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RECRUITINGINTERVENTIONAL

Autologous Testicular Tissue Transplantation

Autologous Testicular Tissue Transplantation for Fertility Restoration

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

Freezing testicular tissue of prepubertal boys is a method for preserving spermatogonial stem cells (SSCs) in case of imminent gonadotoxic treatment during childhood. In case of total azoospermia in adulthood and presence of a childwish, the investigators intend to perform the first in men autologous testicular tissue transplantation to restore fertility.

Who May Be Eligible (Plain English)

The eligible patients opted as a prepubertal boy to enroll in the fertility preservation program and on the moment of cancer diagnosis or hematological disorder, their parents have agreed to cryopreserve testicular tissue for later autologous transplantation. Who May Qualify: - At least 18 years old - Desire to become a parent at the moment of intake - Stable relationship with a female partner and minimal one year cohabiting - Age of female partner \< 43 year - Azoospermia on 2 semen analyses - Normal standardised preliminary and preoperative bloodsampling results - Complete remission of the oncological or hematological disease - Approval of the treating oncologist or other specialist in case of non-oncological disease as reason for the testicular tissue preservation as a child - Risk for presence of malignant cells in testicular tissue is negligible (according to multidisciplinary assessment) - Presence of SSCs (positive MAGE staining) in one or two of the thawed fragments (If absence of SSCs in two of the thawed fragments, the case will be discussed multidisciplinary) - Written willing to sign a consent form for the transplantation of cryopreserved testicular tissue and follow-up after the procedure and of children born eventually after this procedure Who Should NOT Join This Trial: - Risk for presence of malignant cells in the testicular tissue - Contra-indication for surgery - Contra-indication for pregnancy in the female partner - BMI \> 32 - Heavy smoking (≥10 cigarettes/day) - Instable psychological condition Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
The eligible patients opted as a prepubertal boy to enroll in the fertility preservation program and on the moment of cancer diagnosis or hematological disorder, their parents have agreed to cryopreserve testicular tissue for later autologous transplantation. Inclusion Criteria: * At least 18 years old * Desire to become a parent at the moment of intake * Stable relationship with a female partner and minimal one year cohabiting * Age of female partner \< 43 year * Azoospermia on 2 semen analyses * Normal standardised preliminary and preoperative bloodsampling results * Complete remission of the oncological or hematological disease * Approval of the treating oncologist or other specialist in case of non-oncological disease as reason for the testicular tissue preservation as a child * Risk for presence of malignant cells in testicular tissue is negligible (according to multidisciplinary assessment) * Presence of SSCs (positive MAGE staining) in one or two of the thawed fragments (If absence of SSCs in two of the thawed fragments, the case will be discussed multidisciplinary) * Written informed consent for the transplantation of cryopreserved testicular tissue and follow-up after the procedure and of children born eventually after this procedure Exclusion criteria: * Risk for presence of malignant cells in the testicular tissue * Contra-indication for surgery * Contra-indication for pregnancy in the female partner * BMI \> 32 * Heavy smoking (≥10 cigarettes/day) * Instable psychological condition

Treatments Being Tested

PROCEDURE

Autologous testicular tissue transplantation of prepubertal frozen testicular tissue

Freezing testicular tissue of prepubertal boys is a method for preserving spermatogonial stem cells (SSCs). If the patient has a childwish on adult age and in case no spermatozoa are found in the ejaculate, the investigators will perform autologous testicular tissue transplantation with the primary objective being to restore spermatogenesis and fertility.

Locations (1)

UZ Brussel Centre for Reproductive Medicine
Brussels, Belgium