Clinical trial NCT02932527: Effect of Cannabis Consumption on Sperm Nuclear Quality in Infertile Men
Official title: Effect of Cannabis Consumption on Sperm Nuclear Quality in Infertile Men : a Prospective Exposed / Unexposed Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Teratozoospermia
Keywords: cannabis
Lead sponsor: University Hospital, Rouen
Sponsor class: OTHER
First posted: 2016-10-13
Enrollment: 200
Sex: MALE
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: 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.


Eligibility criteria: 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,

Primary outcomes:
measure: Evaluation of spermatic aneuploidy rate
timeFrame: Day 1
Secondary outcomes:
measure: Evaluation of consumption level
timeFrame: Day 1
measure: Evaluation of cannabinoids level in blood
timeFrame: Day 1
measure: Total sperm count
timeFrame: Day 1
measure: Percentage of mobile spermatozoa
timeFrame: Day 1
measure: Percentage of morphologically abnormal spermatozoa
timeFrame: Day 1
measure: Mean vacuole area threshold
timeFrame: Day 1
measure: Correlation coefficient between vacuole areas and sperm DNA fragmentation
timeFrame: Day 1
measure: Correlation coefficient between vacuole areas and abnormal chromatin condensation
timeFrame: Day 1
measure: Correlation coefficient between vacuole areas and telomere number, distribution and length
timeFrame: Day 1
Other outcomes:
Locations:
city: Caen
country: France
facility: Caen University Hospital
city: Lille
country: France
facility: Lille University Hospital
city: Rouen
country: France
facility: Rouen University Hospital
Study officials:
affiliation: University Hospital, Rouen
name: France VERHAEGHE, MD
role: PRINCIPAL_INVESTIGATOR
References: