ClinicalTrials.gg
TerminatedNCT02605070Updated Mar 2, 2018

Pilot Study on the Effects of FSH Treatment on the Epigenetic Characteristics of Spermatozoa in Infertile Patients With Severe Oligozoospermia

A Phase 3 interventional study of Bravelle in Male Infertility, sponsored by Instituto de Investigacion Sanitaria La Fe. Terminated at 1 site in Spain. Open to male participants aged 25 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-03-02.

Sponsored by Instituto de Investigacion Sanitaria La Fe · Phase 3, Interventional, and Treatment

Why this study was terminated
UNDER RECRUITMENT

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Phase
Phase 3
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
25 Years to 45 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 17 studies in Infertility, Male with a site in Spain — 7 open to participants now, 7 under way, 1 of them phase 3. Infertility, Male · Spain.

Enrollment
9th of 10
30 · median 70
Started
2015
the only one that year
Phase 3
Only one
of the 17
Registered
2nd of 17
by date
Lead sponsor
1 of 17
Instituto de Investigacion Sanitaria La Fe

Among the 17 studies in Infertility, Male with a site in Spain, this one is the 9th largest by enrollment of the 10 interventional ones that give a count, is the only one that started in 2015, is the only one in phase 3, and was the 2nd registered.

Infertility, Male

282 studies on the registry are indexed under Infertility, Male; 65 are open to participants now.

Browse Infertility, Male studies →

Open to participants now

7 of the 17 studies in Infertility, Male with a site in Spain are open now. Recruiting first, the newest first:

2 more — sign in →

All 7 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 40 Infertility, Male studies recruiting now, 16 (40%) set no upper age limit and 24 (60%) stop at 75 or younger; 7 take children under 18; 14 take healthy volunteers.

This study: 25 Years to 45 Years · male · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies in Infertility, Male with a site in Spain, or all of them as a file.
02

Study summary

Single center, prospective, open clinical study to determine the genomic imprint (epigenetic modification) in a series of male infertility patients with alterations in their spermiogram (oligozoospermia) compared to a group of fertile patients in order to evaluate the effect of FSH ( follicle stimulating hormone) administration on these modifications and on male infertility.

Read the detailed description

Single center, prospective, open clinical study to determine the genomic imprint (epigenetic modification) in a series of male infertility patients with alterations in their spermiogram (oligozoospermia) compared to a group of fertile patients in order to evaluate the effect of FSH ( follicle stimulating hormone) administration on these modifications and on male infertility.

Main objective: To determine the genomic imprint (epigenetic modification) in a series of male infertility patients with alterations in their spermiogram (oligozoospermia) compared to a group of fertile patients in order to evaluate the effect of FSH administration on these modifications and on male infertility.

Secondary objectives

  • To assess the main characteristics of the spermiograms of infertility patients before and after FSH treatment.
  • To assess modifications in the hormones involved in sperm formation in infertility patients before and after treatment.
  • To analyze the results of assisted reproduction treatments in patients receiving FSH treatment.
03

Conditions studied

  • Male Infertility

Browse trials for

04

Who can participate

Ages eligible
25 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Eligibility criteria

  • Inclusion criteria for the infertility treatment group (n=30)

    1. Between 25-45 years of age.
    2. Total sperm concentration (concentration in millions/mL x volume in mL) between 1-10 million (oligozoospermia) in at least 2 spermiograms obtained after a 2-4 day period of sexual abstinence and with a 7-day separation period between tests.
    3. Caucasian.
    4. Inability of the couple to become pregnant after one year of sexual relations without using any type of .
    5. FSH 2-12 IU/mL.
    6. Total testosterone >300 ng/mL and bioavailable testosterone (calculated with the Sexual Hormone Binding Globulin or SHBG albumin) >145 ng/dL.
  • Inclusion criteria for the control group of fertile males (n=15)

    1. Between 25-45 years of age.
    2. Caucasian.
    3. Sperm concentration and motility above the 5th percentile according to the parameters set forth in the 5th edition of the World Health Organization (WHO) guidelines in at least two spermiograms obtained after a 2-4 day period of sexual abstinence and with a 7-day period between tests.
    4. Seminal volume >1 mL.
    5. Estradiol \<50 pg/mL
    6. FSH \<4.5 IU/L.
    7. Total testosterone >300 ng/dL and bioavailable testosterone >145 ng/dL.
    8. No vasectomy.
    9. Has sired a child within the past 5 years.
  • Exclusion criteria for the infertility treatment group.

    1. Total sperm concentration \<1 million.
    2. Sperm motility of 0%.
    3. History of cryptorchidism, malignant or benign tumors, known chromosomal abnormalities, testicular tor- sion, testicular trauma, orchitis.
    4. Drug use in the past 120 days. thyroid dysfunction
    5. Medical history:thyroid dysfunction, blood disease, diabetes.
    6. Use of anabolic steroids in the past 2 years or for more than 2 years.
    7. >30 kg/m .
    8. Intake of over 21 units of alcohol/week in the past 120 days.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Infertility group

    Patients referred will be evaluated to participate in the study and then asked to take part.In this visit,the normal protocol for infertility patients will be followed and at least 2 spermiograms and a blood test analyzing the following parameters:FSH, LH,Estradiol,Total testosterone,SHBG, Albumin,Calculation of bioavailable testosterone,Prolactin.If these tests have not been performed,a second baseline visit will be scheduled.Should the patient meet all the inclusion criteria and after the patient has signed an informed consent form agreeing to participate in the study,the physician will prescribe the medication and schedule visits.Before initiating the treatment, they will provide a semen sample.This sample will be sent to the Center for Reproductive Biology,where the sample will be subjected to epigenetic analysis.The patient will be given samples of Bravelle.It is administered subcutaneously.The dose will be 150 IU 3times a week for 3months

    Drug: Bravelle

  • No intervention
    Fertily group

    Patients who volunteer will be informed of the nature of the study and asked to sign the informed consent form. At least two spermiograms will be performed along with a blood test analyzing the following parameters:FSH,LH,Estradiol,Total testosterone,SHBG,Albumin,Estimation of bioavailable testosterone,Prolactin. A second baseline visit will be scheduled to evaluate the test results and to check whether these subjects meet all the inclusion criteria for the control group. Those subjects will provide a semen sample which will be stored at -20º C. Outpatient visit: week twelve: a physical exam will be carried out to identify any adverse reactions. A blood test and a semen sample will also be obtained.

Interventions

  • Bravelle will be provided to all patients in the treatment group by the principal investigator (PI) or another member of the research team. From week nine on, the patients will undergo a physical examination on three different occasions to assess the appearance of any adverse reactions during treatment. It will be up to the patient to communicate the appearance of signs or symptoms which could be associated with the use of the drug. At week 12 the patient will be scheduled for another visit to perform a semen study and to measure new hormone levels. To this end, a blood test will be carried out (FSH, LH, estradiol, total testosterone, SHBG, and albumin to calculate the amount of bioavailable testosterone). A semen sample will also be obtained to carry out a spermiogram according to WHO guidelines; part of this sample will be used for epigenetic analysis.

06

What researchers measure

Primary outcomes

  1. Epigenetic modification

    To determine the genomic imprint (epigenetic modification) in a series of male infertility patients with alterations in their spermiogram (oligozoospermia) compared to a group of fertile patients in order to evaluate the effect of FSH administration on these modifications and on male infertility

    Time frame: 12 weeks after treatment.

Secondary outcomes

  1. To assess the main characteristics of the spermiograms of infertility patients before and after FSH treatment.

    To assess the main characteristics of the spermiograms of infertility patients before and after FSH treatment.

    Time frame: First week and end of treatment visit (12 weeks).

  2. To assess modifications in the hormones involved in sperm formation in infertility patients before and after treatment.

    To assess modifications in the hormones involved in sperm formation in infertility patients before and after treatment.

    Time frame: First week and end of treatment visit (12 weeks)

  3. Pregnancy rate.

    To analyze the results of assisted reproduction treatments in patients receiving FSH treatment.

    Time frame: 6-7 weeks after transfer of the embryo.

07

Study locations

1 site
  • Hospital Universitari i Politècnic La Fe
    Valencia, 46026, Spain
08

References and documents

Publications

  • Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod. 2007 Jun;22(6):1506-12. doi: 10.1093/humrep/dem046. Epub 2007 Mar 21. Erratum In: Hum Reprod. 2007 Oct;22(10):2800. PubMed 17376819 ↗
  • Dohle GR, Halley DJ, Van Hemel JO, van den Ouwel AM, Pieters MH, Weber RF, Govaerts LC. Genetic risk factors in infertile men with severe oligozoospermia and azoospermia. Hum Reprod. 2002 Jan;17(1):13-6. doi: 10.1093/humrep/17.1.13. PubMed 11756355 ↗
  • Simoni M, Gromoll J, Dworniczak B, Rolf C, Abshagen K, Kamischke A, Carani C, Meschede D, Behre HM, Horst J, Nieschlag E. Screening for deletions of the Y chromosome involving the DAZ (Deleted in AZoospermia) gene in azoospermia and severe oligozoospermia. Fertil Steril. 1997 Mar;67(3):542-7. doi: 10.1016/s0015-0282(97)80083-0. PubMed 9091344 ↗
  • Gianotten J, Lombardi MP, Zwinderman AH, Lilford RJ, van der Veen F. Idiopathic impaired spermatogenesis: genetic epidemiology is unlikely to provide a short-cut to better understanding. Hum Reprod Update. 2004 Nov-Dec;10(6):533-9. doi: 10.1093/humupd/dmh045. Epub 2004 Oct 1. PubMed 15465836 ↗
  • Jenkins TG, Carrell DT. Dynamic alterations in the paternal epigenetic landscape following fertilization. Front Genet. 2012 Jul 31;3:143. doi: 10.3389/fgene.2012.00143. eCollection 2012. PubMed 23024648 ↗
  • Kelly TL, Li E, Trasler JM. 5-aza-2'-deoxycytidine induces alterations in murine spermatogenesis and pregnancy outcome. J Androl. 2003 Nov-Dec;24(6):822-30. doi: 10.1002/j.1939-4640.2003.tb03133.x. PubMed 14581508 ↗
  • Houshdaran S, Cortessis VK, Siegmund K, Yang A, Laird PW, Sokol RZ. Widespread epigenetic abnormalities suggest a broad DNA methylation erasure defect in abnormal human sperm. PLoS One. 2007 Dec 12;2(12):e1289. doi: 10.1371/journal.pone.0001289. PubMed 18074014 ↗
  • Kobayashi H, Sato A, Otsu E, Hiura H, Tomatsu C, Utsunomiya T, Sasaki H, Yaegashi N, Arima T. Aberrant DNA methylation of imprinted loci in sperm from oligospermic patients. Hum Mol Genet. 2007 Nov 1;16(21):2542-51. doi: 10.1093/hmg/ddm187. Epub 2007 Jul 17. PubMed 17636251 ↗
  • Benchaib M, Braun V, Ressnikof D, Lornage J, Durand P, Niveleau A, Guerin JF. Influence of global sperm DNA methylation on IVF results. Hum Reprod. 2005 Mar;20(3):768-73. doi: 10.1093/humrep/deh684. Epub 2005 Jan 7. PubMed 15640258 ↗
  • Reyes-Fuentes A, Chavarria ME, Carrera A, Aguilera G, Rosado A, Samojlik E, Iranmanesh A, Veldhuis JD. Alterations in pulsatile luteinizing hormone and follicle-stimulating hormone secretion in idiopathic oligoasthenospermic men: assessment by deconvolution analysis--a clinical research center study. J Clin Endocrinol Metab. 1996 Feb;81(2):524-9. doi: 10.1210/jcem.81.2.8636262. PubMed 8636262 ↗
  • Fujisawa M, Kanzaki M, Hayashi A, Tanaka H, Okada H, Arakawa S, Kamidono S. Alteration of the hypothalamus-pituitary-testis axis in oligozoospermic men with normal gonadotropin levels. Int J Urol. 1995 Sep;2(4):273-6. doi: 10.1111/j.1442-2042.1995.tb00471.x. PubMed 8564748 ↗
  • Boissonnas CC, Jouannet P, Jammes H. Epigenetic disorders and male subfertility. Fertil Steril. 2013 Mar 1;99(3):624-31. doi: 10.1016/j.fertnstert.2013.01.124. PubMed 23714437 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2015, a primary completion of Jun 2017 and a completion of Jun 2017. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 9, 2015
First posted
Nov 16, 2015
Start
Nov 2015
Primary completionActual
Jun 13, 2017
CompletionActual
Jun 13, 2017
Last update
Mar 2, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 2, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02605070
Lead sponsor
Instituto de Investigacion Sanitaria La Fe
Responsible party
Sponsor
First posted
Nov 16, 2015
Start date
Nov 2015
Primary completion
Jun 13, 2017
Completion
Jun 13, 2017
Last update
Mar 2, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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