Idiopathic InfertilityOATNCT05156684
Effect of Pentoxifylline and Zinc Co-administration in Patients With Oligoasthenoteratozoospermia
A study testing Pentoxifylline, zinc and zinc + pentoxifylline in people with Idiopathic Infertility, run by Arak University of Medical Sciences.
Trial summary
The aim of this study is to investigate the impact of co-administration of Pentoxifylline and Zinc sulfate on oxidative stress, apoptosis, and inflammation, sperm capacitation and parameters in infertile men. Read more about this study
- Who is it for?
- Ages 20 to 50 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Idiopathic Infertility
- What is being tested?
- Pentoxifylline, zinc and zinc + pentoxifylline
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 140 participants
- Where
- No sites listed yet
- Study dates
- 1 Jan 2022to 28 May 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 20 to 50 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Idiopathic infertile men
- have had at least one year of unprotected intercourse infertility
- Sperm parameters abnormality
Who cannot join
- Men with varicocele
- Hypersensitivity to pentoxifylline \& zinc,
- pelvic organic pathologies
- congenital adrenal hyperplasia
- thyroid dysfunction
- Cushing's syndrome
Show all 16Show fewer
- hyper prolactinemia
- androgen secreting neoplasia
- diabetes mellitus
- consumption of medications affecting carbohydrate metabolism
- severe hepatic
- pancreatitis
- kidney diseases
- gallbladder diseases
- Patients with alcohol consumption
- Patients who use cigarettes and drugs
About this study
Official title: Evaluating the Therapeutic Effect of Pentoxifylline and Zinc Co-administration in Patients With Idiopathic Oligoasthenoteratozoospermia
The aim of this study is to investigate the impact of co-administration of Pentoxifylline and Zinc sulfate on oxidative stress, apoptosis, and inflammation, sperm capacitation and parameters in infertile men.
Read the detailed description
This study will be performed as a double-blind randomized clinical trial on idiopathic infertile men (including oligoasthenosospermia, dyspnea, astheno-teratozoospermia, oligo-astheno-teratozoospermia) referred to Shafa Infertility Clinic. Patient satisfaction, non-use of contraceptives, men aged 25 to 43 years and idiopathic infertility according to WHO criteria (World Health, 2010) are our study criteria. A food questionnaire is also taken from them to identify patients. Any medication that may affect sperm production should be discontinued within three months of the study.
Sampling and administration of pentoxifylline and zinc:
Preparation and analysis of semen samples are performed according to WHO 2010 recommendations. Semen samples are prepared by masturbating after a 3 to 5 day abstinence period. Two semen samples from these men, one before and the other after the intervention, are evaluated for basic parameters. For liquefaction, semen samples are incubated for 30 to 60 minutes at 37 ° C. Microscopic tests are performed to evaluate indicators such as sperm concentration in semen, motility and sperm morphology. Objectives and study methods are explained to patients who meet the inclusion criteria. Written consent is then obtained from the candidate. Body mass index (BMI) is assessed for patients. Also, at the beginning of the study, 5 cc of blood is taken from patients to measure reproductive hormones.
- Conditions
- Idiopathic Infertility
- Being tested
- Placebo, Pentoxifylline, zinc, zinc + pentoxifylline
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Also called hydration solution
Infertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive two placebo tablets daily
PentoxifyllineDrug
Also called Trental
Infertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive two trental tablets daily
zincDrug
Also called zinc sulfate
Infertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive one zinc sulfate tablet daily
zinc + pentoxifyllineDrug
Also called zinc sulfate+ trental
Infertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive two pentoxifylline tablets+ one zinc tablet daily
| Study group | Role | What they receive |
|---|---|---|
| placebo group | Experimental | Control group: oral rehydration salts (ORS, Poursina, Tehran, Iran), two times daily Receives: Drug: Placebo |
| pentoxifylline group | Experimental | Intervention group 1: received pentoxifylline (TRENTAL 400 mg modified release tablets, OSPS; 400 mg ,two times daily) Receives: Drug: Pentoxifylline |
| Zinc group | Experimental | Intervention group 2: received zinc ( Zinc Sulfate 220mg Capsules,One time daily) Receives: Drug: zinc |
| pentoxifylline+ zinc group | Experimental | Intervention group 3: received pentoxifylline+ zinc (TRENTAL 400 mg modified release tablets, OSPS; 400 mg ,two times daily + Zinc Sulfate 220mg Capsules,One time daily ) Receives: Drug: zinc + pentoxifylline |
What is being measured
The primary outcome is the main question the study is designed to answer.
count of sperm
count of sperm(In per million - with the help of a neobar slide and microscopic observation
Measured: One week after starting the medication
motility of sperm
motility of sperm: Calculate the percentage of motile sperm using microscopic observation
Measured: One week after starting the medication
morphology of sperm
Calculate the percentage of sperm with a normal shape with the help of Papanic staining
Measured: One week after starting the medication
Malon di aldehyd evaluate
Malondialdehyde (nmol/mL), will be measured using related experimental kits
Measured: One week after starting the medication
ROS evaluate
reactive oxygen species (ROS (RLU/s)), will be measured using related experimental kits
Measured: One week after starting the medication
TAC (Total Antioxidant Capacity) evaluate
total antioxidant capacity (TAC (/m / l)) will be measured using related experimental kits
Measured: One week after starting the medication
FSH hormon
FSH (IU / L) will be measured from the blood serum of volunteers using ELISA kit
Measured: One week after starting the medication
LH hormon
LH (IU / L) will be measured from the blood serum of volunteers using ELISA kit
Measured: One week after starting the medication
Testosteron hormon
testosterone (nanomolar per liter) will be measured from the blood serum of volunteers using ELISA kit
Measured: One week after starting the medication
TNF α( Tissue necrosis Factor)
TNF α( Tissue necrosis Factor) (pg/mL) as an inflammatory factor will be measured using related experimental kit
Measured: One week after starting the medication
Interleukin-6 (IL-6)
Interleukin-6 (IL-6)/(pg/mL) as an inflammatory factor will be measured using related experimental kit
Measured: One week after starting the medication
Sperm DNA Fragmentation Assay(SDFA)
DNA fragmentation will be assessed using an SDFA kit and microscopic observations (as a percentage of damaged sperm).
Measured: One week after starting the medication
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2021
- Study start1 Jan 2022 (estimated)
- Primary completion10 Jan 2022 (estimated)
- Study completion28 May 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Idiopathic InfertilityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 140 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Arak University of Medical Sciences
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zeynab, Arak University of Medical Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05156684
- Sponsor's protocol ID
- 96/197
- Acronym
- OAT
- Status last verified
- Dec 2021
- First submitted
- 5 Nov 2021
- Last updated
- 3 Jan 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Dadgar Z, Shariatzadeh SMA, Mehranjani MS, Kheirolahi A. The therapeutic effect of co-administration of pentoxifylline and zinc in men with idiopathic infertility. Ir J Med Sci. 2023 Feb;192(1):431-439. doi: 10.1007/s11845-022-02931-0. Epub 2022 Feb 19.
PubMed 35182288
Study at a glance
From the registry record, last updated by the sponsor on 3 Jan 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating the Therapeutic Effect of Pentoxifylline and Zinc Co-administration in Patients With Idiopathic Oligoasthenoteratozoospermia
- ClinicalTrials.gov ID
- NCT05156684
- Acronym / sponsor ID
- OAT / 96/197
- Conditions
- Idiopathic Infertility
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 140 participants (estimated)
- Lead sponsor
- Arak University of Medical SciencesUniversity, hospital or other
- Study start
- 1 Jan 2022 (estimated)
- Primary completion
- 10 Jan 2022 (estimated)
- Study completion
- 28 May 2022 (estimated)
- First posted
- 14 Dec 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to investigate the impact of co-administration of Pentoxifylline and Zinc sulfate on oxidative stress, apoptosis, and inflammation, sperm capacitation and parameters in infertile men.
Detailed description
This study will be performed as a double-blind randomized clinical trial on idiopathic infertile men (including oligoasthenosospermia, dyspnea, astheno-teratozoospermia, oligo-astheno-teratozoospermia) referred to Shafa Infertility Clinic. Patient satisfaction, non-use of contraceptives, men aged 25 to 43 years and idiopathic infertility according to WHO criteria (World Health, 2010) are our study criteria. A food questionnaire is also taken from them to identify patients. Any medication that may affect sperm production should be discontinued within three months of the study.
Sampling and administration of pentoxifylline and zinc:
Preparation and analysis of semen samples are performed according to WHO 2010 recommendations. Semen samples are prepared by masturbating after a 3 to 5 day abstinence period. Two semen samples from these men, one before and the other after the intervention, are evaluated for basic parameters. For liquefaction, semen samples are incubated for 30 to 60 minutes at 37 ° C. Microscopic tests are performed to evaluate indicators such as sperm concentration in semen, motility and sperm morphology. Objectives and study methods are explained to patients who meet the inclusion criteria. Written consent is then obtained from the candidate. Body mass index (BMI) is assessed for patients. Also, at the beginning of the study, 5 cc of blood is taken from patients to measure reproductive hormones.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| placebo group | Experimental | Drug: PlaceboControl group: oral rehydration salts (ORS, Poursina, Tehran, Iran), two times daily |
| pentoxifylline group | Experimental | Drug: PentoxifyllineIntervention group 1: received pentoxifylline (TRENTAL 400 mg modified release tablets, OSPS; 400 mg ,two times daily) |
| Zinc group | Experimental | Drug: zincIntervention group 2: received zinc ( Zinc Sulfate 220mg Capsules,One time daily) |
| pentoxifylline+ zinc group | Experimental | Drug: zinc + pentoxifyllineIntervention group 3: received pentoxifylline+ zinc (TRENTAL 400 mg modified release tablets, OSPS; 400 mg ,two times daily + Zinc Sulfate 220mg Capsules,One time daily ) |
Who may qualify
- Ages
- 20 to 50 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Idiopathic infertile men
- have had at least one year of unprotected intercourse infertility
- Sperm parameters abnormality
Key exclusion criteria (16 listed)
- Men with varicocele
- Hypersensitivity to pentoxifylline \& zinc,
- pelvic organic pathologies
- congenital adrenal hyperplasia
- thyroid dysfunction
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboAlso: hydration solutionInfertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive two placebo tablets daily | Drug | placebo group |
| PentoxifyllineAlso: TrentalInfertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive two trental tablets daily | Drug | pentoxifylline group |
| zincAlso: zinc sulfateInfertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive one zinc sulfate tablet daily | Drug | Zinc group |
| zinc + pentoxifyllineAlso: zinc sulfate+ trentalInfertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Candidates receive two pentoxifylline tablets+ one zinc tablet daily | Drug | pentoxifylline+ zinc group |
Primary outcome
count of sperm
Time frame: One week after starting the medication
count of sperm(In per million - with the help of a neobar slide and microscopic observation
motility of sperm
Time frame: One week after starting the medication
motility of sperm: Calculate the percentage of motile sperm using microscopic observation
morphology of sperm
Time frame: One week after starting the medication
Calculate the percentage of sperm with a normal shape with the help of Papanic staining
Malon di aldehyd evaluate
Time frame: One week after starting the medication
Malondialdehyde (nmol/mL), will be measured using related experimental kits
ROS evaluate
Time frame: One week after starting the medication
reactive oxygen species (ROS (RLU/s)), will be measured using related experimental kits
TAC (Total Antioxidant Capacity) evaluate
Time frame: One week after starting the medication
total antioxidant capacity (TAC (/m / l)) will be measured using related experimental kits
FSH hormon
Time frame: One week after starting the medication
FSH (IU / L) will be measured from the blood serum of volunteers using ELISA kit
LH hormon
Time frame: One week after starting the medication
LH (IU / L) will be measured from the blood serum of volunteers using ELISA kit
Testosteron hormon
Time frame: One week after starting the medication
testosterone (nanomolar per liter) will be measured from the blood serum of volunteers using ELISA kit
TNF α( Tissue necrosis Factor)
Time frame: One week after starting the medication
TNF α( Tissue necrosis Factor) (pg/mL) as an inflammatory factor will be measured using related experimental kit
Interleukin-6 (IL-6)
Time frame: One week after starting the medication
Interleukin-6 (IL-6)/(pg/mL) as an inflammatory factor will be measured using related experimental kit
Sperm DNA Fragmentation Assay(SDFA)
Time frame: One week after starting the medication
DNA fragmentation will be assessed using an SDFA kit and microscopic observations (as a percentage of damaged sperm).
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jan 2022.
- Derived from this study: PubMed 35182288Dadgar Z, Shariatzadeh SMA, Mehranjani MS, Kheirolahi A. The therapeutic effect of co-administration of pentoxifylline and zinc in men with idiopathic infertility. Ir J Med Sci. 2023 Feb;192(1):431-439. doi: 10.1007/s11845-022-02931-0. Epub 2022 Feb 19.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing Pentoxifylline, zinc and zinc + pentoxifylline in people with Idiopathic Infertility, run by Arak University of Medical Sciences.
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 3 inclusion and 16 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: status not confirmed, as of the sponsor's last update on 3 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
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?
count of sperm (time frame: One week after starting the medication). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05156684, which also lists 1 linked publication.
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 3 Jan 2022.