Status:

TERMINATED

A Trial to Compare Efficacy and Safety of Follitropin Delta Versus Placebo (Inactive Treatment) in the Treatment of Men With Idiopathic Infertility (Unexplained Reduction of Semen Quality) (ADAM)

Lead Sponsor:

Ferring Pharmaceuticals

Conditions:

Male Idiopathic Infertility

Eligibility:

MALE

18-50 years

Phase:

PHASE2

Brief Summary

The primary purpose of this trial is to investigate whether men with idiopathic infertility (unexplained reduction of semen quality), after being treated with a daily dose of 12 µg recombinant follicl...

Eligibility Criteria

Inclusion

  • History of infertility with current partner at randomisation must be 12-60 months if current partner is aged \<35 years or 6-60 months if current partner is aged 35-38 years.
  • Men between the ages of 18 and 50 years.
  • Total sperm count 5-39 million at screening; confirmed by two consecutive samples taken ≥2 weeks apart before randomization.
  • Total sperm motility of ≥10% at screening; confirmed by two samples taken ≥2 weeks apart before randomisation. If a semen sample has been taken within 3 months prior to screening and been analysed at an andrology laboratory, it can be included as the first of the two semen samples at screening.
  • Semen volume ≥1.4 mL at screening; confirmed by two consecutive samples taken ≥2 weeks apart before randomization.
  • Serum follicle-stimulating hormone (FSH) levels of 2-12.0 IU/L (measured at central laboratory) at screening)
  • Serum luteinising hormone (LH) levels of 1.2-7.5 IU/L (measured at central laboratory) at screening.
  • Serum total testosterone levels of ≥300 ng/dL (equals ≥10.4 nmol/L; measured at central laboratory) at screening.
  • Agree to have regular intercourse with current female partner with the intent of spontaneous conception within 9 months from randomization.
  • Agree to provide information on female partner's positive urine pregnancy test(s) and documentation of ultrasound(s), delivery, and neonatal/infant health.
  • Current partner fulfilling the criteria below:
  • Pre-menopausal woman between the ages of 18 and 38 years (both inclusive) at the time of randomisation of male participant.
  • Regular menstrual cycles of 21-35 days.
  • No history or current condition of pelvic inflammatory disease, endometriosis stage II-IV by definite or empirical diagnosis, or tubal ligation.
  • Agree not to obtain infertility treatment outside of this trial for 6 months from randomization of male subject.

Exclusion

  • Previous FSH treatment for ≥4 months not leading to conception.
  • Past or current use of finasteride within 3 months prior to screening.
  • Any history of anatomical disorder of the pituitary gland or testes.
  • Any structural abnormalities of the vas deferens (unilateral or bilateral) at screening.
  • Any known, clinically significant, systemic disease in addition to the trial indication that might negatively impact fertility.
  • Known history or presence of clinical varicocele (subclinical and Grade 1 varicocele are acceptable).
  • Known history of cryptorchidism, testicular torsion, or orchitis.
  • Known abnormal karyotype (including Y-chromosome microdeletion).
  • Current or past treatment of urogenital (kidney, bladder, testicular, or prostate) cancer as well as history of chemo- or radiotherapy that can have impact on testes.
  • Any known uncontrolled non-gonadal endocrinopathies (thyroid, adrenal, pituitary disorders).
  • Administration of hormonal preparations, agents known to impair testicular function or affect sex hormone secretion, and known or suspected teratogens within 3 months prior to screening. Administration of anabolic steroids within 12 months prior to screening.

Key Trial Info

Start Date :

August 16 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 23 2024

Estimated Enrollment :

4 Patients enrolled

Trial Details

Trial ID

NCT05403476

Start Date

August 16 2022

End Date

October 23 2024

Last Update

November 21 2024

Active Locations (22)

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Page 1 of 6 (22 locations)

1

Ferring Investigational Site

Tempe, Arizona, United States, 85284

2

Ferring Investigational Site

San Jose, California, United States, 95124

3

Ferring Investigational Site

Centennial, Colorado, United States, 80112

4

Ferring Investigational Site

Newark, Delaware, United States, 19713