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临床试验/NCT05156684
NCT05156684Unknown不适用

Evaluating the Therapeutic Effect of Pentoxifylline and Zinc Co-administration in Patients With Idiopathic Oligoasthenoteratozoospermia

Arak University of Medical Sciences0 个研究点目标入组 140 人开始时间: 2022年1月1日最近更新:
适应症
干预措施
相关药物

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

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

Experimental

Control group: oral rehydration salts (ORS, Poursina, Tehran, Iran), two times daily

干预措施: Placebo (Drug)

pentoxifylline group

Experimental

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

Experimental

Intervention group 2: received zinc ( Zinc Sulfate 220mg Capsules,One time daily)

干预措施: zinc (Drug)

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 )

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Zeynab

Principal Investigator

Arak University of Medical Sciences

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