Male Fertility Preservation Using Cryopreservation of Testicular Tissue Before Highly Gonadotoxic Cancer Treatment
Study Details
Study Description
Brief Summary
Background:
Due to the remarkable improvement in treatments these last decades, long term survival can be expected in more than 80% of childhood cancer patients. Unfortunately, cancer treatments can be harmful to the gonads and can affect reproductive and endocrine functions. While loss of fertility is a major concern for most patients, sperm cryopreservation should be offered to all pubertal male patients. For prepubertal boys, only the experimental option of testicular biopsy in order to cryopreserve testicular stem cells can be proposed.
Primary aims
- To cryopreserve testicular tissue of prepubertal patient receiving highly gonadotoxic oncological treatment.
Secondary aims
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To cryopreserve testicular tissue after failure of sperm cryopreservation in pubertal patient with high risk of infertility
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To create a database in order to record clinical and biological follow-up data
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To create a research biobank for future research projects
Multicentric study: HUG, CHUV, UKBB
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: testicular tissue cryopreservation
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Procedure: testicular tissue biopsy
testicular tissue biopsy during general anesthesia
|
Outcome Measures
Primary Outcome Measures
- Number of pediatric cancer patient who will undergo testicular tissue cryopreservation for fertility preservation [0-20 years]
Secondary Outcome Measures
- Incidence of complications related to the testicular biopsy (safety) [0-20 years]
The safety will be assessed by recording the number of complications of the procedure (e.g. bleeding, infection, testicular atrophy)
- Comparison of biochemical markers [0-20 years]
Comparison of biochemical markers (e.g., FSH; LH, AMH; Inhibin B, SHBG and testosterone) between patients who undergo testicular biopsy and controls
Eligibility Criteria
Criteria
Inclusion Criteria:
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Prepubertal patients aged 3 months and older
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Peri and pubertal patients after failure of sperm cryopreservation
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Patients presenting high risk of infertility because of gonadotoxic treatments (i.e high dose of alkylating agents, testicular irradiation, total body irradiation).
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Multidisciplinary team consensus in favour of proposition to cryopreserve testicular tissue
Exclusion Criteria:
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Patients under the age of 3 months
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Refusal of the patient and/or his parents
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Treatments that are not highly gonadotoxic
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | UKBB | Basel | Switzerland | ||
2 | Geneva University Hospitals | Geneva | Switzerland | 1211 | |
3 | CHUV | Lausanne | Switzerland |
Sponsors and Collaborators
- Gumy-Pause Fabienne
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PB_2016-01378