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OM-85 nelle infezioni pediatriche ricorrenti del tratto respiratorio con respiro sibilante Malattia delle vie respiratorie inferiori

24 settembre 2026 aggiornato da: OM Pharma SA

Uno studio di fase 4 randomizzato, controllato con placebo, a 3 bracci, in doppio cieco, multicentrico per valutare l'efficacia del trattamento a breve e lungo termine con OM-85 (Broncho-Vaxom) rispetto al placebo nella prevenzione delle infezioni del tratto respiratorio nei bambini di età compresa tra 6 mesi e 5 anni con sibilo respiratorio inferiore

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.

Panoramica dello studio

Stato

Completato

Condizioni

Intervento / Trattamento

Descrizione dettagliata

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).

Tipo di studio

Interventistico

Iscrizione (Effettivo)

525

Fase

  • Fase 4

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 6 mesi a 5 anni (Bambino)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Doppio

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: 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)

Sperimentale: 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)

Comparatore placebo: 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)

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Rate of respiratory tract infections (RTIs)
Lasso di tempo: 12 Months

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

12 Months

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Rate of wheezing lower respiratory infections (wLRIs) experienced by a subject
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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

Altre misure di risultato

Misura del risultato
Misura Descrizione
Lasso di tempo
Number of subjects with adverse events and serious adverse event
Lasso di tempo: 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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

12 dicembre 2022

Completamento primario (Effettivo)

10 marzo 2026

Completamento dello studio (Effettivo)

16 settembre 2026

Date di iscrizione allo studio

Primo inviato

14 dicembre 2022

Primo inviato che soddisfa i criteri di controllo qualità

22 dicembre 2022

Primo Inserito (Effettivo)

10 gennaio 2023

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

25 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

24 settembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

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

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .