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RECRUITING
NCT07669584
PHASE2/PHASE3

PKB171 Against Placebo in Couples With Mild Male Factor Infertility

Sponsor: Prokrea BCN, S.L.

View on ClinicalTrials.gov

Summary

The test medication Gel PKB171 is a vaginal gel that has not yet been licensed by the regulatory authorities. However, the active substance pentoxifylline has been available as tablets for decades and is used to increase peripheral blood flow in patients with circulation problems. Additionally, pentoxifylline is used to treat sperm samples in artificial insemination and test tube fertilisation to increase the mobility of sperm. A phase I clinical trial, 30 women were treated with Gel PKB171 for up to three times. Gel PKB171 was generally well tolerated and the most common side effects were local reactions like vaginal discharge and itching. A phase II clinical trial, investigate the efficacy and safety of two concentrations of PKB171 versus placebo in couples with asthenozoospermia who wish to conceive. A total of 72 couples were planned to be included in the study. Finally, 28 couples were enrolled, and 11 couples were randomised. Within this trial, two concentrations of pentoxifylline gel were compared (5 mL of gel PKB171 containing 150 mg (3%) of pentoxifiylline, and 5 mL of gel PKB171 containing and 200 mg (4%) of pentoxifylline. Both doses were tolerated well and revealed no safety concerns as assessed by AEs, local Gel PKB171 tolerability, laboratory parameters, vital signs, gynaecologic and physical examination, or transvaginal ultrasound findings. This study was prematurely discontinued due to low numbers of eligible subjects and high recruitment failure rates, despite several protocol amendments. PKB171 gel was well tolerated and revealed no safety concerns as assessed by AEDTs, local IMP tolerability, analytical parameters, vital signs, physical and gynecological examination, or transvaginal ultrasound findings. The aim of this clinical trial is to assess the safety and efficacy of the gel PKB171 compared to a placebo gel in couples with mild male factor infertility, unable to conceive in the last 6 and 24 months. Additionally, the safety and local tolerability of Gel PKB171 will be further investigated.

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled Trial to Assess the Efficacy and Safety of a Post-coital Intravaginal Gel of PKB171 in Couples With Mild Male Factor Infertility.

Key Details

Gender

All

Age Range

18 Years - 38 Years

Study Type

INTERVENTIONAL

Enrollment

732

Start Date

2025-10-28

Completion Date

2027-10-28

Last Updated

2026-06-25

Healthy Volunteers

No

Interventions

DRUG

Intravaginal gel

Intravaginal application of gel PKB171 with a single-use applicator (syringe)

DRUG

Vaginal Gel with Applicator

Intravaginal application of gel PKB171 with a single-use applicator (syringe)

Locations (12)

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Hospital del Mar

Barcelona, Spain

Clinica Fertty

Barcelona, Spain

Clinica Sagrada Familia

Barcelona, Spain

Assir Dreta-Cap Pare Claret

Barcelona, Spain

Assir Dreta-Cap Roger de Flor

Barcelona, Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain

HM Gabinete Médico Velázquez

Madrid, Spain

Hospital Universitario San Rafael

Madrid, Spain

Clinica Universidad de Navarra

Madrid, Spain

Hospital Universitario L Paz

Madrid, Spain

Hospital Universitario Nuestra Señora de Valme

Seville, Spain