[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"lower-respiratory-tract-infection-lrti\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:lower-respiratory-tract-infection-lrti":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,43,77],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":42},"100572670","phase-4-post-authorization-efficacy-and-safety-study-paes-to-confirm-and-collect-more-clinical-data-of-buccalin-tablets-in-the-prophylaxis-of-recurrent-lower-respiratory-tract-infections-rlrtis-100572670",false,"NCT06736288","Post Authorization Efficacy and Safety Study (PAES) to Confirm and Collect More Clinical Data of Buccalin® Tablets In the Prophylaxis of Recurrent Lower Respiratory Tract Infections (RLRTIs).","Randomized, Double Blind, Placebo Controlled, Two-Arms, Multicenter, Post Authorization Efficacy and Safety Study (PAES) to Confirm and Collect More Clinical Data of Buccalin® Tablets In the Prophylaxis of Recurrent Lower Respiratory Tract Infections (RLRTIs).","BUC-01-23","Inclusion Criteria:\n\n1. Patients willing and able to provide voluntary informed consent and to follow protocol requirements.\n2. Male or females from 18 to 99 years old, (Adult, Older Adult).\n3. Patients with Recurrent LRTIs including tracheitis, tracheobronchitis, acute bronchitis and exacerbations of chronic lung disease (asthma and\u002For COPD and\u002For bronchiectasis), who present with both of the following:\n\n   a) ≥2 episodes within 12 months prior to the run-in period based on patient reported medical history (to access the run-in period) b) ≥2 episodes during the run-in period documented by appropriate microbiological diagnostic test (to access the treatment period)\n4. Patients:\n\n   1. not vaccinated or\n   2. vaccinated against the most common pathogens for respiratory infectioan (within 12 months prior to the run-in period or during the run-in period, but not during the treatment period)\\*:\n\n      \\- Anti-pertussis vaccination\n\n      \\- Covid-19 vaccination\n\n      \\- Respiratory Syncytial Virus vaccination\n\n      \\- Influenza vaccination\n\n      \\- Pneumococcal vaccination\n\n      \\* Patients vaccinated with other types of vaccines that have no effect on the lower respiratory tract (e.g. hepatitis b vaccination, shingles\u002Fherpes zoster vaccination, papilloma virus vaccine), in addition to the ones listed above, may also be included.\n\nExclusion Criteria:\n\nRUN-IN period\n\n1. Female patient: pregnant, lactating or planning pregnancy (Female of child-bearing potential will undergo urine pregnancy test).\n2. Female of potential child-bearing that does not use at least one effective contraceptive method for the entire study.\n3. Contraindication or known hypersensitivity to the active ingredients of bacterial lysates or any excipients listed in the ingredients.\n4. Pneumonia (based on the EMA Referral Procedure EMEA\u002FH\u002FA-31\u002F1465).\n5. Known history of tuberculosis and\u002For cystic fibrosis.\n6. Known history of immunodeficiency diseases (e.g., HIV infection, AIDS, or any type of congenital or iatrogenic immune deficiency, including IgA deficiency).\n7. Severe heart failure (NYHA class III and IV).\n8. Haematologic diseases including severe anaemia (defined according to the National Cancer Institute as Hemoglobin \\\u003C 8.0 g\u002FdL).\n9. Renal failure (eGFR \\\u003C 30 mL\u002Fmin).\n10. History of known liver damages defined by the METAVIR classification (F1-F4)\\*.\n11. Malignancies with a remission period of \\\u003C 5 years.\n12. Wheezing documented to be caused by gastroesophageal reflux\\*\\*.\n13. Patient legally or mentally incapacitated unable to give informed consent for the participation in this study.\n14. Patient who is unable or unwilling to comply with the appointments or with all the requirements of the Protocol.\n15. History of autoimmune diseases and acute intestinal infections, as reported in Buccalin® SmPC.\n\n    * This criterion only applies to patients with known liver disease who can produce valid fibroscan and\u002For biopsy results and bring them for demonstration.\n\n      * The criterion can only be applied if the patient presents clinically reliable documentation that the wheezing is not due to a lung disease (i.e. gastroscopy).\n\nTREATMENT period\n\n1. Female patient: pregnant, lactating or planning pregnancy (Female of child-bearing potential will undergo urine pregnancy test).\n2. Female of potential child-bearing that does not use at least one effective contraceptive method for the entire study.\n3. Contraindication or known hypersensitivity to the active ingredients of bacterial lysates or any excipients listed in the ingredients.\n4. Pneumonia (based on the EMA Referral Procedure EMEA\u002FH\u002FA-31\u002F1465).\n5. Known history of tuberculosis and\u002For cystic fibrosis.\n6. Known history of immunodeficiency diseases (e.g., HIV infection, AIDS, or any type of congenital or iatrogenic immune deficiency, including IgA deficiency).\n7. Severe heart failure (NYHA class III and IV).\n8. Haematologic diseases including severe anaemia (defined according to the National Cancer Institute Hemoglobin \\\u003C 8.0 g\u002FdL).\n9. Renal failure (eGFR \\\u003C 30 mL\u002Fmin).\n10. History of known liver damages defined by the METAVIR classification (F1-F4)\\*.\n11. Malignancies with a remission period of \\\u003C 5 years.\n12. Injection or oral administration of steroids within 4 weeks prior to randomization\\*\\*.\n13. Use of immunosuppressants, immunostimulants, or gamma globulins within 6 months prior to randomization.\n14. Previous use within 6 months prior to randomization or ongoing use of bacterial lysates.\n15. Any major surgery within the last 3 months prior to randomization.\n16. Wheezing documented to be caused by gastroesophageal reflux\\*\\*\\*.\n17. Patient legally or mentally incapacitated unable to give informed consent for the participation in this study.\n18. Patient who is unable or unwilling to comply with the appointments or with all the requirements of the Protocol.\n19. History of autoimmune diseases and acute intestinal infections, as reported in Buccalin® SmPC.\n\n    * This criterion only applies to patients with known liver disease who can produce valid fibroscan and\u002For biopsy results and bring them for demonstration.\n\n      * In these instances, patients may undergo a washout period of 4 weeks to qualify for the treatment period.\n\n        * The criterion can only be applied if the patient presents clinically reliable documentation that the wheezing is not due to a lung disease (i.e. gastroscopy).","ALL","18 Years","99 Years",{"count":21,"type":22},240,"ESTIMATED","INTERVENTIONAL",[25],"PHASE4","The goal of this clinical trial is to assess if BUCCALIN® works In the Prophylaxis of Recurrent Lower Respiratory Tract Infections (RLRTIS). It will also evaluate the safety of BUCCALIN®.\n\nThe primary aim is to reduce the number of infection episodes in the treatment period (12 months) in the BUCCALIN® group versus the Placebo group.\n\nPatients diagnosed with RLRTIS will be screened for enrolment. Patients will be requested to provide informed consent before the start of the study related assessments.\n\nEligible patients who meet the study inclusion and exclusion criteria will be randomized with a 1:1 ratio allocation to the 2 treatment groups.\n\nResearchers will compare BUCCALIN® (gastro-resistant tablets) to a placebo (gastro-resistant tablets containing only excipients) to treat RLRTIS.\n\nPatients who participate in the study will perform several study visits divided as reported below:\n\n* Run-in phase (12 months): patients will not receive any treatment. This phase is designed to increase adherence to the study and reduce loss to follow-up in the clinical trial. During this phase, patients should experience ≥ 2 episodes of RTIs to be eligible for the Treatment period.\n* Treatment period (12 months): patients will receive BUCCALIN® or Placebo treatment for 12 consecutive months (3 days per month, posology as per authorized SmPC).\n* Follow-up period (12 months): patients will not receive any treatment. This phase is designed to observe how patients respond to treatments.",[28,29],"Respiratory Infection","Lower Respiratory Tract Infection (LRTI)","RECRUITING","2025-12-03",{"date":33,"type":34},"2025-12-10","ACTUAL",{"date":36,"type":34},"2025-10-21",{"date":38,"type":22},"2029-04",{"name":40,"class":41},"Laboratorio Farmaceutico SIT srl","INDUSTRY",10,{"id":44,"slug":45,"hasResults":11,"nctId":46,"briefTitle":47,"officialTitle":48,"acronym":49,"eligibilityCriteria":50,"healthyVolunteers":51,"sex":17,"minAge":4,"maxAge":52,"enrollmentInfo":53,"targetDuration":55,"studyType":56,"phases":4,"briefSummary":57,"conditions":58,"keywords":62,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":66,"lastUpdatePostDateStruct":67,"startDateStruct":69,"completionDateStruct":71,"leadSponsor":73,"locationsCount":76},"100612162","respiratory-infections-in-young-children-100612162","NCT07249996","Respiratory Infections in Young Children","Respiratory Infections in Young Children in Colombia and Panamá: Epidemiology, Interactions, and Long-term Consequences.","MINERVAL","Inclusion Criteria:\n\n* Newborns younger than 29 days of life, with or without pre-existing conditions\n* Infants whose parent(s) or guardian(s) are available for telephone contact for the duration of the study, and do not intend to relocate outside of the study area, to ensure adherence to RTI and in-person visits.\n* Infants whose parent(s) or guardian(s) provide informed consent to participate in the study.\n* Infants whose parent(s) or guardian(s) are willing to authorize data and specimen collection, storage and analysis.\n\nExclusion Criteria:\n\n* Infants born to a pregnant mother under 14 years of age (under Colombian law, pregnancies occurring in individuals younger than 14 years of age are legally presumed to result from sexual abuse).",true,"29 Days",{"count":54,"type":22},1088,"5 Years","OBSERVATIONAL","The goal of this observational study is to learn about the causes, severity, and long-term effects of respiratory tract infections (RTIs) in young children from birth to five years of age in Colombia and Panamá. The main questions it aims to answer are:\n\nHow often do respiratory infections occur in children under two years old, and which viruses or bacteria cause them? Why do some children develop more severe infections than others? Do early infections or vaccinations change how the immune system responds to future illnesses? How do viruses and bacteria interact in the respiratory tract to influence disease severity and long-term respiratory health? Researchers will follow newborns from birth until age five to understand how respiratory infections develop and affect children's health over time. Participants will not receive any experimental treatment.\n\nFamilies who join the study will:\n\nBe contacted twice a week through a phone app or phone calls to check for symptoms of respiratory infection.\n\nAttend in-person visits if their child becomes ill and every six months for routine follow-up.\n\nProvide nasal and blood samples during illness episodes so researchers can identify the viruses or bacteria causing infection and study how the immune system responds.\n\nThis study began in May 2024 and is being conducted in Cali, Colombia, and Panamá City, Panamá. The research team plans to continue to include participants and continue active follow-up until the children reach five years of age.\n\nThe information collected will help scientists and health professionals understand how different pathogens cause respiratory infections, what factors increase the risk of severe illness, and how early infections may influence long-term lung health. The study's findings will support future efforts to prevent and treat respiratory diseases in young children.",[59,29,60,61],"Respiratory Tract Infections (RTI)","Viral Infections","Cohort Study",[63,64,65],"Birth Cohort Study","Respiratory Tract Infection (RTI)","Children","2025-11-24",{"date":68,"type":34},"2025-11-25",{"date":70,"type":34},"2024-05-02",{"date":72,"type":22},"2031-12-30",{"name":74,"class":75},"Eduardo Lopez -Medina","OTHER",2,{"id":78,"slug":79,"hasResults":11,"nctId":80,"briefTitle":81,"officialTitle":82,"acronym":83,"eligibilityCriteria":84,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":85,"targetDuration":4,"studyType":23,"phases":87,"briefSummary":89,"conditions":90,"keywords":91,"overallStatus":94,"whyStopped":4,"lastUpdateSubmitDate":95,"lastUpdatePostDateStruct":96,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":104},"100589871","procalcitonin-aided-antimicrobial-therapy-vs-standard-of-care-100589871","NCT06960044","Procalcitonin Aided Antimicrobial Therapy vs Standard of Care","Procalcitonin Aided Antimicrobial Therapy vs Standard of Care: a Randomized Prospective Clinical Trial","PCT","Inclusion Criteria:\n\n* age ≥18 years;\n* clinical and instrumental diagnosis of LRTI consistent with bacterial origin and requiring antimicrobial treatment;\n* patient hospitalized in Internal Medicine, Geriatrics, Infectious Disease unit, Pneumology, Semi Intensive Care unit, ICU, Emergency Medicine;\n* informed consent provided by the patient.\n\nExclusion Criteria:\n\n* age \\\u003C 18 years;\n* lack of informed consent;\n* severe immunosuppression (other than related to corticosteroid use);\n* concomitant diagnosis of other infections requiring long term antimicrobial therapy (i.e. endocarditis, osteomyelitis)",{"count":86,"type":22},108,[88],"NA","Antibiotic resistance is driven by overuse, especially for viral respiratory infections. Procalcitonin (PCT), a biomarker for bacterial infections, helps guide antibiotic therapy more precisely, reducing unnecessary use and improving outcomes. Studies, including large trials and economic models across several countries, show PCT-guided treatment lowers mortality, antibiotic exposure, therapy duration and related complications, potentially reducing hospital costs despite initial testing expenses.",[29],[92,93],"procalcitonin","procalcitonin-guided antibiotic management","NOT_YET_RECRUITING","2025-05-05",{"date":97,"type":34},"2025-05-07",{"date":99,"type":22},"2025-06-01",{"date":101,"type":22},"2027-06-01",{"name":103,"class":75},"Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria",1]