NCT07315737

Brief Summary

Background: Undescended testicles (UDTs) are common in male infants. Untreated UDT poses risks such as infertility (IF), testicular cancer (TC), and testicular torsion (TT). Retractile testicles (RTs) sporadically ascend from the scrotum. UDT requires early surgical correction, whereas RT requires only periodic follow-up. Differentiating these conditions is challenging, making clinical biomarkers potentially useful. The aim of our study was to examine the use of miRNAs, which are difficult to differentiate, as biomarkers in the differential diagnosis of UDT and RT. Methods: This prospective study included 10 boys with UDT (operated), 9 with RT (followed), and 9 controls. Parent consent and serum samples were collected to evaluate miR-210, miR-34c, and miR-449a expression via real-time PCR. For group comparisons, one-way ANOVA was used for parametric data, and the Kruskal-Wallis test was used for nonparametric data, followed by the Dunn-Bonferroni correction for post hoc multiple comparisons. Spearman's rank correlation coefficient was used to analyse correlations. A p value \< 0.05 was considered significant.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
28

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Mar 2022

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2022

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2023

Completed
2.6 years until next milestone

First Submitted

Initial submission to the registry

November 23, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 2, 2026

Completed
Last Updated

January 2, 2026

Status Verified

December 1, 2025

Enrollment Period

1.1 years

First QC Date

November 23, 2025

Last Update Submit

December 23, 2025

Conditions

Keywords

CryptorchidismUndescended testicleRetractile testiclemiRNAInfertilityTesticular cancer

Outcome Measures

Primary Outcomes (2)

  • miRNA levels

    2Ct (target gene) - Ct (reference gene)

    Within study enrollement

  • miRNA changes

    Differentiation of miRNA levels in three arms

    Rapid miRNA levels at study enrollement time.

Study Arms (3)

Undescended Testicle

Undescended testicle cases whose miRNA levels investigated

Diagnostic Test: miRNA

Retractile testicle

Retractile testicle cases whose miRNA levels investigated

Diagnostic Test: miRNA

Control

Healthy kids with testes in the scrotum whose miRNA levels investigated

Diagnostic Test: miRNA

Interventions

miRNADIAGNOSTIC_TEST

miR-34c , miR-210 , miR-449a levels investigated.

ControlRetractile testicleUndescended Testicle

Eligibility Criteria

Age3 Months - 18 Years
Sexmale(Gender-based eligibility)
Gender Eligibility DetailsThe study depends on undescended testicle which is a pathology related to male gender
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Control group: Healthy kids with both testes in scrotum. Undescended testis group: Kids with unilateral palpable undescended testis or bilateral palpable testes. Recractile testis group: Kids under monitorisation for unilateral retractile testis or bilateral retractile testes.

You may qualify if:

  • Palpable (unilateral or bilateral) undescended testis cases
  • Retractile testis cases; physician examinations were performed in three positions (supine, semisupine, standing), followed by a 1-month parental examination (twice daily).
  • Healty kids less than 18 years old with palpable two testes palpable in scrotum.

You may not qualify if:

  • Prior inguinal/scrotal surgery
  • Defective datasets
  • Unsuitable serum samples

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ordu University

Ordu, Altınordu, 52200, Turkey (Türkiye)

Location

Related Publications (24)

  • Pizzi G, Groppetti D, Brambilla E, Pecile A, Grieco V, Lecchi C. MicroRNA as epigenetic regulators of canine cryptorchidism. Res Vet Sci. 2023 Sep;162:104961. doi: 10.1016/j.rvsc.2023.104961. Epub 2023 Jul 20.

    PMID: 37487386BACKGROUND
  • Kim EP, Shin JH, Kim WH, Kim GA. Integrated miRNA Changes in Canine Testis and Epididymis According to Age and Presence of Cryptorchidism. Animals (Basel). 2023 Apr 18;13(8):1390. doi: 10.3390/ani13081390.

    PMID: 37106953BACKGROUND
  • Elias FM, Nishi MY, Sircili MHP, Bastista RL, Gomes NL, Ferrari MTM, Costa EMF, Denes FT, Mendonca BB, Domenice S. Elevated plasma miR-210 expression is associated with atypical genitalia in patients with 46,XY differences in sex development. Mol Genet Genomic Med. 2022 Dec;10(12):e2084. doi: 10.1002/mgg3.2084. Epub 2022 Nov 11.

    PMID: 36369742BACKGROUND
  • Jia H, Ma T, Jia S, Ouyang Y. AKT3 and related molecules as potential biomarkers responsible for cryptorchidism and cryptorchidism-induced azoospermia. Transl Pediatr. 2021 Jul;10(7):1805-1817. doi: 10.21037/tp-21-31.

    PMID: 34430428BACKGROUND
  • Yadav SK, Pandey A, Kumar L, Devi A, Kushwaha B, Vishvkarma R, Maikhuri JP, Rajender S, Gupta G. The thermo-sensitive gene expression signatures of spermatogenesis. Reprod Biol Endocrinol. 2018 Jun 2;16(1):56. doi: 10.1186/s12958-018-0372-8.

    PMID: 29859541BACKGROUND
  • Procopio MS, de Avelar GF, Costa GMJ, Lacerda SMSN, Resende RR, de Franca LR. MicroRNAs in Sertoli cells: implications for spermatogenesis and fertility. Cell Tissue Res. 2017 Dec;370(3):335-346. doi: 10.1007/s00441-017-2667-z. Epub 2017 Aug 4.

    PMID: 28779347BACKGROUND
  • Lian J, Zhang X, Tian H, Liang N, Wang Y, Liang C, Li X, Sun F. Altered microRNA expression in patients with non-obstructive azoospermia. Reprod Biol Endocrinol. 2009 Feb 11;7:13. doi: 10.1186/1477-7827-7-13.

    PMID: 19210773BACKGROUND
  • Han H, Chen Q, Gao Y, Li J, Li W, Dang R, Lei C. Comparative Transcriptomics Analysis of Testicular miRNA from Cryptorchid and Normal Horses. Animals (Basel). 2020 Feb 21;10(2):338. doi: 10.3390/ani10020338.

    PMID: 32098036BACKGROUND
  • Huang Z, Tang D, Gao J, Dou X, Cheng P, Peng D, Zhang Y, Mao J, Zhang L, Zhang X. miR-34c disrupts spermatogonial stem cell homeostasis in cryptorchid testes by targeting Nanos2. Reprod Biol Endocrinol. 2018 Oct 15;16(1):97. doi: 10.1186/s12958-018-0417-z.

    PMID: 30322389BACKGROUND
  • Tang D, Huang Z, He X, Wu H, Peng D, Zhang L, Zhang X. Altered miRNA profile in testis of post-cryptorchidopexy patients with non-obstructive azoospermia. Reprod Biol Endocrinol. 2018 Aug 13;16(1):78. doi: 10.1186/s12958-018-0393-3.

    PMID: 30103742BACKGROUND
  • Duan Z, Huang H, Sun F. The functional and predictive roles of miR-210 in cryptorchidism. Sci Rep. 2016 Aug 26;6:32265. doi: 10.1038/srep32265.

    PMID: 27562222BACKGROUND
  • Lagos-Quintana M, Rauhut R, Meyer J, Borkhardt A, Tuschl T. New microRNAs from mouse and human. RNA. 2003 Feb;9(2):175-9. doi: 10.1261/rna.2146903.

    PMID: 12554859BACKGROUND
  • Bartel DP. MicroRNAs: genomics, biogenesis, mechanism, and function. Cell. 2004 Jan 23;116(2):281-97. doi: 10.1016/s0092-8674(04)00045-5.

    PMID: 14744438BACKGROUND
  • Park KH, Lee JH, Han JJ, Lee SD, Song SY. Histological evidences suggest recommending orchiopexy within the first year of life for children with unilateral inguinal cryptorchid testis. Int J Urol. 2007 Jul;14(7):616-21. doi: 10.1111/j.1442-2042.2007.01788.x.

    PMID: 17645605BACKGROUND
  • Engeler DS, Hosli PO, John H, Bannwart F, Sulser T, Amin MB, Heitz PU, Hailemariam S. Early orchiopexy: prepubertal intratubular germ cell neoplasia and fertility outcome. Urology. 2000 Jul;56(1):144-8. doi: 10.1016/s0090-4295(00)00560-4.

    PMID: 10869645BACKGROUND
  • Wenzler DL, Bloom DA, Park JM. What is the rate of spontaneous testicular descent in infants with cryptorchidism? J Urol. 2004 Feb;171(2 Pt 1):849-51. doi: 10.1097/01.ju.0000106100.21225.d7.

    PMID: 14713841BACKGROUND
  • Radmayr C, Dogan HS, Hoebeke P, Kocvara R, Nijman R, Silay S, Stein R, Undre S, Tekgul S. Management of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines. J Pediatr Urol. 2016 Dec;12(6):335-343. doi: 10.1016/j.jpurol.2016.07.014. Epub 2016 Sep 15.

    PMID: 27687532BACKGROUND
  • Hadziselimovic F, Herzog B. The importance of both an early orchidopexy and germ cell maturation for fertility. Lancet. 2001 Oct 6;358(9288):1156-7. doi: 10.1016/S0140-6736(01)06274-2.

    PMID: 11597673BACKGROUND
  • Moritoki Y, Hayashi Y, Mizuno K, Kamisawa H, Nishio H, Kurokawa S, Ugawa S, Kojima Y, Kohri K. Expression profiling of microRNA in cryptorchid testes: miR-135a contributes to the maintenance of spermatogonial stem cells by regulating FoxO1. J Urol. 2014 Apr;191(4):1174-80. doi: 10.1016/j.juro.2013.10.137. Epub 2013 Oct 31.

    PMID: 24184258BACKGROUND
  • Jia H, Hao C. Exploring dysregulated miRNAs in cryptorchidism: a systematic review. J Int Med Res. 2021 Mar;49(3):300060521999950. doi: 10.1177/0300060521999950.

    PMID: 33729892BACKGROUND
  • Lv W, Yu M, Su Y. miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2. Open Med (Wars). 2022 Mar 17;17(1):556-565. doi: 10.1515/med-2022-0429. eCollection 2022.

    PMID: 35415251BACKGROUND
  • Garcia-Andrade F, Vigueras-Villasenor RM, Chavez-Saldana MD, Rojas-Castaneda JC, Bahena-Ocampo IU, Arechaga-Ocampo E, Diaz-Chavez J, Landero-Huerta DA. The Role of microRNAs in the Gonocyte Theory as Target of Malignancy: Looking for Potential Diagnostic Biomarkers. Int J Mol Sci. 2022 Sep 10;23(18):10526. doi: 10.3390/ijms231810526.

    PMID: 36142439BACKGROUND
  • Dieckmann KP, Spiekermann M, Balks T, Ikogho R, Anheuser P, Wosniok W, Loening T, Bullerdiek J, Belge G. MicroRNA miR-371a-3p - A Novel Serum Biomarker of Testicular Germ Cell Tumors: Evidence for Specificity from Measurements in Testicular Vein Blood and in Neoplastic Hydrocele Fluid. Urol Int. 2016;97(1):76-83. doi: 10.1159/000444303. Epub 2016 Mar 19.

    PMID: 26989896BACKGROUND
  • Condrat CE, Thompson DC, Barbu MG, Bugnar OL, Boboc A, Cretoiu D, Suciu N, Cretoiu SM, Voinea SC. miRNAs as Biomarkers in Disease: Latest Findings Regarding Their Role in Diagnosis and Prognosis. Cells. 2020 Jan 23;9(2):276. doi: 10.3390/cells9020276.

    PMID: 31979244BACKGROUND

Biospecimen

Retention: SAMPLES WITH DNA

Serum samples collected for miRNA analysis.

MeSH Terms

Conditions

Ataxia Neuropathy SpectrumCryptorchidismInfertilityTesticular Neoplasms

Condition Hierarchy (Ancestors)

Testicular DiseasesGenital Diseases, MaleGenital DiseasesUrogenital DiseasesMale Urogenital DiseasesUrogenital AbnormalitiesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGonadal DisordersEndocrine System DiseasesEndocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsGenital Neoplasms, MaleUrogenital Neoplasms

Study Officials

  • Benli

    Ordu University

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant professor

Study Record Dates

First Submitted

November 23, 2025

First Posted

January 2, 2026

Study Start

March 1, 2022

Primary Completion

March 31, 2023

Study Completion

April 30, 2023

Last Updated

January 2, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations