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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT05134428
Registration number
NCT05134428
Ethics application status
Date submitted
13/11/2021
Date registered
26/11/2021
Date last updated
30/04/2024
Titles & IDs
Public title
Safety Evaluation of the ADAM System
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Scientific title
Open-label, Single Arm, Multi-Centre, Prospective First-in-Human Study to Assess the Safety of the ADAMâ„¢ System
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Secondary ID [1]
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ADM-012
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Azoospermia
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Oligospermia
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - ADAM System
Experimental: ADAM System - All subjects who consent and meet inclusion and none of the exclusion will be enrolled and receive the ADAM System, which is a hydrogel device implanted into the vas deferens.
Treatment: Devices: ADAM System
The ADAM System consists of an injectable hydrogel and delivery apparatus that is intended to provide long-lasting, non-permanent vasal occlusion for men, resulting in azoospermia. ADAM is designed to be inserted into the vasa deferentia through a minimally invasive procedure, similar to the no-scalpel vasectomy.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Adverse Events
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Assessment method [1]
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The primary endpoint is the number of all treatment-emergent adverse events
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Timepoint [1]
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30 Days
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Secondary outcome [1]
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Serious AEs
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Assessment method [1]
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Number and percentage of subjects experiencing procedure and device-related serious adverse events at 30 days
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Timepoint [1]
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30 Days
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Secondary outcome [2]
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Adverse Events of Interest
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Assessment method [2]
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Number and percentage of subjects experiencing an adverse event of interest during the study
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Timepoint [2]
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3 years
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Secondary outcome [3]
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Azoospermia
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Assessment method [3]
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Percentage of subjects achieving absolute azoospermia, defined as a zero sperm count, and percentage of subjects achieving virtual azoospermia, defined as a sperm count of =100,000 per mL and 0% motility
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Timepoint [3]
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3 years
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Eligibility
Key inclusion criteria
1. The subject is male
2. Subject is 25 to 65 years of age
3. Subject has a normal semen analysis (= 15 million sperm/mL, =40% total motility)
defined by the WHO Laboratory Manual for the Examination and Processing of Human Semen
(5th Edition), based on the average of two semen samples =2 days and =7 days apart
4. Subject is suitable to undergo a vasectomy as a long-term form of contraception
5. Subject is legally competent
6. In the opinion of the Investigator, the subject is willing and able to comply with the
protocol, return for all follow-up visits and complete all protocol assessments, which
includes providing recurring semen samples
7. Subject agrees to use an alternative method of contraception with any female partner
of reproductive age during the course of the study treatment until study exit occurs
8. Subject is willing to accept an unknown risk of conceiving a pregnancy during the
duration of the study.
9. The subject has been informed of the nature of the study, agrees to its provisions,
and has willingly provided written informed consent, approved by the appropriate Human
Research Ethics Committee (HREC) -
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Minimum age
25
Years
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Maximum age
65
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Potential subjects will be excluded if ANY of the following criteria apply:
1. Subject is participating in another interventional clinical trial currently or
within the past 3 months from the time of screening
2. Subject has history of prior hormonal therapy use (e.g., androgenic steroids,
GnRH agonists and antagonists) within the past 6 months
3. Subject on exam has any of the following: vas not present, abnormal scrotum,
large varicocele, hydrocele, filariasis or elephantiasis of scrotum, or
intrascrotal mass that would make the subject not suitable for the study
4. Subject has allergic reaction to polyethylene glycol (PEG) containing products or
has had a prior severe allergic response to injectable or implantable devices
5. Subject has local genital infections such as balanitis, scrotal skin infection,
epididymitis, or orchitis, or tender (inflamed) tip of the penis, but may be
admitted after resolution of an acute infection
6. Subject has current coagulopathy or other bleeding disorders
7. Subject currently taking or planning to take any type of systemic medication
which could affect sperm count or ejaculation (e.g., anabolic steroids,
chemotherapy, alpha blocker)
8. Subject had a previous successful or unsuccessful vasectomy or vasectomy reversal
9. Subject has any clinically significant abnormal findings or other findings
identified by Investigator that would exclude the subject.
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Study design
Purpose of the study
Device Feasibility
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Allocation to intervention
N/A
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/05/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/06/2025
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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South Coast Urology - Wollongong
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Recruitment hospital [2]
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AndroUrology - Brisbane
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Recruitment hospital [3]
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Epworth HealthCare - E. Melbourne
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Recruitment postcode(s) [1]
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2500 - Wollongong
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Recruitment postcode(s) [2]
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4001 - Brisbane
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Recruitment postcode(s) [3]
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3002 - E. Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Contraline, Inc
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will evaluate the safety and feasibility of the ADAM System for implantation into
the vas deferens in 60 healthy males at 3 sites. This is a prospective, non-randomized, open
label interventional trial.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT05134428
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Kevin Eisenfrats
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Address
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Contraline, Inc
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT05134428
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