To Evaluate the Effect of Reveratrol,Folic Acid, Vitamin D, Vitamin B12 and B6 in Male Infertility
Study Details
Study Description
Brief Summary
The objective of this study is to evaluate the impact of the Genante(TM) on the spermiogram parameters in infertile male patients
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
This is a single-centre prospective observational study. Twenty infertile male patients.
Inclusion criteria are:
Age:18-50 years oligozoospermia: < 5 million spermatozoa/mL; asthenozoospermia: < 32% progressive motile spermatozoa; teratozoospermia: < 4% normal forms.
Esclusion criteria:
Patients with azoospermia, who smoke, use drugs, drugs with proven fertility toxicity, exposed to any environmental or occupational toxic substances, radiation or heat; with orchitis secondary to mumps, sexually transmitted diseases, history of cryptorchidism, previous testicular torsion, genitourinary anomalies, alterations of the epididymis or deferens; and inguinal surgery
Pretreatment evaluation included:
Semen analysis Hormonal determinations:follicle-stimulating hormone (FSH) and luteinising hormone (LH) total Testosterone Total,estradiol, prolactina, 25-OH-Vitamin D3); scrotal ultrasound prostatic transrectal ultrasound
Outocmes measures (baseline, at 1 and 6 months):
-
Semen volume (mL)
-
Total sperm number (106/ejaculate)
-
Sperm concentration (106/mL)
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Total motility (PR + NP)
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Progressive motility (PR, %)
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Vitality (live spermatozoa, %)
-
Sperm morphology (normal forms, %)
-
Ph
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FSH
-
LH
-
Testosterone totale
-
Estradiol
-
Prolactiona
-
25-OH-Vitamin D3
-
scrotal ultrasound
-
prostatic transrectal ultrasound
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: Genante (Tm) Genante tablets One tablet in the morning and one tablet in the evening for 3 months |
Dietary Supplement: Genante
A dietary supplement for male infertility
|
Outcome Measures
Primary Outcome Measures
- Change from Baseline Semen volume at 1 month [1 month]
semen volume in semen analysis
- Change from 1month Semen volume at 6 months [6 months]
semen volume in semen analysis
- Change from baseline Total sperm number at 1 month [1 month]
total sperm number in semen analysis
- Change from 1 month Total sperm number at 6 months [6 months]
total sperm number in semen analysis
- Change from baseline Sperm concentration at 1 month [1 month]
Sperm concentration in semen analysis
- Change from 1 month Sperm concentration at 6 months [6 months]
Sperm concentration in semen analysis
- Change from baseline Total Motility at 1 month [1 month]
total motility of spermatozoa in semen analysis
- Change from 1 month Total Motility at 6 months [6 months]
total motility of spermatozoa in semen analysis
- Change from baseline Progressive motility at 1 month [1 month]
Porgressive motility of spermatozoa in semen analysis
- Change from 1 month Progressive motility at 6 months [6 months]
Progressive motility of spermatozoa in semen analysis
- Change from baseline Vitality at 1 month [1 month]
live spermatozoa
- Change from 1 month Vitality at 6 months [6 months]
live spermatozoa
- Change from baseline Sperm morphology at 1 month [1 month]
normal forms of spermatozoa
- Change from 1 month Sperm morphology at 6 months [6 months]
normal forms of spermatozoa
- Change from baseline FSH at 1 month [1 month]
plasmatic evaluation of FSH
- Change from 1 month FSH at 6 months [6 months]
plasmatic evaluation of FSH
- Change from baseline LH at 1 month [1 month]
Plasmatic evaluation of LH
- Change from 1 month LH at 6 months [6 months]
Plasmatic evaluation of LH
- Change from baseline Total testosterone at 1 month [1 month]
plasmatic evaluation of total testosterone
- Change from 1 month Total testosterone at 6 months [6 months]
plasmatic evaluation of total testosterone
- Change from baseline Prolactina at 1 month [1 month]
plasmatic evaluation of prolactina
- Change from 1 month Prolactina at 6 months [6 months]
plasmatic evaluation of prolactina
- Change from baseline 25-OH-Vitamin D3 at 1 month [1 month]
plasmatic evaluation of 25-OH-Vitamin D3
- Change from 1 month 25-OH-Vitamin D3 at 6 months [6 months]
plasmatic evaluation of 25-OH-Vitamin D3
- Change from baseline Scrotal ultrasound at 1 month [1 month]
testis volume and vas deferens by ultrasound
- Change from 1 month Scrotal ultrasound at 6 months [6 months]
testis volume and vas deferens by ultrasound
- Change from baseline Trans rectal Prostatic ultrasound at 1 month [1 month]
prostate volume and morphology by ultrasound
- Change from 1 month Trans rectal Prostatic ultrasound at 6 months [6 months]
prostate volume and morphology by ultrasound
- Change from baseline estradiol at 1 month [1 month]
plasmatic evaluation of esatrdiol
- Change from 1 month estradiol at 6 months [6 months]
plasmatic evaluation of esatrdiol
Eligibility Criteria
Criteria
Inclusion Criteria:
-
male 18-50 years
-
oligozoospermia: < 5 million spermatozoa/mL;
-
asthenozoospermia: < 32% progressive motile spermatozoa;
-
teratozoospermia: < 4% normal forms.
Exclusion Criteria:
-
azoospermia
-
smoke
-
use drugs
-
use drugs with proven fertility toxicity
-
exposition to any environmental or occupational toxic substances
-
exposition to radiation or heat
-
orchitis secondary to mumps
-
sexually transmitted diseases
-
history of cryptorchidism
-
previous testicular torsion
-
genitourinary anomalies
-
alterations of the epididymis or deferens
-
inguinal surgery
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Elisabetta Costantini | Terni | Italy | 05100 |
Sponsors and Collaborators
- University Of Perugia
- Ester Illiano, MD
Investigators
- Study Director: Ester Illiano, MD, University Of Perugia
Study Documents (Full-Text)
None provided.More Information
Publications
- Agarwal A, Nallella KP, Allamaneni SS, Said TM. Role of antioxidants in treatment of male infertility: an overview of the literature. Reprod Biomed Online. 2004 Jun;8(6):616-27. Review.
- Aitken RJ. Free radicals, lipid peroxidation and sperm function. Reprod Fertil Dev. 1995;7(4):659-68. Review.
- Amri A, Chaumeil JC, Sfar S, Charrueau C. Administration of resveratrol: What formulation solutions to bioavailability limitations? J Control Release. 2012 Mar 10;158(2):182-93. doi: 10.1016/j.jconrel.2011.09.083. Epub 2011 Sep 25. Review.
- Chen Q, Ng V, Mei J, Chia SE. [Comparison of seminal vitamin B12, folate, reactive oxygen species and various sperm parameters between fertile and infertile males]. Wei Sheng Yan Jiu. 2001 Mar;30(2):80-2. Chinese.
- Das S, Lin HS, Ho PC, Ng KY. The impact of aqueous solubility and dose on the pharmacokinetic profiles of resveratrol. Pharm Res. 2008 Nov;25(11):2593-600. doi: 10.1007/s11095-008-9677-1. Epub 2008 Jul 16. Erratum in: Pharm Res. 2008 Dec;25(12):2983.
- de Lamirande E, Leclerc P, Gagnon C. Capacitation as a regulatory event that primes spermatozoa for the acrosome reaction and fertilization. Mol Hum Reprod. 1997 Mar;3(3):175-94. Review.
- Erben RG, Soegiarto DW, Weber K, Zeitz U, Lieberherr M, Gniadecki R, Möller G, Adamski J, Balling R. Deletion of deoxyribonucleic acid binding domain of the vitamin D receptor abrogates genomic and nongenomic functions of vitamin D. Mol Endocrinol. 2002 Jul;16(7):1524-37.
- Griveau JF, Le Lannou D. Reactive oxygen species and human spermatozoa: physiology and pathology. Int J Androl. 1997 Apr;20(2):61-9. Review.
- Hammoud AO, Meikle AW, Peterson CM, Stanford J, Gibson M, Carrell DT. Association of 25-hydroxy-vitamin D levels with semen and hormonal parameters. Asian J Androl. 2012 Nov;14(6):855-9. doi: 10.1038/aja.2012.77. Epub 2012 Oct 8.
- Hughes CM, Lewis SE, McKelvey-Martin VJ, Thompson W. The effects of antioxidant supplementation during Percoll preparation on human sperm DNA integrity. Hum Reprod. 1998 May;13(5):1240-7. Erratum in: Hum Reprod 1998 Nov;13(11):3284.
- Liu J, Yi L, Xiang Z, Zhong J, Zhang H, Sun T. Resveratrol attenuates spinal cord injury-induced inflammatory damage in rat lungs. Int J Clin Exp Pathol. 2015 Feb 1;8(2):1237-46. eCollection 2015.
- Orihuela-Campos RC, Tamaki N, Mukai R, Fukui M, Miki K, Terao J, Ito HO. Biological impacts of resveratrol, quercetin, and N-acetylcysteine on oxidative stress in human gingival fibroblasts. J Clin Biochem Nutr. 2015 May;56(3):220-7. doi: 10.3164/jcbn.14-129. Epub 2015 Mar 28.
- Wong WY, Merkus HM, Thomas CM, Menkveld R, Zielhuis GA, Steegers-Theunissen RP. Effects of folic acid and zinc sulfate on male factor subfertility: a double-blind, randomized, placebo-controlled trial. Fertil Steril. 2002 Mar;77(3):491-8.
- RESV1
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