- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06560216
Cryopreservation Medium With Apigenin on Post-thaw Human Sperm
Effects of Supplementation of Cryopreservation Medium With Apigenin on Post-thaw Human Sperm
The goal of this clinical trial is to compare the effect of apigenin supplementation in freezing medium with no apigenin supplementation in freezing medium on post-thaw human sperm motility. It will also evaluate the sperm viability, total antioxidant capacity, and oxidative stress markers. The main questions it aims to answer are:
- Does apigenin supplementation in freezing medium improve the post-thaw sperm motility?
- Does apigenin supplementation in freezing medium improve the post-thaw sperm viability, total antioxidant capacity, and oxidative stress?
Study Overview
Detailed Description
All normal semen samples from participants who give written informed consent and meet the eligibility requirements will be included in the study. Prepared semen samples were divided into 3 groups.
- Pre-freezing sperm suspension
- Frozen-thawed control without apigenin supplementation in freezing medium
- Frozen-thawed sperm suspension with apigenin 0.2 mM supplementation in freezing medium Baseline sperm motility will be measured in pre-freezing sperm suspension. The last 2 groups will be stored in liquid nitrogen for at least one week. After thawing, the sperm suspensions will be evaluated for motility, viability, total antioxidant capacity, and oxidative stress markers.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bangkok, Thailand, 10330
- Chulalongkorn University
-
Bangkok, Thailand, 10330
- Chulalongkorn Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Healthy men aged 18-45 years who can receive semen analysis services at the Reproductive Biology Unit, Chulalongkorn Hospital, Thai Red Cross Society
- Normal semen analysis results according to the World Health Organization criteria (Volume ≥ 1.4 mL, Sperm concentration ≥ 16 million/mL, Total motility ≥ 42%, Progressive motility ≥ 30%)
- Giving consent
Exclusion Criteria:
- A history of accidents, radiation to the testes, or a history of male reproductive system surgery
- Undescended testis
- Varicocele
- A history of taking certain medications that affect sperm production, such as chemotherapy, hormones
- Currently having sexually transmitted disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Control
Frozen-thawed sperm suspension without apigenin supplementation in freezing medium
|
|
|
Experimental: Apigenin
Frozen-thawed sperm suspension with apigenin 0.2 mM supplementation in freezing medium
|
0.2 mM in freezing medium
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of sperm motility
Time Frame: At least 1 week of freezing
|
Sperm motility (total motility, progressive motility, non-progressive motility, immotile spermatozoa) will be reported in percentage. Compare results among freezing medium with apigenin group, control group, and baseline pre-freeze sperm suspension. |
At least 1 week of freezing
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of sperm viability comparison between intervention and control group
Time Frame: At least 1 week of freezing
|
Viability test will be assessed by eosin-nigrosin staining technique
|
At least 1 week of freezing
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total antioxidant capacity comparison between intervention and control group
Time Frame: At least 1 week of freezing
|
Total antioxidant capacity will be assessed by ABTS assay
|
At least 1 week of freezing
|
|
Oxidative stress markers comparison between intervention and control group
Time Frame: At least 1 week of freezing
|
Oxidative stress markers will be measured.
e.g.
reactive oxygen species
|
At least 1 week of freezing
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Punyawee Utaipatanacheep, Chulalongkorn University
Publications and helpful links
General Publications
- Agarwal A, Rana M, Qiu E, AlBunni H, Bui AD, Henkel R. Role of oxidative stress, infection and inflammation in male infertility. Andrologia. 2018 Dec;50(11):e13126. doi: 10.1111/and.13126.
- PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 5280443, Apigenin; [cited 2024 July 25]. [Internet]. 2004. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Apigenin.
- World Health Organization. WHO laboratory manual for the examination and processing of human semen. 6th ed. Geneva: World Health Organization, Cop; 2021.
- Ngamjarus C, Pattanittum P. n4Studies: application for sample size calculation in health science research. Version 2.3. App store. 2024.
- Ngamjarus C. Sample size calculation for health science research. 1st ed. Khon Kaen University Printing House, Khon Kaen, Thailand 2021.
- Chow S-C, Shao J, Wang H. Sample size calculations in clinical research. 2 ed. Boca Raton: FLA: Chapman and Hall/CRC; 2003.
- Anger JT, Gilbert BR, Goldstein M. Cryopreservation of sperm: indications, methods and results. J Urol. 2003 Oct;170(4 Pt 1):1079-84. doi: 10.1097/01.ju.0000084820.98430.b8.
- Sharma Y, Sharma M. Sperm Cryopreservation: Principles and Biology. J Infertil Reprod Biol 2020;8:43-8.
- Hai E, Li B, Zhang J, Zhang J. Sperm freezing damage: the role of regulated cell death. Cell Death Discov. 2024 May 18;10(1):239. doi: 10.1038/s41420-024-02013-3.
- Keel BA, Black JB. Reduced motility longevity in thawed human spermatozoa. Arch Androl. 1980 May;4(3):213-5. doi: 10.3109/01485018008986965.
- O'Connell M, McClure N, Lewis SE. The effects of cryopreservation on sperm morphology, motility and mitochondrial function. Hum Reprod. 2002 Mar;17(3):704-9. doi: 10.1093/humrep/17.3.704.
- Ozkavukcu S, Erdemli E, Isik A, Oztuna D, Karahuseyinoglu S. Effects of cryopreservation on sperm parameters and ultrastructural morphology of human spermatozoa. J Assist Reprod Genet. 2008 Aug;25(8):403-11. doi: 10.1007/s10815-008-9232-3. Epub 2008 Aug 13.
- Oberoi B, Kumar S, Talwar P. Study of human sperm motility post cryopreservation. Med J Armed Forces India. 2014 Oct;70(4):349-53. doi: 10.1016/j.mjafi.2014.09.006. Epub 2014 Oct 16.
- Liu T, Gao J, Zhou N, Mo M, Wang X, Zhang X, Yang H, Chen Q, Ao L, Liu J, Cui Z, Cao J. The effect of two cryopreservation methods on human sperm DNA damage. Cryobiology. 2016 Jun;72(3):210-5. doi: 10.1016/j.cryobiol.2016.04.004. Epub 2016 Apr 25.
- Hezavehei M, Sharafi M, Kouchesfahani HM, Henkel R, Agarwal A, Esmaeili V, Shahverdi A. Sperm cryopreservation: A review on current molecular cryobiology and advanced approaches. Reprod Biomed Online. 2018 Sep;37(3):327-339. doi: 10.1016/j.rbmo.2018.05.012. Epub 2018 Aug 22.
- Darsini N, Hamidah B, Suyono S, Ashari F, Aswin R, Yudiwati R. Human Sperm Motility, Viability, and Morphology Decreased after Cryopreservation. Folia Medica Indonesiana 2019;55:198.
- Fernandez-Lopez P, Garriga J, Casas I, Yeste M, Bartumeus F. Predicting fertility from sperm motility landscapes. Commun Biol. 2022 Sep 28;5(1):1027. doi: 10.1038/s42003-022-03954-0. Erratum In: Commun Biol. 2022 Oct 13;5(1):1089. doi: 10.1038/s42003-022-04060-x.
- Wang S, Wang W, Xu Y, Tang M, Fang J, Sun H, Sun Y, Gu M, Liu Z, Zhang Z, Lin F, Wu T, Song N, Wang Z, Zhang W, Yin C. Proteomic characteristics of human sperm cryopreservation. Proteomics. 2014 Feb;14(2-3):298-310. doi: 10.1002/pmic.201300225.
- Amidi F, Pazhohan A, Shabani Nashtaei M, Khodarahmian M, Nekoonam S. The role of antioxidants in sperm freezing: a review. Cell Tissue Bank. 2016 Dec;17(4):745-756. doi: 10.1007/s10561-016-9566-5. Epub 2016 Jun 24.
- Sudhakaran G, Kesavan D, Kandaswamy K, Guru A, Arockiaraj J. Unravelling the epigenetic impact: Oxidative stress and its role in male infertility-associated sperm dysfunction. Reprod Toxicol. 2024 Mar;124:108531. doi: 10.1016/j.reprotox.2023.108531. Epub 2024 Jan 2.
- Antioxidants in Sperm Cryopreservation , bookTitle= Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Cham: Springer International Publishing; 2020. 671--8 p.
- Sabeti P, Pourmasumi S, Rahiminia T, Akyash F, Talebi AR. Etiologies of sperm oxidative stress. Int J Reprod Biomed. 2016 Apr;14(4):231-40.
- Mannucci A, Argento FR, Fini E, Coccia ME, Taddei N, Becatti M, Fiorillo C. The Impact of Oxidative Stress in Male Infertility. Front Mol Biosci. 2022 Jan 5;8:799294. doi: 10.3389/fmolb.2021.799294. eCollection 2021.
- Barranco I, Tvarijonaviciute A, Perez-Patino C, Parrilla I, Ceron JJ, Martinez EA, Rodriguez-Martinez H, Roca J. High total antioxidant capacity of the porcine seminal plasma (SP-TAC) relates to sperm survival and fertility. Sci Rep. 2015 Dec 21;5:18538. doi: 10.1038/srep18538.
- Di Santo M, Tarozzi N, Nadalini M, Borini A. Human Sperm Cryopreservation: Update on Techniques, Effect on DNA Integrity, and Implications for ART. Adv Urol. 2012;2012:854837. doi: 10.1155/2012/854837. Epub 2011 Dec 13.
- Moubasher AE, El Din AM, Ali ME, El-sherif WT, Gaber HD. Catalase improves motility, vitality and DNA integrity of cryopreserved human spermatozoa. Andrologia. 2013 Apr;45(2):135-9. doi: 10.1111/j.1439-0272.2012.01310.x. Epub 2012 May 16.
- Tas DO, Ozkavukcu S, Inanc I, Kose SK, Erdemli E. The effects of coenzyme Q10 and curcumin supplementation in freezing medium for human sperm cryopreservation. Eur J Obstet Gynecol Reprod Biol. 2023 Aug;287:36-45. doi: 10.1016/j.ejogrb.2023.05.040. Epub 2023 Jun 2.
- Moradi Gardeshi T, Shahandeh E, Tavakolpoor Saleh N, Karami S, Mirzaei Azandaryani Z, Mazaheri F, Mohammadi H. Evaluation of the effect of mitoquinone on functional parameters, DNA structure, and genes expression related to the apoptotic and antioxidants of human sperm after freezing-thawing. Mol Biol Rep. 2024 Jan 23;51(1):183. doi: 10.1007/s11033-023-09020-0.
- Jannatifar R, Asa E, Sahraei SS, Verdi A, Piroozmanesh H. N-acetyl-l-cysteine and alpha lipoic acid are protective supplement on human sperm parameters in cryopreservation of asthenoteratozoospermia patients. Andrologia. 2022 Dec;54(11):e14612. doi: 10.1111/and.14612. Epub 2022 Nov 1.
- Akbarzadeh-Jahromi M, Jafari F, Parsanezhad ME, Alaee S. Evaluation of supplementation of cryopreservation medium with gallic acid as an antioxidant in quality of post-thaw human spermatozoa. Andrologia. 2022 Dec;54(11):e14571. doi: 10.1111/and.14571. Epub 2022 Aug 23.
- Noto D, Collodel G, Cerretani D, Signorini C, Gambera L, Menchiari A, Moretti E. Protective Effect of Chlorogenic Acid on Human Sperm: In Vitro Studies and Frozen-Thawed Protocol. Antioxidants (Basel). 2021 May 7;10(5):744. doi: 10.3390/antiox10050744.
- Mohammadi F, Varanloo N, Heydari Nasrabadi M, Vatannejad A, Amjadi FS, Javedani Masroor M, Bajelan L, Mehdizadeh M, Aflatoonian R, Zandieh Z. Supplementation of sperm freezing medium with myoinositol improve human sperm parameters and protects it against DNA fragmentation and apoptosis. Cell Tissue Bank. 2019 Mar;20(1):77-86. doi: 10.1007/s10561-018-9731-0. Epub 2019 Jan 29.
- Najafi L, Halvaei I, Movahedin M. Canthaxanthin protects human sperm parameters during cryopreservation. Andrologia. 2019 Nov;51(10):e13389. doi: 10.1111/and.13389. Epub 2019 Aug 11.
- Aghaz F, Khazaei M, Vaisi-Raygani A, Bakhtiyari M. Cryoprotective effect of sericin supplementation in freezing and thawing media on the outcome of cryopreservation in human sperm. Aging Male. 2020 Dec;23(5):469-476. doi: 10.1080/13685538.2018.1529156. Epub 2018 Nov 19.
- Ghorbani M, Amiri I, Khodadadi I, Fattahi A, Atabakhsh M, Tavilani H. Influence of BHT inclusion on post-thaw attributes of human semen. Syst Biol Reprod Med. 2015 Jan;61(1):57-61. doi: 10.3109/19396368.2014.968267. Epub 2014 Oct 6.
- Saeednia S, Bahadoran H, Amidi F, Asadi MH, Naji M, Fallahi P, Nejad NA. Nerve growth factor in human semen: Effect of nerve growth factor on the normozoospermic men during cryopreservation process. Iran J Basic Med Sci. 2015 Mar;18(3):292-9.
- Li Z, Lin Q, Liu R, Xiao W, Liu W. Protective effects of ascorbate and catalase on human spermatozoa during cryopreservation. J Androl. 2010 Sep-Oct;31(5):437-44. doi: 10.2164/jandrol.109.007849. Epub 2009 Oct 15.
- Noegroho BS, Siregar S, Tampubolon KAG. Antioxidant Supplementation on Sperm DNA Fragmentation and Sperm Parameters: A Systematic Review and Meta-Analysis. Turk J Urol. 2022 Sep;48(5):375-384. doi: 10.5152/tud.2022.22058.
- Bahmyari R, Zare M, Sharma R, Agarwal A, Halvaei I. The efficacy of antioxidants in sperm parameters and production of reactive oxygen species levels during the freeze-thaw process: A systematic review and meta-analysis. Andrologia. 2020 Apr;52(3):e13514. doi: 10.1111/and.13514. Epub 2020 Jan 21.
- Mushtaq Z, Sadeer N, Hussain M, Mahwish, Alsagaby S, Imran M, et al. Therapeutical properties of apigenin: a review on the experimental evidence and basic mechanisms. International Journal of Food Properties 2023;26:1914-39.
- Bhardwaj H, Vasudeva N, Sharma S. Phytochemistry And Pharmacological Aspects Of Apigenin: A Review. The Natural Products Journal 2022;12.
- Balez R, Steiner N, Engel M, Munoz SS, Lum JS, Wu Y, Wang D, Vallotton P, Sachdev P, O'Connor M, Sidhu K, Munch G, Ooi L. Neuroprotective effects of apigenin against inflammation, neuronal excitability and apoptosis in an induced pluripotent stem cell model of Alzheimer's disease. Sci Rep. 2016 Aug 12;6:31450. doi: 10.1038/srep31450.
- Shukla S, Gupta S. Apigenin: a promising molecule for cancer prevention. Pharm Res. 2010 Jun;27(6):962-78. doi: 10.1007/s11095-010-0089-7. Epub 2010 Mar 20.
- Raskovic A, Gigov S, Capo I, Paut Kusturica M, Milijasevic B, Kojic-Damjanov S, Martic N. Antioxidative and Protective Actions of Apigenin in a Paracetamol-Induced Hepatotoxicity Rat Model. Eur J Drug Metab Pharmacokinet. 2017 Oct;42(5):849-856. doi: 10.1007/s13318-017-0407-0.
- Nafisi S, Hashemi M, Rajabi M, Tajmir-Riahi HA. DNA adducts with antioxidant flavonoids: morin, apigenin, and naringin. DNA Cell Biol. 2008 Aug;27(8):433-42. doi: 10.1089/dna.2008.0735.
- Sharma H, Kanwal R, Bhaskaran N, Gupta S. Plant flavone apigenin binds to nucleic acid bases and reduces oxidative DNA damage in prostate epithelial cells. PLoS One. 2014 Mar 10;9(3):e91588. doi: 10.1371/journal.pone.0091588. eCollection 2014.
- Kopalli SR, Yoo SK, Kim B, Kim SK, Koppula S. Apigenin Isolated from Carduus crispus Protects against H2O2-Induced Oxidative Damage and Spermatogenic Expression Changes in GC-2spd Sperm Cells. Molecules. 2022 Mar 8;27(6):1777. doi: 10.3390/molecules27061777.
- Dang Y, Li Z, Luo B, Pan L, Wei Q, Zhang Y. Protective effects of apigenin against acrylonitrile-induced subchronic sperm injury in rats. Food Chem Toxicol. 2017 Nov;109(Pt 1):517-525. doi: 10.1016/j.fct.2017.09.025. Epub 2017 Sep 28.
- Shi Y, Bai J, Dang Y, Bai Q, Zheng R, Chen J, Li Z. Protection of apigenin against acrylonitrile-induced sperm and testis injury in rats: involvement of activation of ASK1-JNK/p38 signaling pathway. Toxicol Res (Camb). 2021 Mar 11;10(2):159-168. doi: 10.1093/toxres/tfab017. eCollection 2021 Mar.
- Pei Y, Yang L, Wu L, He H, Geng G, Xu D, Chen H, Li Q. Combined effect of apigenin and ferulic acid on frozen-thawed boar sperm quality. Anim Sci J. 2018 Jul;89(7):956-965. doi: 10.1111/asj.13009. Epub 2018 Apr 30.
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- Mohammadi T, Hosseinchi Gharehaghaj M, Alaei Novin A. Effects of apigenin and trans-ferulic acid on microscopic and oxidative stress parameters in the semen of water buffalo bulls during cryopreservation. Cryobiology. 2024 Jun;115:104868. doi: 10.1016/j.cryobiol.2024.104868. Epub 2024 Feb 27.
- Najafi A, Mohammadi H, Sharifi SD, Rahimi A. Apigenin supplementation substantially improves rooster sperm freezability and post-thaw function. Sci Rep. 2024 Feb 24;14(1):4527. doi: 10.1038/s41598-024-55057-x.
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Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 062267
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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