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RecruitingNCT05446805D&DUpdated Jun 8, 2026

Depression and Driving

An observational study in Depression and Drive, sponsored by Washington University School of Medicine. Recruiting at 1 site in United States. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by Washington University School of Medicine · Observational

From the registry’s dates

  • Started Jun 2021; still recruiting 5 years 3 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
65 Years and older
Sex
All
01

Study summary

This project will assess how depression, preclinical AD, and antidepressants affect driving behavior in cognitively normal older adults (65 years).

Read the detailed description

The long-term goal is to accurately identify who is at risk of decline in driving, to forecast when decline will occur, and to intervene before decline, thereby reducing the numbers of crashes, injuries, and death in older adults. The findings indicate that the long preclinical stage of Alzheimer disease (AD), as reflected in amyloid imaging and cerebrospinal fluid (CSF) biomarkers among cognitively normal participants, is associated with poorer driving performance on a standardized road test. This project will assess how depression, preclinical AD, and antidepressants affect driving behavior in cognitively normal older adults (65 years).

02

Conditions studied

  • Depression
  • Drive

Browse trials for

03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's planned enrollment of 150 is close to the median of 160 across 1,084 observational studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,765 studies on the registry; 271 are open to participants now.

Of its 324 completed or terminated interventional studies of FDA-regulated products, 212 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

70 participants will create a depressed cohort in which they must be determined to have active major depressive disorder (MDD) as defined by psychiatrist, Dr. Eric Lenze.

70 participants will be cognitively normal (CDR 0) or cognitively abnormal (CDR 0.5 or 1) but will be considered control cohort.

Inclusion criteria

  • Drive on average at least once per week
  • Has a valid driver's license
  • Willing to complete blood draw
  • Willing to complete either lumbar puncture or PET imaging
  • 65 years or older
  • Speaks English

Exclusion criteria

Exclusion Criteria:

  • Not willing to complete blood draw and/or one other biomarker
  • Less than 65 years of age
  • Does not drive a vehicle/ is no longer actively driving
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)
Patient registry
No

Groups and cohorts

  • depression

    All participants will receive two one time PET scans with tracers AV1451 and PIB to detect tau and amyloid in the brain.

    Drug: F 18 AV-1451 (Flortaucipir) · Drug: [11C]-Pittsburgh Compound B ([11C]PiB)

  • control

    All participants will receive two one time PET scans with tracers AV1451 and PIB to detect tau and amyloid in the brain.

    Drug: F 18 AV-1451 (Flortaucipir) · Drug: [11C]-Pittsburgh Compound B ([11C]PiB)

Interventions

  • DrugF 18 AV-1451 (Flortaucipir)

    A dosage range between 6.5 - 10.0 mCi (240-370MBq) is planned for \[18F\] AV-1451. A PET-certified medical professional will prepare and administer the \[18F\] AV-1451tracer. Prior to the administration, the dosage will be assayed in a dose calibrator. The volume of 18F-AV-1451 dose should not be adjusted by adding normal saline to the syringe. Participants will receive a maximum intravenous bolus injection of 10.0 mCi of \[18F\] AV-1451 followed by a 10 mL flush of 0.9% sodium chloride (normal saline).

    Also known as: AV-1451

  • Drug[11C]-Pittsburgh Compound B ([11C]PiB)

    A dosage range between 6.0 - 20.0 mCi (222-740 MBq) is planned for \[11C\] PIB. A PET-certified medical professional will prepare and administer the \[11C\] PIB tracer. Prior to the administration, the dosage will be assayed in a dose calibrator and diluted with 0.9% sodium chloride (normal saline) up to a total 20 mL syringe volume. Participants will receive a maximum intravenous bolus injection of 20.0 mCi of \[11C\] PIB followed by a 10 mL 0.9% sodium chloride (normal saline) flush.

    Also known as: PIB

06

What researchers measure

Primary outcomes

  1. Latitude via DRIVES chip

    The latitude coordinate of the location of the vehicle being driven

    Time frame: Daily for up to five years

  2. Longitude via DRIVES chip

    The Longitude coordinate of the location of the vehicle being driven

    Time frame: Daily for up to five years

  3. Vehicle Speed via DRIVES chip

    The speed at which the vehicle being driven is moving.

    Time frame: Daily for up to five years

  4. Speed Limit via DRIVES chip

    The posted speed limit for the location that participant is driving.

    Time frame: Daily for up to five years

  5. Difference via DRIVES chip

    The difference between the speed at which the vehicle is moving and the posted speed limit for the location.

    Time frame: Daily for up to five years

  6. Event Name via DRIVES Chip

    Name of the geofence in which participant had a driving event.

    Time frame: Daily for up to five years

  7. Address via DRIVES chip

    Address of the location in which participant had a driving event.

    Time frame: Daily for up to five years

  8. Event Type via DRIVES chip

    Enumeration describing the type of event: ignition on, heartbeat, ignition off, braking, acceleration, overspeeding, idling, low fuel, cornering, low battery event, diagnostic event triggered.

    Time frame: Daily for up to five years

  9. Event Time via DRIVES chip

    Timestamp in GMT on which the event occurred.

    Time frame: Daily for up to five years

  10. Odometer Reading via DRIVES chip

    Odometer reading of the vehicle.

    Time frame: Daily for up to five years

  11. Trip Distance via DRIVES chip

    Total distance covered during the trip

    Time frame: Daily for up to five years

  12. Peak Speed via DRIVES chip

    Highest speed attained by the vehicle during the trip.

    Time frame: Daily for up to five years

  13. Average Speed

    Average trip speed of the vehicle.

    Time frame: Daily for up to five years

  14. Initial Speed via DRIVES chip

    Speed at the beginning of the trip.

    Time frame: Daily for up to five years

  15. Final Speed via DRIVES chip.

    Speed at the end of the trip.

    Time frame: Daily for up to five years

Secondary outcomes

  1. Trail Making A

    This will be tested annually in a private office setting using paper and pen assessments. This will test executive function.

    Time frame: Annually for up to five years

  2. Trail Making B

    This will be tested annually in a private office setting using paper and pen assessments. This will test executive function.

    Time frame: Annually for up to five years

  3. Montreal Cognitive Assessment (MoCA) Total

    This will be tested annually in a private office setting using paper and pen assessments. This will screen for cognitive impairment.

    Time frame: Annually for up to five years

  4. Category Fluency

    This will be tested annually in a private office setting using paper and pen assessments. This will test language ability.

    Time frame: Annually for up to five years

  5. Phonemic Fluency

    This will be tested annually in a private office setting using paper and pen assessments. This will test language ability.

    Time frame: Annually for up to five years

  6. Mini Mental Status Exam

    This will be tested annually in a private office setting using paper and pen assessments. This will screen for cognitive impairment.

    Time frame: Annually for up to five years

  7. Clinical Dementia Rating (CDR) Sum of Boxes

    This will be tested annually in a private office setting using paper and pen assessments. This will test for cognitive impairment/dementia severity.

    Time frame: Annually for up to five years

Other outcomes

  1. Plasma based biomarker

    Analyses of amyloid and tau burden among plasma samples

    Time frame: Each participant will complete a blood draw within their first year of participation.

  2. Cerebrospinal fluid biomarker

    Analyses of amyloid and tau burden among cerebrospinal fluid samples

    Time frame: Each participant will complete an optional lumbar puncture within their first year of participation.

  3. Amyloid PET-based biomarker

    Amyloid measured by Pittburgh compound B

    Time frame: Each participant will complete a PET scan with radiotracer PIB within their first year of participation.

  4. Tau PET-based biomarker

    Tau measured by AV1451

    Time frame: Each participant will complete a PET scan with radiotracer AV1451 within their first year of participation.

07

Study locations

1 of 1 sites recruiting
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05446805
Lead sponsor
Washington University School of Medicine
Responsible party
Sponsor
First posted
Jul 7, 2022
Start date
Jun 17, 2021
Primary completion
Jun 17, 2027 (estimated)
Completion
Dec 17, 2027 (estimated)
Last update
Jun 8, 2026

Study contacts

Kaylin Taylor, MA
Contact
kaylin.james@wustl.edu
314-273-3573
Beau Ances, MD, PhD
Contact
bances@wustl.edu
(314) 747-8423
Beau Ances, MD, PhD
principal investigator · Washington University School of Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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