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男性注射用避孕药的一期临床试验。

Phase I clinical trial of an injectable contraceptive for the male.

作者信息

Guha S K, Singh G, Anand S, Ansari S, Kumar S, Koul V

机构信息

Centre for Biomedical Engineering, Indian Institute of Technology, New Delhi.

出版信息

Contraception. 1993 Oct;48(4):367-75. doi: 10.1016/0010-7824(93)90082-i.

Abstract

Earlier studies on the rat and the monkey had demonstrated that an injection of styrene maleic anhydride (SMA) in a solvent vehicle of dimethyl sulphoxide (DMSO) into the lumen of the vas deferens is toxicologically safe and has contraceptive action. Phase I clinical trial was therefore undertaken on 38 male volunteers giving varying doses of SMA, ranging between 5 mg and 140 mg, into each vas deferens. A dose of 70 mg is the predicted therapeutic dose based on animal data. That the compound is within the vas deferens lumen during the period of the safety assessment is inferred from the effect on the spermatozoa count in ejaculates which reach azoospermic levels in the higher dose ranges. The treatment is well tolerated with only minimal side effects in a few cases and no long-term adverse effects.

摘要

早期对大鼠和猴子的研究表明,将苯乙烯马来酸酐(SMA)溶解于二甲基亚砜(DMSO)溶剂中注入输精管管腔,在毒理学上是安全的,并且具有避孕作用。因此,对38名男性志愿者进行了I期临床试验,向每位志愿者的每条输精管注射不同剂量的SMA,剂量范围在5毫克至140毫克之间。根据动物数据,预计治疗剂量为70毫克。在安全评估期间,该化合物存在于输精管管腔内,这是从对射精中精子计数的影响推断出来的,在较高剂量范围内射精达到无精子水平。该治疗耐受性良好,少数病例仅有轻微副作用,且无长期不良影响。

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