NAPO - Novel Approach for Oligospermia

2023-508325-27-00 Therapeutic exploratory (Phase II) Ended

Start 1 Apr 2024 · End 27 Jan 2025 · Status Ended · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 60
Countries 1
Sites 1

Male infertility

The aim of this intervention is to investigate whether Denosumab can improve semen quality in a subgroup of infertile men.

Key facts

Sponsor
Herlev Hospital
Participant type
Patients
Age range
18-64 years
Gender
Male
Therapeutic area
Diseases [C] - Male Urogenital Diseases [C12]
Trial duration
1 Apr 2024 → 27 Jan 2025
Decision date (initial)
2023-12-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The aim of this intervention is to investigate whether Denosumab can improve semen quality in a subgroup of infertile men.

Secondary objectives 1

  1. Differences in clinical pregnancies, reproductive hormones, and differences in semen quality

Conditions and MedDRA coding

Male infertility

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Infertile men >18 years and <60 years of age with reduced sperm production (Sperm concentration <2 mio/mL) - Serum AMH > 30 pmol/L

Exclusion criteria 13

  1. Men with chronic diseases (diabetes mellitus, thyroid disease, endocrine diseases requirering treatment such as sarcoidosis, tuberculosis, wegeners, vasculitis as well as inflammatory bowel diseases e.g. chron's disease or ulcerative colitis etc)
  2. Men with active or previous malignant disease
  3. Sperm cell concentration <0.01 mio/mL
  4. Men in treatment for osteoporosis
  5. Serum ionized calcium < 1,18 mmol/L, Total calcium < 2.14 mmol/L or Albumin corrected calcium <2.17 mmol/L
  6. Serum 25OHD < 25 nmol/L
  7. eGFR <60 mL/min/1.73m^2
  8. Poor dental status og dental implants
  9. Men with obstructive oligospermia (Sperm volume <0.9 mL) or who has been vasectomized
  10. Latex allergy
  11. Any case with indication for testis biopsy
  12. Serum FSH <3 IU/L
  13. BMI >35 kg/m^2

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Difference in sperm cell concentration (sperm cell concentration millions/mL) between the two groups, evaluted by the semen sample delivered at day 80

Secondary endpoints 5

  1. Difference in semen quality between the intervention group and the placebo group (total number of sperm cells, and total and percentage of motile, progressive motile and morphological normal sperm cells), evaluated by semen sample delivered at day 80 compared with baseline
  2. Difference in spontaneous pregnancies before day 180
  3. Difference in number of spontaneous abortions during the whole trial
  4. Difference in serum levels of reproductive hormones (FSH, LH, AMH, Inhibin B) at day 80
  5. Changes in serum levels of reproductive hormones (FSH, LH, AMH, Inhibin B) at day 80 within the groups

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Prolia 60 mg solution for injection in pre-filled syringe

PRD3618671 · Product

Active substance
Denosumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
60 mg/ml milligram(s)/millilitre
Max total dose
60 mg/ml milligram(s)/millilitre
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
M05BX04 — -
Marketing authorisation
EU/1/10/618/003
MA holder
AMGEN EUROPE B.V.
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Saline

SUB20722 · Substance

Active substance
Saline
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
1 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Herlev Hospital

Sponsor organisation
Herlev Hospital
Address
Borgmester Ib Juuls Vej 1
City
Herlev
Postcode
2730
Country
Denmark

Scientific contact point

Organisation
Herlev Hospital
Contact name
Martin Blomberg Jensen

Public contact point

Organisation
Herlev Hospital
Contact name
Mads Joon Jorsal

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 60 1
Rest of world 0

Investigational sites

Denmark

1 site · Ended
Herlev Hospital
Department of Translational Endocrinology, Borgmester Ib Juuls Vej 31, 2730, Herlev

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-04-01 2025-01-27 2024-04-29 2024-12-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
FINAL article for study
SUM-100551
2025-10-03T09:53:51 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
NAPO lay person results section 2025-10-03T10:04:56 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Lay person results NAPO 1
Summary of results (for publication) NAPO results published article 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-20 Denmark Acceptable
2023-12-19
2023-12-19