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Recurrent Respiratory Tract InfectionsPhase 4P-CRESCENTNCT04322669

Study of Pidotimod in Children With Recurrent Respiratory Tract Infections (RRI)

A Phase 4 study testing Pidotimod in people with Recurrent Respiratory Tract Infections, run by Almirall, S.A. at 16 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the efficacy of pidotimod as treatment in participants with recurrent respiratory tract infections. Read more about this study

Who is it for?
Ages 3 to 14 years
Conditions the study is for
Recurrent Respiratory Tract Infections
What is being tested?
Pidotimod
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
338 participants
Where
16 sitesChina
Study dates
4 Aug 2021to 4 Nov 2021
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 14 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participants having the study informed consent signed by their parent(s) / guardian. Participants will also assent specifically for their study participation signing an independent assent form. Site specific ethics requirements will be followed
  • Participants with history of respiratory tract infections (Chinese Clinical Concept and management of recurrent respiratory tract infections in children [revised] (2008) (Zhonghua er ke za zhi = Chinese journal of Pediatrics; 46 (2): 108-10) of either:
  • at least the following episodes of upper respiratory tract infections (ear/nose/throat) in the last year: 6 for those aged 3-5 years old at inclusion; 5 for those aged 6-14 years old at inclusion
  • OR at least 2 episodes of lower respiratory tract infections (trachea/bronchia/lungs) in the last 12 months
  • Participants compliant with the pidotimod Chinese approved label (package insert) requirements

Who cannot join

  • Participants with any immunodeficiency condition, either primary or secondary (including Acquired immunodeficiency syndrome [AIDS], cancers of the immune system, immune-complex disease, chemotherapy, and radiation)
  • Participants with known allergies or hypersensitivity to pidotimod or any of its excipients. Antibiotics allergic participant will not be excluded; but due warning will be given
  • Participants with immunomodulatory treatment washout period of less than 4 weeks up to baseline visit
  • Participants with any concomitant severe disease at the time of screening that are judged by the investigator that could be detrimental to the participant or could compromise the study (e.g. congenital heart disease, Rheumatic immune disease, congenital deformity of trachea, chronic pulmonary disease, chronic liver and kidney disease, etc)
  • Female pregnant or of child bearing potential, for whom the investigator suspects might maintain sexual intercourse, unless she has a negative blood pregnancy test at screening and agrees to use two methods of contraception during the study
  • Participants who has previously completed or withdrawn from this study
Show all 10Show fewer
  • Participants with evidence of significant active neuropsychiatric disease, alcohol abuse or drug abuse, in the investigator's opinion
  • Participants currently enrolled in, or discontinued within the last 30 days prior to baseline from a clinical study involving an off-label/new use of an investigational drug or device, or concurrently enrolled in a non-observational clinical study or any other type of medical research judged not to be scientifically or medically compatible with this study
  • Participants who is unreliable and unwilling to make him/herself available for the duration of the study and who will not abide by the research unit policy and procedure and study restrictions
  • Parents/Caregivers without cell phone, tablet or computer availability

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

China16 sites
  • Investigator Site 01 Children's Hospital Captial Institute of Pediatrics

    Beijing, 100020

  • Investigator Site 16

    Changchun

  • Investigator Site 09

    Changde

  • Investigator Site 12

    Changsha

  • Investigator Site 07

    Guangzhou

  • Investigator Site 10

    Guilin

  • Investigator Site 14

    Kunming

  • Investigator Site 03

    Nanjing

  • Investigator Site 11

    Sanya

  • Investigator Site 02

    Shanghai

  • Investigator Site 06

    Shantou

  • Investigator Site 13

    Shaoyang

  • Investigator Site 05

    Tianjin

  • Investigator Site 04

    Xiamen

  • Investigator Site 08

    Yanji

  • Investigator Site 15

    Zhengzhou

Other trials in China

About this study

Official title: Pidotimod in Children With Recurrent Respiratory Tract Infections (RRI), A Randomized, Double Blind, Placebo Controlled Clinical Trial (P-CRESCENT)

The purpose of this study is to assess the efficacy of pidotimod as treatment in participants with recurrent respiratory tract infections.

Being tested
Pidotimod, Placebo
Keywords
Pidotimod, Recurrent Respiratory Tract Infections, Pediatrics Study
Medical subject headings
Respiratory Tract Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PidotimodDrug

    Participants will be randomized in ratio of 1:1 to receive Pidotimod 400 milligrams (mg), once daily (no infection present) or twice daily (infection present) orally up to Day 60 during the double-blind treatment period.

  • PlaceboDrug

    Participants will be randomized in ratio of 1:1 to receive placebo matched to Pidotimod, once daily (no infection present) or twice daily (infection present) orally up to Day 60 during the double-blind treatment period.

Study groups in NCT04322669
Study groupRoleWhat they receive
PidotimodExperimentalNot described
Receives: Drug: Pidotimod
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of Respiratory Tract Infection (RI) per Month During Overall Study Period

    The mean rate of respiratory infection episodes per month during the overall study period will be analyzed and compared between the reported groups.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up [Day 180/Early Termination (ET)]

Secondary outcomes (29)
  1. Rate of Respiratory Tract Infection (RI) per Month During the Post-treatment Follow-up Period

    The mean rate of RI episodes per month during the post-treatment follow-up period will be analyzed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  2. Rate of Respiratory Tract Infection (RI) per Month During the Double-blind Randomized Period

    The RI per month during the double-blind randomized treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  3. Number of Days with Respiratory Tract Infections (RI) During the Double-blind Treatment Period

    The number of days with RI during the double-blind treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  4. Number of Days with Respiratory Tract Infections (RI) During the Post-treatment Follow-up Period

    The number of days with RI during the post-treatment follow-up will be assessed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  5. Number of Days with Respiratory Tract Infections (RI) During the Overall Study Period

    The number of days with RI during the overall period will be assessed.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  6. Number of Antibiotic Use Days During the Double-blind Treatment Period

    The number of antibiotic use days due to any respiratory infection during the double-blind treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  7. Number of Antibiotic Use Days During the Post-treatment Follow-up Period

    The number of antibiotic use days due to any respiratory infection during the post-treatment follow-up period will be assessed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  8. Number of Antibiotic Use Days During the Overall Period

    The number of antibiotic use days due to any respiratory infection during the overall period will be assessed.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  9. Number of Antipyretics Use Days During the Double-blind Treatment Period

    The number of antipyretics use days during the double-blind treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  10. Number of Antipyretics Use Days During the Post-Treatment Follow-up Period

    The number of antipyretics use days due to any respiratory infection during the post-treatment follow-up period will be assessed.

    The number of antipyretics use days during the double-blind 60-day treatment period will be assessed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  11. Number of Antipyretics Use Days During the Overall Period

    The number of antipyretics use days due to any respiratory infection during the overall period will be assessed.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  12. Percentage of Participants Free of Respiratory Tract Infections (RI) During the Double-blind Treatment Period

    The percentage of participants free of RI during the double-blind treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  13. Percentage of Participants Free of Respiratory Tract Infections (RI) During the Post-treatment Follow-up Period

    The percentage of participants free of RI during the post-treatment follow-up period will be assessed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  14. Percentage of Participants Free of Respiratory Tract Infections (RI) During the Overall Period

    The percentage of participants free of RI during the overall period will be assessed.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  15. Number of Hospitalization Days During the Double-blind Treatment Period

    The number of hospitalization days due to any respiratory infection during the double-blind treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  16. Number of Hospitalization Days During the Post-treatment Follow-up Period

    The number of hospitalization days due to any respiratory infections during the post-treatment follow-up period will be assessed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  17. Number of Hospitalization Days During the Overall Period

    The number of hospitalization days due to any respiratory infections during the overall period will be assessed.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  18. Percentage of Participants with At Least One Hospitalization During the Double-blind Treatment Period

    The percentage of participants with at least one hospitalization due to any respiratory infections during the double-blind treatment period will be assessed.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  19. Percentage of Participants with At Least One Hospitalization During the Post-treatment Follow-Up Period

    The percentage of participants with at least one hospitalization due to any respiratory infections during the post-treatment follow-up period will be assessed.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  20. Percentage of Participants with At Least One Hospitalization During the Overall Period

    The percentage of participants with at least one hospitalization due to any respiratory infections during the overall period will be assessed.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  21. Number of Wheezing Attack Days During the Double-blind Treatment Period

    The number of wheezing attack days will be observed in terms of two responses: Yes or No, during the double-blind treatment period. An acute wheezing attack is defined as an episode of progressively increasing shortness of breath, cough, wheezing, chest retraction or tightness, or any combination of these symptoms that lasted at least 6 hours with normal results on chest radiographic examinations. In participants with repeated symptoms, attacks are counted separately only if the participant had been without symptoms for at least 1 week between the end of one episode and the beginning of another.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  22. Number of Wheezing Attack Days During the Post-treatment Follow-up Period

    The number of wheezing attack days will be observed in terms of two responses: Yes or No, during the post-treatment follow-up period. An acute wheezing attack is defined as an episode of progressively increasing shortness of breath, cough, wheezing, chest retraction or tightness, or any combination of these symptoms that lasted at least 6 hours with normal results on chest radiographic examinations. In participants with repeated symptoms, attacks are counted separately only if the participant had been without symptoms for at least 1 week between the end of one episode and the beginning of another.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  23. Number of Wheezing Attack Days During the Overall Period

    The number of wheezing attack days will be observed in terms of two responses: Yes or No, during the during the overall period. An acute wheezing attack is defined as an episode of progressively increasing shortness of breath, cough, wheezing, chest retraction or tightness, or any combination of these symptoms that lasted at least 6 hours with normal results on chest radiographic examinations. In participants with repeated symptoms, attacks are counted separately only if the participant had been without symptoms for at least 1 week between the end of one episode and the beginning of another.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  24. Number of Asthma Days During the Double-blind Treatment Period

    The number of days of asthma attacks will be observed in terms of two responses: Yes or No, recorded in the e-diary, during the double-blind treatment period. Bronchial asthma is a heterogeneous disease characterized by chronic airway inflammation and airway hyperresponsiveness with main clinical manifestations of recurrent wheezing, cough, shortness of breath and chest tightness.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  25. Number of Asthma Days During the Post-treatment Follow-up Period

    The number of days of asthma attacks will be observed in terms of two responses: Yes or No, recorded in the e-diary, during the post-treatment follow-up period. Bronchial asthma is a heterogeneous disease characterized by chronic airway inflammation and airway hyperresponsiveness with main clinical manifestations of recurrent wheezing, cough, shortness of breath and chest tightness.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  26. Number of Asthma Days During the Overall Period

    The number of days of asthma attacks will be observed in terms of two responses: Yes or No, recorded in the e-diary, during the overall period. Bronchial asthma is a heterogeneous disease characterized by chronic airway inflammation and airway hyperresponsiveness with main clinical manifestations of recurrent wheezing, cough, shortness of breath and chest tightness.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

  27. Number of Participants with Adverse Events (AE) During the Double-blind Treatment Period

    An AE is defined as any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding), symptom or disease, temporally associated with the use of a medicinal product, regardless of its nature, intensity, seriousness, or presumed relationship (causality) to the product or experimental procedure used. Participants who experienced any AE will be assessed during the double-blind treatment.

    Measured: Baseline (Day 1) up to end of double-blind treatment (Day 60)

  28. Number of Participants with Adverse Events (AE) During the Post-treatment Follow-up Period

    An AE is defined as any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding), symptom or disease, temporally associated with the use of a medicinal product, regardless of its nature, intensity, seriousness, or presumed relationship (causality) to the product or experimental procedure used. Participants who experienced any AE will be assessed during the post-treatment follow- up.

    Measured: From end of double-blind treatment (Day 60) up to end of post-treatment follow-up (Day 180/ET)

  29. Number of Participants with Adverse Events (AE) During the Overall Period

    An AE is defined as any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding), symptom or disease, temporally associated with the use of a medicinal product, regardless of its nature, intensity, seriousness, or presumed relationship (causality) to the product or experimental procedure used. Participants who experienced any AE will be assessed during the overall study.

    Measured: Baseline (Day 1) up to end of post-treatment follow-up (Day 180/ET)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Mar 2020
  2. Study start4 Aug 2021
  3. Primary completion4 Nov 2021
  4. Study completion4 Nov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
338 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04322669
Sponsor's protocol ID
M-PIMOT-40
Acronym
P-CRESCENT
Status last verified
Feb 2022
First submitted
24 Mar 2020
Last updated
2 Feb 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Pidotimod in people with Recurrent Respiratory Tract Infections, run by Almirall, S.A. at 16 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of Respiratory Tract Infection (RI) per Month During Overall Study Period (time frame: Baseline (Day 1) up to end of post-treatment follow-up [Day 180/Early Termination (ET)]). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2022.

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