NCT07109622

Brief Summary

The purpose of this study is to evaluate the efficacy of LN18178 on improving sperm virility.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

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

July 16, 2025

Completed
22 days until next milestone

First Posted

Study publicly available on registry

August 7, 2025

Completed
1 day until next milestone

Study Start

First participant enrolled

August 8, 2025

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 10, 2026

Completed
Last Updated

August 7, 2025

Status Verified

July 1, 2025

Enrollment Period

6 months

First QC Date

July 16, 2025

Last Update Submit

July 31, 2025

Conditions

Keywords

Sperm Virility

Outcome Measures

Primary Outcomes (1)

  • Change in motility (% Motile Sperms) using manual microscopic examination.

    Assessed through manual microscopic examination according to WHO guidelines. The percentage of motile sperm (progressive + non-progressive) will be calculated. A higher percentage reflects improved reproductive function.

    Screening, weeks 8, 12 & 16

Secondary Outcomes (15)

  • Change in semen Concentration (millions/mL) using manual microscopic examination.

    Screening, weeks 8, 12 & 16

  • Change from baseline to the end of the study period in Morphology of sperm (% normal forms) using manual microscopic examination.

    Screening, weeks 8, 12 & 16

  • Change from baseline to the end of the study period in Sperm DNA fragmentation Index (% DFI) using Sperm Chromatin Dispersion method.

    Screening, Weeks 12 & 16

  • Change from baseline to the end of the study period in International Index of Erectile Function (IIEF-15)

    Baseline (day 1), Weeks 4, 8,12 & 16

  • Change from baseline to the end of the study period in Quality of life short form (SF-36)

    Baseline (day 1), Weeks 4, 8,12 & 16

  • +10 more secondary outcomes

Study Arms (2)

LN18178

EXPERIMENTAL

400 mg, One capsule to be consumed in the morning after breakfast for 12 weeks.

Dietary Supplement: LN18178

Placebo

OTHER

One capsule to be consumed in the morning after breakfast for 12 Weeks

Dietary Supplement: Placebo

Interventions

LN18178DIETARY_SUPPLEMENT

400 mg, One capsule to be consumed in the morning after breakfast for 12 weeks.

LN18178
PlaceboDIETARY_SUPPLEMENT

One capsule to be consumed in the morning after breakfast for 12 Weeks

Placebo

Eligibility Criteria

Age25 Years - 45 Years
Sexmale(Gender-based eligibility)
Gender Eligibility DetailsMales aged between 25-45 years
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Males aged between 25-45 years with a Body Mass Index (BMI) of 20-29 kg/m2.
  • Subjects with a history of infertility of at least 12 months despite regular unprotected intercourse.
  • Subjects with semen analysis showing abnormal sperm concentration (\< 16 million/ml), progressive motility (\< 30%), and total motility (\< 42%), normal morphology (\< 4%). (WHO guidelines- 6th edition, 2021)
  • Subjects with total testosterone ≥300 ng/dL.
  • Subjects who are willing to abstain from sexual activity that results in ejaculation for 3 to 5 days before semen analysis.
  • Subjects who are in a stable sexual relationship and sexually active during the study.
  • Subjects willing to use contraceptives during study period.
  • Subjects agree to maintain current diet and activity level.
  • No urogenital infection or anatomical abnormality of this system, including varicocele; no prior history of surgery in the pelvic area; no uncontrolled systemic illness, such as liver and gallbladder cancers, renal failure, thyroid disorders, and cerebral haemorrhage; no prior history of trauma to the testes; no unilateral testicular atrophy; no previous history of chemotherapy or treatment with anticoagulants, corticosteroids, testosterone and anti-androgen medications during the 8 weeks before the study.
  • Subject considered generally healthy as per health history and routine clinical investigations during screening.
  • Ability to understand the risks/benefits of the protocol and willing to sign the written informed consent.

You may not qualify if:

  • Employees working on night shifts.
  • Subjects with identifiable cause for Oligoasthenoteratozoospermia (OAT) (includes Cryptorchidism, Orchitis and Radiation or chemotherapy etc.).
  • Subjects with Systolic \>140 and Diastolic \>90 mmHg blood pressure and Fasting blood glucose (FBG) \>125 mg/dl.
  • Smokers and alcoholics.
  • Subjects underwent treatment for COVID 19 within the last 3 months or tested positive during the study will be excluded.
  • Subject with any physical disability that may limit sexual function.
  • Subjects with history of taking medications for oligospermia or any other sexual problems, including PDE-5 inhibitors, and dysfunctions related to genito-urinary system, muscular dystrophy and coagulation.
  • Subjects with clinical history of genital surgery, endocrine disorders e.g. hypopituitarism, pituitary tumors, hypo- and hyperthyroidism, hypogonadism, inherited (genetic and chromosomal) disorders, etc.
  • Subjects diagnosed with sleep apnea or related disorders.
  • Subjects consuming medications that can interfere with muscle mass such as corticosteroids, testosterone replacement or anabolic drugs.
  • Subjects who consume recreational drugs (such as cocaine, methamphetamine, marijuana, etc.) or chewable tobacco products.
  • Subjects having history of Benign Prostate Hyperplasia (BPH), stroke, myocardial infarction, coronary artery disease, cardiac failure, angina, life-threatening arrhythmia within the past 6 months.
  • Subjects under medications including vitamins, antidepressants, anticholinergics, inhaled beta agonists, anti- hyperlipidemic, psychotropics etc.
  • Subjects using any centrally acting anorectic agents, drugs that inhibit the absorption of nutrients and endocannabinoid neuromodulators during the two weeks prior to enrolment into the study.
  • Subjects who underwent major surgical procedures in last 6 months, which may affect their quality of life.
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (16)

  • Abbasi B, Molavi N, Tavalaee M, Abbasi H, Nasr-Esfahani MH. Alpha-lipoic acid improves sperm motility in infertile men after varicocelectomy: a triple-blind randomized controlled trial. Reprod Biomed Online. 2020 Dec;41(6):1084-1091. doi: 10.1016/j.rbmo.2020.08.013. Epub 2020 Aug 20.

    PMID: 33032908BACKGROUND
  • Shabsigh R, Kaufman JM, Steidle C, Padma-Nathan H. Randomized study of testosterone gel as adjunctive therapy to sildenafil in hypogonadal men with erectile dysfunction who do not respond to sildenafil alone. J Urol. 2004 Aug;172(2):658-63. doi: 10.1097/01.ju.0000132389.97804.d7.

    PMID: 15247755BACKGROUND
  • Pandit S, Biswas S, Jana U, De RK, Mukhopadhyay SC, Biswas TK. Clinical evaluation of purified Shilajit on testosterone levels in healthy volunteers. Andrologia. 2016 Jun;48(5):570-5. doi: 10.1111/and.12482. Epub 2015 Sep 22.

    PMID: 26395129BACKGROUND
  • Yoon HS, Kim JR, Park GY, Kim JE, Lee DH, Lee KW, Chung JH. Cocoa Flavanol Supplementation Influences Skin Conditions of Photo-Aged Women: A 24-Week Double-Blind, Randomized, Controlled Trial. J Nutr. 2016 Jan;146(1):46-50. doi: 10.3945/jn.115.217711. Epub 2015 Nov 18.

    PMID: 26581682BACKGROUND
  • Wang-Polagruto JF, Villablanca AC, Polagruto JA, Lee L, Holt RR, Schrader HR, Ensunsa JL, Steinberg FM, Schmitz HH, Keen CL. Chronic consumption of flavanol-rich cocoa improves endothelial function and decreases vascular cell adhesion molecule in hypercholesterolemic postmenopausal women. J Cardiovasc Pharmacol. 2006;47 Suppl 2:S177-86; discussion S206-9. doi: 10.1097/00005344-200606001-00013.

    PMID: 16794456BACKGROUND
  • Forest CP, Padma-Nathan H, Liker HR. Efficacy and safety of pomegranate juice on improvement of erectile dysfunction in male patients with mild to moderate erectile dysfunction: a randomized, placebo-controlled, double-blind, crossover study. Int J Impot Res. 2007 Nov-Dec;19(6):564-7. doi: 10.1038/sj.ijir.3901570. Epub 2007 Jun 14.

    PMID: 17568759BACKGROUND
  • Srivastava MK, Singh G, Kodur RR, Yalamanchi A. A Combination of Punica granatum Fruit Rind and Theobroma cacao Seed Extracts Enhances Sexual Function in Aging Males in a Randomized, Double-blind, Placebo-controlled Study. Int J Med Sci. 2025 Jan 1;22(2):383-397. doi: 10.7150/ijms.99958. eCollection 2025.

    PMID: 39781534BACKGROUND
  • Pandit SL, Yaligar D, Halemane M, Bhat A. A proprietary blend of standardized Punica granatum fruit rind and Theobroma cocoa seed extracts mitigates aging males' symptoms: A randomized, double-blind, placebo-controlled study. Int J Med Sci. 2022 Jul 11;19(8):1290-1299. doi: 10.7150/ijms.73645. eCollection 2022.

    PMID: 35928723BACKGROUND
  • Sreeramaneni PGA, Yalamanchi A, Konda MR, Cherukuri SHV, Maroon JC. A Proprietary Herbal Blend Containing Extracts of Punica granatum Fruit Rind and Theobroma cocoa Seeds Increases Serum Testosterone Level in Healthy Young Males: A Randomized, Double-Blind Placebo-Controlled Study. J Diet Suppl. 2023;20(3):411-427. doi: 10.1080/19390211.2022.2035037. Epub 2022 Feb 6.

    PMID: 35129040BACKGROUND
  • Madireddy RK, Alluri KV, Somepalli V, Golakoti T, Sengupta K. Toxicological Assessments of a Proprietary Blend of Punica granatum Fruit Rind and Theobroma cacao Seed Extracts: Acute, Subchronic, and Genetic Toxicity Studies. J Toxicol. 2022 May 6;2022:3903943. doi: 10.1155/2022/3903943. eCollection 2022.

    PMID: 35571381BACKGROUND
  • Asiedu-Gyekye IJ, Frimpong-Manso S, N'guessan BB, Abdulai Seidu M, Osei-Prempeh P, Kwaku Boamah D. Macro- and Microelemental Composition and Toxicity of Unsweetened Natural Cocoa Powder in Sprague-Dawley Rats. J Toxicol. 2016;2016:4783829. doi: 10.1155/2016/4783829. Epub 2016 Aug 17.

    PMID: 27610134BACKGROUND
  • Boroujeni SN, Malamiri FA, Bossaghzadeh F, Esmaeili A, Moudi E. The most important medicinal plants affecting sperm and testosterone production: a systematic review. JBRA Assist Reprod. 2022 Aug 4;26(3):522-530. doi: 10.5935/1518-0557.20210108.

    PMID: 35234023BACKGROUND
  • Krausz C. Male infertility: pathogenesis and clinical diagnosis. Best Pract Res Clin Endocrinol Metab. 2011 Apr;25(2):271-85. doi: 10.1016/j.beem.2010.08.006.

    PMID: 21397198BACKGROUND
  • Al Wattar BH, Rimmer MP, Teh JJ, Mackenzie SC, Ammar OF, Croucher C, Anastasiadis E, Gordon P, Pacey A, McEleny K, Sangster P. Pharmacological non-hormonal treatment options for male infertility: a systematic review and network meta-analysis. BMC Urol. 2024 Jul 29;24(1):158. doi: 10.1186/s12894-024-01545-1.

    PMID: 39075435BACKGROUND
  • Jo J, Lee SH, Lee JM, Jerng UM. Semen Quality Improvement in a Man with Idiopathic Infertility Treated with Traditional Korean Medicine: A Case Report. Explore (NY). 2015 Jul-Aug;11(4):320-3. doi: 10.1016/j.explore.2015.04.007. Epub 2015 Apr 28.

    PMID: 26025007BACKGROUND
  • Terai K, Horie S, Fukuhara S, Miyagawa Y, Kobayashi K, Tsujimura A. Combination therapy with antioxidants improves total motile sperm counts: A Preliminary Study. Reprod Med Biol. 2019 Nov 28;19(1):89-94. doi: 10.1002/rmb2.12308. eCollection 2020 Jan.

    PMID: 31956290BACKGROUND

Central Study Contacts

Mr Machiraju Garga

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 16, 2025

First Posted

August 7, 2025

Study Start

August 8, 2025

Primary Completion

February 10, 2026

Study Completion

February 10, 2026

Last Updated

August 7, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share