ClinicalTrials.gg
RecruitingNCT06947512Updated Nov 5, 2026

Personalization of Visual Characters and Text-to-Speech (TTS) to Support Learning in Students With Reading Difficulties

An interventional study of Seleggo Test in Developmental Dyslexia and Reading Problem, sponsored by IRCCS Eugenio Medea. Recruiting at 3 sites in Italy. Open to participants aged 7 Years to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by IRCCS Eugenio Medea · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Feb 2023, registered Mar 2024).
  • Started Feb 2023; still recruiting 3 years 8 months later.
Updated Nov 5, 2026Primary completion movedStudy completion moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
7 Years to 15 Years
Sex
All
01

Study summary

Previous research has shown the importance of font type, size and spacing to facilitate text reading in dyslexia. A special automatized procedure was designed to select the most favorable parameters for both text visualization and text-to-speech (TTS) conversion to be used by students with reading difficulties. The validation of its outcomes will be carried out through a systematic comparison of the use of the personalized versus standard fonts and voices in reading and writing tests.

Read the detailed description

Seleggo is a free compensatory tool for dyslexic students. It is an online platform where school textbooks are transcribed and visualized on the screen in portable format (PDF) versions, characterized by special attention to graphical features and readability, and can be listened to via TTS technology. Special functions such as karaoke modality, conceptual maps building software, summary creation, verbal and visual definition search and the possibility to record and retrieve one's own notes and sketches are also provided. Each student with Specific learning Disorder (SLD) has a personal library and can choose the parameters for text visualization to facilitate reading, modifying the display of the text, choosing font, size and spacing, as well as TTS parameters, such as speed and pitch.

The availability of many options for text visualization and TTS, however, can be advantageous only as far as the students are able to choose and use parameters that objectively facilitate their reading and comprehension. Since the analysis of the literature suggests that subjective choices may be misleading and that general recommendations may not fit the individual's needs, we decided to build an automatized, as objective as possible procedure to help the students find the combination of parameters that is most likely to facilitate them in reading and studying. This procedure, composed by an initial, gross-grained subjective procedure and followed by a thorough, systematic analysis of reading and comprehension performance, was named "Seleggo test" to match the compensatory tool it was meant to complement.

The present study aims to assess the actual advantage of personalized parameter selection through the "Seleggo Test" procedure in supporting reading compared to the use of standard parameters. The working hypothesis is that children with reading disorders would benefit from personalized text features and TTS.

The recruitment of participants will take place in schools. It is foreseen that 30 participants are recruited for each of the three groups: typically Developing children (TD), Developmental Dyslexia (DD) and Special Educational Needs (SEN) - with reading difficulties).

Additional children will be recruited form patients with DD at Scientific Institute (IRCCS) E. Medea, if necessary to reach the expected number. Children will attend the third grade of primary school to the third grade of middle school (7 to 15 years old).

02

Conditions studied

  • Developmental Dyslexia
  • Reading Problem

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Keywords

  • Developmental Dyslexia
  • Reading Difficulties
  • Personalization
  • Visual parameters
  • Auditory parameters
  • Fonts
  • Text-to-Speech (TTS)
03

In context

Dyslexia

127 studies on the registry are indexed under Dyslexia; 27 are open to participants now.

This study's planned enrollment of 200 is above the median of 71 across 106 interventional studies indexed under Dyslexia.

Browse Dyslexia studies →

Lead sponsor

IRCCS Eugenio Medea is the lead sponsor of 108 studies on the registry; 51 are open to participants now.

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

04

Who can participate

Ages eligible
7 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria (for TD group):

  • age 7-15 years
  • no history of reading difficulties
  • attends school in Italy

Exclusion Criteria (for TD group):

  • special educational needs or diagnosis of neurodevelopmental disorders

Inclusion Criteria (for DD group):

  • age 7-15 years
  • diagnosis of Developmental Dyslexia or Specific Reading Disorder
  • Attends school in Italy

Exclusion Criteria (for DD group):

  • diagnosis of Intellectual Disability

Inclusion Criteria (for SEN group):

  • age 7-15 years
  • reported by school to have significant difficulties in reading and writing
  • Attends school in Italy (at least 6 months continued schooling and exposure to the Italian language)

Exclusion Criteria (for SEN group):

  • diagnosis of Intellectual Disability
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Participant

    All participants in the study will be assessed with the Seleggo Test procedure and then tested on reading and writing to dictation in the two conditions, with personalized and with standard visual and auditory parameters for text visualization and TTS

    Device: Seleggo Test

Interventions

  • DeviceSeleggo Test

    Seleggo Test is a computerized procedure to identify the personalized visual and auditory parameters facilitating reading and writing for each participant. By applying these parameters to the visualization and to the TTS software during reading of school texts, the participants are expected to be facilitated in reading and understanding the text.

06

What researchers measure

Primary outcomes

  1. Reading facilitation (speed), i.e. the advantage in reading performance (speed) produced by personalized parameters as compared to standard parameters

    difference between reading speed (seconds to read the text displayed by the software) with personalized and with standard visual parameters

    Time frame: Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)

  2. Reading facilitation (accuracy), i.e. the advantage in reading performance (accuracy) produced by personalized parameters as compared to standard parameters

    difference between reading accuracy (number of errors in reading the text displayed by the software) with personalized and with standard visual parameters

    Time frame: Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)

  3. Comprehension facilitation, i.e. the advantage in auditory comprehension performance produced by personalized TTS parameters as compared to standard parameters

    difference between writing accuracy (number of errors in writing a pre-defined list of nonwords) for stimuli dictated with personalized and with standard auditory parameters in the TTS device

    Time frame: Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)

Secondary outcomes

  1. possibility to discriminate TD students' reading speed from that of students with DD and SEN

    difference (ANOVAs) in performance (in terms of speed, expressed in seconds per syllable) on the reading tests delivered by the software, between the three groups (TD, DD and SEN)

    Time frame: about 10 months

  2. possibility to discriminate TD students's reading accuracy from that of students with DD and SEN

    difference (ANOVAs) in performance (in terms of accuracy, expressed in number of errors) on the reading tests delivered by the software, between the three groups (TD, DD and SEN)

    Time frame: about 10 months

  3. possibility to discriminate TD students' writing accuracy from that of students with DD and SEN

    difference (ANOVAs) in performance (in terms of accuracy, expressed in number of errors) on the writing tests delivered by the software, between the three groups (TD, DD and SEN)

    Time frame: about 10 months

  4. validity and reliability values for the reading speed measures collected by the software

    Pearson's correlations between the speed measures collected during the test and the speed measures obtained on standardized reading tests (MT test of reading speed and accuracy and Assessment Battery for Developmental Reading and Spelling Disorders).

    Time frame: about 10 months

  5. validity and reliability values for the reading accuracy measures collected by the software

    Pearson's correlations between the reading accuracy measures collected during the test and the accuracy measures obtained on standardized reading tests (MT test of reading speed and accuracy and Assessment Battery for Developmental Reading and Spelling Disorders).

    Time frame: about 10 months

  6. validity and reliability values for the writing accuracy measures collected by the software

    Pearson's correlations between the writing accuracy measures collected during the test and the accuracy measures obtained on standardized writing tests (Assessment Battery for Developmental Reading and Spelling Disorders).

    Time frame: about 10 months

07

Study locations

3 of 3 sites recruiting
08

References and documents

Publications

  • Lorusso ML, Borasio F, Panetto P, Curioni M, Brotto G, Pons G, Carsetti A, Molteni M. Validation of a Web App Enabling Children with Dyslexia to Identify Personalized Visual and Auditory Parameters Facilitating Online Text Reading. Multimodal Technologies and Interaction. 2024; 8(1):5.

Individual participant data

Plan to share: Yes — Anonymous data will be shared through the Zenodo platform

Time frame: From the publication of the results onwards

Access criteria: free access, for anonymous data only

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Feb 2023 (actual). Primary completion is estimated for Dec 2026, 46 months after the start.

Of 62 non-industry interventional studies with no phase under Dyslexia, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 57. This study's planned 46 months is above that.

Counting every sponsor, half of 69 studies reached it within 24 months; a quarter within 9 and three quarters within 57.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 5, 2026: primary completion Nov 2025 → Dec 2026 and completion Dec 2025 → Dec 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Mar 20, 2024
First posted
Apr 27, 2025
StartActual
Feb 16, 2023
Primary completionEst.
Dec 2026was Nov 2025
CompletionEst.
Dec 31, 2026was Dec 2025
Last update
Nov 5, 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.
Primary completion
Nov 2025→Dec 2026
Nov 5, 2026
Study completion
Dec 31, 2025→Dec 31, 2026
Nov 5, 2026
Enrollment
90→200
Nov 5, 2026
Primary outcomes
3 time frame changed
What changed in the outcomes
  • Time frameReading facilitation (speed), i.e. the advantage in reading performance (speed) produced by personalized parameters as compared to standard parametersIntervention will take place during initial assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session) → Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)
  • Time frameReading facilitation (accuracy), i.e. the advantage in reading performance (accuracy) produced by personalized parameters as compared to standard parametersIntervention will take place during initial assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session) → Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)
  • Time frameComprehension facilitation, i.e. the advantage in auditory comprehension performance produced by personalized TTS parameters as compared to standard parametersIntervention will take place during initial assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session) → Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    Primary completion Nov 2025→Dec 2026
    Study completion Dec 31, 2025→Dec 31, 2026
    Enrollment 90→200
    Primary outcomes 3 time frame changed
    What changed in the outcomes
    • Time frameReading facilitation (speed), i.e. the advantage in reading performance (speed) produced by personalized parameters as compared to standard parametersIntervention will take place during initial assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session) → Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)
    • Time frameReading facilitation (accuracy), i.e. the advantage in reading performance (accuracy) produced by personalized parameters as compared to standard parametersIntervention will take place during initial assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session) → Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)
    • Time frameComprehension facilitation, i.e. the advantage in auditory comprehension performance produced by personalized TTS parameters as compared to standard parametersIntervention will take place during initial assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session) → Intervention will take place at day 1 assessment and will last about 1,5 hours (comparison between personalized and standard parameters during the same assessment session)
    + 4 other changes: index terms, verification date, oversight details and references

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06947512
Responsible party
Sponsor
First posted
Apr 27, 2025
Start date
Feb 16, 2023
Primary completion
Dec 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Nov 5, 2026

Study contacts

Maria Luisa Lorusso, Ph.D
Contact
marialuisa.lorusso@lanostrafamiglia.it
031-877592

Oversight

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

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