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Sub-lingual administration of a Polyvalent Mechanical Bacterial Lysate (PMBL) in patients with Moderate or Severe and very Severe Chronic Obstructive Pulmonary Disease (COPD) according to GOLD classification: a multicenter, international, double blind, randomized, controlled, phase IV study. - Advanced Immunological Approach in COPD Exacerbation

Sub-lingual administration of a Polyvalent Mechanical Bacterial Lysate (PMBL) in patients with Moderate or Severe and very Severe Chronic Obstructive Pulmonary Disease (COPD) according to GOLD classification: a multicenter, international, double blind, randomized, controlled, phase IV study. - Advanced Immunological Approach in COPD Exacerbation

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2007-000006-67-IT
Enrollment
258
Registered
2009-06-08
Start date
2007-10-29
Completion date
Unknown
Last updated
2025-02-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with documented moderate, severe and very severe COPD. MedDRA version: 9.1 Level: LLT Classification code 10029978 Term: Obstructive chronic bronchitis with acute exacerbation

Interventions

Trade Name: ISMIGEN Pharmaceutical Form: Tablet INN or Proposed INN: LISATO BATTERICO POLIVALENTE Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 50- Pharmaceutica

Sponsors

LALLEMAND PHARMA INTERNATIONAL
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Patients with documented moderate, severe and very severe COPD - Age greater than or equal to 40 years. - Female patient must be non-lactating and of non-childbearing potential, surgically sterile, or using effective contraception. - Patients must have WHO performance status of 0, 1 or 2. - Patients must have adequate hematological, renal and liver function as defined by laboratory values below performed within 14 days, inclusive, prior to study randomization. - Smokers, ex-smokers can be included but the smoking status is acquired and accurately recorded - Absolute neutrophil count (ANC) ≥ 2.0 x 109/l. - Platelet count ≥ 100 x 109/l. - Hemoglobin ≥ 10 g/dl (> 6.2 mmol/l). - Urea and serum creatinine =65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - Patients who had received any prior antineoplastic drug therapy or immunosuppressive drugs. - Patients under continuous treatment with systemic steroids. - Presence of severe cardiac disease including uncontrolled angina pectoris and myocardial infarction within 6 months, uncontrolled high blood pressure. - Presence of severe respiratory disease as identified from spirometry and/or chest X ray. - Presence of any other uncontrolled severe medical condition including active gastroduodenal ulcer, alcohol disorders ( hepatitis, Korsakoff syndrome..), diabetes, active or uncontrolled infection, evolutive intracranial hypertension? - Patients pregnant or nursing at the beginning of the study. - Presence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial.

Design outcomes

Primary

MeasureTime frame
Main Objective: dimostration of the clinical efficacy of Ismigen in patients with moderate, severe and very severe COPD according to GOLD classification, in terms of reduction of the number of exacerbations in 12 mounth observation period.;Secondary Objective: - To evaluate the effect of Ismigen on the interval between each exacerbation. - To evaluate the effect of Ismigen on symptoms (fever, dyspnoea). - To verify whether Ismigen is able to reduce the use of other drugs (antibiotics, antinflammatory drugs, bronchodilators, mucolytics, etc.) in patients with documented M/S/VS-COPD. -To verify whether Ismigen is able to reduce the number of days of absence from work in patients with documented M/S/VS-COPD. -To evaluate the effect of Ismigen on the number and duration of hospitalizations. - To study the potential toxicity of the treatment. - To evaluate the impact on quality of life assessed with a generic health survey (SF-12) and a specific (CCIQ) instrument.;Primary end point(s): Number of exacerbation in a 12 mounth observation period.

Countries

Italy

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026