"System Medicine" Approach for Prevention Strategies for Comorbidities in Infertile Men

NCT ID: NCT06183255

Last Updated: 2023-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-18

Study Completion Date

2025-07-31

Brief Summary

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By applying a "system medicine" approach, the project aims to identify new biomarkers and/or prognostic tools aimed at developing personalized strategies to prevent the onset of comorbidities in infertile men.

Detailed Description

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By applying a "system medicine" approach, the project aims to identify new biomarkers and/or prognostic tools aimed at developing personalized strategies to prevent the onset of comorbidities in infertile men.

The findings will provide new insights into the relationship between male infertility and somatic health, and shed light on the role of the microbiome in modulating the activity of the immune system. A "signature" of lack of immunological tolerance and biomarkers could be useful to predict future oncologic and non-oncological comorbidities in infertile men. This will let the development of a more clinically reliable and cost-effective personalized primary/secondary prevention strategy in a population at high risk of clinically relevant diseases.

Conditions

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Infertility Male Infertility

Keywords

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Infertility Male Infertility Comorbidity

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Infertile men

Men with a diagnosis of pure Male Factor Infertility, as for WHO criteria

Observation and evaluation of clinical parameters in the two cohorts

Intervention Type OTHER

During medical history evaluation, all factors that could negatively affect male fertility, like prevalent comorbidities, previous testis surgery, and any disorder affecting testicular function will be investigated in fertile and infertile men. Moreover, family history will be deeply investigated, including fertility status and prevalence of malignant Non Communicables Diseases. A comprehensive physical examination will be performed on each infertile and fertile man.

Fertile men

Fathers with at least one child, spontaneously conceived, with a time-to-pregnancy within 12 months, as for WHO criteria

Observation and evaluation of clinical parameters in the two cohorts

Intervention Type OTHER

During medical history evaluation, all factors that could negatively affect male fertility, like prevalent comorbidities, previous testis surgery, and any disorder affecting testicular function will be investigated in fertile and infertile men. Moreover, family history will be deeply investigated, including fertility status and prevalence of malignant Non Communicables Diseases. A comprehensive physical examination will be performed on each infertile and fertile man.

Interventions

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Observation and evaluation of clinical parameters in the two cohorts

During medical history evaluation, all factors that could negatively affect male fertility, like prevalent comorbidities, previous testis surgery, and any disorder affecting testicular function will be investigated in fertile and infertile men. Moreover, family history will be deeply investigated, including fertility status and prevalence of malignant Non Communicables Diseases. A comprehensive physical examination will be performed on each infertile and fertile man.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Signature of the informed consent;
* Be adults aged \> 18;
* Caucasian race;
* Documented diagnosis of primary male infertility with pure male factor;

Exclusion Criteria

* Failure to obtain informed consent;
* Patients with a known history of haematological disease;
* Patients undergoing antibiotic treatments in the last 6 months
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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IRCCS San Raffaele

OTHER

Sponsor Role lead

Responsible Party

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Andrea Salonia

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrea Salonia, MD

Role: PRINCIPAL_INVESTIGATOR

IRCCS Ospedale San Raffaele

Locations

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IRCCS Ospedale San Raffaele

Milan, Lombardy, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Andrea Salonia, MD

Role: CONTACT

Phone: 02 2643 5661

Email: [email protected]

Alessia d'Arma, PhD

Role: CONTACT

Phone: 02 2643 5506

Email: [email protected]

Facility Contacts

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Alessia d'Arma, PhD

Role: primary

Other Identifiers

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RF-201912368847

Identifier Type: -

Identifier Source: org_study_id