ClinicalTrials.gg
Active, not recruitingNCT06529965EASE-T2DMUpdated Jun 15, 2026

Evaluating a Digital Intervention for Alleviating Diabetes-specific Emotional Distress in Adults Living With T2DM

An interventional study of covivio in Glucose Metabolism Disorders (Including Diabetes Mellitus), Metabolic Disease and Endocrine System Diseases, sponsored by Gaia AG. Active, not recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-15.

Primary conditionDiabetes Mellitus, Type 2Registry: Glucose Metabolism DisordersReclassifiedWhy we changed it
Registry
Glucose Metabolism Disorders — the first condition term the registry derived for this study.
ClinicalTrials.gg
Diabetes Mellitus, Type 2
Why
  1. The study's listed conditions name Diabetes Mellitus, Type 2, a narrower term within Glucose Metabolism Disorders.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Gaia AG · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
250
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 754 studies in Diabetes Mellitus, Type 2 with a site in Germany — 44 open to participants now, 65 under way, 21 of them phase 3. Diabetes Mellitus, Type 2 · Germany.

Planned enrollment
327th of 686
250 · median 216
Started
2024
with 19 others
No phase
87 of 754
9 open now
Primary completion
2026-12
later than 16 of 64 live
Registered
704th of 754
by date

Among the 754 studies in Diabetes Mellitus, Type 2 with a site in Germany, this one is the 327th largest by planned enrollment of the 686 interventional ones, is one of 20 that started in 2024, is one of 87 with no phase, reaches primary completion later than 16 of the 64 other live ones, and was the 704th registered.

By phase

754 studies; the count open now beside each. This study's row is marked.

Phase 3279 · 13 open
Phase 1139 · 4 open
Phase 292 · 3 open
No phasethis study87 · 9 open
Phase 479 · 1 open
Observational66 · 13 open
Phase 1/28 · 1 open
Phase 2/34 · 0 open

By the year they started

First in 1998; this study’s year is marked. 20 started in 2024.

Size and results

Median enrollment 216 across the 686 interventional studies, 1,552 across the 66 observational. Of the 655 that completed or were terminated, 263 (40%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 754 studies in Diabetes Mellitus, Type 2 with a site in Germany, or all of them as a file.
02

Study summary

This randomized controlled trial (RCT) with 250 patients suffering from type 2 diabetes mellitus (T2DM) aims to investigate the effectiveness of the self-guided digital therapeutic covivio. Inclusion criteria are: male, female or non-binary; age ≥ 18 years; confirmed diagnosis of T2DM; elevated levels of diabetes-specific emotional distress (Problem Areas in Diabetes [PAID]-20 score ≥ 33); consent to participate; sufficient German language skills. Exclusion criteria are: a diagnosis of type 1 diabetes mellitus (T1DM); current use of continuous glucose monitoring (CGM) as part of one's diabetes treatment; changes or planned changes in medication within 4 weeks before the baseline visit or in the subsequent 6 months; a bariatric operation within 4 weeks before the baseline visit or such an operation planned in the subsequent 6 months; changes or planned changes in psychotherapeutic treatment within 4 weeks before the baseline visit or in the subsequent 6 months. In addition, participants will be excluded from the study if they did not wear the CGM sensor for at least 6 of 7 days at baseline (before randomization), providing a minimum of 96 hours of glucose values including at least 24 hours overnight.

Patients will be randomized and allocated in a 1:1 ratio to either an intervention group, in which they will receive access to covivio in addition to treatment as usual (TAU, n = 125), or to a control group, in which they will receive only TAU (n = 125).

Co-primary endpoints of this trial will be the between-groups difference in the PAID-20 total score in the intervention and control group at six months, adjusted for the PAID-20 baseline score as well as the glucose management indicator (estimated HbA1c) assessed using continuous glucose monitoring devices (for a period of 7 days) at six months, adjusted for the baseline score.

Secondary endpoints will be diabetes self-management skills, body mass index (BMI), and quality of life.

03

Conditions studied

  • Glucose Metabolism Disorders (Including Diabetes Mellitus)
  • Metabolic Disease
  • Endocrine System Diseases
  • Diabetes Mellitus, Type 2

Keywords

  • type 2 diabetes
  • covivio
  • diabetes self-management
  • digital health application
04

In context

Diabetes Mellitus, Type 2 Reclassified

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 250 is above the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Gaia AG is the lead sponsor of 20 studies on the registry; 2 are open to participants now.

Compared within Diabetes Mellitus, Type 2, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Glucose Metabolism Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • male, female or non-binary
  • age ≥ 18 years
  • diagnosis of T2DM secured via submission of a medical certificate attesting to the presence of at least one of the following ICD-10-GM diagnoses of T2DM: E11.20, E11.30, E11.40, E11.50, E11.60, E11.72, E11.74, E11.80, E11.90
  • elevated levels of diabetes-specific emotional distress: cut-off ≥ 33 on the PAID-20
  • access to CGM-compatible smartphone
  • consent to participate
  • sufficient knowledge of the German language

Exclusion criteria

Exclusion Criteria:

  • diagnosis of type 1 diabetes mellitus (T1DM)
  • change in medication (type, frequency of use or dosage) within 4 weeks before the baseline visit or planned within the subsequent 6 months
  • recent or planned bariatric operation within 4 weeks before the baseline visit or within the subsequent 6 months
  • change in psychotherapeutic treatment within 4 weeks before the baseline visit or planned within the subsequent 6 months
  • current use of continuous glucose monitoring (CGM) as part of one's diabetes treatment
  • experiencing problems with the CGM sensor or insufficient CGM data quality at baseline (T0) (i.e., wearing the CGM sensor on less than 6 of 7 days, providing less than a minimum of 96 hours of glucose values, providing less than 24 hours overnight CGM data)
06

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
250 participants (estimated)

Study arms

  • Experimental
    Intervention/Treatment

    Experimental: covivio + TAU Participants allocated to the intervention group will receive access to covivio in addition to treatment as usual (TAU). covivio is a digital health application designed for individuals with type 2 diabetes mellitus who suffer from elevated levels of diabetes-specific emotional distress, accessible through a web browser. The application focuses on treatment methods derived from cognitive behavioral therapy (CBT). Topics addressed by covivio are disease literacy, physical activity and exercise, nutrition, stress management, sleep management, mood problems, and social resources. The program operates through interactive "dialogues", which are accompanied by illustrations, audio recordings, motivational text messages, worksheets, and summaries. Users are also encouraged to regularly complete short questionnaires to monitor their complaints. Once registered, the program remains accessible for 180 days.

    Behavioral: covivio

  • No intervention
    Control

    No Intervention: TAU Participants allocated to the control group will receive access to treatment as usual (TAU).

Interventions

  • Behavioralcovivio

    Participants will receive access to the digital health intervention covivio in addition to TAU.

07

What researchers measure

Primary outcomes

  1. Diabetes-specific emotional distress

    Assessed with the Problem Areas in Diabetes Questionnaire (PAID-20). Total score ranging from 0-100; higher scores indicate higher diabetes-specific emotional distress (worse outcome).

    Time frame: 6 months

  2. Glucose management indicator

    The glucose management indicator (GMI) is an estimation of HbA1c from CGM. It is calculated as follows: GMI (%) = 3.31 + 0.02392 x \[mean glucose in mg/dL\].

    Time frame: 6 months

Secondary outcomes

  1. Diabetes-specific emotional distress

    Assessed with the Problem Areas in Diabetes Questionnaire (PAID-20). Total score ranging from 0-100; higher scores indicate higher diabetes-specific emotional distress (worse outcome).

    Time frame: 3 months

  2. Diet self-management skills

    Assessed with the Diet Subscale of the Summary of Diabetes Self-Care Activities Measure (SDSCA). The diet subscale contains four items and the score may range from 0-28; higher scores indicate higher diet self-management skills (better outcome).

    Time frame: 3 months; 6 months

  3. Exercise self-management skills

    Assessed with the Exercise Subscale of the Summary of Diabetes Self-Care Activities (SDSCA). The exercise subscale contains two items and the score may range from 0-14; higher scores indicate higher exercise self-management skills (better outcome).

    Time frame: 3 months; 6 months

  4. Health-related quality of life

    Quantified with the Assessment of Quality of Life - 8 Dimensions (AQoL-8D). Total score ranging from 0-100; higher scores indicate a higher quality of life (better outcome).

    Time frame: 3 months; 6 months

  5. Body mass index (BMI)

    The BMI will be computed according to the following formula: kg/m2, where kg is a person's weight in kilograms and m2 is their height in meters squared. If necessary, height will be converted into meters and weight will be converted into kilograms.

    Time frame: 3 months; 6 months

Other outcomes

  1. Time in range (TIR) derived from CGM

    Defined as time spent in the target range between 70 and 180 mg/dL. TIR will be assessed in hours and minutes for a 7-day period, and also expressed as percent.

    Time frame: 6 months

  2. Mean sensor glucose derived from CGM

    Mean sensor glucose will be calculated over the 7 days of glucose measurements.

    Time frame: 6 months

  3. Coefficient of variation derived from CGM

    The coefficient of variation will be used to quantify glycemic variability.

    Time frame: 6 months

08

Study locations

1 site
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2024 (actual). Primary completion is estimated for Dec 2026, 26 months after the start.

Of 177 industry-sponsored interventional studies with no phase under Diabetes Mellitus, Type 2, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 29. This study's planned 26 months is above that.

Counting every sponsor, half of 2,243 studies reached it within 21 months; a quarter within 10 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 26, 2024
First posted
Jul 31, 2024
StartActual
Oct 9, 2024
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Jun 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06529965
Lead sponsor
Gaia AG
Responsible party
Sponsor
First posted
Jul 31, 2024
Start date
Oct 9, 2024
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Jun 15, 2026

Study contacts

Kamila Jauch-Chara, Dr. med.
principal investigator · Zentrum für Integrative Psychiatrie, Universitätsklinikum Schleswig-Holstein

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion