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OM-85 u dětských recidivujících infekcí dýchacích cest se sípáním, onemocnění dolních cest dýchacích

24. září 2026 aktualizováno: OM Pharma SA

Randomizovaná, placebem kontrolovaná, 3ramenná, dvojitě zaslepená, multicentrická studie fáze 4 k posouzení účinnosti krátkodobé a dlouhodobé léčby OM-85 (Broncho-Vaxom) vs. placeba v prevenci infekcí dýchacích cest u dětí ve věku od 6 měsíců do 5 let se sípavým onemocněním dolních cest dýchacích

This study will assess the efficacy and safety of OM-85 compared to placebo in reducing the number of respiratory tract infections (RTIs) in children aged between 6 months and 5 years.

Přehled studie

Postavení

Dokončeno

Podmínky

Intervence / Léčba

Detailní popis

This is a Phase 4, randomised, double-blind, placebo-controlled study to assess the efficacy and safety of short- and long-term treatment with OM-85.

The study will consist of screening (up to 20 days before randomisation), Treatment period of 12 months, and an Observational period of 6 months.

The subjects will be randomised in a ratio of 1:1:1 ratio to receive either OM-85 for 12 consecutive months (BV-12 arm), or OM-85 for 3 consecutive months followed by matching placebo for 9 consecutive months (BV-3 arm), or placebo for 12 consecutive months (Placebo arm).

The expected duration of subject participation is 18 months (+20 days).

Typ studie

Intervenční

Zápis (Aktuální)

525

Fáze

  • Fáze 4

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

      • Bari, Itálie, 70126
        • Osp.Pediatr.Giov.XXIII,AOUC P.Bari
      • Bergamo, Itálie, 24127
        • ASST Papa GiovanniXXIII,Mat.Inf.Ped
    • Parma
      • Parma, Parma, Itálie, 43100
        • Azienda ospedalo universitaria
    • Pavia
      • Pavia, Pavia, Itálie, 27100
        • Universita degli Studi di Pavia - Fondazione IRCCS Policlini
    • Pisa
      • Pisa, Pisa, Itálie, 56126
        • SO S.Chiara, AOU Pisana
      • Balassagyarmat, Maďarsko, H-2660
        • Dr. Kenessey Albert Korhaz-Rendelointezet
      • Budapest, Maďarsko, 1089
        • Heim Pal Orszagos Gyermekgyogyaszati Intezet
      • Budapest, Maďarsko, 1083
        • Semmelweis Egyetem I.sz. Gyermekgyogyaszati Klinika
      • Gyula, Maďarsko, 5700
        • Sanitas Diagnosztikai és Rehabilitációs Központ
      • Miskolc, Maďarsko, 3527
        • Futurenest Kft.
    • Csongrád megye
      • Szeged, Csongrád megye, Maďarsko, 6720
        • Aranyklinika Kft
    • Bavaria
      • München, Bavaria, Německo, 80337
        • Ludwig Maximilians Universität München
      • Schönau am Königssee, Bavaria, Německo, 83471
        • Clinical Research & Healthcare GmbH
    • Lower Saxony
      • Hanover, Lower Saxony, Německo, 30625
        • Medizinische Hochschule Hannover
    • North Rhine-Westphalia
      • Bochum, North Rhine-Westphalia, Německo, 44791
        • St. Josef-Hospital
      • Cologne, North Rhine-Westphalia, Německo, 50937
        • University Hospital Cologne AöR
      • Düsseldorf, North Rhine-Westphalia, Německo, 40217
        • Ev. Krankenhaus Düsseldorf
      • Mönchengladbach, North Rhine-Westphalia, Německo, 41236
        • Praxis Köllges
      • Wesel, North Rhine-Westphalia, Německo, 46483
        • Marien-Hospital Wesel gGmbH
    • Schleswig-Holstein
      • Lübeck, Schleswig-Holstein, Německo, 23538
        • Universitätsklinikum Schleswig-Holstein Campus Lübeck
      • Krakow, Polsko, 31-411
        • Centrum Medyczne PROMED
      • Rzeszów, Polsko, 35-612
        • Podkarpacki Osrodek Pulmonologii i Alergologii Sp. z o.o.
      • Skierniewice, Polsko, 96-100
        • Velocity Skierniewice Sp. z o.o.
      • Warsaw, Polsko, 01-231
        • Przychodnia Specjalistyczna Prosen-Med NZOZ
    • Lesser Poland Voivodeship
      • Krakow, Lesser Poland Voivodeship, Polsko, 31-624
        • Malopolskie Centrum Alergologii
      • Tarnów, Lesser Poland Voivodeship, Polsko, 33-100
        • ALERGO-MED Specjalistyczna Przychodnia Lekarska Spolka z o.o.
    • Lublin Voivodeship
      • Lublin, Lublin Voivodeship, Polsko, 20-552
        • Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna
    • Lódzkie
      • Lodz, Lódzkie, Polsko, 90-329
        • WWCOiT im. M. Kopernika w Lodzi, Osrodek Pediatryczny im. dr J.Korczaka
    • Podlaskie Voivodeship
      • Bialystok, Podlaskie Voivodeship, Polsko, 15-879
        • NZOZ E-Vita
    • Silesian Voivodeship
      • Częstochowa, Silesian Voivodeship, Polsko, 42-217
        • Centrum Medyczne Pratia Czestochowa
      • Siemianowice Śląskie, Silesian Voivodeship, Polsko, 41-103
        • NZLA Michalkowice - Jarosz i Partnerzy Spolka Lekarska
    • Świętokrzyskie Voivodeship
      • Skarżysko-Kamienna, Świętokrzyskie Voivodeship, Polsko, 26-110
        • NSZOZ Puls - Med Anna Bogusz, Agnieszka Musielak Sp.J.
      • Edinburgh, Spojené království, EH9 1LF
        • Royal Hospital for Children and Young People
      • London, Spojené království, SE5 9RS
        • King's College Hospital
      • London, Spojené království, E1 4NS
        • Royal London Hospital
    • East Sussex
      • Brighton, East Sussex, Spojené království, BN2 5BE
        • Brighton And Sussex University Hospitals NHS Trust
    • Manchester
      • Manchester, Manchester, Spojené království, M13 9WL
        • Royal Manchester Children's Hospital - Paediatrics - Paediatrics
    • Nottingham
      • Nottingham, Nottingham, Spojené království, NG7 2UH
        • Nottingham University Hospitals NHS Trust - Queen's Medical Centre
      • Geneva, Švýcarsko, 1205
        • Hôpitaux Universitaires de Genève (HUG)
      • Zurich, Švýcarsko, 8032
        • Universitaets-Kinderklinik - Kinderspital Zuerich
    • Canton of Bern
      • Bern, Canton of Bern, Švýcarsko, 3010
        • Inselspital Bern Kinderklinik
    • Canton of Vaud
      • Lausanne, Canton of Vaud, Švýcarsko, 1011
        • CHUV-Centre Hopitalier Universitaire Vaudois

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

6 měsíců až 5 let (Dítě)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Popis

Inclusion Criteria:

  • Children of either gender aged between 6 months and 5 years, at Baseline/Randomisation (Visit 2) inclusive.
  • For children ≥1 year of age, ≥4 RTIs (as reported by parents or LAR of subject), including ≥2 episodes of wLRIs (including ≥1 triggering hospitalisation or medical visit) within 12 months prior to enrolment.

OR

  • For children <1 year of age, ≥2 RTIs (as reported by parents or LAR of subject), including ≥1 episode of wLRIs (including ≥1 triggering hospitalisation or medical visit) within 6 months prior to enrolment.
  • Parents or LAR of subject have provided the appropriate written informed consent. Written informed consent must be provided before any study-specific procedures are performed including screening procedures.

Exclusion Criteria:

  • Anatomic alterations of the respiratory tract.

  • Other chronic respiratory diseases (e.g., tuberculosis, cystic fibrosis).

  • Any autoimmune disease.

  • HIV infection or any type of congenital or iatrogenic immune deficiency (including IgA deficiency).

  • Known severe congenital heart disease.

  • Haematologic diseases.

  • Liver or kidney failure.

  • New-borns before 34 weeks of gestational age.

  • Malnutrition as per World Health Organization (WHO) definition.

  • Any known neoplasia or malignancy.

  • Treatment with the following medications:

    1. Injection or oral administration of steroids within 4 weeks prior to study enrolment.
    2. Previous and/or concomitant immunosuppressants, immunostimulants, or gamma globulins within 6 months prior to study enrolment.
  • Previous use within last 6 months of enrolment or ongoing use of bacterial lysates.

  • Any major surgery within the last 3 months prior to study enrolment.

  • Known allergy or previous intolerance to investigational medicinal products (IMP).

  • Any other clinical conditions, that in the opinion of the Investigator, would not allow safe completion of the clinical study.

  • Other household members have previously been randomised in this clinical study.

  • Subjects' families expected to relocate out of study area within 24 months of the initiation of the study.

  • Currently enrolled in or has completed any other investigational device or drug study or receiving other investigational agent(s) within <30 days prior to screening.

  • Parents or legally acceptable representative (LAR) who do not have access to internet connection.

  • Wheezing documented to be caused by gastroesophageal reflux.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Dvojnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: BV-12

Subjects will receive OM-85 treatment for 12 consecutive months. (10 days per month)

Subjects will be administered OM-85 3.5 mg capsules by mouth once daily. (10 days per month)

Experimentální: BV-3

Subjects will receive OM-85 treatment for 3 consecutive months, followed by matching placebo for 9 consecutive months. (10 days per month)

Subjects will be administered OM-85 3.5 mg capsules by mouth once daily. (10 days per month)

Komparátor placeba: Placebo

Subjects will receive matching placebo for 12 consecutive months. (10 days per month)

Subjects will be administered Placebo once daily. (10 days per month)

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Rate of respiratory tract infections (RTIs)
Časové okno: 12 Months

The number of RTIs experienced by a subject during the Treatment period will be assessed.

12 Months

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Rate of wheezing lower respiratory infections (wLRIs) experienced by a subject
Časové okno: 12 Months

The number of wLRIs experienced by a subject during the Treatment period will be assessed. This is the key secondary endpoint

12 Months
Rate of wLRIs
Časové okno: 18 Months

The number of wLRIs experienced by a subject during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Rate of respiratory tract infections (RTIs)
Časové okno: 18 Months

The number of RTIs experienced by a subject during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Proportion of subjects with recurrent RTIs
Časové okno: 18 Months

The proportion of subjects experiencing ≥3 RTIs during the first 6 months of Treatment period, the proportion of subjects experiencing ≥4 RTIs during the full 12-month Treatment period and the proportion of subjects experiencing ≥6 RTIs during the full 12-month Treatment period and during the whole study period will be assessed.

18 Months
Proportion of subjects with wLRIs
Časové okno: 18 Months

The proportion of subjects with wLRIs during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Rate of severe wheezing lower respiratory illness (SwLRIs)
Časové okno: 18 Months

The number of SwLRIs experienced by a subject during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Proportion of subjects with SwLRIs
Časové okno: 18 Months

The proportion of subjects with SwLRIs during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Time to first, second and third RTI and wLRI
Časové okno: 18 Months

Time to first, second and third RTI and wLRI during the whole study period will be assessed.

18 Months
Mean duration in days per RTI and acute RTI
Časové okno: 18 Months

Mean duration in days per RTI and mean duration in days per acute RTI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Mean duration in days per wLRI
Časové okno: 18 Months

Mean duration in days per wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Mean duration in days per SwLRI
Časové okno: 18 months

Mean duration in days per SwLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 months
Number of healthcare resource utilisations
Časové okno: 18 Months

Number of healthcare resource utilisations (inpatient hospitalisations, visits to emergency rooms, or to a physician/health care provider) due to an RTI and/or a wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Number of absent days from daycare
Časové okno: 18 Months

Number of absent days from daycare due to an RTI and/or a wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Number of antibiotic treatments for a respiratory event
Časové okno: 18 Months

Number of antibiotic treatments for a respiratory event during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Duration of antibiotic treatments for a respiratory event
Časové okno: 18 Months

Duration of antibiotic treatments for a respiratory event during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Number of systemic corticosteroids, inhaled corticosteroids (ICS) and β2-agonist treatments for a wLRI
Časové okno: 18 Months

Number of systemic corticosteroids, ICS and β2-agonist treatments for a wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Duration of systemic corticosteroids, ICS and β2-agonist treatments for a wLRI
Časové okno: 18 Months

Duration of systemic corticosteroids, ICS and β2-agonist treatments for a wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Symptom duration as per the adapted Wisconsin Upper Respiratory Symptom Survey for Kids (WURSS-K) questionnaire
Časové okno: 18 Months

Symptom duration during the Treatment period, during the Observational period, and during the whole study period will be assessed using WURSS-K questionnaire. Adapted WURSS-K is a valid and reliable illness-specific quality of life instrument that evaluates the impacts of RTIs on children.

18 Months
Symptom types as per the adapted WURSS-K questionnaire
Časové okno: 18 Months

Symptom types during the Treatment period, during the Observational period, and during the whole study period will be assessed using WURSS-K questionnaire. Adapted WURSS is a valid and reliable illness-specific quality of life instrument that evaluates the impacts of RTIs on children.

18 Months
Symptom severity as per the adapted WURSS-K questionnaire
Časové okno: 18 Months

Symptom severity during the Treatment period, during the Observational period, and during the whole study period will be assessed using WURSS-K questionnaire. Adapted WURSS is a valid and reliable illness-specific quality of life instrument that evaluates the impacts of RTIs on children.

18 Months
Proportion of subjects who have not used antibiotics as rescue medication for RTI
Časové okno: 18 Months

The proportion of subjects who have not used antibiotics as rescue medication for RTI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Proportion of subjects who have not been hospitalised for an RTI
Časové okno: 18 Months

The proportion of subjects who have not been hospitalised for an RTI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Proportion of subjects who have not been administered a systemic corticosteroid for wLRI
Časové okno: 18 Months

The proportion of subjects who have not been administered a systemic corticosteroid for wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months
Proportion of subjects who have not been hospitalised for more than 1 day for wLRI
Časové okno: 18 Months

The proportion of subjects who have not been hospitalised for more than 1 day for wLRI during the Treatment period, during the Observational period, and during the whole study period will be assessed.

18 Months

Další výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Number of subjects with adverse events and serious adverse event
Časové okno: 18 Months

The safety of short- and long-term treatment with OM-85 vs. placebo in children aged between 6 months and 5 years with recurrent RTIs associated with wLRI during the Treatment period and during the Observational period will be assessed.

18 Months

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

12. prosince 2022

Primární dokončení (Aktuální)

10. března 2026

Dokončení studie (Aktuální)

16. září 2026

Termíny zápisu do studia

První předloženo

14. prosince 2022

První předloženo, které splnilo kritéria kontroly kvality

22. prosince 2022

První zveřejněno (Aktuální)

10. ledna 2023

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

25. září 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

24. září 2026

Naposledy ověřeno

1. září 2026

Více informací

Termíny související s touto studií

Další relevantní podmínky MeSH

Další identifikační čísla studie

  • BV-2020/08
  • 2024-511581-37-00 (Ctis)

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

NE

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

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