Clinical trial • Phase II • Respiratory

Lyophilized bacterial lysates of: Haemophilus influenzae, Streptococcus (diplococcus) pneumoniae, Klebsiella pneumoniae and ozaenae, Staphylococcus aureus, Streptococcus pyogenes and viridans, Moraxella (Branhamella / Neisseria) catarrhalis (Standardised OM-85 lyophilisate) for Recurrent wheezing | Chronic wheezing

Phase II trial of Lyophilized bacterial lysates of: Haemophilus influenzae, Streptococcus (diplococcus) pneumoniae, Klebsiella pneumoniae and ozaenae, Sta…

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Recurrent wheezing | Chronic wheezing
Trial Stage
Phase II
Drug Modality
Other
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
22-03-2024
First CTIS Authorization Date
16-07-2024

Trial design

Randomised, active arm: om-85 (broncho-vaxom, 3.5 mg capsule) given daily for 6 months (max daily dose 3.5 mg). comparator arm: matching placebo (broncho-vaxom children capsules placebo) for 6 months.-controlled Phase II trial across 6 sites in Hungary, Poland.

Randomised
Yes
Comparator
Active arm: OM-85 (BRONCHO-VAXOM, 3.5 mg capsule) given daily for 6 months (max daily dose 3.5 mg). Comparator arm: matching placebo (BRONCHO-VAXOM Children Capsules placebo) for 6 months.
Target Sample Size
186
Trial Duration For Participant
365

Eligibility

Recruits 186 paediatric patients.

Vulnerable Population
The trial enrols a vulnerable population (children aged 6 months to 5 years). Parents or legal authorised representatives (LAR) must provide appropriate written informed consent prior to any study-specific procedures. A pediatric trial statement and dedicated subject information/ICF documents are provided; no assent process for participants is described in the available documents.

Inclusion criteria

  • {"criterion_text":"- Children of either gender, aged between 6 and 72 months (5 years inclusive)."}
  • {"criterion_text":"- Children with recurrent wheezing: a. For ICS/LTRA naïve patients or intermittent users: ≥2 WEs including at least 1 severe episode (i.e., treated with OCS OR having triggered an ED visit/hospitalization), OR ≥3 WEs including one that triggered an unscheduled physician visit, as reported by parents or LAR of subject, in the 12 months prior to enrollment. b. For ICS/LTRA daily users: ≥1 severe WE (i.e., treated with OCS or having triggered an ED visit/hospitalization) OR ≥2 WEs including one that triggered an unscheduled physician visit, as reported by parents or LAR of subject (i.e., guardians), in the 12 months prior to enrollment, while being on their daily controller therapy. Note: While WE counted for enrollment are based on parent reporting, the PI must ensure that they fulfill the WE definition of the protocol."}
  • {"criterion_text":"- Up-to-date vaccination status as per applicable State Or Country Vaccination Requirements for school/daycare entry."}
  • {"criterion_text":"- Parents or LAR 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

  • {"criterion_text":"- Known anatomic alterations of the respiratory tract."}
  • {"criterion_text":"- Treatment with the following medications: a. Systemic (intravenous or intramuscular) or oral corticosteroids or OCS (e.g., oral prednisolone) within 4 weeks before study enrollment. b. Previous and/or concomitant immunosuppressants, immunostimulants, or gamma globulins within 6 months before study enrollment."}
  • {"criterion_text":"- Any major surgery within the last 3 months prior to study enrollment or planned during the study duration."}
  • {"criterion_text":"- Known allergy or previous intolerance to investigational drug."}
  • {"criterion_text":"- Any other clinical conditions, which in the opinion of the Investigator, would not allow safe completion of the clinical study."}
  • {"criterion_text":"- Other household members have previously been randomized in this clinical study."}
  • {"criterion_text":"- Inability to comply with the study requested visit schedule (e.g., expected relocation within 12 months of the screening for the study)."}
  • {"criterion_text":"- Currently enrolled in or has completed any other investigational device or drug study <30 days prior to screening or receiving other investigational agent(s)."}
  • {"criterion_text":"- Wheezing documented to be caused by gastroesophageal reflux."}
  • {"criterion_text":"- Other known chronic respiratory diseases (e.g., tuberculosis or cystic fibrosis)."}
  • {"criterion_text":"- Any known autoimmune disease."}
  • {"criterion_text":"- Known HIV infection or any known type of congenital or iatrogenic immune deficiency (including IgA deficiency)."}
  • {"criterion_text":"- Known acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal function abnormalities."}
  • {"criterion_text":"- Children born prematurely, i.e., before 34 weeks of gestational age."}
  • {"criterion_text":"- Children with an abnormally low or high weight for their age and height, if in the opinion of the Investigator, this would not allow safe completion of the clinical study."}
  • {"criterion_text":"- Any known neoplasia or malignancy."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Rate of wheezing/asthma-like episodes (WEs) during the 6 months of the Treatment period, defined as the number of WEs experienced by a subject during the 6month Treatment period.","definition_or_measurement_approach":"Defined as the number of WEs experienced by a subject during the 6-month Treatment period (count of wheezing/asthma‑like episodes per subject during treatment)."}

Secondary endpoints

  • {"endpoint_text":"- Rate of severe WEs during the 6month Treatment period.","definition_or_measurement_approach":"Count/rate of severe wheezing/asthma‑like episodes experienced by each subject during the 6-month Treatment period."}
  • {"endpoint_text":"- Rate of WE requiring OCS treatment during the 6-month Treatment period.","definition_or_measurement_approach":"Count/rate of wheezing/asthma‑like episodes during the 6-month Treatment period that required oral corticosteroid (OCS) treatment."}
  • {"endpoint_text":"- Number of days with wheezing/asthma-like symptoms during the 6month Treatment period.","definition_or_measurement_approach":"Cumulative number of days with wheezing/asthma‑like symptoms recorded for each subject during the 6-month Treatment period."}
  • {"endpoint_text":"- Safety, including AEs, SAEs, vital signs, and physical examination.","definition_or_measurement_approach":"Standard safety assessments during study including recording of adverse events (AEs), serious adverse events (SAEs), vital signs and physical examination findings over the Treatment, Observational and Whole study periods."}

Recruitment

Digital Remote Recruitment
True, Website recruitment material (Poland) and ePRO electronic data collection (Hungary) are included among recruitment/subject information documents.
Planned Sample Size
186
Recruitment Window Months
25
Consent Approach
Written informed consent must be provided by parents or legal authorised representatives (LAR) prior to any study‑specific procedures. Subject information sheets and ICFs are provided (Polish and Hungarian versions available). A Consent Navigator (Hungarian) and other informational materials (including English participation card) are available. No participant assent procedure for child participants is described in the available documents.

Methods

  • Flyer (K2_Recruitment material Flyer POL Polish) - printed recruitment material targeted to parents/guardians (Poland).
  • Poster (K2_Recruitment material Poster POL Polish) - printed recruitment poster targeted to parents/guardians (Poland).
  • Website (K2_Recruitment material Website POL Polish) - online recruitment material (Poland).
  • Brochure (K1_Recruitment arrangements Brochure POL Polish) - informational brochure for parents/guardians (Poland).
  • Dear Patient Letter (K2_Recruitment material Dear Patient Letter POL Polish) - direct communication to potential participants/guardians (Poland).
  • Recruitment procedure description (K1_Recruitment arrangements Procedure Description POL) - procedural document describing recruitment arrangements (Poland).
  • Consent Navigator (K2_Recruitment material Consent Navigator HUN Hungarian) - supportive material for consent process (Hungary).
  • Other appreciation items and participation cards (various K2/L2 documents) - local participant materials (Poland, Hungary).
  • ePRO materials (L2_Other subject information material ePRO HUN Hungarian) - electronic patient-reported outcome tools (Hungary).

Geography

Total Number Of Sites
6
Total Number Of Participants
85

Hungary

Earliest CTIS Part Ii Submission Date
31-05-2024
Latest Decision Or Authorization Date
17-10-2025
Processing Time Days
504
Number Of Sites
2
Number Of Participants
26

Sites

Site Name
Aranyklinika Kft.
Department Name
Csecsemo- es gyermekgyogyaszat
Contact Person Name
Zoltan Novak
Contact Person Email
vezetoseg@aranyklinika.hu
Site Name
Sanitas Diagnosztikai es Rehabilitacios Kozpont
Department Name
Sanitas Diagnosztikai es Rehab
Contact Person Name
Katalin H.Nagy
Contact Person Email
hajdukati.gyk@gmail.com

Poland

Earliest CTIS Part Ii Submission Date
10-06-2024
Latest Decision Or Authorization Date
17-10-2025
Processing Time Days
494
Number Of Sites
4
Number Of Participants
59

Sites

Site Name
Clinmedica Research Sp. z o.o.
Department Name
Allergology
Contact Person Name
Bozena Kucinska
Contact Person Email
b.kucinska@etg-network.com
Site Name
NZOZ E-Vita
Department Name
Allergology
Contact Person Name
Ewa Michnowska-Tryburska
Contact Person Email
drewam@o2.pl
Site Name
Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M.Kopernika W Lodzi
Department Name
Poradnia Alergologiczna
Contact Person Name
Agnieszka Brzozowska
Contact Person Email
agnieszkabrz@onet.eu
Site Name
Alergo-Med Specjalistyczna Przychodnia Lekarska Sp. z o.o.
Department Name
Allergology
Contact Person Name
Bernadetta Majorek - Olechowska
Contact Person Email
bernadettaolechowska@gmail.com

Sponsor

Primary sponsor

Full Name
OM Pharma SA
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Parexel International (IRL) Limited
Responsibilities
Multiple CRO/operational responsibilities (codes: 11,12,13,5,6,9)

Third parties

  • {"country":"United States","full_name":"Clario","duties_or_roles":"eCOA (Electronic Clinical Outcome Assessment) solution intended for the electronic data capture","organisation_type":"Industry"}
  • {"country":"South Africa","full_name":"Ampath Clinical Trials, Ampath National Laboratories","duties_or_roles":"Analysis of total and specific IgE","organisation_type":"Industry"}
  • {"country":"Netherlands","full_name":"Eurofins Central Laboratory B.V.","duties_or_roles":"Central Laboratory services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Reimbursement in Hungary","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Belgium","full_name":"CluePoints","duties_or_roles":"Data Surveillance services","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Catalent Germany Schorndorf GmbH","duties_or_roles":"Trial Supply","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"Alsinova Boulogne-Billancourt","duties_or_roles":"Regulatory activities (duty code provided)","organisation_type":"Industry"}
  • {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"Clinical systems (duty code provided)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Data Management Randomization","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Vivos Technology Limited","duties_or_roles":"Other (duty code provided)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"South Africa","full_name":"Synexa Life Sciences (Pty) Ltd.","duties_or_roles":"Analysis of central lab samples","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"Multiple CRO/operational responsibilities (codes: 11,12,13,5,6,9)","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
BRONCHO-VAXOM, 3,5mg, kapsułki
Active Substance
Lyophilized bacterial lysates of: Haemophilus influenzae, Streptococcus (diplococcus) pneumoniae, Klebsiella pneumoniae and ozaenae, Staphylococcus aureus, Streptococcus pyogenes and viridans, Moraxella (Branhamella / Neisseria) catarrhalis (Standardised OM-85 lyophilisate)
Modality
Other
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation R/0438 in PL)
Starting Dose
3.5 mg (daily)
Dose Levels
3.5 mg daily
Frequency
Daily for 6 months
Maximum Dose
3.5 mg (max daily dose)
Investigational Product Name
BRONCHO-VAXOM Children Capsules placebo
Modality
Other
Frequency
Given matching active schedule (placebo) for 6 months

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