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FSH Treatment for Non-obstructive Azoospermic Patients

Phase 3
Conditions
Azoospermia
Interventions
Other: Placebo
Registration Number
NCT02275169
Lead Sponsor
Azienda Sanitaria Locale Bari
Brief Summary

Aim of the study is to evaluate the effect of highly purified human follicle-stimulating hormone treatment on the chance of retrieving testicular sperm (sperm retrieval rate) from infertile male patients with non-obstructive azoospermia of unknown origin.

Detailed Description

Preliminary reports showed that hormonal treatment may improve the chance of retrieving viable testicular sperm from men with NOA, but no RCT are available in the field. This randomized placebo-controlled clinical trial sought to evaluate whether the testicular sperm retrieval rate could result higher in NOA patients treated with follicle-stimulating hormone compared to placebo-treated NOA subjects.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
200
Inclusion Criteria
  • Azoospermia;
  • testis longitudinal axis less than 4.5 cm;
  • serum follicle-stimulating hormone greater than 7.6 IU/L
Exclusion Criteria
  • History of testicular biopsy,
  • malignancy,
  • varicocele,
  • hyperprolactinemia,
  • thyroid disfunction,
  • chemotherapy,
  • radiotherapy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlsPlaceboPlacebo ampoules three times a week for three months
TreatedUrofollitropinUrofollitropin 150 IU ampoules three times a week for three months
Primary Outcome Measures
NameTimeMethod
Sperm retrieval rate (SRR)three months

testicular sperm retrieval rate after three months of urofollitropin treatment

Secondary Outcome Measures
NameTimeMethod
IVF pregnancy ratethree to six months
IVF implantation ratethree to six months
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