E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Recurrent bronchospasm |
Broncoespasmos de repetición |
|
E.1.1.1 | Medical condition in easily understood language |
Repeted bronchospasm |
Broncoespasmos de repetición |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10006482 |
E.1.2 | Term | Bronchospasm |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the efficacy of a bacterial vaccine administered sublingually to prevent episodes of bronchospasm in patients with bronchospasm episodes induced by recurrent respiratory tract infections, compared with a placebo group |
El objetivo principal de este ensayo es evaluar la eficacia de una vacuna bacteriana administrada por vía sublingual para la prevención de episodios de broncoespasmo, en sujetos con episodios de broncoespasmo inducidos por infecciones recurrentes del tracto respiratorio, comparándola con un grupo placebo |
|
E.2.2 | Secondary objectives of the trial |
? Shortening of bronchospasm episodes ? Rate of episodes ? Reduction in the antibiotics, oral corticosteroids, use of rescue bronchodilators and inhaled corticosteroid consumption ? Respiratory infections episodes reduction ? Direct costs: unscheduled visits to health center, emergency service visits, days of hospitalization and cost thereof, complementary tests, phone calls to the doctor or pediatrician ? Indirect costs: absenteeism from nursery, caregivers to the child at home and during hospital admissions. ? NNT to prevent one episode of bronchospasm ? Free day?s symptom percentage during the trial. ? Free day?s medication percentage of during the trial ? Safety Variables: adverse events, and evaluation of the local tolerability-reactions at the site of administration |
- Acortamiento de los episodios de broncoespasmo - Tasa de episodios - Disminución del consumo de antibioterapia, corticoide oral, del uso de broncodilatadores de rescate y corticoide inhalado - Disminución de los episodios de infecciones respiratorias - Costes directos: visitas a centro de salud no programadas, visitas a urgencias hospitalarias, días de ingreso hospitalario y coste del mismo, pruebas complementarias realizadas, llamadas telefónicas al médico especialista o pediatra. - Costes indirectos: absentismo escolar, cuidadores a cargo del niño en domicilio y durante los ingresos hospitalarios. - NNT para prevenir un episodio de broncoespasmo - Porcentaje de días sin síntomas a lo largo del ensayo. - Porcentaje de días sin medicación a lo largo del ensayo. - Variables de seguridad:Acontecimientos adversos y evaluación de la tolerabilidad local -reacciones en el lugar de la administración (y de cualquier medicación administrada para el tratamiento de AA |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Subjects whose parents /legal representative have given written informed consent. - Both gender - Subject up to 36 months of age. - Subjects with recurrent bronchospasms ; 3 or more exacerbations in the last 12 months |
- Sujetos cuyos padres/representantes legales hayan otorgado el consentimiento informado por escrito. - Ambos sexos - Sujetos de hasta 36 meses de edad. - Sujetos con broncoespasmo de repetición; 3 o más crisis en los últimos 12 meses |
|
E.4 | Principal exclusion criteria |
- Subjects whose parents/legal representative have not given written informed consent. - Subjects out of aged range - Subjects with malignancies or chemotherapy treatment - Subjects included in another clinical trial in the last 12 months. - Subject in immunosuppressive or immunostimulatory treatment - Subjects who have received iv gamma globulin in the past 12 months. - Subjects with recurrent respiratory infections - Subjects diagnosed with candidiasis or fungal recurrent infections. - Subjects diagnosed with malabsorption syndrome - Subjects with clinical allergy tocommon aeroallergens in the geographical area. - Subjects with hepatitis virus infections, HIV and tuberculosis |
- Sujetos cuyos padres/representantes legales no hayan otorgado el consentimiento informado por escrito. - Sujetos cuya edad no esté comprendida en el rango e establecido. - Sujetos con neoplasias o en tratamiento quimioterápico. - Sujetos incluidos en otro ensayo clínico en los últimos 12 meses. - Sujetos en tratamiento inmunosupresor o inmunoestimulante - Sujetos que han recibido gammaglobulina iv en los últimos 12 meses. - Sujetos con infecciones de repetición no respiratorias - Sujetos diagnosticados de candidiasis o infecciones fúngicas de repeición. - Sujetos diagnosticados de Síndrome malabsortivo - Sujetos con alergia clínica frente a neumoalergenos comunes en la zona geográfica. - Sujetos con infecciones por virus de hepatitis, VIH y tuberculosis |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is to evaluate the efficacy of a bacterial vaccine, sublingally administered to prevent bronchospams episodes in subjects with bronchospam episodes compared with a placebo group |
El objetivo principal de este ensayo es evaluar la eficacia de una vacuna bacteriana administrada por vía sublingual para la prevención de episodios de broncoespasmo, en sujetos con episodios de broncoespasmo, comparándola con un grupo placebo |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
The baseline and the end of the study |
Principio y el final del ensayo |
|
E.5.2 | Secondary end point(s) |
? Shortening of bronchospasm episodes ? Rate of episodes ? Reduction in the antibiotics, oral corticosteroids, use of rescue bronchodilators and inhaled corticosteroid consumption ? Respiratory infections episodes reduction ? Direct costs: unscheduled visits to health center, emergency service visits, days of hospitalization and cost thereof, complementary tests, phone calls to the doctor or pediatrician ? Indirect costs: absenteeism from nursery, caregivers to the child at home and during hospital admissions. ? NNT to prevent one episode of bronchospasm ? Free day?s symptom percentage during the trial. ? Free day?s medication percentage of during the trial ? Safety Variables: adverse events, and evaluation of the local tolerability-reactions at the site of administration |
- Acortamiento de los episodios de broncoespasmo - Tasa de episodios - Disminución del consumo de antibioterapia, corticoide oral, del uso de broncodilatadores de rescate y corticoide inhalado - Disminución de los episodios de infecciones respiratorias - Costes directos: visitas a centro de salud no programadas, visitas a urgencias hospitalarias, días de ingreso hospitalario y coste del mismo, pruebas complementarias realizadas, llamadas telefónicas al médico especialista o pediatra. - Costes indirectos: absentismo escolar, cuidadores a cargo del niño en domicilio y durante los ingresos hospitalarios. - NNT para prevenir un episodio de broncoespasmo - Porcentaje de días sin síntomas a lo largo del ensayo. - Porcentaje de días sin medicación a lo largo del ensayo. - Variables de seguridad:Acontecimientos adversos y evaluación de la tolerabilidad local -reacciones en el lugar de la administración (y de cualquier medicación administrada para el tratamiento de AA |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Baseline - Visit 1 (2 months after baseline) - Visit 2 (2 months after visit 1) - Visit 3 (2 months after visit 2) - Visit 4 (3 months after visit 3) - Visit 5 (3 months after visit 4) |
- Visita basal - Visita 1 (2 meses después de la visita basal) - Visita 2 (2 meses después de la visita 1) - Visita 3 (2 meses después de la visita 2) - Visita 4 (3 meses después de la visita 3) - Visita 5 (3 meses después de la visita 4) |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | Yes |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
Last patient last visit |
Última visita del último paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 2 |
E.8.9.2 | In all countries concerned by the trial days | 0 |