Earlier studies on the rat and the monkey had demonstrated that an inj
ection of styrene maleic anhydride (SMA) in a solvent vehicle of dimet
hyl sulphoxide (DMSO) into the lumen of the vas deferens is toxicologi
cally safe and has contraceptive action. Phase I clinical trial was th
erefore 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 co
mpound is within the vas deferens lumen during the period of the safet
y assessment is inferred from the effect on the spermatozoa count in e
jaculates which reach azoospermic levels in the higher dose ranges. Th
e treatment is well tolerated with only minimal side effects in a few
cases and no long-term adverse effects.