Skip to main content
Top
Published in: BioDrugs 5/2003

01-09-2003 | Original Research Article

Ribosomal Immunostimulation

Assessment of Studies Evaluating its Clinical Relevance in the Prevention of Upper and Lower Respiratory Tract Infections in Children and Adults

Authors: Professor Joseph A. Bellanti, Dario Olivieri, Elie Serrano

Published in: BioDrugs | Issue 5/2003

Login to get access

Abstract

Objective

To review the efficacy of the ribosomal immunostimulant Ribomunyl® in preventing upper and lower respiratory tract infections.

Design and setting

Review of studies of 3 and 6 months’ duration comprising part of the international registration file.

Patients

Data from 2117 patients (1215 children and 902 adults); ribosomal immunostimulant n = 1062, placebo n = 1055.

Results

Nineteen randomised, double-blind, placebo-controlled clinical trials were performed between 1983 and 1994 in Europe. In children with ear-nose-throat (ENT) infections, 3 months’ ribosomal immunostimulant treatment significantly decreased the mean number of recurrences (27–68% reduction), and reduced the duration of infection (28–66% reduction) and antibacterial requirement (29–60% reduction). Ribosomal immunostimulant was similarly effective in children with ENT and bronchopulmonary infections, reducing the mean number of recurrences by 32–61% compared with placebo. In children with otitis media, ribosomal immunostimulant reduced recurrences by 10–53% and also reduced the duration of infection, antibacterial use and local surgery requirement. Results obtained from studies of 6 months’ duration confirmed or extended these results. In adult patients with ENT or mixed respiratory infections, ribosomal immunostimulant produced similar reductions to those seen in children for recurrent infections (54–78% reduction), duration of infection (42–79% reduction) and antibacterial use (38% reduction).

Conclusions

These results clearly demonstrate that ribosomal immunostimulant is effective in preventing and in reducing upper and lower respiratory tract infections in children and adults.
Footnotes
1
The use of tradenames is for product identification purposes only and does not imply endorsement.
 
Literature
1.
go back to reference Paradise JL, Rockette HE, Colburn DK, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics 1997 Mar; 99(3): 318–33PubMedCrossRef Paradise JL, Rockette HE, Colburn DK, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics 1997 Mar; 99(3): 318–33PubMedCrossRef
2.
go back to reference Wald ER, Guerra N, Byers C. Upper respiratory tract infections in young children: duration of and frequency of complications. Pediatrics 1991 Feb; 87(2): 129–33PubMed Wald ER, Guerra N, Byers C. Upper respiratory tract infections in young children: duration of and frequency of complications. Pediatrics 1991 Feb; 87(2): 129–33PubMed
3.
go back to reference Teele DW, Klein JO, Rosner B, et al. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. J Infect Dis 1989 Jul; 160(1): 83–94PubMedCrossRef Teele DW, Klein JO, Rosner B, et al. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. J Infect Dis 1989 Jul; 160(1): 83–94PubMedCrossRef
4.
go back to reference International Consensus Report on the diagnosis and management of rhinitis: International Rhinitis Management Working Group. Allergy 1994; 49 (19 Suppl.): 1-34 International Consensus Report on the diagnosis and management of rhinitis: International Rhinitis Management Working Group. Allergy 1994; 49 (19 Suppl.): 1-34
5.
go back to reference Falcoff H, Francois M, de Saint-Hardouin G, et al. Dixième conférence de consensus en therapeutique anti-infectieuse, 19 Juin 1996: les infections ORL. Med Mal Infect 1997; 27: 334–88CrossRef Falcoff H, Francois M, de Saint-Hardouin G, et al. Dixième conférence de consensus en therapeutique anti-infectieuse, 19 Juin 1996: les infections ORL. Med Mal Infect 1997; 27: 334–88CrossRef
6.
go back to reference Current estimates from the National Health Interview Survey (1993): Vital and Health Statistics; US Department of Health and Human Services. Public Health Service, 1994 Current estimates from the National Health Interview Survey (1993): Vital and Health Statistics; US Department of Health and Human Services. Public Health Service, 1994
7.
go back to reference Graham MH. The epidemiology of acute respiratory infections in children and adults: a global perspective. Epidemiol Rev 1990; 120: 149–78 Graham MH. The epidemiology of acute respiratory infections in children and adults: a global perspective. Epidemiol Rev 1990; 120: 149–78
8.
go back to reference Wald ER. Sinusitis in infants and children. Ann Otol Rhinol Laryngol Suppl 1992 Jan; 155: 37–41PubMed Wald ER. Sinusitis in infants and children. Ann Otol Rhinol Laryngol Suppl 1992 Jan; 155: 37–41PubMed
9.
go back to reference Bellanti JA. Recurrent respiratory tract infections in paediatric patients. Drugs 1997; 54Suppl. 1: 1–4PubMedCrossRef Bellanti JA. Recurrent respiratory tract infections in paediatric patients. Drugs 1997; 54Suppl. 1: 1–4PubMedCrossRef
10.
go back to reference McCutcheon H, Fitzgerald M. The public health problem of acute respiratory illness in childcare. J Clin Nurs 2001 May; 10(3): 305–10PubMedCrossRef McCutcheon H, Fitzgerald M. The public health problem of acute respiratory illness in childcare. J Clin Nurs 2001 May; 10(3): 305–10PubMedCrossRef
11.
go back to reference Le Fur P, Sermet C. Rhinopharyngites et antibiothérapie en 1992: rapport CREDES n∘ 1105. Paris, 1995 Le Fur P, Sermet C. Rhinopharyngites et antibiothérapie en 1992: rapport CREDES n∘ 1105. Paris, 1995
12.
go back to reference Garabedian EN, Dubreuil C, Triglia JC. Effectiveness and tolerance of Ribomunyl® tablets in preventing middle ear infections in children affected by S.O.M. [poster and abstract]. International Congress on Prevention of Infection; 1990 June; Nice Garabedian EN, Dubreuil C, Triglia JC. Effectiveness and tolerance of Ribomunyl® tablets in preventing middle ear infections in children affected by S.O.M. [poster and abstract]. International Congress on Prevention of Infection; 1990 June; Nice
13.
go back to reference Anthonisen NR. OM-8BV for COPD. Am J Respir Crit Care Med 1997 Dec; 156(6): 1713–4PubMed Anthonisen NR. OM-8BV for COPD. Am J Respir Crit Care Med 1997 Dec; 156(6): 1713–4PubMed
14.
go back to reference Heikkinen T, Ruuskanen O, Ziegler T, et al. Short-term use of amoxicillin-clavulanate during upper respiratory tract infection for prevention of acute otitis media. J Pediatr 1995 Feb; 126(2): 313–6PubMedCrossRef Heikkinen T, Ruuskanen O, Ziegler T, et al. Short-term use of amoxicillin-clavulanate during upper respiratory tract infection for prevention of acute otitis media. J Pediatr 1995 Feb; 126(2): 313–6PubMedCrossRef
15.
go back to reference Autret E, Ployet MJ. Le rapport bénéfice/risque de l’antibiothérapie des rhinopharyngites de l’enfant. In: Gehanno P, Leophonte P, Mouton Y, editors. La colonisation microbienne des voies respiratoires. Paris: John Libbey Eurotext, 1995: 209–13 Autret E, Ployet MJ. Le rapport bénéfice/risque de l’antibiothérapie des rhinopharyngites de l’enfant. In: Gehanno P, Leophonte P, Mouton Y, editors. La colonisation microbienne des voies respiratoires. Paris: John Libbey Eurotext, 1995: 209–13
16.
go back to reference Todd JK, Todd N, Damato J, et al. Bacteriology and treatment of purulent nasopharyngitis: a double blind, placebo-controlled evaluation. Pediatr Infect Dis 1984 May–Jun; 3(3): 226–32PubMedCrossRef Todd JK, Todd N, Damato J, et al. Bacteriology and treatment of purulent nasopharyngitis: a double blind, placebo-controlled evaluation. Pediatr Infect Dis 1984 May–Jun; 3(3): 226–32PubMedCrossRef
17.
go back to reference Garabedian EN, Bellity A, Tashjian G, et al. Etat de la résistance du pneumocoque à la pénicilline dans le cadre de l’épidémiologie bactérienne actuelle de l’otite moyenne aiguë de l’enfant. Med Mal Infect 1994; 24: 674–80CrossRef Garabedian EN, Bellity A, Tashjian G, et al. Etat de la résistance du pneumocoque à la pénicilline dans le cadre de l’épidémiologie bactérienne actuelle de l’otite moyenne aiguë de l’enfant. Med Mal Infect 1994; 24: 674–80CrossRef
18.
go back to reference Geslin P, Fremaux A, Sissia G. Evolution de la résistance aux bétalactamines des pneumocoques isolés d’otites moyennes aiguës de l’enfant en France depuis 1987: bilan du Centre National de Référence. Lettre Infectiologue 1994; 9: 4–10 Geslin P, Fremaux A, Sissia G. Evolution de la résistance aux bétalactamines des pneumocoques isolés d’otites moyennes aiguës de l’enfant en France depuis 1987: bilan du Centre National de Référence. Lettre Infectiologue 1994; 9: 4–10
19.
go back to reference Collet JP, Shapiro P, Ernst P, et al. Effect of an immunostimulating agent on acute exacerbations and hospitalizations in patients with chronic obstructive pulmonary disease: the PARI-IS Study Steering Committee and Research Group. Prevention of acute respiratory infection by an immunostimulant. Am J Respir Crit Care Med 1997 Dec; 156(6): 1719–24PubMed Collet JP, Shapiro P, Ernst P, et al. Effect of an immunostimulating agent on acute exacerbations and hospitalizations in patients with chronic obstructive pulmonary disease: the PARI-IS Study Steering Committee and Research Group. Prevention of acute respiratory infection by an immunostimulant. Am J Respir Crit Care Med 1997 Dec; 156(6): 1719–24PubMed
20.
go back to reference Centanni S, Allegra L. Influenza in patients with chronic respiratory diseases: a comparison between two prophylactic regimens in elderly patients. J Chemother 1997; 9(4): 273–8PubMed Centanni S, Allegra L. Influenza in patients with chronic respiratory diseases: a comparison between two prophylactic regimens in elderly patients. J Chemother 1997; 9(4): 273–8PubMed
21.
go back to reference Serrano E, Demanez JP, Morgon A, et al. Effectiveness of ribosomal fractions of Klebsiella pneumoniae, Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenzae and the membrane fraction of Kp (Ribomunyl®) in the prevention of clinical recurrences of infectious rhinitis: results of a multicenter double-blind placebo-controlled study. Eur Arch Otorhinolaryngol 1997; 254(8): 372–5PubMedCrossRef Serrano E, Demanez JP, Morgon A, et al. Effectiveness of ribosomal fractions of Klebsiella pneumoniae, Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenzae and the membrane fraction of Kp (Ribomunyl®) in the prevention of clinical recurrences of infectious rhinitis: results of a multicenter double-blind placebo-controlled study. Eur Arch Otorhinolaryngol 1997; 254(8): 372–5PubMedCrossRef
22.
go back to reference Vautel JM, Cauquil J, Perruchet AM, et al. Prevention of recurrent ear, nose and throat infections in young children with Ribomunyl®: double-blind, placebo-controlled study. Curr Ther Res 1993; 53: 722–9CrossRef Vautel JM, Cauquil J, Perruchet AM, et al. Prevention of recurrent ear, nose and throat infections in young children with Ribomunyl®: double-blind, placebo-controlled study. Curr Ther Res 1993; 53: 722–9CrossRef
23.
go back to reference Collet JP, Floret D, Ducruet T, et al. Therapeutic efficacy of Imocur in reducing recurrent respiratory infections in children attending day care centers [abstract]. Presented at the European Respiratory Disease Society; 1991 Sep, Brussels Collet JP, Floret D, Ducruet T, et al. Therapeutic efficacy of Imocur in reducing recurrent respiratory infections in children attending day care centers [abstract]. Presented at the European Respiratory Disease Society; 1991 Sep, Brussels
25.
go back to reference Youmans AS, Youmans GP. Immunogenic activity of a ribosomal fraction obtained from Mycobacterium tuberculosis. J Bacteriol 1965; 89: 1291–8PubMed Youmans AS, Youmans GP. Immunogenic activity of a ribosomal fraction obtained from Mycobacterium tuberculosis. J Bacteriol 1965; 89: 1291–8PubMed
26.
go back to reference Nikolaeva LV, Savel’ev EP. Molecular-biological and immunological properties of ribosomal vaccines. Biomed Sci 1991; 2(1): 1–10PubMed Nikolaeva LV, Savel’ev EP. Molecular-biological and immunological properties of ribosomal vaccines. Biomed Sci 1991; 2(1): 1–10PubMed
27.
go back to reference Levenson VJ, Mallett CP, Hale TL. Protection against local Shigella sonnei infection in mice by parenteral immunization with a nucleoprotein subcellular vaccine. Infect Immun 1995 Jul; 63(7): 2762–5PubMed Levenson VJ, Mallett CP, Hale TL. Protection against local Shigella sonnei infection in mice by parenteral immunization with a nucleoprotein subcellular vaccine. Infect Immun 1995 Jul; 63(7): 2762–5PubMed
28.
go back to reference Faure GC, Bene MC, Simon C, et al. Increase in specific antibody-forming cells in human tonsils after oral stimulation with D-53, a ribosomal vaccine. Int J Immunopharmacol 1990; 12(3): 315–20PubMedCrossRef Faure GC, Bene MC, Simon C, et al. Increase in specific antibody-forming cells in human tonsils after oral stimulation with D-53, a ribosomal vaccine. Int J Immunopharmacol 1990; 12(3): 315–20PubMedCrossRef
29.
go back to reference Zanin C, Perrin P, Bene MC, et al. Antibody-producing cells in peripheral blood and tonsils after oral treatment of children with bacterial ribosomes. Int J Immunopharmacol 1994 Jul; 16(7): 497–505PubMedCrossRef Zanin C, Perrin P, Bene MC, et al. Antibody-producing cells in peripheral blood and tonsils after oral treatment of children with bacterial ribosomes. Int J Immunopharmacol 1994 Jul; 16(7): 497–505PubMedCrossRef
30.
go back to reference Kolopp-Sarda MN, Bene MC, Allaire JM, et al. Kinetics of specific salivary IgA responses in man after oral challenge by ribosomal immunostimulant. Int J Immunopharmacol 1997 Mar; 19(3): 181–6PubMedCrossRef Kolopp-Sarda MN, Bene MC, Allaire JM, et al. Kinetics of specific salivary IgA responses in man after oral challenge by ribosomal immunostimulant. Int J Immunopharmacol 1997 Mar; 19(3): 181–6PubMedCrossRef
31.
go back to reference Caliot E, Libon C, Kernels S, et al. Translocation of ribosomal immunostimulant through an in vitro-reconstituted digestive barrier containing M-like cells. Scand J Immunol 2000 Dec; 52(6): 588–94PubMedCrossRef Caliot E, Libon C, Kernels S, et al. Translocation of ribosomal immunostimulant through an in vitro-reconstituted digestive barrier containing M-like cells. Scand J Immunol 2000 Dec; 52(6): 588–94PubMedCrossRef
32.
go back to reference Lafont S, Millet I, Kouassi E, et al. Induction of murine B cell proliferation and immunoglobulin synthesis by some bacterial ribosomes. Microbiol Immunol 1988; 32(10): 1043–58PubMed Lafont S, Millet I, Kouassi E, et al. Induction of murine B cell proliferation and immunoglobulin synthesis by some bacterial ribosomes. Microbiol Immunol 1988; 32(10): 1043–58PubMed
33.
go back to reference Maccario R, De Amici M, Montagna D, et al. Evaluation of immune response of Waldeyer’s tissues after local stimulation with bacterial ribosomal extracts: B, T and NK lymphocyte phenotype and function. Adv Otorhinolaryngol 1992; 47: 332–7PubMed Maccario R, De Amici M, Montagna D, et al. Evaluation of immune response of Waldeyer’s tissues after local stimulation with bacterial ribosomal extracts: B, T and NK lymphocyte phenotype and function. Adv Otorhinolaryngol 1992; 47: 332–7PubMed
34.
go back to reference Millet I, Lafont S, Jeannin M, et al. Proliferative response of human T lymphocytes to a vaccinal preparation of ribosomes from Streptococcus pyogenes. Int Arch Allergy Appl Immunol 1988; 86(4): 432–5PubMedCrossRef Millet I, Lafont S, Jeannin M, et al. Proliferative response of human T lymphocytes to a vaccinal preparation of ribosomes from Streptococcus pyogenes. Int Arch Allergy Appl Immunol 1988; 86(4): 432–5PubMedCrossRef
35.
go back to reference Roques C, Frayret MN, Luc J, et al. Effect of an in vivo immunostimulant treatment on PMN functions: interactions with antibiotics in vitro. Int J Immunopharmacol 1991; 13(8): 1051–7PubMedCrossRef Roques C, Frayret MN, Luc J, et al. Effect of an in vivo immunostimulant treatment on PMN functions: interactions with antibiotics in vitro. Int J Immunopharmacol 1991; 13(8): 1051–7PubMedCrossRef
36.
go back to reference Roques C, Frayret MN, Luc J, et al. Immunostimulant effects on granulocyte functions during an acute respiratory infection. Dev Biol Stand 1992; 77: 183–7PubMed Roques C, Frayret MN, Luc J, et al. Immunostimulant effects on granulocyte functions during an acute respiratory infection. Dev Biol Stand 1992; 77: 183–7PubMed
37.
go back to reference Kantar A, Oggiano N, Romagnoni GG, et al. Effect of oral administration of bacterial extracts on the bactericidal capacity of polymorphonuclear leucocytes in children with recurrent respiratory infections. J Int Med Res 1991 Nov–Dec; 19(6): 451–6PubMed Kantar A, Oggiano N, Romagnoni GG, et al. Effect of oral administration of bacterial extracts on the bactericidal capacity of polymorphonuclear leucocytes in children with recurrent respiratory infections. J Int Med Res 1991 Nov–Dec; 19(6): 451–6PubMed
38.
go back to reference Hbabi L, Roques C, Michel G, et al. In vitro stimulation of polymorphonuclear cell adhesion by Ribomunyl® and antibiotic plus Ribomunyl® combinations: effects on CD18, CD35 and CD16 expression. Int J Immunopharmacol 1993 Feb; 15(12): 163–73PubMedCrossRef Hbabi L, Roques C, Michel G, et al. In vitro stimulation of polymorphonuclear cell adhesion by Ribomunyl® and antibiotic plus Ribomunyl® combinations: effects on CD18, CD35 and CD16 expression. Int J Immunopharmacol 1993 Feb; 15(12): 163–73PubMedCrossRef
39.
go back to reference Hbabi-Haddioui L, Roques C. Inhibition of Streptococcus pneumoniae adhesion by spcific salivary IgA after oral immunisation with a ribosomal immunostimulant. Drugs 1997; 54Suppl. 1: 29–32PubMedCrossRef Hbabi-Haddioui L, Roques C. Inhibition of Streptococcus pneumoniae adhesion by spcific salivary IgA after oral immunisation with a ribosomal immunostimulant. Drugs 1997; 54Suppl. 1: 29–32PubMedCrossRef
40.
go back to reference Balbi B, Aufiero A, Pesci A, et al. Lower respiratory tract inflammation in chronic bronchitis: evaluation by bronchoalveolar lavage and changes associated with treatment with Immucytal, a biological response modifier. Chest 1994 Sep; 106(3): 819–26PubMedCrossRef Balbi B, Aufiero A, Pesci A, et al. Lower respiratory tract inflammation in chronic bronchitis: evaluation by bronchoalveolar lavage and changes associated with treatment with Immucytal, a biological response modifier. Chest 1994 Sep; 106(3): 819–26PubMedCrossRef
41.
go back to reference Pujol JL, Klein B, Godard P, et al. Bacterial ribosomal immunostimulants prime alveolar macrophages in vivo to produce interleukin 1 in vitro. Chest 1991 Sep; 100(3): 644–5PubMedCrossRef Pujol JL, Klein B, Godard P, et al. Bacterial ribosomal immunostimulants prime alveolar macrophages in vivo to produce interleukin 1 in vitro. Chest 1991 Sep; 100(3): 644–5PubMedCrossRef
42.
go back to reference Sironi M, Sica A, Riganti F, et al. Interleukin-6 gene expression and production induced in human monocytes by membrane proteoglycans from Klebsiella pneumoniae. Int J Immunopharmacol 1990; 12(4): 397–402PubMedCrossRef Sironi M, Sica A, Riganti F, et al. Interleukin-6 gene expression and production induced in human monocytes by membrane proteoglycans from Klebsiella pneumoniae. Int J Immunopharmacol 1990; 12(4): 397–402PubMedCrossRef
43.
go back to reference Luini W, De Rossi M, Licciardello L, et al. Chemotactic cytokine gene expression and production induced in human monocytes by membrane proteoglycans from Klebsiella pneumoniae. Int J Immunopharmacol 1991; 13(6): 631–7PubMedCrossRef Luini W, De Rossi M, Licciardello L, et al. Chemotactic cytokine gene expression and production induced in human monocytes by membrane proteoglycans from Klebsiella pneumoniae. Int J Immunopharmacol 1991; 13(6): 631–7PubMedCrossRef
44.
go back to reference Allavena P, Erroi A, Pirelli A, et al. Stimulation of cytotoxic and non-cytotoxic functions of natural killer cells by bacterial membrane proteoglycans and ribosomes. Int J Immunopharmacol 1989; 11(1): 29–34PubMedCrossRef Allavena P, Erroi A, Pirelli A, et al. Stimulation of cytotoxic and non-cytotoxic functions of natural killer cells by bacterial membrane proteoglycans and ribosomes. Int J Immunopharmacol 1989; 11(1): 29–34PubMedCrossRef
45.
go back to reference Lacomme Y, Narcy P. Prévention par immunothérapie ribosomale des épisodes de surinfection récidivante de la sphère O.R.L. chez l’enfant: résultats cliniques d’une étude multicentrique. Immunologie Méd 1985; 11: 73–5 Lacomme Y, Narcy P. Prévention par immunothérapie ribosomale des épisodes de surinfection récidivante de la sphère O.R.L. chez l’enfant: résultats cliniques d’une étude multicentrique. Immunologie Méd 1985; 11: 73–5
46.
go back to reference Haguenauer JP. Prévention des épisodes infectieux récidivants de la sphère O.R.L. par Ribomunyl® comprimés chez l’enfant de moins de 5 ans. Immunologie Méd 1987; 18: 36–9 Haguenauer JP. Prévention des épisodes infectieux récidivants de la sphère O.R.L. par Ribomunyl® comprimés chez l’enfant de moins de 5 ans. Immunologie Méd 1987; 18: 36–9
47.
go back to reference Elies W, Pletan Y. An international medico-economic survey of 2007 children with recurrent nasopharyngitis and acute otitis media. Drugs 1997; 54Suppl. 1: 5–12PubMedCrossRef Elies W, Pletan Y. An international medico-economic survey of 2007 children with recurrent nasopharyngitis and acute otitis media. Drugs 1997; 54Suppl. 1: 5–12PubMedCrossRef
48.
go back to reference Paradise JL. On classifying otitis media as suppurative or nonsuppurative, with a suggested clinical schema. J Pediatr 1987 Dec; 111 (6 Pt 1): 948–51PubMedCrossRef Paradise JL. On classifying otitis media as suppurative or nonsuppurative, with a suggested clinical schema. J Pediatr 1987 Dec; 111 (6 Pt 1): 948–51PubMedCrossRef
49.
go back to reference Periodic safety update report. France: Laboratoires Pierre Fabre SA. (Data on file) Periodic safety update report. France: Laboratoires Pierre Fabre SA. (Data on file)
50.
go back to reference Boyle P, Bellanti JA, Robertson C. Meta-analysis of published clinical trials of a ribosomal vaccine (Ribomunyl®) in prevention of respiratory infections. BioDrugs 2000 Dec; 14(6): 389–408PubMedCrossRef Boyle P, Bellanti JA, Robertson C. Meta-analysis of published clinical trials of a ribosomal vaccine (Ribomunyl®) in prevention of respiratory infections. BioDrugs 2000 Dec; 14(6): 389–408PubMedCrossRef
51.
go back to reference Perruchet AM. Bilan épidémiologique de l’otite séromuqueuse chez 458 ORL français. Rev Soc Fr ORL 1991; 7: 59–62 Perruchet AM. Bilan épidémiologique de l’otite séromuqueuse chez 458 ORL français. Rev Soc Fr ORL 1991; 7: 59–62
52.
go back to reference Banz K, Schwicker D, Thomas AM. Economic evaluation of immunoprophylaxis in children with recurrent ear, nose and throat infections. Pharmacoeconomics 1994 Nov; 6(5): 464–77PubMedCrossRef Banz K, Schwicker D, Thomas AM. Economic evaluation of immunoprophylaxis in children with recurrent ear, nose and throat infections. Pharmacoeconomics 1994 Nov; 6(5): 464–77PubMedCrossRef
53.
go back to reference Schwarz B, Dangl-Neugaard B. An economic analysis using ribosomal immunotherapy to treat children with recurrent upper respiratory tract infections. Clin Drug Invest 1997 Sep; 14(3): 206–10CrossRef Schwarz B, Dangl-Neugaard B. An economic analysis using ribosomal immunotherapy to treat children with recurrent upper respiratory tract infections. Clin Drug Invest 1997 Sep; 14(3): 206–10CrossRef
54.
go back to reference Banz K, Thomas AM, Olivieri D. Economic evaluation of ribosomal immunotherapy in patients with chronic ear, nose and throat and respiratory tract infections: results for Italy. BioDrugs 1998 Nov; 10(5): 385–96PubMedCrossRef Banz K, Thomas AM, Olivieri D. Economic evaluation of ribosomal immunotherapy in patients with chronic ear, nose and throat and respiratory tract infections: results for Italy. BioDrugs 1998 Nov; 10(5): 385–96PubMedCrossRef
Metadata
Title
Ribosomal Immunostimulation
Assessment of Studies Evaluating its Clinical Relevance in the Prevention of Upper and Lower Respiratory Tract Infections in Children and Adults
Authors
Professor Joseph A. Bellanti
Dario Olivieri
Elie Serrano
Publication date
01-09-2003
Publisher
Springer International Publishing
Published in
BioDrugs / Issue 5/2003
Print ISSN: 1173-8804
Electronic ISSN: 1179-190X
DOI
https://doi.org/10.2165/00063030-200317050-00005

Other articles of this Issue 5/2003

BioDrugs 5/2003 Go to the issue

Adis R&D Profile

CPH 82

Apis R&D Profile

Atlizumab