Status:

COMPLETED

Androgen for Leydig Cell Proliferation

Lead Sponsor:

University of Roma La Sapienza

Conditions:

Klinefelter Syndrome

Hypergonadotropic Hypogonadism

Eligibility:

MALE

18-60 years

Phase:

PHASE2

PHASE3

Brief Summary

Patients with infertility often presents alterations at ultrasonographic examination of the testis. These alterations include a much higher incidence of small, multiple, non-palpable hypoechoic micro-...

Detailed Description

Patients with the testicular dysgenesis syndrome, that comprises a variable spectrum of clinical manifestations, such as infertility, cryptorchidism, hypospadias, impaired spermatogenesis and testicul...

Eligibility Criteria

Inclusion

  • Non-palpable Multiple hypoechoic testicular nodules (with the largest having a diameter \> 2 mm and \< 12 mm)
  • Serum Follicle-stimulating hormone (FSH) \> 7 mIU/ml (m-International-Unit/ml)
  • Serum Luteinizing hormone (LH) \> 7 IU (International-Unit/ml)
  • Infertility: Klinefelter Syndrome, Hypergonadotropic Hypogonadism, Hypergonadotropic Azospermia, Hypergonadotropic Cryptozoospermia
  • negative testicular tumors markers: beta-hCG (Human chorionic gonadotropin), alpha-FP (alpha-Feto-Protein), CEA (Carcinoembryonic antigen), LDH (Lactate dehydrogenase), ferritin, PLAP (Placental Alkaline Phosphatase).

Exclusion

  • Hypogonadotropic Hypogonadism
  • FSH o LH \< 7 UI
  • non-homogeneous testicular lesion \> 12 mm
  • positive testicular tumors markers: beta-hCG, alpha-FP, CEA, LDH, ferritin, PLAP
  • patients with contraindication to testosterone therapy: prostate cancer, PSA\>4 ng/ml, severe hepatic or renal insufficiency, Hb\>17, Htc\>52%, severe urinary retention
  • desire to conceive
  • history of germ-cell testicular neoplasia

Key Trial Info

Start Date :

June 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2018

Estimated Enrollment :

56 Patients enrolled

Trial Details

Trial ID

NCT01206270

Start Date

June 1 2009

End Date

June 1 2018

Last Update

September 25 2018

Active Locations (1)

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Dipartimento di Fisiopatologia Medica

Rome, Lazio, Italy, 00161