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A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters

BACKGROUND: In Hong Kong, one of six couples is affected by subfertility problems. Male infertility contributes to half of the infertility cases. In male infertility, there is no effective treatment for patients with idiopathic infertility/poor semen parameters. Recent meta-analysis results suggest...

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Autores principales: Zhao, Mingpeng, Chan, Carol Pui Shan, Cheung, Cosy Wing Ching, Alqawasmeh, Odai, Wang, Ronald Chi Chiu, Wu, Justin Che Yuen, Lin, Zhi Xiu, Li, Tin Chiu, Chung, Jacqueline Pui Wah, Mak, Jennifer Sze Man, Law, Tracy Sze Man, Chan, David Yiu Leung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716803/
https://www.ncbi.nlm.nih.gov/pubmed/31464617
http://dx.doi.org/10.1186/s13063-019-3647-2
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author Zhao, Mingpeng
Chan, Carol Pui Shan
Cheung, Cosy Wing Ching
Alqawasmeh, Odai
Wang, Ronald Chi Chiu
Wu, Justin Che Yuen
Lin, Zhi Xiu
Li, Tin Chiu
Chung, Jacqueline Pui Wah
Mak, Jennifer Sze Man
Law, Tracy Sze Man
Chan, David Yiu Leung
author_facet Zhao, Mingpeng
Chan, Carol Pui Shan
Cheung, Cosy Wing Ching
Alqawasmeh, Odai
Wang, Ronald Chi Chiu
Wu, Justin Che Yuen
Lin, Zhi Xiu
Li, Tin Chiu
Chung, Jacqueline Pui Wah
Mak, Jennifer Sze Man
Law, Tracy Sze Man
Chan, David Yiu Leung
author_sort Zhao, Mingpeng
collection PubMed
description BACKGROUND: In Hong Kong, one of six couples is affected by subfertility problems. Male infertility contributes to half of the infertility cases. In male infertility, there is no effective treatment for patients with idiopathic infertility/poor semen parameters. Recent meta-analysis results suggest that a traditional Chinese medicine (TCM) formula — Wuzi Yanzong pill — showed a curative effect on male fertility. However, the heterogeneity of the studies could not draw a definitive conclusion on the therapeutic effect of this formula. The aim of this study is to conduct a well-designed randomized controlled trial to investigate the effect of TCM formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters. METHODS: This study is a double-blinded, randomized placebo-controlled trial conducted in a public hospital in Hong Kong. Participants will be randomized, using computer-generated random numbers, with a 1:1 ratio to either the Wuzi Yanzong pill formula group or the placebo group. Both groups will be administered the drugs for 12 weeks. Participants will have a total of four visits for their semen and blood assessments for a 6-month period, and we will follow up for another 6 months to record their conception outcome. The primary outcome is to compare the total motile sperm count, natural conception rate, and pregnancy outcome to those under placebo treatment. Secondary objectives are sperm functions and assisted reproductive technology outcome. DISCUSSION: To date, there are no studies using the disclosed Wuzi Yanzong formula or double-blinded, randomized trials. The Wuzi Yanzong TCM formula may provide a good clinical solution for subfertile males for which contemporary western medicine has no cure. Therefore, a well-designed randomized trial for evaluating the effect of Wuzi Yanzong TCM formula is urgently needed. TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR), ChiCTR-INR-17010790. Registered on 27 February 2017. Centre for Clinical Research and Biostatistics - Clinical Trials Registry, CUHK_CCRB00548. Registered on 27 February 2017. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13063-019-3647-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-67168032019-09-04 A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters Zhao, Mingpeng Chan, Carol Pui Shan Cheung, Cosy Wing Ching Alqawasmeh, Odai Wang, Ronald Chi Chiu Wu, Justin Che Yuen Lin, Zhi Xiu Li, Tin Chiu Chung, Jacqueline Pui Wah Mak, Jennifer Sze Man Law, Tracy Sze Man Chan, David Yiu Leung Trials Study Protocol BACKGROUND: In Hong Kong, one of six couples is affected by subfertility problems. Male infertility contributes to half of the infertility cases. In male infertility, there is no effective treatment for patients with idiopathic infertility/poor semen parameters. Recent meta-analysis results suggest that a traditional Chinese medicine (TCM) formula — Wuzi Yanzong pill — showed a curative effect on male fertility. However, the heterogeneity of the studies could not draw a definitive conclusion on the therapeutic effect of this formula. The aim of this study is to conduct a well-designed randomized controlled trial to investigate the effect of TCM formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters. METHODS: This study is a double-blinded, randomized placebo-controlled trial conducted in a public hospital in Hong Kong. Participants will be randomized, using computer-generated random numbers, with a 1:1 ratio to either the Wuzi Yanzong pill formula group or the placebo group. Both groups will be administered the drugs for 12 weeks. Participants will have a total of four visits for their semen and blood assessments for a 6-month period, and we will follow up for another 6 months to record their conception outcome. The primary outcome is to compare the total motile sperm count, natural conception rate, and pregnancy outcome to those under placebo treatment. Secondary objectives are sperm functions and assisted reproductive technology outcome. DISCUSSION: To date, there are no studies using the disclosed Wuzi Yanzong formula or double-blinded, randomized trials. The Wuzi Yanzong TCM formula may provide a good clinical solution for subfertile males for which contemporary western medicine has no cure. Therefore, a well-designed randomized trial for evaluating the effect of Wuzi Yanzong TCM formula is urgently needed. TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR), ChiCTR-INR-17010790. Registered on 27 February 2017. Centre for Clinical Research and Biostatistics - Clinical Trials Registry, CUHK_CCRB00548. Registered on 27 February 2017. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13063-019-3647-2) contains supplementary material, which is available to authorized users. BioMed Central 2019-08-29 /pmc/articles/PMC6716803/ /pubmed/31464617 http://dx.doi.org/10.1186/s13063-019-3647-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Zhao, Mingpeng
Chan, Carol Pui Shan
Cheung, Cosy Wing Ching
Alqawasmeh, Odai
Wang, Ronald Chi Chiu
Wu, Justin Che Yuen
Lin, Zhi Xiu
Li, Tin Chiu
Chung, Jacqueline Pui Wah
Mak, Jennifer Sze Man
Law, Tracy Sze Man
Chan, David Yiu Leung
A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters
title A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters
title_full A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters
title_fullStr A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters
title_full_unstemmed A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters
title_short A double-blinded, randomized placebo-controlled trial on the effect of traditional Chinese medicine formula Wuzi Yanzong pill on improving semen qualities in men with suboptimal parameters
title_sort double-blinded, randomized placebo-controlled trial on the effect of traditional chinese medicine formula wuzi yanzong pill on improving semen qualities in men with suboptimal parameters
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716803/
https://www.ncbi.nlm.nih.gov/pubmed/31464617
http://dx.doi.org/10.1186/s13063-019-3647-2
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