NCT06560216

Brief Summary

The goal of this clinical trial is to compare the effect of apigenin supplementation in freezing medium with no apigenin supplementation in freezing medium on post-thaw human sperm motility. It will also evaluate the sperm viability, total antioxidant capacity, and oxidative stress markers. The main questions it aims to answer are:

  • Does apigenin supplementation in freezing medium improve the post-thaw sperm motility?
  • Does apigenin supplementation in freezing medium improve the post-thaw sperm viability, total antioxidant capacity, and oxidative stress?

Trial Health

87
On Track

Trial Health Score

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

Enrollment
57

participants targeted

Target at P50-P75 for not_applicable healthy

Timeline
Completed

Started Oct 2024

Shorter than P25 for not_applicable healthy

Geographic Reach
1 country

2 active sites

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 15, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 19, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

October 28, 2024

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 12, 2025

Completed
19 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 3, 2025

Completed
Last Updated

March 18, 2025

Status Verified

October 1, 2024

Enrollment Period

4 months

First QC Date

August 15, 2024

Last Update Submit

March 16, 2025

Conditions

Keywords

ApigeninCryopreservationAntioxidantHuman spermOxidative stress

Outcome Measures

Primary Outcomes (1)

  • Percentage of sperm motility

    Sperm motility (total motility, progressive motility, non-progressive motility, immotile spermatozoa) will be reported in percentage. Compare results among freezing medium with apigenin group, control group, and baseline pre-freeze sperm suspension.

    At least 1 week of freezing

Secondary Outcomes (1)

  • Percentage of sperm viability comparison between intervention and control group

    At least 1 week of freezing

Other Outcomes (2)

  • Total antioxidant capacity comparison between intervention and control group

    At least 1 week of freezing

  • Oxidative stress markers comparison between intervention and control group

    At least 1 week of freezing

Study Arms (2)

Control

NO INTERVENTION

Frozen-thawed sperm suspension without apigenin supplementation in freezing medium

Apigenin

EXPERIMENTAL

Frozen-thawed sperm suspension with apigenin 0.2 mM supplementation in freezing medium

Dietary Supplement: Apigenin

Interventions

ApigeninDIETARY_SUPPLEMENT

0.2 mM in freezing medium

Apigenin

Eligibility Criteria

Age18 Years - 45 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy men aged 18-45 years who can receive semen analysis services at the Reproductive Biology Unit, Chulalongkorn Hospital, Thai Red Cross Society
  • Normal semen analysis results according to the World Health Organization criteria (Volume ≥ 1.4 mL, Sperm concentration ≥ 16 million/mL, Total motility ≥ 42%, Progressive motility ≥ 30%)
  • Giving consent

You may not qualify if:

  • A history of accidents, radiation to the testes, or a history of male reproductive system surgery
  • Undescended testis
  • Varicocele
  • A history of taking certain medications that affect sperm production, such as chemotherapy, hormones
  • Currently having sexually transmitted disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Chulalongkorn Hospital

Bangkok, 10330, Thailand

Location

Chulalongkorn University

Bangkok, 10330, Thailand

Location

Related Publications (56)

  • PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 5280443, Apigenin; [cited 2024 July 25]. [Internet]. 2004. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Apigenin.

    BACKGROUND
  • World Health Organization. WHO laboratory manual for the examination and processing of human semen. 6th ed. Geneva: World Health Organization, Cop; 2021.

    BACKGROUND
  • Ngamjarus C, Pattanittum P. n4Studies: application for sample size calculation in health science research. Version 2.3. App store. 2024.

    BACKGROUND
  • Ngamjarus C. Sample size calculation for health science research. 1st ed. Khon Kaen University Printing House, Khon Kaen, Thailand 2021.

    BACKGROUND
  • Chow S-C, Shao J, Wang H. Sample size calculations in clinical research. 2 ed. Boca Raton: FLA: Chapman and Hall/CRC; 2003.

    BACKGROUND
  • Anger JT, Gilbert BR, Goldstein M. Cryopreservation of sperm: indications, methods and results. J Urol. 2003 Oct;170(4 Pt 1):1079-84. doi: 10.1097/01.ju.0000084820.98430.b8.

  • Sharma Y, Sharma M. Sperm Cryopreservation: Principles and Biology. J Infertil Reprod Biol 2020;8:43-8.

    RESULT
  • Hai E, Li B, Zhang J, Zhang J. Sperm freezing damage: the role of regulated cell death. Cell Death Discov. 2024 May 18;10(1):239. doi: 10.1038/s41420-024-02013-3.

  • Keel BA, Black JB. Reduced motility longevity in thawed human spermatozoa. Arch Androl. 1980 May;4(3):213-5. doi: 10.3109/01485018008986965.

  • O'Connell M, McClure N, Lewis SE. The effects of cryopreservation on sperm morphology, motility and mitochondrial function. Hum Reprod. 2002 Mar;17(3):704-9. doi: 10.1093/humrep/17.3.704.

  • Ozkavukcu S, Erdemli E, Isik A, Oztuna D, Karahuseyinoglu S. Effects of cryopreservation on sperm parameters and ultrastructural morphology of human spermatozoa. J Assist Reprod Genet. 2008 Aug;25(8):403-11. doi: 10.1007/s10815-008-9232-3. Epub 2008 Aug 13.

  • Oberoi B, Kumar S, Talwar P. Study of human sperm motility post cryopreservation. Med J Armed Forces India. 2014 Oct;70(4):349-53. doi: 10.1016/j.mjafi.2014.09.006. Epub 2014 Oct 16.

  • Liu T, Gao J, Zhou N, Mo M, Wang X, Zhang X, Yang H, Chen Q, Ao L, Liu J, Cui Z, Cao J. The effect of two cryopreservation methods on human sperm DNA damage. Cryobiology. 2016 Jun;72(3):210-5. doi: 10.1016/j.cryobiol.2016.04.004. Epub 2016 Apr 25.

  • Hezavehei M, Sharafi M, Kouchesfahani HM, Henkel R, Agarwal A, Esmaeili V, Shahverdi A. Sperm cryopreservation: A review on current molecular cryobiology and advanced approaches. Reprod Biomed Online. 2018 Sep;37(3):327-339. doi: 10.1016/j.rbmo.2018.05.012. Epub 2018 Aug 22.

  • Darsini N, Hamidah B, Suyono S, Ashari F, Aswin R, Yudiwati R. Human Sperm Motility, Viability, and Morphology Decreased after Cryopreservation. Folia Medica Indonesiana 2019;55:198.

    RESULT
  • Fernandez-Lopez P, Garriga J, Casas I, Yeste M, Bartumeus F. Predicting fertility from sperm motility landscapes. Commun Biol. 2022 Sep 28;5(1):1027. doi: 10.1038/s42003-022-03954-0.

  • Wang S, Wang W, Xu Y, Tang M, Fang J, Sun H, Sun Y, Gu M, Liu Z, Zhang Z, Lin F, Wu T, Song N, Wang Z, Zhang W, Yin C. Proteomic characteristics of human sperm cryopreservation. Proteomics. 2014 Feb;14(2-3):298-310. doi: 10.1002/pmic.201300225.

  • Amidi F, Pazhohan A, Shabani Nashtaei M, Khodarahmian M, Nekoonam S. The role of antioxidants in sperm freezing: a review. Cell Tissue Bank. 2016 Dec;17(4):745-756. doi: 10.1007/s10561-016-9566-5. Epub 2016 Jun 24.

  • Agarwal A, Rana M, Qiu E, AlBunni H, Bui AD, Henkel R. Role of oxidative stress, infection and inflammation in male infertility. Andrologia. 2018 Dec;50(11):e13126. doi: 10.1111/and.13126.

  • Sudhakaran G, Kesavan D, Kandaswamy K, Guru A, Arockiaraj J. Unravelling the epigenetic impact: Oxidative stress and its role in male infertility-associated sperm dysfunction. Reprod Toxicol. 2024 Mar;124:108531. doi: 10.1016/j.reprotox.2023.108531. Epub 2024 Jan 2.

  • Antioxidants in Sperm Cryopreservation , bookTitle= Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Cham: Springer International Publishing; 2020. 671--8 p.

    RESULT
  • Sabeti P, Pourmasumi S, Rahiminia T, Akyash F, Talebi AR. Etiologies of sperm oxidative stress. Int J Reprod Biomed. 2016 Apr;14(4):231-40.

  • Mannucci A, Argento FR, Fini E, Coccia ME, Taddei N, Becatti M, Fiorillo C. The Impact of Oxidative Stress in Male Infertility. Front Mol Biosci. 2022 Jan 5;8:799294. doi: 10.3389/fmolb.2021.799294. eCollection 2021.

  • Barranco I, Tvarijonaviciute A, Perez-Patino C, Parrilla I, Ceron JJ, Martinez EA, Rodriguez-Martinez H, Roca J. High total antioxidant capacity of the porcine seminal plasma (SP-TAC) relates to sperm survival and fertility. Sci Rep. 2015 Dec 21;5:18538. doi: 10.1038/srep18538.

  • Di Santo M, Tarozzi N, Nadalini M, Borini A. Human Sperm Cryopreservation: Update on Techniques, Effect on DNA Integrity, and Implications for ART. Adv Urol. 2012;2012:854837. doi: 10.1155/2012/854837. Epub 2011 Dec 13.

  • Moubasher AE, El Din AM, Ali ME, El-sherif WT, Gaber HD. Catalase improves motility, vitality and DNA integrity of cryopreserved human spermatozoa. Andrologia. 2013 Apr;45(2):135-9. doi: 10.1111/j.1439-0272.2012.01310.x. Epub 2012 May 16.

  • Tas DO, Ozkavukcu S, Inanc I, Kose SK, Erdemli E. The effects of coenzyme Q10 and curcumin supplementation in freezing medium for human sperm cryopreservation. Eur J Obstet Gynecol Reprod Biol. 2023 Aug;287:36-45. doi: 10.1016/j.ejogrb.2023.05.040. Epub 2023 Jun 2.

  • Moradi Gardeshi T, Shahandeh E, Tavakolpoor Saleh N, Karami S, Mirzaei Azandaryani Z, Mazaheri F, Mohammadi H. Evaluation of the effect of mitoquinone on functional parameters, DNA structure, and genes expression related to the apoptotic and antioxidants of human sperm after freezing-thawing. Mol Biol Rep. 2024 Jan 23;51(1):183. doi: 10.1007/s11033-023-09020-0.

  • Jannatifar R, Asa E, Sahraei SS, Verdi A, Piroozmanesh H. N-acetyl-l-cysteine and alpha lipoic acid are protective supplement on human sperm parameters in cryopreservation of asthenoteratozoospermia patients. Andrologia. 2022 Dec;54(11):e14612. doi: 10.1111/and.14612. Epub 2022 Nov 1.

  • Akbarzadeh-Jahromi M, Jafari F, Parsanezhad ME, Alaee S. Evaluation of supplementation of cryopreservation medium with gallic acid as an antioxidant in quality of post-thaw human spermatozoa. Andrologia. 2022 Dec;54(11):e14571. doi: 10.1111/and.14571. Epub 2022 Aug 23.

  • Noto D, Collodel G, Cerretani D, Signorini C, Gambera L, Menchiari A, Moretti E. Protective Effect of Chlorogenic Acid on Human Sperm: In Vitro Studies and Frozen-Thawed Protocol. Antioxidants (Basel). 2021 May 7;10(5):744. doi: 10.3390/antiox10050744.

  • Mohammadi F, Varanloo N, Heydari Nasrabadi M, Vatannejad A, Amjadi FS, Javedani Masroor M, Bajelan L, Mehdizadeh M, Aflatoonian R, Zandieh Z. Supplementation of sperm freezing medium with myoinositol improve human sperm parameters and protects it against DNA fragmentation and apoptosis. Cell Tissue Bank. 2019 Mar;20(1):77-86. doi: 10.1007/s10561-018-9731-0. Epub 2019 Jan 29.

  • Najafi L, Halvaei I, Movahedin M. Canthaxanthin protects human sperm parameters during cryopreservation. Andrologia. 2019 Nov;51(10):e13389. doi: 10.1111/and.13389. Epub 2019 Aug 11.

  • Aghaz F, Khazaei M, Vaisi-Raygani A, Bakhtiyari M. Cryoprotective effect of sericin supplementation in freezing and thawing media on the outcome of cryopreservation in human sperm. Aging Male. 2020 Dec;23(5):469-476. doi: 10.1080/13685538.2018.1529156. Epub 2018 Nov 19.

  • Ghorbani M, Amiri I, Khodadadi I, Fattahi A, Atabakhsh M, Tavilani H. Influence of BHT inclusion on post-thaw attributes of human semen. Syst Biol Reprod Med. 2015 Jan;61(1):57-61. doi: 10.3109/19396368.2014.968267. Epub 2014 Oct 6.

  • Saeednia S, Bahadoran H, Amidi F, Asadi MH, Naji M, Fallahi P, Nejad NA. Nerve growth factor in human semen: Effect of nerve growth factor on the normozoospermic men during cryopreservation process. Iran J Basic Med Sci. 2015 Mar;18(3):292-9.

  • Li Z, Lin Q, Liu R, Xiao W, Liu W. Protective effects of ascorbate and catalase on human spermatozoa during cryopreservation. J Androl. 2010 Sep-Oct;31(5):437-44. doi: 10.2164/jandrol.109.007849. Epub 2009 Oct 15.

  • Noegroho BS, Siregar S, Tampubolon KAG. Antioxidant Supplementation on Sperm DNA Fragmentation and Sperm Parameters: A Systematic Review and Meta-Analysis. Turk J Urol. 2022 Sep;48(5):375-384. doi: 10.5152/tud.2022.22058.

  • Bahmyari R, Zare M, Sharma R, Agarwal A, Halvaei I. The efficacy of antioxidants in sperm parameters and production of reactive oxygen species levels during the freeze-thaw process: A systematic review and meta-analysis. Andrologia. 2020 Apr;52(3):e13514. doi: 10.1111/and.13514. Epub 2020 Jan 21.

  • Mushtaq Z, Sadeer N, Hussain M, Mahwish, Alsagaby S, Imran M, et al. Therapeutical properties of apigenin: a review on the experimental evidence and basic mechanisms. International Journal of Food Properties 2023;26:1914-39.

    RESULT
  • Bhardwaj H, Vasudeva N, Sharma S. Phytochemistry And Pharmacological Aspects Of Apigenin: A Review. The Natural Products Journal 2022;12.

    RESULT
  • Balez R, Steiner N, Engel M, Munoz SS, Lum JS, Wu Y, Wang D, Vallotton P, Sachdev P, O'Connor M, Sidhu K, Munch G, Ooi L. Neuroprotective effects of apigenin against inflammation, neuronal excitability and apoptosis in an induced pluripotent stem cell model of Alzheimer's disease. Sci Rep. 2016 Aug 12;6:31450. doi: 10.1038/srep31450.

  • Shukla S, Gupta S. Apigenin: a promising molecule for cancer prevention. Pharm Res. 2010 Jun;27(6):962-78. doi: 10.1007/s11095-010-0089-7. Epub 2010 Mar 20.

  • Raskovic A, Gigov S, Capo I, Paut Kusturica M, Milijasevic B, Kojic-Damjanov S, Martic N. Antioxidative and Protective Actions of Apigenin in a Paracetamol-Induced Hepatotoxicity Rat Model. Eur J Drug Metab Pharmacokinet. 2017 Oct;42(5):849-856. doi: 10.1007/s13318-017-0407-0.

  • Nafisi S, Hashemi M, Rajabi M, Tajmir-Riahi HA. DNA adducts with antioxidant flavonoids: morin, apigenin, and naringin. DNA Cell Biol. 2008 Aug;27(8):433-42. doi: 10.1089/dna.2008.0735.

  • Sharma H, Kanwal R, Bhaskaran N, Gupta S. Plant flavone apigenin binds to nucleic acid bases and reduces oxidative DNA damage in prostate epithelial cells. PLoS One. 2014 Mar 10;9(3):e91588. doi: 10.1371/journal.pone.0091588. eCollection 2014.

  • Kopalli SR, Yoo SK, Kim B, Kim SK, Koppula S. Apigenin Isolated from Carduus crispus Protects against H2O2-Induced Oxidative Damage and Spermatogenic Expression Changes in GC-2spd Sperm Cells. Molecules. 2022 Mar 8;27(6):1777. doi: 10.3390/molecules27061777.

  • Dang Y, Li Z, Luo B, Pan L, Wei Q, Zhang Y. Protective effects of apigenin against acrylonitrile-induced subchronic sperm injury in rats. Food Chem Toxicol. 2017 Nov;109(Pt 1):517-525. doi: 10.1016/j.fct.2017.09.025. Epub 2017 Sep 28.

  • Shi Y, Bai J, Dang Y, Bai Q, Zheng R, Chen J, Li Z. Protection of apigenin against acrylonitrile-induced sperm and testis injury in rats: involvement of activation of ASK1-JNK/p38 signaling pathway. Toxicol Res (Camb). 2021 Mar 11;10(2):159-168. doi: 10.1093/toxres/tfab017. eCollection 2021 Mar.

  • Pei Y, Yang L, Wu L, He H, Geng G, Xu D, Chen H, Li Q. Combined effect of apigenin and ferulic acid on frozen-thawed boar sperm quality. Anim Sci J. 2018 Jul;89(7):956-965. doi: 10.1111/asj.13009. Epub 2018 Apr 30.

  • Wang H, Lu P, Yuan C, Zhao J, Liu H, Lu W, Wang J. Effects of Apigenin and Astragalus Polysaccharide on the Cryopreservation of Bull Semen. Animals (Basel). 2021 May 22;11(6):1506. doi: 10.3390/ani11061506.

  • Mohammadi T, Hosseinchi Gharehaghaj M, Alaei Novin A. Effects of apigenin and trans-ferulic acid on microscopic and oxidative stress parameters in the semen of water buffalo bulls during cryopreservation. Cryobiology. 2024 Jun;115:104868. doi: 10.1016/j.cryobiol.2024.104868. Epub 2024 Feb 27.

  • Najafi A, Mohammadi H, Sharifi SD, Rahimi A. Apigenin supplementation substantially improves rooster sperm freezability and post-thaw function. Sci Rep. 2024 Feb 24;14(1):4527. doi: 10.1038/s41598-024-55057-x.

  • Esmaeili Irani A, Nikoozar B, Arbabian M, Tavalaee M, Nasr-Esfahani MHa. The Antioxidant Effect of Apigenin on Human Sperm Quality after Freezing-Thawing. Journal of Gorgan University of Medical Sciences 2024;26.

    RESULT
  • Auger J, Kunstmann JM, Czyglik F, Jouannet P. Decline in semen quality among fertile men in Paris during the past 20 years. N Engl J Med. 1995 Feb 2;332(5):281-5. doi: 10.1056/NEJM199502023320501.

  • Aribarg A, Sukcharoen N, Chanprasit Y, Ngeamvijawat J. Prediction of post-thaw sperm motility and sperm cryosurvival rate using the pre-freeze sperm parameters. J Med Assoc Thai. 1995 Sep;78(9):474-80.

MeSH Terms

Interventions

Apigenin

Intervention Hierarchy (Ancestors)

FlavonesFlavonoidsChromonesBenzopyransPyransHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Study Officials

  • Punyawee Utaipatanacheep

    Chulalongkorn University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: 1. Frozen-thawed control without apigenin supplementation in freezing medium 2. Frozen-thawed sperm suspension with apigenin supplementation in freezing medium
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 15, 2024

First Posted

August 19, 2024

Study Start

October 28, 2024

Primary Completion

February 12, 2025

Study Completion

March 3, 2025

Last Updated

March 18, 2025

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share

You can ask for information directly from the investigators.

Locations