND. One night of sleep restriction following heavy exercise impairs 3-km cycling time-trial performance in the morning. Appl Physiol Nutr Metab. 2017 Sep;42(9):909-915. doi: 10.1139/apnm-2016-0698. Epub 2017 May 3.

    PubMed 28467857

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Zolpidem 10 mg in people with Healthy, run by National Taiwan Normal University at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Physiological Indicator (Lactate) for 40km at 70%FTP (time frame: Approximately 1 to 1.5 hours during each study intervention.). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06800378, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jan 2025.

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