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Infertility, MalePhase 2NCT03038867

Impact of Duloxetine on Male Fertility

A Phase 2 study testing Duloxetine in people with Infertility, Male and Depression, run by Weill Medical College of Cornell University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The investigators are conducting a placebo-controlled, randomized control trial with duloxetine in healthy, fertile men not previously on any antidepressants. Participants will be randomized to either the duloxetine or placebo groups for 6 weeks. Read more about this study

Who is it for?
Ages 18 to 65 years, men onlyHealthy volunteers can take part
Conditions the study is for
Infertility, Male, Depression
What is being tested?
Duloxetine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
69 participants
Where
1 siteUnited States
Study dates
12 Dec 2016to 31 Aug 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy men aged 18-65 years old;
  • normal or borderline semen analysis (sperm concentration > 10 million/mL, sperm motility > 30%, sperm morphology > 3%);
  • willing to engage in sexual activity (alone or with a partner) at least once per week for the duration of the study;
  • capable of providing semen sample.

Who cannot join

  • Clinically detected varicocele;
  • oligoasthenoteratospermia or azoospermia on semen analysis;
  • ongoing attempts to initiate pregnancy;
  • current sexual dysfunction (classified as moderate or worse on IIEF);
  • history of seizure disorder;
  • history of previous chemotherapy or radiation therapy;
Show all 15Show fewer
  • current psychiatric history or history of bipolar disorder;
  • family history of bipolar disorder, depression, or suicide;
  • use of any psychotropic medications or anticonvulsants;
  • use of sleeping pills more than once per week;
  • use of any hormonal medications on a daily or intermittent basis during the preceding 3 months;
  • use of medications which may affect hormone measures and/or sexual function;
  • inability to read, follow instructions, or complete questionnaires in English;
  • consumption of tobacco or illicit drugs;
  • consumption of >2oz of alcohol daily.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Weill Cornell Medicine

    New York, New York, 10065

Other trials in United States

About this study

The investigators are conducting a placebo-controlled, randomized control trial with duloxetine in healthy, fertile men not previously on any antidepressants. Participants will be randomized to either the duloxetine or placebo groups for 6 weeks. The investigators will assess changes in sperm DNA fragmentation at 0, 2, 6, 8, and 10 weeks. Other outcomes measured will include semen parameters (sperm concentration, motility, morphology), hormone levels (testosterone, estrogen, prolactin, LH, FSH), and sexual function (IIEF and MSHQ) surveys.

Read the detailed description

Antidepressant medications are commonly prescribed in the USA not only for depression, but also for anxiety disorders such as generalized anxiety disorder and obsessive-compulsive disorder, premature ejaculation, post-traumatic stress disorder, and neuropathic pain. Despite being widely prescribed in the United States in men of reproductive age, the impact of antidepressants on fertility has not been extensively studied.

After noticing worsened semen parameters in men on anti-depressants, the investigators performed the first prospective study to demonstrate a deleterious impact of selective serotonin reuptake inhibitors (SSRI) on sperm DNA integrity, which has been linked to reproductive outcomes. Further small studies have corroborated the negative impact of SSRIs on male fertility, as assessed by semen parameters and/or sperm DNA integrity.

No studies have examined the impact of a newer, but similar, class of antidepressant - the serotonin-norepinephrine reuptake inhibitor (SNRI). Like SSRIs, SNRIs inhibit the reuptake of serotonin, but also act on norepinephrine. The use of SNRIs has increased recently due to their slightly improved efficacy profile when compared to SSRIs. Duloxetine is an SNRI and is one of the most commonly prescribed anti-depressants in the United States.

The investigators are conducting this trial to determine whether or not the administration of duloxetine will result in a deterioration in sperm DNA fragmentation in healthy, fertile men.

Being tested
Duloxetine, Placebo
Medical subject headings
Infertility, Male, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DuloxetineDrug

    Duloxetine orally 60mg daily for 5 weeks, then taper to 30mg daily for 1 week

  • PlaceboDrug

    Placebo orally 2 tabs daily for 5 weeks, then taper to 1 tab daily for 1 week

Study groups in NCT03038867
Study groupRoleWhat they receive
DuloxetineExperimentalDuloxetine orally 60mg daily for 5 weeks, then taper to 30mg daily for 1 week
Receives: Drug: Duloxetine
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Abnormal Sperm DNA Fragmentation at 6 Weeks

    Number of participants with TUNEL values > 25% at 6 weeks in each treatment group

    Measured: 6 Weeks (primary time point of interest)

  2. Number of Participants With Abnormal Sperm DNA Fragmentation at 0 Weeks

    Number of participants with Tunel Values > 25% at 0 Weeks (baseline) in each treatment group

    Measured: 0 weeks

  3. Number of Participants With Abnormal Sperm DNA Fragmentation at 2 Weeks

    Number of participants with Tunel values > 25% at 2 weeks in each treatment group

    Measured: 2 weeks

  4. Number of Participants With Abnormal Sperm DNA Fragmentation at 8 Weeks

    Number of participants with Tunel values > 25% at 8 weeks in each treatment group

    Measured: 8 weeks

  5. Number of Participants With Abnormal Sperm DNA Fragmentation at 10 Weeks

    Number of participants with Tunel values > 25% at 10 weeks in each treatment group

    Measured: 10 Weeks

Secondary outcomes (50)
  1. Sperm Concentration at 0 Weeks

    Sperm concentration (number of sperm/mL) in semen analysis at 0 weeks

    Measured: 0 weeks

  2. Sperm Concentration at 2 Weeks

    Sperm concentration (number of sperm/mL) in semen analysis at 2 weeks

    Measured: 2 weeks

  3. Sperm Concentration at 6 Weeks

    Sperm concentration (number of sperm/mL) in semen analysis at 6 weeks

    Measured: 6 weeks

  4. Sperm Concentration at 8 Weeks

    Sperm concentration (number of sperm/mL) in semen analysis at 8 weeks

    Measured: 8 weeks

  5. Sperm Concentration at 10 Weeks

    Sperm concentration (number of sperm/mL) in semen analysis at 10 weeks

    Measured: 10 Weeks

  6. Sperm Motility at 0 Weeks

    Sperm motility (mean percent) at 0 weeks

    Measured: 0 weeks

  7. Sperm Motility at 2 Weeks

    Sperm motility (mean percent) at 2 weeks

    Measured: 2 weeks

  8. Sperm Motility at 6 Weeks

    Sperm motility (mean percent) at 6 weeks

    Measured: 6 weeks

  9. Sperm Motility at 8 Weeks

    Sperm motility (mean percent) at 8 weeks

    Measured: 8 weeks

  10. Sperm Motility at 10 Weeks

    Sperm motility (mean percent) at 10 weeks

    Measured: 10 Weeks

  11. Sperm Head Defects at 0 Weeks

    Sperm head defects (mean number) at 0 weeks

    Measured: 0 weeks

  12. Sperm Head Defects at 2 Weeks

    Sperm head defects (mean number) at 2 weeks

    Measured: 2 weeks

  13. Sperm Head Defects at 6 Weeks

    Sperm head defects (mean number) at 6 weeks

    Measured: 6 weeks

  14. Sperm Head Defects at 8 Weeks

    Sperm head defects (mean number) at 8 weeks

    Measured: 8 weeks

  15. Sperm Head Defects at 10 Weeks

    Sperm head defects (mean number) at 10 weeks

    Measured: 10 Weeks

  16. Sperm Neck Defects at 0 Weeks

    Sperm neck defects (mean number) at 0 weeks

    Measured: 0 weeks

  17. Sperm Neck Defects at 2 Weeks

    Sperm neck defects (mean number) at 2 weeks

    Measured: 2 weeks

  18. Sperm Neck Defects at 6 Weeks

    Sperm neck defects (mean number) at 6 weeks

    Measured: 6 weeks

  19. Sperm Neck Defects at 8 Weeks

    Sperm neck defects (mean number) at 8 weeks

    Measured: 8 weeks

  20. Sperm Neck Defects at 10 Weeks

    Sperm neck defects (mean number) at 10 weeks

    Measured: 10 Weeks

  21. Sperm Tail Defects at 0 Weeks

    Sperm tail defects (mean number) at 0 weeks

    Measured: 0 weeks

  22. Sperm Tail Defects at 2 Weeks

    Sperm tail defects (mean number) at 2 weeks

    Measured: 2 weeks

  23. Sperm Tail Defects at 6 Weeks

    Sperm tail defects (mean number) at 6 weeks

    Measured: 6 weeks

  24. Sperm Tail Defects at 8 Weeks

    Sperm tail defects (mean number) at 8 weeks

    Measured: 8 weeks

  25. Sperm Tail Defects at 10 Weeks

    Sperm tail defects (mean number) at 10 weeks

    Measured: 10 Weeks

  26. Testosterone Level at 0 Weeks

    Testosterone level (ng/dL) at 0 weeks

    Measured: 0 weeks

  27. Testosterone Level at 2 Weeks

    Testosterone level (ng/dL) at 2 weeks

    Measured: 2 weeks

  28. Testosterone Level at 6 Weeks

    Testosterone level (ng/dL) at 6 weeks

    Measured: 6 weeks

  29. Testosterone Level at 8 Weeks

    Testosterone level (ng/dL) at 8 weeks

    Measured: 8 weeks

  30. Testosterone Level at 10 Weeks

    Testosterone level (ng/dL) at 10 weeks

    Measured: 10 Weeks

  31. Estrogen Level at 0 Weeks

    Estrogen level (pg/mL) at 0 weeks

    Measured: 0 weeks

  32. Estrogen Level at 2 Weeks

    Estrogen level (pg/mL) at 2 weeks

    Measured: 2 weeks

  33. Estrogen Level at 6 Weeks

    Estrogen level (pg/mL) at 6 weeks

    Measured: 6 weeks

  34. Estrogen Level at 8 Weeks

    Estrogen level (pg/mL) at 8 weeks

    Measured: 8 weeks

  35. Estrogen Level at 10 Weeks

    Estrogen level (pg/mL) at 10 weeks

    Measured: 10 Weeks

  36. Prolactin Level at 0 Weeks

    Prolactin level (ng/mL) at 0 weeks

    Measured: 0 weeks

  37. Prolactin Level at 2 Weeks

    Prolactin level (ng/mL) at 2 weeks

    Measured: 2 weeks

  38. Prolactin Level at 6 Weeks

    Prolactin level (ng/mL) at 6 weeks

    Measured: 6 weeks

  39. Prolactin Level at 8 Weeks

    Prolactin level (ng/mL) at 8 weeks

    Measured: 8 weeks

  40. Prolactin Level at 10 Weeks

    Prolactin level (ng/mL) at 10 weeks

    Measured: 10 Weeks

  41. Luteinizing Hormone Level at 0 Weeks

    Luteinizing hormone level (mIU/mL) at 0 weeks

    Measured: 0 weeks

  42. Luteinizing Hormone Level at 2 Weeks

    Luteinizing hormone level (mIU/mL) at 2 weeks

    Measured: 2 weeks

  43. Luteinizing Hormone Level at 6 Weeks

    Luteinizing hormone level (mIU/mL) at 6 weeks

    Measured: 6 weeks

  44. Luteinizing Hormone Level at 8 Weeks

    Luteinizing hormone level (mIU/mL) at 8 weeks

    Measured: 8 weeks

  45. Luteinizing Hormone Level at 10 Weeks

    Luteinizing hormone level (mIU/mL) at 10 weeks

    Measured: 10 Weeks

  46. Follicle Stimulating Hormone Level at 0 Weeks

    Follicle stimulating hormone level (mIU/mL) at 0 weeks

    Measured: 0 weeks

  47. Follicle Stimulating Hormone Level at 2 Weeks

    Follicle stimulating hormone level (mIU/mL) at 2 weeks

    Measured: 2 weeks

  48. Follicle Stimulating Hormone Level at 6 Weeks

    Follicle stimulating hormone level (mIU/mL) at 6 weeks

    Measured: 6 weeks

  49. Follicle Stimulating Hormone Level at 8 Weeks

    Follicle stimulating hormone level (mIU/mL) at 8 weeks

    Measured: 8 weeks

  50. Follicle Stimulating Hormone Level at 10 Weeks

    Follicle stimulating hormone level (mIU/mL) at 10 weeks

    Measured: 10 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2017 (estimated)
  2. Study start12 Dec 2016
  3. Primary completion31 Aug 2018
  4. Study completion31 Aug 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Blinded, placebo-controlled, randomized controlled trial
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
69 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03038867
Sponsor's protocol ID
1603017099
Status last verified
Feb 2020
First submitted
27 Jan 2017
Last updated
12 Mar 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Duloxetine in people with Infertility, Male and Depression, run by Weill Medical College of Cornell University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Feb 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Abnormal Sperm DNA Fragmentation at 6 Weeks (time frame: 6 Weeks (primary time point of interest)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2020.

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