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Role of the toxic metal cadmium in the mechanism producing infertility with a varicocele - Article


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Hazardous Waste / Toxic Chemicals



Clinical Trial: Role of the toxic metal cadmium in the mechanism producing infertility with a varicocele

This study is currently recruiting patients.

Sponsored by: National Institute of Environmental Health Sciences (NIEHS)
Information provided by: National Institute of Environmental Health Sciences (NIEHS)

Purpose

Varicose veins in the scrotum (varicocele) are responsible for >20% of male infertility in the US. Varicocele are associated with decreased sperm number and markedly reduced sperm fertilizing ability. Surgical repair or removal of varicocele restores fertility in only 1/3 of cases. The goal of this study is to identify markers that predict the outcome of variocele correction. This would offer considerable health cost savings.

Based on preliminary findings, we will obtain testis biopsies and semen specimens from infertile men with varicocele and prospectively examining the levels of cadmium, a toxic metal, and expression of genes required for normal sperm function. The semen and biopsies will be obtained during clinically dictated procedures. Cadmium and gene expression will be compared with response to varicocele repair (i.e., increased sperm production; pregnancy).

Condition Treatment or Intervention
Varicocele
Male Infertility
Hypospermatogenesis
Non-obstructive azoospermia
 Procedure: Varicocele repair

MedlinePlus related topics:  Infertility;   Male Genital Disorders;   Reproductive Health;   Vascular Diseases

Study Type: Observational
Study Design: Screening, Longitudinal, Defined Population, Prospective Study

Official Title: Increased Testicular Cd2+ & Infertility with Varicocele ( a varicose vein in the scrotum)

Further Study Details: 

Expected Total Enrollment:  400

Study start: May 2000;  Expected completion: April 2005

Eligibility

Ages Eligible for Study:  21 Years   -   55 Years,  Genders Eligible for Study:  Male

Accepts Healthy Volunteers

Criteria

  • Healthy male with varicocele (grades 2 [palpable] or 3 [visible, palpable]) and no other diagnosed cause for infertility
  • Non-smoker
  • Actively desiring children but never having initiated a pregnancy
  • Female partner having no unresolved fertility issues

Location and Contact Information

Susan H Benoff, PhD      516-562-1121    sbenoff@nshs.edu
Colleen Millan, MA      516-562-4038    cmillan@nshs.edu

New Jersey
      University of Medicine and Dentistry of NJ, Robert Wood Johnson Medical School at Camden, Camden,  New Jersey,  08103,  United States; Recruiting
Joel L Marmar, MD  609-963-3577    marmar-joel@cooperhealth.edu 
Joel L Marmar, MD,  Sub-Investigator

New York
      North Shore University Hospital, Manhasset,  New York,  11030,  United States; Recruiting
Susan H Benoff, PhD  516-562-1121    sbenoff@nshs.edu 
Colleen Millan, MA  516-562-4038    cmillan@nshs.edu 
Susan H Benoff, Ph.D.,  Principal Investigator

Study chairs or principal investigators

Susan H Benoff, PhD,  Principal Investigator,  North Shore University Hospital   

More Information

Publications

Benoff S, Gilbert BR. Varicocele and male infertility: part I. Preface. Hum Reprod Update. 2001 Jan-Feb;7(1):47-54. Review. No abstract available.

Benoff S, Hurley IR, Barcia M, Mandel FS, Cooper GW, Hershlag A. A potential role for cadmium in the etiology of varicocele-associated infertility. Fertil Steril. 1997 Feb;67(2):336-47.

Benoff S, Cooper GW, Centola GM, Jacob A, Hershlag A, Hurley IR. Metal ions and human sperm mannose receptors. Andrologia. 2000 Sep;32(4-5):317-29.

Benoff S, Jacob A, Hurley IR. Male infertility and environmental exposure to lead and cadmium. Hum Reprod Update. 2000 Mar-Apr;6(2):107-21. Review.

Study ID Numbers:  10496-CP-001
Record last reviewed:  August 2002
Last Updated:  October 13, 2004
Record first received:  August 27, 2002
ClinicalTrials.gov Identifier:  NCT00044369
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-04-08


Source: ClinicalTrials.gov
Cache Date: April 9, 2005

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