Plan A Occlusion and Reversal System Feasibility Study

January 14, 2026 updated by: Next Life Sciences

Prospective, Multicenter, Single-arm, Open Label, Interventional Clinical Trial Investigating the Safety and Effectiveness of the Plan A Male Contraceptive System.

Prospective, multicenter, single-arm, open label, interventional clinical trial investigating the safety and effectiveness of the Plan A Male Contraceptive System to occlude the vas deferens to block the passage of sperm and then be reversed to subsequently allow the passage of sperm through the vas deferens.

Study Overview

Status

Recruiting

Intervention / Treatment

Detailed Description

Prospective, multicenter, single-arm, open label, interventional clinical trial investigating the safety and effectiveness of the Plan A Male Contraceptive System to occlude the vas deferens to block the passage of sperm and then be reversed to subsequently allow the passage of sperm through the vas deferens. 40 men (all sites) will be enrolled and treated with Plan A occlusion (Vasalgel®) using DLAD (Delivery Lumen Access Device). The study will enroll into two groups. Group 1 will include 30 subjects that will be followed for up for a maximum of 6 months post occlusion procedure, or until they achieve azoospermia at which point they will be offered a vasectomy procedure. Group 2 will recruit ten subjects who will be followed for up for a maximum of 6 months post occlusion procedure, or until they achieve azoospermia at which point they will have the reversal procedure using the Plan A RD (Reversal Device). This group will be followed for up to another 3 months maximum, or until baseline semen levels are achieved at which point they will be offered a vasectomy procedure. Ten men reaching azoospermia after their occlusion procedure will be allocated to Group 2 and will go on to have the reversal procedure.

Study Type

Interventional

Enrollment (Estimated)

40

Phase

  • Phase 2

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

Study Locations

    • Victoria
      • Maribyrnong, Victoria, Australia, 3032
        • Recruiting
        • Western Urology
        • Contact:

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  1. Male subject who is seeking and suitable to undergo a vasectomy as a long-term form of contraception
  2. Male subject who has voluntarily signed and dated the Institutional Review Board (IRB)/Ethics Committee (EC) approved informed consent form (ICF) for this study prior to initiation of any screening or study specific procedures
  3. 25 to 65 years of age at the time of consent
  4. Body Mass Index (BMI) <31 kg/m2
  5. Good health for undergoing a vasectomy as confirmed by medical history, physical examination and clinical laboratory tests of blood and urine at the time of screening
  6. Normal semen analysis defined by the WHO Laboratory Manual for the Examination and Processing of Human Semen (6th Edition), based on the average of two semen samples ≥2 days and ≤7 days apart
  7. In the opinion of the Investigator, subject is suitable to undergo a vasectomy as a form of long-term contraception
  8. Agreement to use an effective method of contraception during the entire clinical trial until the planned vasectomy
  9. Lives in close proximity to the trial site to enable provision of fresh semen samples unless the subject agrees to provide semen samples at the trial site or laboratory

Exclusion Criteria:

  1. (On exam, has any of the following); one or both vasa not present, abnormal scrotum, large varicocele, hydrocele, filariasis or elephantiasis of scrotum, or intrascrotal mass that would make the subject not suitable for the study.
  2. Prior testicular surgery, testicular injury or prior vasectomy with vasovasostomy (vasectomy reversal)
  3. Recurrent pain with ejaculations
  4. Has known allergic reaction to sulfur-containing products or has had a prior severe allergic response to injectable or implantable devices
  5. Has local genital infections such as balanitis, scrotal skin infection, epididymitis, or orchitis, or tender (inflamed) tip of the penis, but may be enrolled after resolution of an acute infection
  6. History of prostatitis or benign prostatic hypertrophy requiring treatment
  7. Has undergone prior chemotherapy
  8. Has known current coagulopathy or other bleeding disorders
  9. Currently taking or planning to take any type of systemic medication which could affect sperm count or ejaculation (e.g., anabolic steroids, chemotherapy, alpha blocker)
  10. Subjects with cystic fibrosis
  11. Subjects with a history of inguinal hernia repair
  12. Vulnerable subjects (e.g., subjects with cognitive challenges, incarcerated, etc.)
  13. Currently participating in another study involving an investigational device or drug (or has participated in a study within the last 30 days prior to screening).
  14. Any site staff member with delegated study responsibilities or a family member of a site staff member with delegated study responsibilities
  15. In the opinion of the Investigator, there are issues or concerns that may compromise the safety of the subject or confound the reliability of compliance and information acquired in this study
  16. Has any condition that, in the opinion of the Investigator, would interfere with evaluation of study treatment or interpretation of patient safety or study results.

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: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group 1: Occlusion Procedure
This will be Group 1. Group1 will have the occlusion procedure but will not have the reversal procedure.
The occlusion system comprised of the Delivery Lumen Access Device and Vasalgel.
Experimental: Group 2: Reversal Procedure
This will be Group 2. Group 2 will have both the occlusion and reversal procedure.
The occlusion system comprised of the Delivery Lumen Access Device and Vasalgel.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Study subjects achieving azoospermia
Time Frame: Starting at the 30 day follow-up visit
Total number of subjects (N=40) achieving azoospermia
Starting at the 30 day follow-up visit
Study subjects that return to baseline semen levels
Time Frame: Correlating to Outcome 1, that follow-up timepoint at which azoospermia is reached starting at the 30 day follow-up
Total number of subjects (N=10) that return to baseline semen levels after reversal
Correlating to Outcome 1, that follow-up timepoint at which azoospermia is reached starting at the 30 day follow-up
Adverse Events
Time Frame: From the first subjects screening visit through the last subjects 14 Day phone follow up visit.
Rate and severity of adverse events.
From the first subjects screening visit through the last subjects 14 Day phone follow up visit.
Subject Comfort
Time Frame: From the first subjects occlusion visit until the last subjects 14 Day phone follow up visit.
Subject Comfort Assessment Scale Post Occlusion and Reversal
From the first subjects occlusion visit until the last subjects 14 Day phone follow up visit.
Histology
Time Frame: From the first subjects occlusion visit until the last subjects vasectomy, approximately 9 months
Excised portion of the vas deferens will be prepared with formalin for histological evaluation
From the first subjects occlusion visit until the last subjects vasectomy, approximately 9 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Subject Satisfaction/Comfort Assessment
Time Frame: From the first subjects occlusion visit until the last subjects 14 Day phone follow up visit.
Patient satisfaction questions along with NRS pain scale are being utilized to determine the comfort of the patient
From the first subjects occlusion visit until the last subjects 14 Day phone follow up visit.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Principal Investigator: Homi Zargar, MD, Western Urology

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 (Estimated)

January 1, 2026

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

September 1, 2026

Study Registration Dates

First Submitted

December 16, 2025

First Submitted That Met QC Criteria

January 14, 2026

First Posted (Actual)

January 22, 2026

Study Record Updates

Last Update Posted (Actual)

January 22, 2026

Last Update Submitted That Met QC Criteria

January 14, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

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

product manufactured in and exported from the U.S.

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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