Effect of Herbal Supplement on Improving Sperm Virility
A Randomized, Double-blind, Placebo-controlled Pilot Study to Evaluate the Efficacy of LN18178 on Improving Sperm Virility (Sperm Motility, Sperm Concentration, and Sperm Morphology)
1 other identifier
interventional
40
0 countries
N/A
Brief Summary
The purpose of this study is to evaluate the efficacy of LN18178 on improving sperm virility.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2025
Shorter than P25 for not_applicable
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
First Submitted
Initial submission to the registry
July 16, 2025
CompletedFirst Posted
Study publicly available on registry
August 7, 2025
CompletedStudy Start
First participant enrolled
August 8, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 10, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 10, 2026
CompletedAugust 7, 2025
July 1, 2025
6 months
July 16, 2025
July 31, 2025
Conditions
Keywords
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
EXPERIMENTAL400 mg, One capsule to be consumed in the morning after breakfast for 12 weeks.
Placebo
OTHEROne capsule to be consumed in the morning after breakfast for 12 Weeks
Interventions
Eligibility Criteria
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: 33032908BACKGROUNDShabsigh 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: 15247755BACKGROUNDPandit 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: 26395129BACKGROUNDYoon 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: 26581682BACKGROUNDWang-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: 16794456BACKGROUNDForest 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: 17568759BACKGROUNDSrivastava 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: 39781534BACKGROUNDPandit 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: 35928723BACKGROUNDSreeramaneni 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: 35129040BACKGROUNDMadireddy 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: 35571381BACKGROUNDAsiedu-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: 27610134BACKGROUNDBoroujeni 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: 35234023BACKGROUNDKrausz 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: 21397198BACKGROUNDAl 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: 39075435BACKGROUNDJo 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: 26025007BACKGROUNDTerai 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
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