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
Site Name
Comarch Healthcare S.A.
Contact Person Name
Joanna Dróżdż-Gradzikiewicz
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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