Protocol summary

Study aim
The aim of this study is to investigate the impact of co-administration of Theophylline and Zinc sulfate on oxidative stress, apoptosis, and inflammation, sperm capacitation and parameters in infertile men.
Design
Clinical trial with placebo-control group, parallel groups, double-blind, randomized
Settings and conduct
This study will perform on infertile men referred to Rastak infertility treatment center in Sina hospital (Markazi Province-Arak city). In this study Both participants and researchers or evaluators of the outcome are unaware of the allocation of study groups.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Infertile men referred to the infertility treatment center who, have had at least one year of unprotected intercourse, Natural fertility has not happened in their spouse. These men will all be married These men will be between the ages of 20 and 50. According to WHO criteria, Sperm parameters abnormalities should be observed in at least two spermogram within 2 weeks. Exclusion criteria: Single men Men with varicocele or any other specific disease Men who have taken a particular drug for the past three months
Intervention groups
.1. Control group: they take placebo for 3 months. 2.They take Theophylline (200 mg/day) for 3 months. 3. They take zinc (zinc sulfate) (220 mg/day) for 3 months. 4. They take Theophylline (200 mg daily) and Zinc (Zinc sulfate) (220 mg daily) for 3 months.
Main outcome variables
Semen analysis and sperm parameters (Spermogram;) Levels of LH, FSH and Testosterone; Malondialdehyde Level; TNF-α and Interleukin 10; DNA Fragmentation; Sperm viability; Total antioxidant level of semen; Expression of Caspase 3, BAX, BCL2 genes; Caspase-3, BAX, BCL2 proteins; Sperm maturation; Evaluation of sperm capacitation All of the aforementioned analyzes were measured in two stages before and after the study.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20190714044209N1
Registration date: 2020-02-06, 1398/11/17
Registration timing: registered_while_recruiting

Last update: 2020-02-06, 1398/11/17
Update count: 0
Registration date
2020-02-06, 1398/11/17
Registrant information
Name
Atena Sadat Azimi
Name of organization / entity
Arak University
Country
Iran (Islamic Republic of)
Phone
+98 86 3277 7300
Email address
a-azimi@phd.araku.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-12-22, 1398/10/01
Expected recruitment end date
2020-12-21, 1399/10/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluating the Therapeutic Effect of Theophylline and Zinc Sulfate Co-administration in Infertile Men
Public title
Evaluating the Therapeutic Effect of Theophylline and Zinc Sulfate Co-administration in Infertile Men
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Infertile men who, despite having at least one year of unprotected intercourse, have not had fertility in their spouse. These men will all be married According to WHO criteria, abnormalities in sperm parameters should be observed in at least two sperm samples within 2 weeks. These men will be between the ages of 20 and 50.
Exclusion criteria:
Single men Men with varicoceles or any other specific disease Men who have taken a particular drug for the past three months
Age
From 20 years old to 50 years old
Gender
Male
Phase
3
Groups that have been masked
  • Participant
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 120
Randomization (investigator's opinion)
Randomized
Randomization description
Simple randomization
Blinding (investigator's opinion)
Double blinded
Blinding description
Both participants and researchers or evaluators of the outcome are unaware of the allocation of study groups.
Placebo
Used
Assignment
Parallel
Other design features
The drugs selected in this study will not interfere in the normal course of treatment of patients.

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Arak University of Medical Sciences
Street address
No. 6315 Upstairs Azimi shop, Shahid Haghani Street.
City
Arak
Province
Markazi
Postal code
3815166315
Approval date
2019-08-07, 1398/05/16
Ethics committee reference number
IR.ARAKMU.REC.1398.179

Health conditions studied

1

Description of health condition studied
infertile men
ICD-10 code
N46
ICD-10 code description
Male infertility

Primary outcomes

1

Description
semen analysis
Timepoint
Before intervention
Method of measurement
CASA (Computer-aided sperm analysis) system

2

Description
Hormones analysis
Timepoint
Before intervention
Method of measurement
ELISA Kit

3

Description
Malondialdehyde (MDA) level
Timepoint
Before intervention
Method of measurement
ELISA Kit

4

Description
total antioxidant capacity (TAC)
Timepoint
Before intervention
Method of measurement
ELISA Kit

5

Description
DNA fragmentation
Timepoint
Before intervention
Method of measurement
SDFA (Sperm DNA Fragmentation Analysis) kit

6

Description
Levels of inflammatory factors
Timepoint
Before intervention
Method of measurement
ELISA Kit

7

Description
sperm viability
Timepoint
Before intervention
Method of measurement
Eosin-Negrosin Staining

8

Description
sperm maturation
Timepoint
Before intervention
Method of measurement
Aniline blue staining kit

9

Description
Investigation of changes in gene expression level
Timepoint
Before intervention
Method of measurement
Real-time polymerase chain reaction (RT-PCR)

10

Description
Protein levels measurement
Timepoint
Before intervention
Method of measurement
Western blot

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Theophylline (200 mg/day for 3 months period)
Category
Treatment - Drugs

2

Description
Intervention group: Zink sulfate (220 mg/day for 3 months period)
Category
Treatment - Drugs

3

Description
Intervention group: Theophylline (200 mg/day for 3 months period) and Zink sulfate (220 mg/day for 3 months period) at the same time
Category
Treatment - Drugs

4

Description
Control group: just placebo for 3 months perid
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Sina Hospital-Rastak Infertility Clinic
Full name of responsible person
Dr. Alireza Noushad Kamran
Street address
Rastak Fertility Clinic, Sina Hospital, Next to Imam Khomeini Stadium, Hepko Ave.
City
Arak
Province
Markazi
Postal code
3818853558
Phone
+98 86 3340 5343
Fax
+98 86 3340 5339
Email
info@araksinahospital.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
The University of Arak
Full name of responsible person
Dr. Malek Soleimani Mehranjani
Street address
Arak University, Karbala Ave., Basij Square
City
Arak
Province
Markazi
Postal code
۳۸۴۸۱۷۷۵۸۴
Phone
+98 86 3417 3403
Fax
+98 86 3277 4031
Email
m-soleimani@araku.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
The University of Arak
Proportion provided by this source
25
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Arak University
Full name of responsible person
Atena Sadat Azimi
Position
PhD student
Latest degree
Ph.D.
Other areas of specialty/work
Others
Street address
No. 6313 , At the top of Azimi shop, Haqqani Street
City
Arak
Province
Markazi
Postal code
3815166315
Phone
+98 86 3277 7300
Fax
Email
a-azimi@phd.araku.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Arak University
Full name of responsible person
Atena Sadat Azimi
Position
PhD student
Latest degree
Ph.D.
Other areas of specialty/work
Others
Street address
No. 6313 , At the top of Azimi shop, Haqqani Street
City
Arak
Province
Markazi
Postal code
3815166315
Phone
+98 86 3277 7300
Fax
Email
a-azimi@phd.araku.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Arak University
Full name of responsible person
Atena Sadat Azimi
Position
PhD student
Latest degree
Ph.D.
Other areas of specialty/work
Others
Street address
No. 6313 , At the top of Azimi shop, Haqqani Street
City
Arak
Province
Markazi
Postal code
3815166315
Phone
+98 86 3277 7300
Fax
Email
a-azimi@phd.araku.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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