Clinical trial • Phase IV • Respiratory
Haemophilus influenzae; Klebsiella ozaenae; Klebsiella pneumoniae; Neisseria catarrhalis; Staphylococcus aureus; Streptococcus pneumoniae; Streptococcus pyogenes; Streptococcus viridans (bacterial lysates) for Respiratory tract infections
Phase IV trial of Haemophilus influenzae; Klebsiella ozaenae; Klebsiella pneumoniae; Neisseria catarrhalis; Staphylococcus aureus; Streptococcus pneumonia…
Overview
- Trial Therapeutic Area
- Respiratory
- Trial Disease
- Respiratory tract infections
- Trial Stage
- Phase IV
- Drug Modality
- Vaccine
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 17-12-2025
- First CTIS Authorization Date
- 23-04-2026
Trial design
Randomised, placebo (sublingual tablet); test imp without active substance; max daily dose 0 mg; administered sublingually during the 3-month treatment period per protocol.-controlled Phase IV trial across 10 sites in Poland.
- Randomised
- Yes
- Comparator
- PLACEBO (sublingual tablet); test IMP without active substance; max daily dose 0 mg; administered sublingually during the 3-month treatment period per protocol.
- Target Sample Size
- 224
- Trial Duration For Participant
- 210
Eligibility
Recruits 224 paediatric patients.
- Pregnancy Exclusion
- Pregnant/Lactating female or with sexual activity without hormonal contraception, intrauterine device or barrier methods.
- Vulnerable Population
- Participants are children aged 3 to 12 years. Written informed consent is required from parents/legal authorised representatives. Written assent is obtained from subjects from 7 years of age. Age-specific subject information and consent forms are provided (documents for 3-6yo, 7-12yo and main legal guardian are listed).
Inclusion criteria
- {"criterion_text":"- 1. Children of both genders aged from 3 to 12 years.\n- 2. Written informed consent obtained from the parents/legaly authorized representatives\n- 3. Written assent obtained from the subject from 7 years\n- 4. Subject presenting with a susceptibility to respiratory tract infections according to the investigator\n- 5. No respiratory tract infection within 15 days before the randomization visit\n- 6. All girls of childbearing potential have a negative pregnancy urine testing at randomization visit and are informed and their parents as well of the requirement for contraception during the study.\n- 7. A cooperative attitude and ability to correct use of PMBL® tablet."}
Exclusion criteria
- {"criterion_text":"- 1. Subject treated with bacterial lysates within the previous 6 months prior to V1 or ongoing treatment\n- 2. Body temperature ≥ 37.5°C at the randomization visit.\n- 3. Pregnant/Lactating female or with sexual activity without hormonal contraception, intrauterine device or barrier methods.\n- 4. Primary or secondary immunodeficiency, cystic fibrosis, bronchiectasis, alpha-1 antitrypsin deficiency, malignancy, endocrinological diseases or other chronic respiratory diseases, except asthma and allergic rhinitis.\n- 5. Known sensitivity to the components of study medication.\n- 6. Any major surgery within the last 3 months prior to study enrolment or planned to occur within the duration of study.\n- 7. Treatment with the following medications: a. Injection or oral administration of steroids within 4 weeks prior to study enrolment. b. Previous and/or concomitant immunosuppressants, immunostimulants, allergen-immunotherapy or gamma globulins within 6 months prior to study enrolment.\n- 8. Inability to understand or comply with study procedures or with study treatment intake.\n- 9. Subject participating in another interventional clinical study at the time of screening visit."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Rate of Respiratory Tract Infections (RTIs): the number of RTIs experienced by a subject throughout the study (3 month-treatment period and 4 month-follow-up) will be assessed.","definition_or_measurement_approach":"The number of RTIs experienced by a subject throughout the study (3 month-treatment period and 4 month-follow-up) will be assessed."}
Secondary endpoints
- {"endpoint_text":"- % of pts free of RTI during the overall study period\n- Mean duration in days per RTI during the overall study period (OST)\n- No. of days with RTI during the OST\n- No. of days of antibiotics use during the OST\n- Total no. of workdays lost by parents due to their child’s RTI during the OST\n- No. of physician consultations due to RTI or related complications\n- No. of antibiotic treatments (courses) for a respiratory event during the OST\n- No. of pts with (serious) AE and (serious) ADR","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 224
- Recruitment Window Months
- 10
- Consent Approach
- Written informed consent is obtained from parents/legal authorised representatives. Written assent is obtained from subjects aged 7 years and older. Age-specific Subject Information Sheets and Informed Consent Forms are provided (documents listed for 3-6yo, 7-12yo and main legal guardian). Languages available are not specified in the provided record.
Geography
- Total Number Of Sites
- 10
- Total Number Of Participants
- 224
Poland
- Earliest CTIS Part Ii Submission Date
- 20-03-2026
- Latest Decision Or Authorization Date
- 23-04-2026
- Processing Time Days
- 34
- Number Of Sites
- 10
- Number Of Participants
- 224
Sites
- Site Name
- In Vivo Sp. z o.o.
- Contact Person Name
- Piotr Korbal
- Contact Person Email
- piotr.korbal@in-vivo.pl
- Site Name
- Med Polonia Sp. z o.o.
- Contact Person Name
- Joanna Stryczyńska-Kazubska
- Contact Person Email
- joanna.kazubska@medpolonia.com.pl
- Site Name
- Comarch Healthcare S.A.
- Contact Person Name
- Joanna Dróżdż-Gradzikiewicz
- Contact Person Email
- joanna.drozdz-gradzikiewicz@comarch.pl
- Site Name
- Medicome Sp. z o.o.
- Contact Person Name
- Lidia Zielińska
- Contact Person Email
- lzielinska@medicome.pl
- Site Name
- Bio Zdrowie Sp. z o.o.
- Contact Person Name
- Anna Płoszczuk
- Contact Person Email
- anna.ploszczuk@wp.pl
- Site Name
- Alergo-Med Specjalistyczna Przychodnia Lekarska Sp. z o.o.
- Contact Person Name
- Bernadetta Majorek-Olechowska
- Contact Person Email
- bernadettaolechowska@gmail.com
- Site Name
- Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o.
- Contact Person Name
- Urszula Jedynak-Wąsowicz
- Contact Person Email
- ulaj@mp.pl
- Site Name
- Vitamed Galaj I Cichomski Sp. j.
- Contact Person Name
- Andrzej Gałaj
- Contact Person Email
- agalaj1@wp.pl
- Site Name
- Karolina Werchowiecka-Pardygal I Tomasz Pardygal Sp. j.
- Contact Person Name
- Tomasz Pardygal
- Contact Person Email
- tomasz.pardygal@pozskotniki.pl
- Site Name
- ALERGOTEST s.c., Specjalistyczne Centrum Medyczne Andrzej Emeryk, Małgorzata Bartkowiak-Emeryk
- Contact Person Name
- Andrzej Emeryk
- Contact Person Email
- emerykandrzej@gmail.com
Sponsor
Primary sponsor
- Full Name
- Lallemand Pharma Europe filial af Lallemand Pharma AG Schweiz
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Denmark
Contract research organisations
- Name
- PharmNDev Experts S.A.
- Responsibilities
- codes: 1,10,11,12,14,2,5,6,7
Third parties
- {"country":"Switzerland","full_name":"PharmNDev Experts S.A.","duties_or_roles":"codes: 1,10,11,12,14,2,5,6,7","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- ISMIGEN tabletki podjezykowe
- Active Substance
- Haemophilus influenzae; Klebsiella ozaenae; Klebsiella pneumoniae; Neisseria catarrhalis; Staphylococcus aureus; Streptococcus pneumoniae; Streptococcus pyogenes; Streptococcus viridans (bacterial lysates)
- Modality
- Vaccine
- Routes Of Administration
- SUBLINGUAL USE
- Route
- Sublingual
- Authorisation Status
- Authorised in Poland (marketing authorisation number 15581)
- Maximum Dose
- 50 mg daily (max total 1500 mg)
- Investigational Product Name
- PLACEBO
- Active Substance
- PLACEBO
- Modality
- Other
- Routes Of Administration
- SUBLINGUAL USE
- Route
- Sublingual
- Authorisation Status
- Test IMP without active substance
- Maximum Dose
- 0 mg
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