Clinical trial Recruiting at 15 sites Observational Ages 40 to 75

AI-driven multimodal tool to identify early cognitive problems in people with type 2 diabetes

Official title: The Application of an AI-driven Multimodal Predictive Model for Cognitive Impairment in Patients With Type 2 Diabetes Mellitus

Run by Tongji Hospital · NCT07128186 · Data updated 2026-11-12

This project will test whether an AI-based multimodal screening system can find early memory problems in people aged 40–75 with type 2 diabetes during a 3–5 year follow-up.

Quick facts

Study typeObservational
Ages40 Years to 75 Years
SexAll
Enrollment5000 (estimated)
SponsorTongji Hospital
Academic / other
Locations21 sites (Enshi, Hubei and 20 other locations)
StatusRecruiting
StartedApril 22, 2025
Main results expectedDecember 30, 2028
Study endsDecember 30, 2028
Registry record updatedAugust 17, 2025
Trial IDNCT07128186 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are people aged 40–75 with type 2 diabetes who report memory complaints, have preserved basic activities of daily living, and score as cognitively normal or with mild cognitive impairment at baseline.

Probably not a fit

People with type 1 or gestational diabetes, less than 6 years of education, recent severe metabolic events, major neurological or psychiatric disorders, or advanced dementia are unlikely to benefit from this screening approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational cohort follows people with type 2 diabetes for 3–5 years using an AI-driven multimodal cognitive screening system to detect early mild cognitive impairment. Participants with normal cognition or mild cognitive impairment at baseline undergo regular cognitive testing and collection of metabolic indicators such as HbA1c and measures of glycemic variability. The AI model integrates multimodal data to predict cognitive decline and the study analyzes correlations between metabolic measures and cognitive changes over time. Exclusions include other diabetes types, education <6 years, recent acute metabolic events, and major neurological or psychiatric disorders that could affect cognition.

Why it matters

Potential benefit: If successful, the system could enable earlier detection of diabetes-related cognitive decline, allowing timelier interventions to help preserve daily function.

How similar studies have gone: Prior research using AI and multimodal biomarkers for early MCI detection has shown promise, but prospective long-term validation specifically in type 2 diabetes populations is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Inclusion Criteria

1. Diagnosed with type 2 diabetes mellitus (T2DM).
2. Aged 40-75 years, with self-reported or informant-reported memory complaints.
3. Cognitive assessment scores consistent with either:

   * Cognitive Normal (CN) or
   * Mild Cognitive Impairment (MCI).
4. Preserved ability to perform basic activities of daily living (ADLs).
5. Memory-specific deficits only (e.g., partial forgetfulness), with intact other cognitive domains (e.g., reasoning, judgment, attention, and executive function).

Exclusion Criteria:

1. Other types of diabetes (e.g., type 1 diabetes, gestational diabetes).
2. Education level \<6 years.
3. Metabolic disorders that may affect cognition, including:

   * Acute carbohydrate metabolism events within 3 months (e.g., severe hypoglycemia, diabetic ketoacidosis, hyperglycemic hyperosmolar state).
   * Hypothyroidism or other endocrine disorders.
4. Neurological/psychiatric conditions that may impair cognition:

   * History of head trauma, depression, anxiety, delirium, severe pulmonary/renal disease, heart failure, or malignancy.
5. Substance abuse (past 2 years), including nicotine/alcohol dependence.
6. Recent medication use (within 1 month):

   * Anti-Parkinsonian drugs, antiepileptics, sedatives/hypnotics.
7. Cognitive-enhancing drugs (e.g., donepezil, memantine).
8. Inability to complete AI screening or follow-up due to:

   * Speech/hearing/visual impairments or other disabilities

Where it's running

  • Minda Hospital Affiliated to Hubei Minzu University
    Enshi, Hubei, China
    Recruiting
  • Huanggang Central Hospital
    Huanggang, Hubei, China
    Recruiting
  • Huangshi Central Hospital
    Huangshi, Hubei, China
    Recruiting
  • Jingzhou Central Hospital
    Jingzhou, Hubei, China
    Recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Recruiting
  • China Resources & WISCO General Hospital
    Wuhan, Hubei, China
    Recruiting
Show 15 more locations
  • Hubei Provincial Hospital of Integrated Chinese & Western Medicine
    Wuhan, Hubei, China
    Recruiting
  • Wuhan Central Hospital
    Wuhan, Hubei, China
    Recruiting
  • Wuhan Fifth Hospital
    Wuhan, Hubei, China
    Recruiting
  • Wuhan Fourth Hospital
    Wuhan, Hubei, China
    Recruiting
  • Xiangyang First People's Hospital
    Xiangyang, Hubei, China
    Recruiting
  • Xianning Central Hospital
    Xianning, Hubei, China
    Recruiting
  • Xiaogan Central Hospital
    Xiaogan, Hubei, China
    Recruiting
  • Renhe Hospital Affiliated to China Three Gorges University
    Yichang, Hubei, China
    Recruiting
  • Yichang Central People's Hospital
    Yichang, Hubei, China
    Recruiting
  • Sinopharm Dongfeng General Hospital
    Shiyan, Hubei, China
    Not yet recruiting
  • Suizhou Central Hospital
    Suizhou, Hubei, China
    Not yet recruiting
  • Tianyou Hospital Affiliated to Wuhan University of Science and Technology
    Wuhan, Hubei, China
    Not yet recruiting
  • Xiangyang Central Hospital
    Xiangyang, Hubei, China
    Not yet recruiting
  • Xiantao First People's Hospital
    Xiantao, Hubei, China
    Not yet recruiting
  • Sinopharm Gezhouba Central Hospital
    Yichang, Hubei, China
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.