Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 6 Weeks to 10 Weeks

Bacterial lysate treatment to prevent respiratory infections in preterm infants

Official title: Protecting Late-moderate Preterm Infants From Respiratory Tract Infections and Wheeze in Their First Years of Life by Using Bacterial Lysates.

Run by Franciscus Gasthuis · NCT05063149 · Data updated 2026-11-12

This study is testing if a bacterial treatment can help prevent respiratory infections and wheezing in preterm infants during their first year of life.

More Premature trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages6 Weeks to 10 Weeks
SexAll
Enrollment500 (estimated)
SponsorFranciscus Gasthuis
Academic / other
Locations1 site (Rotterdam, South Holland)
StatusRecruiting
StartedMarch 18, 2022
Main results expectedDecember 2029
Study endsDecember 2030
Registry record updatedSeptember 25, 2026
Trial IDNCT05063149 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are moderate-late preterm infants born between 30 and 35 weeks of gestation who are otherwise healthy.

Probably not a fit

Patients with severe underlying respiratory diseases, significant cardiac issues, or those who have experienced lower respiratory tract infections prior to randomization may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study aims to reduce respiratory tract infections and wheezing in moderate-late preterm infants through the administration of bacterial lysates. A total of 500 otherwise healthy infants will be randomly assigned to receive either the bacterial lysate (OM-85/Broncho-Vaxom) or a placebo for ten days each month, starting from 6-10 weeks after birth until they reach 12 months. The study will also collect clinical data and biological samples to investigate immune maturation and microbiome development, with follow-up assessments at 6, 12, and potentially 24 months. The primary outcomes will focus on doctor-diagnosed lower respiratory tract infections and wheezing episodes during the first year of life.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the incidence of respiratory infections and wheezing in preterm infants, improving their overall health outcomes.

How similar studies have gone: While the approach of using bacterial lysates is promising, it is relatively novel in this specific population, and previous studies have shown mixed results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Gestational age at delivery between 30+0 and 35+6 weeks
* Postnatal age at least 6 weeks at randomization \& postmenstrual age at least 37 weeks
* Written informed consent by both parents or formal caregivers

Exclusion Criteria:

* Underlying other severe respiratory disease such as broncho-pulmonary dysplasia (unexpected in this group); hemodynamic significant cardiac disease; immunodefi-ciency; severe failure to thrive; birth asphyxia with predicted poor neurological out-come; syndrome or serious congenital disorder.
* Maternal TNF-alpha inhibitors or other immunosuppression during pregnancy and/or breastfeeding
* Parents unable to speak and read Dutch/English language
* Known allergic hypersensitivity to the active ingredients/substance or to any of the excipients.

Where it's running

  • Franciscus Gasthuis & Vlietland
    Rotterdam, South Holland, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.