Clinical trial Recruiting at 3 sites Observational Ages 0 Months to 6 Months

Immune and microbial environment profile in young infants with RSV bronchiolitis

Official title: ENVIEANCILLAIRE: Efficacy of Nirsevimab in Children Hospitalised With RSV Bronchiolitis - A Subsidiary Study on the Immune Signature and Microbial Environment

Run by Centre Hospitalier Intercommunal Creteil · NCT07698769 · Data updated 2026-11-12

The study tests the immune and microbiome signatures in infants ≤6 months with RSV-related bronchiolitis, using nasal swabs and blood samples when possible.

Quick facts

Study typeObservational
Ages0 Months to 6 Months
SexAll
Enrollment110 (estimated)
SponsorCentre Hospitalier Intercommunal Creteil
Academic / other
Drugs / interventionspalivizumab
Locations3 sites (Créteil and 2 other locations)
StatusRecruiting
StartedDecember 5, 2024
Main results expectedDecember 5, 2026
Study endsDecember 5, 2026
Registry record updatedJuly 13, 2026
Trial IDNCT07698769 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Infants aged 0–6 months who are enrolled in the ENVIE study, with a case of RSV bronchiolitis or eligible for control grouping, whose guardians provide consent and meet local eligibility criteria.

Probably not a fit

Some participants may not show a detectable difference in immune markers or microbiome between groups, limiting direct clinical benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study analyzes mucosal and systemic immune markers in infants aged 0–6 months who are part of the ENVIE study. It collects nasopharyngeal swabs, fingertip blood samples, and, for eligible weight, additional blood for advanced immunological analyses. Researchers quantify innate and inflammatory mediators (including type I/II/III interferons, IL-6, TNF-alpha, IL-10) and local antibody levels, and profile the microbiome and virome using sequencing. The aim is to understand how the host immune response and microbial environment relate to RSV bronchiolitis in early infancy. The study compares RSV cases to appropriate controls and is conducted at multiple pediatric centers in France.

Why it matters

Potential benefit: If successful, the findings could improve understanding of how early-life immunity and microbiome relate to RSV bronchiolitis, potentially informing future diagnostics or interventions.

How similar studies have gone: Prior work in young children has revealed associations between mucosal immunity and respiratory infections, but this exact multi-omics approach in RSV bronchiolitis is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Written consent to take part in the study
* Registered with a social security scheme

Cases:

* Children aged 6 months or under included in the ENVIE study. Treated for bronchiolitis caused by RSV
* Admitted to hospital following a visit to the paediatric A\&E department

Control group:

Children aged 6 months or under included in the ENVIE study. Admitted to a standard ward or a Short-Stay Unit, or having attended the paediatric A\&E department

For one of the following reasons:

* Febrile urinary tract infection, without acute ENT or respiratory symptoms
* Acute gastroenteritis, without acute ENT or respiratory symptoms
* Infant colic without fever, without ENT or acute respiratory condition
* Weight stagnation or feeding difficulties without fever, without acute ENT or respiratory symptoms
* Neonatal jaundice without fever, without acute ENT or respiratory symptoms
* Unexplained crying without fever, without acute ENT or respiratory symptoms
* Head injury, without acute ENT or respiratory symptoms
* Admitted for acute surgical conditions, without fever, without acute ENT or respiratory symptoms
* Nappy rash, without fever, without acute ENT or respiratory symptoms
* Fracture, without fever, without acute ENT or respiratory symptoms.

Exclusion Criteria:

* Refusal to participate by the legal representative
* Administration of palivizumab
* Maternal vaccination against RSV.

Where it's running

  • CHI Créteil
    Créteil, France
    Recruiting
  • CHU Necker
    Paris, France
    Recruiting
  • CHU Robert-Debré
    Paris, France
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.