Effect of Antioxidant Food Supplement on Sperm Proteomic Structure and Semen Parameters

Study Overview
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Brief Summary
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Infertility is defined as the inability to become pregnant despite 12 months of regular and unprotected intercourse. Male factors include defects in sperm concentration, morphology and motility, among which low sperm motility (asthenozoospermia) is one of the most common types of male infertility and affects approximately 40% of all cases. It has become clear that protein defects in spermatozoa and semen can cause fertilization failure by affecting sperm motility, and it is necessary to define proteins and related pathways precisely because they have an important role in the treatment phase. Increasing evidence shows that free oxygen radicals that occur as a result of oxidative stress (OS) play a very important role in the etiology of male infertility. A systematic review including 29 studies (19 randomized clinical trials and 10 prospective studies) examined the effect of antioxidant food supplementation and reported a positive effect on baseline semen parameters, advanced sperm function, outcomes of assisted reproductive therapy, and live birth rate. Conversely, few studies have failed to confirm any positive effect of antioxidant therapy and even report a negative effect on male fertility. Therefore, there is no clear consensus on the clinical efficacy of antioxidant therapy yet. Since the pathogenesis has not yet been clearly demonstrated, treatments are not based on evidence, but based on clinical experience. Our aim was to randomly divide infertile male patients who applied to our clinic with the complaint of infertility and found asthenozoospermia (restricted sperm motility) in their semen analysis into two arms and examine the effects of antioxidant food supplementation on sperm motility and proteomic structure with a placebo-comparative, prospective, double-blind study (LC-MS/MS). analysis) is to reveal the metabolic pathways that may lead to restriction of movement. The effect of antioxidant food support on sperm parameters and free oxygen radical levels in the control spermiogram after 3 (three) months of treatment to be given to the patients will be measured by ELISA method and compared with pre-treatment values.

Official Title
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Kocaeli University

Conditions
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Asthenozoospermia

Intervention / Treatment
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* Biological: Proxeed Plus 2*1 A arm
* Biological: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being in the age range of 20-40 Be infertile ( 12 months intercourse without any contraception) Due to infertility, you should apply to us and have a spermiogram detection of asthenozoospermia Patients whose spouses have normal gynecological examinations Patients with normal physical examinations Patients with normal hormonal values (FSH, LH,PRL,Testosterone,Estrogen) - Exclusion Criteria: previous treatment for infertility Previously due to infertility or for any reason take antioxidant food supplements Surgery or physical examination due to varicocele detection of varicocele Detection of endocrine disorder (Defect in serum blends) Smokers and alcohol addiction Detection of infection in the genital tract Having a chronic illness -

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: A<br>The treated group | Biological: Proxeed Plus 2*1 A arm<br>* Proxeed plus 2 x daily sachets (2*1) three mounths<br>|
| Placebo Comparator: B<br>The placebo group | Biological: Placebo<br>* Placebo 2 x daily sachets (2*1) three mounths<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| sperm motility (%) | semen analysis (microscopic analysis) | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proteomics analysis | Water for chromatography (LC-MS Grade) | 8 weeks | 
| oxidative stress | ROS (Human SOD1(Superoxide Dismutase 1, Soluble) ELISA) | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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infertility, antioxidant, proteomics