About this trial
This is a study of infertility which often occurs in men with spinal cord injury. Most men with spinal cord injury have a normal sperm count but abnormally low sperm motility - which means that the sperm does not swim well. This study will determine if a medicine given by mouth will improve sperm motility in men with spinal cord injuries. The medicine is called probenecid.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subject has a traumatic spinal cord injury.
Subject is male and is 18 years or older.
Disqualifiers
Subject has been injured less than 1 year.
The subject is known to be azoospermic.
The subject has an indwelling urethral Foley catheter.
Subject is under the age of 18 years.
Trial design
Parallel
Treatments tested in this trial
Probenecid 500 Milligrams (mg)
DrugParticipants in this group will receive 500 mg of probenecid by mouth twice a day for a total of 90 days.
probenecid 250 Milligrams (mg)
DrugParticipants in this group will receive 250 mg of probenecid by mouth twice a day for a total of 90 days.
Placebo
DrugParticipants in this group will receive a placebo pill by mouth twice a day for a total of 90 days.
Treatment groups
Trial outcomes
Primary outcomes
Change in total motile sperm count
The total sperm count will be assessed by calculating semen volume times sperm count times sperm motility percentage.The unit of measurement is in Millions.
Secondary outcomes
Change in percentage sperm DNA fragmentation
The percentage of DNA fragmented sperm in specimen
Change in percentage of sperm viability
The percentage of viable sperm ion specimen
Change in semen inflammasome markers
Markers will be measured in picogram/milliliter units
Number of treatment-related adverse events
Treatment-related adverse events will be assessed by the treating physician using Common Terminology Criteria for Adverse Events 4 (CTCAE 4)
Sponsors and contacts
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University of Miami
Lead sponsor
Congressionally Directed Medical Research Programs
Collaborator