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Sequential Therapy for Hypogonadotropic Hypogonadism

Information source: Shanghai Jiao Tong University School of Medicine
Information obtained from ClinicalTrials.gov on December 08, 2011
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hypogonadotropic Hypogonadism; Kallmann Syndrome

Intervention: Tranditional intervention for HH using HCG and FSH (Drug); Sequential intervention for HH using HCG and FSH (Drug); Sequential intervention for HH using HCG and FSH plus zinc (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Shanghai Jiao Tong University School of Medicine

Official(s) and/or principal investigator(s):
Xiao-Ying Li, MD,PhD, Principal Investigator, Affiliation: Shanghai Jiao Tong University School of Medicine

Overall contact:
Manna Zhang, MD, Phone: 86-21-64370045, Ext: 610915, Email: mannazhang@126.com

Summary

The traditional therapy for induction of spermotogenesis in male hypogonadotropic hypogonadism requires both HCG and human menopausal gonadotropin (HMG) or FSH until pregnancy occurs. Because of the high cost of hMG or FSH preparations and poor compliance, the investigators raise a new sequential therapeutic approach which can make the treatment more economic and tolerable. The zinc supplement will be also evaluated in patients in this study. This randomized, parallel, open, and multi-center study will compare the efficacy of traditional therapy with new therapy and evaluate the safety of the new protocol.

Clinical Details

Official title: Efficacy and Safety of Human Chorionic Gonadotropin (HCG) and Follicle Stimulating Hormone (FSH) in the Treatment of Hypogonadotropic Hypogonadism

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: Sperm density ≥1,000,000/ml

Eligibility

Minimum age: 16 Years. Maximum age: 45 Years. Gender(s): Male.

Criteria:

Inclusion Criteria:

- Clinical hypogonadotropic hypogonadism

- Hormonal levels: Testosterone < 1. 8ng/ml, LH < 2-3 mIU/mL and FSH < 2-3 mIU/mL

- Infantile testis

- Delayed bone age

- Normal testing of the anterior pituitary gland

Exclusion Criteria:

- Prior therapy with HMG or FSH

- Severe dysfunction of live and kidney

- Cryptorchidism or no response to HCG stimulation experiment (Testosterone < 1. 8ng/ml

after HCG stimulation)

- Another pituitary hormonal deficiency

- Hypergonadotropic hypogonadism

- With abnormal karyotype

Locations and Contacts

Manna Zhang, MD, Phone: 86-21-64370045, Ext: 610915, Email: mannazhang@126.com

Rui Jin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, Shanghai 200025, China; Recruiting
Manna Zhang, MD, Phone: 86-021-64370045, Ext: 610915, Email: mannazhang@126.com
Additional Information

Starting date: September 2009
Last updated: July 26, 2011

Page last updated: December 08, 2011

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