NCT05461079

Brief Summary

Testicular dysgenesis syndrome (TDS) is known to cause epigenetic abnormalities in spermatozoa. Anogenital distance (AGD) is considered to be a suitable clinical marker of TDS, but the direct link between AGD and epigenetic abnormalities is still missing. Infertile men (n=10) presenting with shortened AGD and a control group of normal semen donors (n=10) with normal AGD will then be asked to provide one semen sample each. Using a flow cytometer and sorter (FACS) their spermatozoa will be sorted into populations of spermatozoa with/without DNA fragmentation or with/without chromatin decondensation. These sorted populations of spermatozoa will then be examined for differences in epigenetic imprinting differences using whole genome expression analysis. Whereas the sorting of spermatozoa will be carried out in Basel, the epigenetic analysis will be carried at the University of Geneva.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Nov 2017

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2017

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

December 9, 2017

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 30, 2021

Completed
1.5 years until next milestone

First Posted

Study publicly available on registry

July 15, 2022

Completed
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

March 20, 2024

Status Verified

March 1, 2024

Enrollment Period

3.2 years

First QC Date

December 9, 2017

Last Update Submit

March 19, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • anogenital distance and epigenetics

    number of differentially methylated transposable regulatory sequences in the genome of sorted spermatozoa.

    6 months

Secondary Outcomes (5)

  • sperm phenotype 1

    6 months

  • sperm phenotype 2

    6 months

  • sperm phenotype 3

    6 months

  • sperm phenotype 4

    6 months

  • sperm phenotype 5

    6 months

Study Arms (2)

subfertile men

10 infertile men with shortened AGD (\< 40 mm)

Diagnostic Test: obtention of up to three semen samples

fertile semen donors

10 fertile semen donors with normal AGD (\>40 mm)

Diagnostic Test: obtention of up to three semen samples

Interventions

sorting of spermatozoa with flow cytometry. In the presence of insufficient numbers of spermatozoa after sorting (\<15 mill), up to three semen samples will be collected.

Also known as: conventional semen analysis followed by sorting
fertile semen donorssubfertile men

Eligibility Criteria

Age20 Years - 55 Years
Sexmale
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Both the 10 infertile men with shortened AGD and the fertile control men (semen donors) will be recruited and examined in the infertility consultation of the Clinic of Gyn. Endocrinology and Reproductive Medicine.

You may qualify if:

  • infertile men with known anogenital distance

You may not qualify if:

  • sperm concentration must be more than 15 million/ml to allow appropriate sorting with flow cytometry...

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Christian De Geyter

Basel, 4031, Switzerland

Location

Biospecimen

Retention: SAMPLES WITH DNA

Spermatozoa sorted with FACS according to two different staining methods: YoPro1 (apoptosis) and CMA3 (histone content). After sorting, we obtained four different groups: 1. YoPro1 positive and 2. YoPro1 negative, CMA3 positive and CMA3 negative. All sorted samples were stored frozen and sent for analysis of whole genome methylation status.

MeSH Terms

Conditions

Infertility, Male

Condition Hierarchy (Ancestors)

Genital Diseases, MaleGenital DiseasesUrogenital DiseasesInfertilityMale Urogenital Diseases

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof. Dr.med.

Study Record Dates

First Submitted

December 9, 2017

First Posted

July 15, 2022

Study Start

November 1, 2017

Primary Completion

January 30, 2021

Study Completion

December 31, 2023

Last Updated

March 20, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations