OM-85 ved pædiatriske tilbagevendende luftvejsinfektioner med hvæsende vejrtrækningssygdom
Et randomiseret, placebokontrolleret, 3-arm, dobbeltblindt, multicenter, fase 4-studie for at vurdere effektiviteten af OM-85 (Broncho-Vaxom) kort- og langtidsbehandling versus placebo i forebyggelsen af luftvejsinfektioner hos børn i alderen mellem 6 måneder og 5 år med hvæsende vejrtrækningssygdom
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.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
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).
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
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Edinburgh, Det Forenede Kongerige, EH9 1LF
- Royal Hospital for Children and Young People
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London, Det Forenede Kongerige, SE5 9RS
- King's College Hospital
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London, Det Forenede Kongerige, E1 4NS
- Royal London Hospital
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East Sussex
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Brighton, East Sussex, Det Forenede Kongerige, BN2 5BE
- Brighton And Sussex University Hospitals NHS Trust
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Manchester
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Manchester, Manchester, Det Forenede Kongerige, M13 9WL
- Royal Manchester Children's Hospital - Paediatrics - Paediatrics
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Nottingham
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Nottingham, Nottingham, Det Forenede Kongerige, NG7 2UH
- Nottingham University Hospitals NHS Trust - Queen's Medical Centre
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Bari, Italien, 70126
- Osp.Pediatr.Giov.XXIII,AOUC P.Bari
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Bergamo, Italien, 24127
- ASST Papa GiovanniXXIII,Mat.Inf.Ped
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Parma
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Parma, Parma, Italien, 43100
- Azienda ospedalo universitaria
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Pavia
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Pavia, Pavia, Italien, 27100
- Universita degli Studi di Pavia - Fondazione IRCCS Policlini
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Pisa
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Pisa, Pisa, Italien, 56126
- SO S.Chiara, AOU Pisana
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Krakow, Polen, 31-411
- Centrum Medyczne PROMED
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Rzeszów, Polen, 35-612
- Podkarpacki Osrodek Pulmonologii i Alergologii Sp. z o.o.
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Skierniewice, Polen, 96-100
- Velocity Skierniewice Sp. z o.o.
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Warsaw, Polen, 01-231
- Przychodnia Specjalistyczna Prosen-Med NZOZ
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Lesser Poland Voivodeship
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Krakow, Lesser Poland Voivodeship, Polen, 31-624
- Malopolskie Centrum Alergologii
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Tarnów, Lesser Poland Voivodeship, Polen, 33-100
- ALERGO-MED Specjalistyczna Przychodnia Lekarska Spolka z o.o.
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Lublin Voivodeship
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Lublin, Lublin Voivodeship, Polen, 20-552
- Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna
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Lódzkie
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Lodz, Lódzkie, Polen, 90-329
- WWCOiT im. M. Kopernika w Lodzi, Osrodek Pediatryczny im. dr J.Korczaka
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Podlaskie Voivodeship
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Bialystok, Podlaskie Voivodeship, Polen, 15-879
- NZOZ E-Vita
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Silesian Voivodeship
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Częstochowa, Silesian Voivodeship, Polen, 42-217
- Centrum Medyczne Pratia Czestochowa
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Siemianowice Śląskie, Silesian Voivodeship, Polen, 41-103
- NZLA Michalkowice - Jarosz i Partnerzy Spolka Lekarska
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Świętokrzyskie Voivodeship
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Skarżysko-Kamienna, Świętokrzyskie Voivodeship, Polen, 26-110
- NSZOZ Puls - Med Anna Bogusz, Agnieszka Musielak Sp.J.
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Geneva, Schweiz, 1205
- Hôpitaux Universitaires de Genève (HUG)
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Zurich, Schweiz, 8032
- Universitaets-Kinderklinik - Kinderspital Zuerich
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Canton of Bern
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Bern, Canton of Bern, Schweiz, 3010
- Inselspital Bern Kinderklinik
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Canton of Vaud
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Lausanne, Canton of Vaud, Schweiz, 1011
- CHUV-Centre Hopitalier Universitaire Vaudois
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Bavaria
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München, Bavaria, Tyskland, 80337
- Ludwig Maximilians Universität München
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Schönau am Königssee, Bavaria, Tyskland, 83471
- Clinical Research & Healthcare GmbH
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Lower Saxony
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Hanover, Lower Saxony, Tyskland, 30625
- Medizinische Hochschule Hannover
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North Rhine-Westphalia
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Bochum, North Rhine-Westphalia, Tyskland, 44791
- St. Josef-Hospital
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Cologne, North Rhine-Westphalia, Tyskland, 50937
- University Hospital Cologne AöR
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Düsseldorf, North Rhine-Westphalia, Tyskland, 40217
- Ev. Krankenhaus Düsseldorf
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Mönchengladbach, North Rhine-Westphalia, Tyskland, 41236
- Praxis Köllges
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Wesel, North Rhine-Westphalia, Tyskland, 46483
- Marien-Hospital Wesel gGmbH
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Schleswig-Holstein
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Lübeck, Schleswig-Holstein, Tyskland, 23538
- Universitätsklinikum Schleswig-Holstein Campus Lübeck
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Balassagyarmat, Ungarn, H-2660
- Dr. Kenessey Albert Korhaz-Rendelointezet
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Budapest, Ungarn, 1089
- Heim Pal Orszagos Gyermekgyogyaszati Intezet
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Budapest, Ungarn, 1083
- Semmelweis Egyetem I.sz. Gyermekgyogyaszati Klinika
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Gyula, Ungarn, 5700
- Sanitas Diagnosztikai és Rehabilitációs Központ
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Miskolc, Ungarn, 3527
- Futurenest Kft.
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Csongrád megye
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Szeged, Csongrád megye, Ungarn, 6720
- Aranyklinika Kft
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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:
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Anatomic alterations of the respiratory tract.
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Other chronic respiratory diseases (e.g., tuberculosis, cystic fibrosis).
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Any autoimmune disease.
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HIV infection or any type of congenital or iatrogenic immune deficiency (including IgA deficiency).
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Known severe congenital heart disease.
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Haematologic diseases.
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Liver or kidney failure.
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New-borns before 34 weeks of gestational age.
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Malnutrition as per World Health Organization (WHO) definition.
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Any known neoplasia or malignancy.
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Treatment with the following medications:
- Injection or oral administration of steroids within 4 weeks prior to study enrolment.
- Previous and/or concomitant immunosuppressants, immunostimulants, or gamma globulins within 6 months prior to study enrolment.
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Previous use within last 6 months of enrolment or ongoing use of bacterial lysates.
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Any major surgery within the last 3 months prior to study enrolment.
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Known allergy or previous intolerance to investigational medicinal products (IMP).
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Any other clinical conditions, that in the opinion of the Investigator, would not allow safe completion of the clinical study.
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Other household members have previously been randomised in this clinical study.
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Subjects' families expected to relocate out of study area within 24 months of the initiation of the study.
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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.
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Parents or legally acceptable representative (LAR) who do not have access to internet connection.
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Wheezing documented to be caused by gastroesophageal reflux.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: 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) |
|
Eksperimentel: 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) |
|
Placebo komparator: 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) |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Rate of respiratory tract infections (RTIs)
Tidsramme: 12 Months
|
The number of RTIs experienced by a subject during the Treatment period will be assessed. |
12 Months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Rate of wheezing lower respiratory infections (wLRIs) experienced by a subject
Tidsramme: 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
|
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Rate of wLRIs
Tidsramme: 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
|
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Rate of respiratory tract infections (RTIs)
Tidsramme: 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
|
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Proportion of subjects with recurrent RTIs
Tidsramme: 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
|
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Proportion of subjects with wLRIs
Tidsramme: 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
|
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Rate of severe wheezing lower respiratory illness (SwLRIs)
Tidsramme: 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
Tidsramme: 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
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Time to first, second and third RTI and wLRI
Tidsramme: 18 Months
|
Time to first, second and third RTI and wLRI during the whole study period will be assessed. |
18 Months
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Mean duration in days per RTI and acute RTI
Tidsramme: 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
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Mean duration in days per wLRI
Tidsramme: 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
|
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Mean duration in days per SwLRI
Tidsramme: 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
|
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Number of healthcare resource utilisations
Tidsramme: 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
|
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Number of absent days from daycare
Tidsramme: 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
|
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Number of antibiotic treatments for a respiratory event
Tidsramme: 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
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Duration of antibiotic treatments for a respiratory event
Tidsramme: 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
|
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Number of systemic corticosteroids, inhaled corticosteroids (ICS) and β2-agonist treatments for a wLRI
Tidsramme: 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
|
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Duration of systemic corticosteroids, ICS and β2-agonist treatments for a wLRI
Tidsramme: 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
|
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Symptom duration as per the adapted Wisconsin Upper Respiratory Symptom Survey for Kids (WURSS-K) questionnaire
Tidsramme: 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
|
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Symptom types as per the adapted WURSS-K questionnaire
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of subjects with adverse events and serious adverse event
Tidsramme: 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
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- BV-2020/08
- 2024-511581-37-00 (Ctis)
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