Exploring the link between respiratory microbiome and severe asthma in young children

Respiratory Dysbiosis in Preschool Children with Asthma: Predictive of a Severe Form

NA · University Hospital, Brest · NCT05192499

This study is trying to see if the germs in the lungs of young children with severe asthma can help predict how well they respond to treatment.

Quick facts

PhaseNA
Study typeInterventional
Enrollment30 (estimated)
Ages1 Year to 3 Years
SexAll
SponsorUniversity Hospital, Brest (other)
Locations1 site (Brest, Finistère)
Trial IDNCT05192499 on ClinicalTrials.gov

What this trial studies

This study investigates the relationship between respiratory dysbiosis and severe asthma in preschool children under 3 years old. It aims to identify a microbiological signature that may predict corticosteroid resistance in these patients. The research employs a multicentric prospective case-control design, utilizing stool tests, blood tests, induced sputum, and nasal virology to gather data. The goal is to better understand how variations in the respiratory microbiome may influence asthma severity and treatment efficacy.

Who should consider this trial

Good fit: Ideal candidates for this study are children aged 1 to 3 years diagnosed with asthma who have parental consent.

Not a fit: Patients with chronic pathologies such as cystic fibrosis or congenital heart disease, or those who have recently undergone antibiotic therapy, may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment strategies for young children with severe asthma, potentially reducing corticosteroid resistance.

How similar studies have performed: While the approach of using microbiota as a biomarker in asthma management is relatively novel, similar studies in cystic fibrosis have shown promising results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age greater than 1 year and less than 3 years
* Diagnosis of asthma by a pediatrician
* Parental consent
* Affiliation to the social security system

Exclusion Criteria:

* Chronic pathologies: congenital heart disease, immune deficiency, cystic fibrosis, bronchopulmonary dysplasia, encephalopathy, primary ciliary dyskinesia, laryngomalacia, digestive pathology requiring digestive surgery
* Premature \< 34 SA
* Recent antibiotic therapy (\< 7 days)
* Treatment with oral corticosteroid therapy within the previous 10 days.
* Patient whose parent(s) is (are) minor(s)

Where this trial is running

Brest, Finistère

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Asthma in Children, Dysbiosis, Paediatric Pulmonology, asthma, respiratory microbiome

Last reviewed 2026-05-15 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.