Preventing RSV in Babies: Nirsevimab with or without maternal RSV vaccine
Official title: Prevention of RSV Infection in Infants by Administering Nirsevimab to Infants, With or Without Maternal RSV Vaccination: a Randomised Controlled Trial in France as Part of the Pregnancy and Infant PrEparedness pLatform IN Europe - PIPELINE
Run by Centre Hospitalier Annecy Genevois · NCT07232706 · Data updated 2026-11-12
This study tests whether giving a monoclonal antibody to newborns, with or without the mother’s vaccination during pregnancy, can better protect infants from RSV than giving just one option.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Centre Hospitalier Annecy Genevois Academic / other |
| Drugs / interventions | nirsevimab |
| Locations | 1 site (La Roche-sur-Yon) |
| Status | Recruiting |
| Started | May 6, 2026 |
| Main results expected | May 5, 2029 |
| Study ends | May 5, 2029 |
| Registry record updated | May 27, 2026 |
| Trial ID | NCT07232706 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are pregnant women 18 years or older between 32 and 36 weeks gestation willing to receive maternal vaccination and have a baby planned to receive infant nirsevimab.
✕Probably not a fit
Some infants may not receive a substantial benefit if maternal vaccination and infant antibody protection do not synergize for their specific risk profile.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 trial examines the combination of maternal RSV vaccination during pregnancy and infant nirsevimab at birth to see if together they reduce RSV illness in newborns. Pregnant women between 32 and 36 weeks gestation are enrolled and may receive maternal vaccination, while their infants may also receive nirsevimab after birth. The study compares outcomes across groups to determine if dual protection provides added benefit over single preventive strategies. Safety monitoring and data sharing with related international efforts are included as part of the protocol.
Why it matters
Potential benefit: If successful, the approach could offer stronger protection against RSV for infants, potentially reducing hospitalizations.
How similar studies have gone: Previous RSV prevention strategies with vaccines or monoclonal antibodies have shown good protection individually; the added value of combining them is being evaluated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Pregnant women 2. Provide informed consent prior to study enrolment 3. Willing and able (in the site investigator's opinion) to comply with all study requirements 4. More than 18 years of age 5. Between 32 and 36 weeks of gestation 6. Able to read and complete the eHealth questionnaire in French or English 7. Willing to receive maternal vaccine in pregnancy, if allocated 8. Willing for the baby to receive infant nirsevimab 9. Willing for their data to be re-used as part of the joint analysis with PIPELINE-RSV-International trial 10. Affiliated to social security regime or an equivalent system Inclusion Criteria - Infants: 1. Live-birth to mother enrolled in the study 2. Informed consent from the mother, and the other legal representative (partner / co-parent) when applicable Exclusion Criteria: 1. Major illness of the maternal participant or conditions of the foetus that, in the investigator's judgment, would substantially increase the risk associated with the maternal or infant participant's participation in and completion of the study 2. Any suspected or confirmed condition in the foetus that in the opinion of the site investigator would contraindicate participation of the future newborn/infant in the study 3. High risk of prematurity as judged by treating clinician 4. Multiple pregnancy (i.e. twins, triplets or more) 5. Previous participation in the PIPELINE-RSV trial 6. Receipt of any previous RSV prevention product in this pregnancy or currently participating in another interventional RSV prevention trial 7. Any contraindication for receipt of intramuscular injection (bleeding diathesis or a condition associated with prolonged bleeding) or of vaccine (history of severe allergic reaction (e.g. anaphylaxis) to any component of the vaccine) 8. History of Guillain Barré Syndrome (GBS)
Where it's running
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CHD Vendée
La Roche-sur-Yon, France Recruiting
Study contacts
- Principal investigator: Pierre Frange — Université Paris Cité
- Study coordinator: Marion Ghidi
- Email: mghidi@ch-annecygenevois.fr
- Phone: +33450637031
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Community programs to increase RSV vaccination among Latino adults
This project tests whether community health worker counseling combined with text-message reminders can get more Latino older adults vaccinated against RSV and whether asking younger Latino adults to talk with older friends and family increases those conversations about RSV vaccination.
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Evaluating Nirsevimab's effect on RSV hospitalizations in infants
This study is testing if a new antibody called Nirsevimab can help prevent infants under one year old from being hospitalized due to RSV infections.
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Understanding viral infections in infants with bronchiolitis after Nirsevimab use
This study looks at how the use of Nirsevimab affects the types of viral infections in infants under one year old who have their first episode of bronchiolitis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.