Evaluating the Therapeutic Effect of Pentoxifylline and Zinc Co-administration in Patients With Idiopathic Oligoasthenoteratozoospermia
试验速览
- 阶段
- 不适用
- 入组人数
- 140
- 主要终点
- count of sperm
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 20 Years 至 50 Years(Adult)
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Idiopathic infertile men
- •have had at least one year of unprotected intercourse infertility
- •Sperm parameters abnormality
排除标准
- •Men with varicocele
- •Hypersensitivity to pentoxifylline & zinc,
- •pelvic organic pathologies
- •congenital adrenal hyperplasia
- •thyroid dysfunction
- •Cushing's syndrome
- •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
研究组 & 干预措施
placebo group
Control group: oral rehydration salts (ORS, Poursina, Tehran, Iran), two times daily
干预措施: Placebo (Drug)
pentoxifylline group
Intervention group 1: received pentoxifylline (TRENTAL 400 mg modified release tablets, OSPS; 400 mg ,two times daily)
干预措施: Pentoxifylline (Drug)
Zinc group
Intervention group 2: received zinc ( Zinc Sulfate 220mg Capsules,One time daily)
干预措施: zinc (Drug)
pentoxifylline+ zinc group
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 )
干预措施: zinc + pentoxifylline (Drug)
结局指标
主要结局
count of sperm
时间窗: One week after starting the medication
count of sperm(In per million - with the help of a neobar slide and microscopic observation
Malon di aldehyd evaluate
时间窗: One week after starting the medication
Malondialdehyde (nmol/mL), will be measured using related experimental kits
ROS evaluate
时间窗: One week after starting the medication
reactive oxygen species (ROS (RLU/s)), will be measured using related experimental kits
Testosteron hormon
时间窗: One week after starting the medication
testosterone (nanomolar per liter) will be measured from the blood serum of volunteers using ELISA kit
FSH hormon
时间窗: One week after starting the medication
FSH (IU / L) will be measured from the blood serum of volunteers using ELISA kit
LH hormon
时间窗: One week after starting the medication
LH (IU / L) will be measured from the blood serum of volunteers using ELISA kit
Interleukin-6 (IL-6)
时间窗: One week after starting the medication
Interleukin-6 (IL-6)/(pg/mL) as an inflammatory factor will be measured using related experimental kit
TNF α( Tissue necrosis Factor)
时间窗: One week after starting the medication
TNF α( Tissue necrosis Factor) (pg/mL) as an inflammatory factor will be measured using related experimental kit
motility of sperm
时间窗: One week after starting the medication
motility of sperm: Calculate the percentage of motile sperm using microscopic observation
morphology of sperm
时间窗: One week after starting the medication
Calculate the percentage of sperm with a normal shape with the help of Papanic staining
TAC (Total Antioxidant Capacity) evaluate
时间窗: One week after starting the medication
total antioxidant capacity (TAC (/m / l)) will be measured using related experimental kits
Sperm DNA Fragmentation Assay(SDFA)
时间窗: One week after starting the medication
DNA fragmentation will be assessed using an SDFA kit and microscopic observations (as a percentage of damaged sperm).
次要结局
未报告次要终点
研究者
Zeynab
Principal Investigator
Arak University of Medical Sciences
