Clinical trial Recruiting at 9 sites Phase 4 Interventional Ages 3 to 12

Prevention with PMBL for recurrent RTIs in kids

Official title: A Randomized Double-blind Placebo-controlled Study to Demonstrate the Efficacy of PMBL® Sublingual Tablets in Reducing the Incidence of Respiratory Tract Infections in Children Aged 3-12 Years (PIRTIK).

Run by Lallemand Pharma AG · NCT07578012 · Data updated 2026-11-12

This study tests whether PMBL sublingual tablets can help prevent recurrent respiratory tract infections in children aged 3–12 compared to a placebo.

Quick facts

PhasePhase 4
Study typeInterventional
Ages3 Years to 12 Years
SexAll
Enrollment224 (estimated)
SponsorLallemand Pharma AG
Industry-sponsored
Drugs / interventionsimmunotherapy
Locations10 sites (Bialystok and 9 other locations)
StatusRecruiting
StartedJune 1, 2026
Main results expectedMarch 2027
Study endsApril 2027
Registry record updatedJuly 8, 2026
Trial IDNCT07578012 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 3–12 with a history of recurrent RTIs and the ability to provide consent/assent and use the PMBL tablet correctly.

Probably not a fit

Some children may not experience a reduction in RTIs or could have adverse reactions to PMBL.

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

What this trial studies

This is a randomized, double-blind, placebo-controlled trial in children at risk for recurrent respiratory tract infections. Participants receive PMBL tablets for 3 months (10 days each month during fall-winter) or a matching placebo, with follow-up for four additional months. Data on RTI events are collected via daily diaries to improve accuracy. The study aims to minimize prior biases seen in past studies while evaluating PMBL’s potential in the pediatric setting.

Why it matters

Potential benefit: If successful, PMBL could reduce the frequency of RTIs in children and lessen healthcare visits.

How similar studies have gone: Previous studies suggest potential benefit of bacterial lysates, but methodological biases have limited conclusions; this trial seeks to provide more robust evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Children of both genders aged from 3 to 12 years.
2. Written informed consent obtained from the parents/legally authorized representatives
3. Written assent obtained from the subject from 7 years
4. Subject presenting with a susceptibility to respiratory tract infections according to the investigator
5. No respiratory tract infection within 15 days before the randomization visit
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.
7. A cooperative attitude and ability to correct use of PMBL® tablet.

Exclusion Criteria:

1. Subject treated with bacterial lysates within the previous 6 months prior to V1 or ongoing treatment.
2. Body temperature ≥ 37.5°C at the randomization visit.
3. Pregnant/Lactating female or with sexual activity without hormonal contraception, intrauterine device or barrier methods.
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.
5. Known sensitivity to the components of study medication.
6. Any major surgery within the last 3 months prior to study enrolment or planned to occur within the duration of study.
7. Treatment with the following medications:

   1. Injection or oral administration of steroids within 4 weeks prior to study enrolment.
   2. Previous and/or concomitant immunosuppressants, immunostimulants, allergen-immunotherapy or gamma globulins within 6 months prior to study enrolment.
8. Inability to understand or comply with study procedures or with study treatment intake.
9. Subject participating in another interventional clinical study at the time of screening visit.

Where it's running

  • Bio Zdrowie
    Bialystok, Poland
    Recruiting
  • In Vivo Sp. z o.o.
    Bydgoszcz, Poland
    Recruiting
  • Vitamed
    Bydgoszcz, Poland
    Recruiting
  • Centrum Nowoczesnych Terapii
    Krakow, Poland
    Recruiting
  • Linden Sp. z o.o. sp.k.
    Krakow, Poland
    Recruiting
  • Allergotest
    Lublin, Poland
    Recruiting
Show 4 more locations
  • Medicome Sp. z o.o.
    Oświęcim, Poland
    Recruiting
  • Med - Polonia
    Poznan, Poland
    Recruiting
  • Alergo-Med Specjalistyczna Przychodnia
    Tarnów, Poland
    Recruiting
  • Comarch Healthcare S.A.
    Krakow, Poland
    Not yet recruiting

Study contacts

  • Principal investigator: Andrzej EMERYK, MD, PhD — University Children Hospital, Lublin, Poland
  • Study coordinator: Bernard GOUT, PharmD, PhD
  • Email: bgout@pharmndev.ch
  • Phone: +33776583905

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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.