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Status unknownNCT05320536Updated Apr 11, 2022

A Clinical Study of Gulingji Capsule in the Treatment of Idiopathic Oligospermia, Asthenia, and Teratozoospermia

A Phase 4 interventional study of Guilingji Capsule and Placebo in Oligospermia, sponsored by Jinling Hospital, China. Status unknown at 4 sites in China. Open to male participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-04-11.

Sponsored by Jinling Hospital, China · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
Male
01

Study summary

The object of study for patients with idiopathic disease of OAT, the use of multicenter, randomized, double-blind, controlled, prospective clinical research, choose according to row, standard units of idiopathic male infertility clinics less weak abnormal sperm, randomly divided into experimental group and the placebo group, the comparison between the two groups of patients and semen parameters before and after medication, seminal plasma hormone, serum lipid levels and other indicators;At the same time, serum and seminal plasma samples of the two groups of patients before and after treatment were collected for bioinformatics analysis of protein spectrum to find the effector molecules of Gulingji capsule.

Read the detailed description

The WHO defines infertility as a condition in which a couple cohabitates and has normal sex, has not used contraception for more than a year and the woman has not been able to conceive naturally.Some male infertility patients who cannot find related infertility factors are called idiopathic male infertility.These male infertility patients are often characterized by abnormal sperm count (including oligospermia, azoospermia, occult sperm), abnormal motility (including asthenospermia, asthenospermia), or malformed sperm, collectively referred to as idiopathic oligospermia (idiopathic OAT).

At present, the treatment methods of idiopathic OAT are mostly empirical treatment, including anti-oxidation treatment, treatment to improve cell energy metabolism, treatment to improve microcirculation of the whole body and reproductive system, etc.In general, traditional Chinese treatment should be combined with traditional Chinese medicine.However, the relevant mechanism of TCM treatment of OAT is not yet clear.

The object of study for patients with idiopathic disease of OAT, the use of multicenter, randomized, double-blind, controlled, prospective clinical research, choose according to row, standard units of idiopathic male infertility clinics less weak abnormal sperm, randomly divided into experimental group and the placebo group, the comparison between the two groups of patients and semen parameters before and after medication, seminal plasma hormone, serum lipid levels and other indicators;At the same time, serum and seminal plasma samples of the two groups of patients before and after treatment were collected for bioinformatics analysis of protein spectrum to find the effector molecules of Gulingji capsule.

It is assumed that the probable case loss rate in the trial is 20%, with 120 cases in each group, and a total of 240 cases are required.

Drug treatment: Gulingji capsule was taken orally for 2 capsules, once before breakfast and dinner, and was taken with saline solution. The total treatment period was 90 days.(Placebo is rice flour)

02

Conditions studied

  • Oligospermia
03

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Diagnosed as oligoasthenospermia according to the World Health Organization Laboratory Manual for Human Semen Examination and Treatment (5th edition);
  2. initial examination and reexamination of abnormal semen quality shall meet one of the following conditions: sperm density \< 15×10\^6 / mL or total sperm count \< 39×10\^6, proportion of forward motile sperm \< 32% or total sperm viability \< 40%, percentage of normal sperm \< 4%.

Exclusion criteria

Exclusion Criteria:

  1. Leucospermia, with testis, epididymitis, prostatitis, severe genital trauma, testicular torsion, urinary tract infection, cryptorchidism, varicocele, and a history of serious medical conditions such as diabetes, tumor history, inguinal and genital surgery.
  2. Testicular volume \< 12ml (B-ultrasonic measurement).
  3. BMI \< 18.5 or > 32.
  4. Chromosomal karyotype abnormalities.
  5. Patients with endocrine diseases.
  6. Exposure to an occupation or environment with reproductive toxicity.
  7. Drug therapy to improve semen quality has been used in the past 2 weeks.
  8. Hepatobiliary disease, severe renal insufficiency, clinical disease or history of medication known to reduce fertility.
  9. A known or suspected history of allergy to experimental drugs and similar products.
  10. Any circumstance that the investigator considers to be likely to interfere with participation in the study or assessment.
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Experimental group

    Guilingji capsule Take 2 tablets orally, once before breakfast and dinner, and take them with saline. The total treatment period is 90 days.

    Drug: Guilingji Capsule

  • Placebo comparator
    Control group

    Placebo Take 2 tablets orally, once before breakfast and dinner, and take them with saline. The total treatment period is 90 days

    Drug: Placebo

Interventions

  • DrugGuilingji Capsule

    This medicine is capsule medicine, take method is oral.

  • DrugPlacebo

    This medicine is capsule medicine(Placebo), take method is oral.

05

What researchers measure

Primary outcomes

  1. TNPMS

    Total sperm count in forward motion

    Time frame: 1 years

Secondary outcomes

  1. DFI

    Sperm DNA fragmentation rate

    Time frame: 1 years

06

Study locations

4 of 4 sites recruiting
  • Center for Reproductive Medicine, Jinling Hospital
    Nanjing, Jiangsu 210000, China
    Recruiting
  • Nanjing Jiangning Hospital
    Nanjing, Jiangsu, China
    • Tang Qinlai · Contact
    Recruiting
  • The First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Jiangsu, China
    • Pan Chengshuang · Contact
    Recruiting
  • Xi 'an Tangdu Hospital
    Xi'an, Jiangsu, China
    • Li Jianbo · Contact
    Recruiting
07

References and documents

Study documents

  • Protocol, analysis plan and consent form · Jan 1, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT05320536
Lead sponsor
Jinling Hospital, China
Responsible party
Bing Yao (Reproductive Medicine Center, Jinling Hospital, China) — Principal investigator
First posted
Apr 11, 2022
Start date
Dec 6, 2021
Primary completion
Jun 30, 2022 (estimated)
Completion
Dec 31, 2022 (estimated)
Last update
Apr 11, 2022

Study contacts

Yao bing
Contact
yaobing@nju.edu.cn
13815853296

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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