Impact of A Nutritional Supplements' Combination (FERTILIS) on Male Infertility (FERTILIS)

  • STATUS
    Recruiting
  • days left to enroll
    86
  • participants needed
    300
  • sponsor
    Les Laboratoires des Médicaments Stériles
Updated on 1 March 2022
antioxidants
semen analysis
in vitro fertilization
intracytoplasmic sperm injection
intrauterine insemination
oligospermia
asthenozoospermia

Summary

Infertility is a major health problem affecting up to 15% of couples of reproductive age globally. For several years, it was assumed that most reproductive problems could be attributed to the female partner, but research in recent years has demonstrated that males were solely responsible for 20-30% of infertility cases and contributed to 50% of infertility cases overall. The term ''male infertility'' does not constitute a defined clinical syndrome, but rather a collection of different conditions exhibiting a variety of etiologies.

It is far increasingly known that reactive oxygen species (ROS) are of significant pathophysiological importance in the etiology of male infertility. ROS are highly reactive oxidizing agents belonging to the class of free radicals containing one or more unpaired electrons, which are continuously being generated through metabolic and pathophysiologic processes. It has been suggested that oxidants interfere with normal sperm function via membrane lipid peroxidation and fragmentation of nucleic acids, which result in sperm dysfunction. Due to the sperm cell membrane abundance of polyunsaturated fatty acids (PUFAs) and the capacity of sperm to generate ROS, human spermatozoa are highly susceptible to oxidative stress.

Since growing evidence indicates that oxidative stress can be a primary cause of male infertility, non-enzymatic antioxidants play a significant protective role against oxidative damages and lipid peroxidation. In addition, micronutrients and antioxidants are often used with good results in men with idiopathic infertility.

Keeping in view the main protection provided by seminal plasma antioxidants against oxidative damages, a previous study showed that the dietary management with an eight nutritional supplements' combination, similar to this study's product and containing antioxidants, achieved a significant improvement in sperm quality up to a completely normal semen analysis. Also, another study confirmed the hypothesis that the combination of individual nutritional supplements as described in literature showed significantly better results than the sum of the effects of single administration.

Details
Condition Infertility, Male, Subfertility, Male
Treatment Placebo, FERTILIS HOMME®
Clinical Study IdentifierNCT04193358
SponsorLes Laboratoires des Médicaments Stériles
Last Modified on1 March 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Male 20 years of age
Attending the Department of Obstetrics and Gynecology of Farhat Hached University Hospital, Sousse, Tunisia, for consultation or semen analysis as part of infertility investigations
Diagnosis of oligozoospermia (WHO 2010 definition)
Diagnosis of Asthenozoospermia (WHO 2010 definition)
Diagnosis of teratozoospermia1 (WHO 2010 definition)
Diagnosis of idiopathic infertility
Couple is candidate for Intrauterine Insemination (IUI), In Vitro Fertilization (IVF) and/or Intracytoplasmic Sperm Injection (ICSI)

Exclusion Criteria

Inclusion visit (prior to treatment initiation): Patients will be selected during this initial visit if they meet all inclusion and none of the exclusion criteria
Randomization visit: around 1-week post inclusion visit: Patients will be given either of study interventions
Follow up visit 1-month post treatment initiation: Patients will be given study interventions' refill for 1 month
Follow up visit 2-months post treatment initiation: Patients will be given study interventions' refill for another month
Follow up visit 3-months post treatment initiation: Patients will undergo laboratory assessment
Follow up visits every 3-months post Visit: Patients' female partner will undergo laboratory and clinical assessment
End of trial (CLOSING) visit 24-months post treatment initiation: Patients' female partner will undergo laboratory and clinical assessment
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