- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02932527
Effect of Cannabis Consumption on Sperm Nuclear Quality in Infertile Men (CANNASPERM)
May 14, 2018 updated by: University Hospital, Rouen
Effect of Cannabis Consumption on Sperm Nuclear Quality in Infertile Men : a Prospective Exposed / Unexposed Study
Lifestyle and environmental factors can disrupt development and testicular function.
In France, cannabis is the most widely used illicit substance and about 8% of adults between 18 and 64 years smoke cannabis at least once a year, and mostly men under 45 years.
Endocannabinoids are lipid mediators that share some effects with the active ingredients of cannabis.
Cannabis and endocannabinoids act via two types of endogenous receptors which were detected at different levels of the reproductive system and are involved in the central and local regulation of the gonad.
Cannabis use may alter the normal regulation of the endocannabinoid system.
In males, the regulation of the endocannabinoid system is critical for Sertoli and Leydig cells functions, germ cell differentiation, maturation of sperm nucleus and sperm quality.
The cannabis can have a negative impact on sperm parameters, capacitation and acrosome reaction.
Cannabinoids may decrease testosterone synthesis and induce apoptosis of Sertoli cells.
Studies on the effect of cannabinoids on male fertility are scarce or nonexistent in infertile men because of ethical considerations and bias due to consumption often underreported.
Investigators hypothesized that cannabis use may alter sperm nuclear quality.
Investigators want to explore this hypothesis conducting a multicentric prospective study exposed/non-exposed in infertile men who are consulting for Medically Assisted Reproductive Technologies (ART).
To reach this study, it is planned to include a total of 200 subjects taking into account any exclusions.
Study Overview
Status
Unknown
Conditions
Study Type
Interventional
Enrollment (Anticipated)
200
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: France VERHAEGHE, MD
- Phone Number: 8990 +3323288
- Email: France.Verhaeghe@chu-rouen.fr
Study Locations
-
-
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Caen, France
- Recruiting
- CAEN University Hospital
-
Contact:
- Emeline BOVET-COURTOIS, MD
-
Principal Investigator:
- Emeline BOVET-COURTOIS, MD
-
Lille, France
- Recruiting
- Lille University Hospital
-
Contact:
- Anne-Laure BARBOTIN, MD
-
Principal Investigator:
- Anne-Laure BARBOTIN, MD
-
Rouen, France
- Recruiting
- ROUEN university hospital
-
Contact:
- France VERHAEGHE, MD
- Email: France.Verhaeghe@chu-rouen.fr
-
Principal Investigator:
- France VERHAEGHE, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 60 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Male
Description
Inclusion Criteria:
- Male Patient,
- Patient age ≥ 18 years,
- Infertile patient with isolated teratozoospermia or associated with asthenozoospermia and / or oligozoospermia and / or necrozoospermia, defined according to WHO recommendations (WHO guidelines, 2010) and the David amended classification (Auger et al, 2001) for teratozoospermia
- Patient with normal constitutional karyotype (46, XY).
- Smoking tobacco,
- Drinking ≤ 20 g (2 units) / day,
- Patient exposed : Cannabis user for over 3 months and consuming at least weekly (≥ 1 / week) [questionnaire and positive blood detection of Delta-9-Tetrahydrocannabinol (THC) and / or its derivatives (11-hydroxy-THC and 11-nor-9-carboxy-THC)].
- Unexposed : No cannabis user (questionnaire and negative blood detection of Delta-9-THC and its derivatives) matched for age (+/- 2.5 years) with exposed patients included,
Exclusion Criteria:
- Patient age > 60 years
- Patient with azoospermia
- Patient previously exposed to gonadotoxic treatment (chemotherapy, radiotherapy, androgen therapy and other gonadotoxic treatments),
- Patient with professional toxic exposure,
- Patient consuming other recreational drugs,
- Patient with severely impaired sperm parameters and sperm counts <1 million,
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: infertile men exposed to cannabis
Male with isolated teratozoospermia or associated with asthenozoospermia and / or oligozoospermia and / or necrozoospermia defined according to WHO recommendations (WHO guidelines, 2010) and the David amended classification (Auger et al., 2001) with normal constitutional karyotype (46, XY) exposed to cannabis; The exposure to cannabis is not an intervention in the study but is a pre-condition for inclusion.
Blood intake and semen samples collection are done.
Questionnaire about cannabis consumption are assessed to patient.
|
Questionnaire about cannabis consumption will be assessed to infertile male exposed to cannabis and infertile male not exposed to cannabis.
blood intake is done for infertile male exposed and infertile male not exposed.
Semen samples are collected for infertile male exposed and infertile male not exposed.
|
Other: infertile men not exposed to cannabis
Male with isolated teratozoospermia or associated with asthenozoospermia and / or oligozoospermia and / or necrozoospermia defined according to WHO recommendations (WHO guidelines, 2010) and the David amended classification (Auger et al., 2001) with normal constitutional karyotype (46, XY) not exposed to cannabis; The exposure to cannabis is not an intervention in the study but is a pre-condition for inclusion.
Blood intake and semen samples collection are done.
Questionnaire about cannabis consumption are assessed to patient.
|
Questionnaire about cannabis consumption will be assessed to infertile male exposed to cannabis and infertile male not exposed to cannabis.
blood intake is done for infertile male exposed and infertile male not exposed.
Semen samples are collected for infertile male exposed and infertile male not exposed.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of spermatic aneuploidy rate
Time Frame: Day 1
|
Spermatic aneuploidy rate is evaluated for patients exposed and not exposed to cannabis
|
Day 1
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of consumption level
Time Frame: Day 1
|
Consumption level are evaluated for patients exposed to cannabis, using questionnaire
|
Day 1
|
Evaluation of cannabinoids level in blood
Time Frame: Day 1
|
cannabinoids levels in blood are evaluated for patients exposed and not exposed to cannabis
|
Day 1
|
Total sperm count
Time Frame: Day 1
|
Day 1
|
|
Percentage of mobile spermatozoa
Time Frame: Day 1
|
Day 1
|
|
Percentage of morphologically abnormal spermatozoa
Time Frame: Day 1
|
Day 1
|
|
Mean vacuole area threshold
Time Frame: Day 1
|
Mean vacuole area threshold is measured with Receiver Operating Characteristic curves
|
Day 1
|
Correlation coefficient between vacuole areas and sperm DNA fragmentation
Time Frame: Day 1
|
Correlation coefficient between vacuole areas and sperm DNA fragmentation are evaluated by TUNEL analysis
|
Day 1
|
Correlation coefficient between vacuole areas and abnormal chromatin condensation
Time Frame: Day 1
|
Correlation coefficient between vacuole areas and abnormal chromatin condensation is evaluated by aniline blue staining
|
Day 1
|
Correlation coefficient between vacuole areas and telomere number, distribution and length
Time Frame: Day 1
|
Correlation coefficient between vacuole areas and telomere number, distribution and length is evaluated by quantitative FISH
|
Day 1
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: France VERHAEGHE, MD, ROUEN university hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 29, 2017
Primary Completion (Anticipated)
August 1, 2020
Study Completion (Anticipated)
August 1, 2020
Study Registration Dates
First Submitted
October 7, 2016
First Submitted That Met QC Criteria
October 11, 2016
First Posted (Estimate)
October 13, 2016
Study Record Updates
Last Update Posted (Actual)
May 17, 2018
Last Update Submitted That Met QC Criteria
May 14, 2018
Last Verified
May 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2015/209/HP
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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