NCT06985862

Brief Summary

Stress refers to all the reactions of an organism subjected to exogenous or endogenous stress. In the context of diabetes, stress plays a critical role. There are two forms of stress: acute and chronic, both of which can have a significant impact on patients' glycaemic control. Acute stress, if repeated, can cause rapid increases in blood glucose levels, while chronic stress can lead to insulin resistance. It is therefore essential to develop tools for recognising and quantifying stress states specific to patients with diabetes. These tools would provide a better understanding of the role of stress in diabetes management, paving the way for more targeted therapeutic interventions and improving patients' quality of life. We are currently training algorithms using advanced machine learning and artificial intelligence techniques to recognise and quantify stress states using existing databases, including voice and physiological data. These technological advances will make it possible to identify moments of stress more accurately and provide appropriate responses, thereby contributing to better diabetes management. The SMART-T1D study is an ancillary study of the EVASTRESS study.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
35

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

5 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 31, 2025

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 22, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

September 3, 2025

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2026

Completed
Last Updated

February 18, 2026

Status Verified

September 1, 2025

Enrollment Period

5 months

First QC Date

March 31, 2025

Last Update Submit

February 17, 2026

Conditions

Keywords

stressvoice markersglycemic control

Outcome Measures

Primary Outcomes (1)

  • Voice recording of participants

    Daily voice recordings

    14 days

Secondary Outcomes (1)

  • Diabetes-related distress in the test population

    at inclusion and after 14 days

Study Arms (1)

Voice recording 4 days a day

EXPERIMENTAL

* Morning (first recording): Text reading (article 25.1 of the Declaration of Human Rights). * Noon (second recording): Counting from 1 to 20 at normal speed * Evening (third recording): Prolonged phonation of the vowel 'a' without catching your breath. * Bedtime (fourth recording): Free expression describing stressful moments of the day and their impact on diabetes management, for at least 30 seconds.

Other: Voice recording 4 times a day

Interventions

* Morning (first recording): Text reading (article 25.1 of the Declaration of Human Rights). * Noon (second recording): Counting from 1 to 20 at normal speed * Evening (third recording): Prolonged phonation of the vowel 'a' without catching your breath. * Bedtime (fourth recording): Free expression describing stressful moments of the day and their impact on diabetes management, for at least 30 seconds.

Voice recording 4 days a day

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patient who has signed the SMART-T1D free and informed consent form
  • Patient able to speak and read French

You may not qualify if:

  • Mute patient.
  • Patient with severe speech problems that may prevent voice recordings from being made.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Rennes University Hospital

Rennes, France, 35200, France

NOT YET RECRUITING

Strasbourg University Hospital

Strasbourg, France, 67091, France

NOT YET RECRUITING

Angers University Hospital

Angers, Site Principal Investigator, 49100, France

NOT YET RECRUITING

CERITD (Centre d'Etudes et de Recherches pour l'Intensification du Traitement du Diabète)

Évry, 91058, France

RECRUITING

Grenoble University Hospital

Grenoble, 38043, France

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 1

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Pierre-Yves Benhamou, Pr

    University Hospital, Grenoble

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 31, 2025

First Posted

May 22, 2025

Study Start

September 3, 2025

Primary Completion

February 1, 2026

Study Completion

February 1, 2026

Last Updated

February 18, 2026

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations