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CompletedNCT07089342FATIGUEUpdated Mar 25, 2026

Exploring Biological Markers of Driver Fatigue for Enhanced Road Safety

An observational study in Drowsiness, Sleepiness and Fatigue, sponsored by University of Zurich. Completed at 1 site in Belgium. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-25.

Sponsored by University of Zurich · Observational

Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
511
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to assess the effectiveness of biological markers in detecting fatigue/sleepiness in a sample of the general driving population in Belgium. The link between the collected biomarkers (oral fluid sample), observed signs of sleepiness in the driver and self-reported driver variables will be analysed. The analysis of the biological samples aims to measure endogenous metabolite levels that are possibly indicative for sleepiness of the donor driver. The respective metabolites will be chosen based on the results of a preceding clinical study (https://clinicaltrials.gov/study/NCT05585515). The objective of this study is to verify and validate the proposed metabolites as biomarkers for driver sleepiness in road traffic.

Read the detailed description

Researchers from NICC (National Institute of Criminalistics and Criminology) and VIAS will collect (1) saliva samples (Salivette with neutral swab allowing use by not-medically trained personnel; this sampling method is also used by the Belgian police in scope of the drugs in traffic legislation since 2019), (2) self-reported driver data (survey) and (3) observed driver data (form filled in by researchers) from drivers that were stopped on the road in scope of routine police checks. The collaboration with the police is because police can stop drivers randomly on-road while researchers cannot. After the police check, a researcher will ask if the driver wants to participate in a study on driver fatigue which is entirely independent from the police check. Voluntary drivers sign an informed consent form.

The collected saliva samples will be entirely separate from any sample obtained during the police checks. During data collection, the saliva sample, driver survey and observation form will each get a unique identification code to link the data. Afterwards, the researchers will work with this anonymised number and the data cannot be traced back to the participant.

All anonymised samples/data will temporarily be stored at NICC (Dept. Toxicology) and then be sent to the University of Zurich for analysis. The analysis of the saliva samples aims to measure endogenous metabolite levels that are possibly indicative for sleepiness of the donor. The correlation of the biomarker levels with observed/reported driver data will be measured. In specific cases the co-existence of drugs/medication in the saliva samples may also be tested: when the donor reported the consumption of the respective substance in the driver survey, as a confirmatory analysis, and (2) when the researchers believe the co-consumption of drugs/medication may interfere with the primary analysis. All anonymised samples will be stored at the University of Zurich for a maximum of 10 years and then be destroyed.

02

Conditions studied

  • Drowsiness
  • Sleepiness
  • Fatigue

Keywords

  • Fatigue
  • Drowsy driving
  • Sleepiness
  • Road Safety
03

In context

Sleepiness

92 studies on the registry are indexed under Sleepiness; 20 are open to participants now.

This study's enrollment of 511 is above the median of 103 across 27 observational studies indexed under Sleepiness.

Browse Sleepiness studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,049 studies on the registry; 133 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Drivers (all vehicle types, aged 18 or older) voluntarily participating after being randomly stopped during roadside police checks in Belgium

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • drivers randomly stopped by the police

Exclusion criteria

Exclusion Criteria:

  • refusal to sign
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
511 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Road traffic population

    People randomly stopped by police in public road traffic

06

What researchers measure

Primary outcomes

  1. Changes in metabolite concentrations in oral fluid quantified by liquid chromatography with mass spectrometry

    Investigators will collect oral fluid samples for quantification of all detectable metabolites. Investigators will analyze which metabolite concentration values undergo significant changes with regard to sleep/wake history and demographical data of the donor.

    Time frame: Baseline: One collection time point after enrollment

Secondary outcomes

  1. Subjective sleepiness

    Participants will complete the Karolinska Sleepiness Scale (version A) questionnaire. It is a 9-point scale, ranging from 1 (extremely alert) to 9 (very sleepy, great effort to keep awake, fighting sleep).

    Time frame: Baseline: One time point after enrollment

  2. Behavioral markers of drowsy driving: Shivering

    Investigators will examine participants for behavioral abnormalities concerning shivering based on this scale: (i) yes (ii) no (iii) uncertain

    Time frame: Baseline: One time point after enrollment

  3. Behavioral markers of drowsy driving: Reaction

    Investigators will examine participants for behavioral abnormalities concerning reaction based on this scale: (i) slow/tired (ii) normal (iii) fast/talkative

    Time frame: Baseline: One time point after enrollment

  4. Behavioral markers of drowsy driving: Gait

    Investigators will examine participants for behavioral abnormalities concerning gait based on this scale: (i) slow (ii) normal (iii) uncertain

    Time frame: Baseline: One time point after enrollment

07

Study locations

1 site
  • Vias institute
    Brussels, Belgium
08

References and documents

Individual participant data

Plan to share: Undecided — Results will be published in peer-reviewed journals. Anonymized raw data will be made available upon request.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07089342
Collaborators
Vias Institute Brussel, Nationaal Instituut voor Criminalistiek en Criminologie Brussel
Responsible party
Sponsor
First posted
Jul 28, 2025
Start date
Aug 29, 2025
Primary completion
Dec 19, 2025
Completion
Dec 19, 2025
Last update
Mar 25, 2026

Oversight

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

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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