NCT07393334

Brief Summary

NLS-133-CLIN001 is a Phase 2a study designed to assess the safety, tolerability, and effects of NLS-133 (combination of two FDA-approved agents) compared to an active control (FDA-approved pharmacologic agent) or placebo on semen volume and sperm count in 10 in healthy men. Participants will be randomized in a crossover design to receive a single dose of NLS-133, an active control or placebo either 90 or 180 minutes prior to collection of semen. Sperm parameters measured will be count, motility and morphology. A brief questionnaire will be completed by each subject during each treatment cycle that addresses orgasm and ejaculation quality. Safety monitoring will include adverse event reporting, laboratory assessments, and vital signs.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
10

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Dec 2025

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
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

Study Start

First participant enrolled

December 2, 2025

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

December 31, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 6, 2026

Completed
23 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2026

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2026

Completed
Last Updated

February 6, 2026

Status Verified

January 1, 2026

Enrollment Period

3 months

First QC Date

December 31, 2025

Last Update Submit

January 30, 2026

Conditions

Keywords

Effect of NLS-133 on semen volume and semen parameters

Outcome Measures

Primary Outcomes (2)

  • Semen volume (mL)

    90 and 180 minutes for each treatment cycle

  • Sperm count (millions/mL)

    Measurement of sperm count

    90 and 180 minutes for each treatment cycle

Secondary Outcomes (1)

  • Sperm motility

    90 and 180 after placebo, active-control or NLS-133 administration

Study Arms (3)

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Active Control

ACTIVE COMPARATOR

generic alpha-1-adrenergic receptor antagonist

Drug: Active Comparator #1

NLS-133 (combination of two FDA-approved drugs)

EXPERIMENTAL
Drug: NLS-133

Interventions

NLS-133 is the primary experimental arm of the study

NLS-133 (combination of two FDA-approved drugs)

Double placebo arm of the study

Placebo

Active control arm of study

Also known as: Active control
Active Control

Eligibility Criteria

Age18 Years - 55 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Male, age 18-55.
  • Normal physical examination and testicular volume \>15 cc
  • No significant medical history that would impact the safety of the study.
  • No current use of drugs that comprise NLS-133
  • Normal values on baseline hematology, blood chemistry and liver function tests and serum testosterone.
  • Normal baseline sperm parameters (semen volume \>1.4 cc, sperm concentration \>15 million/ml, motility \>40% and morphology \>4%).
  • Willing and able to comply with all study requirements and procedures.

You may not qualify if:

  • History or evidence of erectile dysfunction.
  • Inability to produce semen samples in clinic setting.
  • Significant chronic or acute medical illness.
  • Previous or current ethanol or illicit drug abuse.
  • Evidence of significant underlying disease (based on results of the physical exam and the routine labs).
  • Known infertility or hypogonadism.
  • Planned or anticipated use of any prohibited medications during participation in the study. These include use of sex hormones for treatment, testosterone, anabolic steroids, retinoic acid (e.g., Accutane®), vitamin A, other drugs known to inhibit spermatogenesis, opioids, cocaine, methamphetamine, and/or the consumption of \>4 alcoholic beverages daily.
  • Presence of moderate-to-severe pulmonary or cardiovascular disease
  • Known active hepatitis B, hepatitis C, human immunodeficiency virus (HIV), or COVID-19 infection.
  • History of malignancy within 5 years before the Screening Visit, except fully treated and resolved non-metastatic squamous or basal cell carcinoma of the skin.
  • Known active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antifungals, antiparasitics or antiprotozoals during the Screening period.
  • Any other acute or chronic medical or psychiatric condition or laboratory abnormality that could increase the risk associated with study participation in the judgment of the investigator would make the participant inappropriate for entry into the study.
  • Participation in another investigational clinical trial within the last 30 days.
  • Participants who live in detention on court order or on regulatory action.
  • Related to sponsor or staff involved in the conduct of the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Population Center for Research in Human Reproduction and Departments of Medicine, University of Washington

Seattle, Washington, 98195, United States

RECRUITING

Central Study Contacts

John K Amory, MD, MPH, MSc

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Model Details: Randomized, placebo- and active-controlled, cross-over design
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 31, 2025

First Posted

February 6, 2026

Study Start

December 2, 2025

Primary Completion

March 1, 2026

Study Completion

May 1, 2026

Last Updated

February 6, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Small-scale (10 subjects) proof of concept study

Locations