ClinicalTrials.gg
RecruitingNCT07232706PIPELINE-RSV-FUpdated May 27, 2026

Prevention of RSV Infection in Infants by Administering Nirsevimab to Infants, With or Without Maternal RSV Vaccination

A Phase 3 interventional study of Nirsevimab and Abrysvo in RSV Immunization, sponsored by Centre Hospitalier Annecy Genevois. Recruiting at 1 site in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by Centre Hospitalier Annecy Genevois · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RSV (which stands for Respiratory Syncytial Virus) is an infection that causes cold-like symptoms and is most common during winter months. Most people with RSV infection get better by themselves but babies and younger children can become very poorly. About 1 in 15 infants with confirmed RSV within the first 12 months of life will be hospitalised, and a very small proportion will be seriously ill and may die.

Currently there are two different prevention options that can be used to prevent RSV infection in babies. One is a vaccine given to the mother during pregnancy, and the other is a monoclonal antibody given by injection to the baby. Although both prevention options work well on their own and are safe, neither provides 100% protection to the infant. It is not known whether giving both medicines, one to the mother in pregnancy and one to the infant, would provide better protection than giving only one medicine - this is what the PIPELINE-RSV study will look at.

PIPELINE-RSV-France will recruit about 1000 pregnant women in France. A parallel trial, running across Europe (PIPELINE-RSV-International) will recruit about 1500 pregnant women in UK, Switzerland, the Netherlands and Belgium. The protocols will align on key aspects and the data will be analysed together. The study will include two study groups with different prevention options used in each: (1) an injection given to the baby at the beginning of RSV season, or (2) both a vaccine given to the mother in pregnancy and an injection given to the baby at around 4 months of age. Each mother-baby pair will be randomly allocated to group by a computer. The numbers of babies in each of these groups who acquire RSV will be compared. In some countries participating to the International trial, an other study groups may be available : (3) a vaccine given to the mother in pregnancy.

Pregnant women and their babies will be followed until the baby reaches 12 months of age. Information will be collected about medically-important side effects either the mother or the baby had from their medicine(s) and any symptoms of RSV the baby had. Visits with the mother and baby will occur at birth and 12 months later. The mother will complete questionnaires via a Web-based platform to report any non-routine in-person visits, once in pregnancy and after the baby is born twice a month or monthly (more often in the winter), to also report baby's symptoms, to report their trial experience when the baby is 4 and 12 months' old, and to provide their views on vaccination at birth, and when the baby is 4 and 12 months' old. If the baby develops symptoms that might be RSV, their mother or another caregiver will be asked to take a sample using a swab from the baby's nose or mouth, and to send it by post for testing to find out if the baby has RSV.

As well as the main research study, there are also some substudies. A questionnaire will be given to women who consent to take part, to find out their motivations for joining the study and how they prefer to receive information about taking part in studies. A small number of women will be asked to take part in a study to look at how mothers' and babies' immune systems respond to the two different study prevention options , and to investigate different ways of collecting samples from their babies. In addition, researchers will use data from the study to see whether giving both medicines is cost-effective compared with giving just one medicine.

02

Conditions studied

  • RSV Immunization

Keywords

  • nirsevimab
  • abrysvo
  • rsv
  • respiratory infection
  • Respiratory Syncytial Virus
  • prevention
  • immunization
03

In context

Respiratory Tract Infections

751 studies on the registry are indexed under Respiratory Tract Infections; 114 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 200 across 540 interventional studies indexed under Respiratory Tract Infections.

Browse Respiratory Tract Infections studies →

Lead sponsor

Centre Hospitalier Annecy Genevois is the lead sponsor of 32 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  1. Pregnant women
  2. Provide 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 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)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,000 participants (estimated)

Study arms

  • Active comparator
    Seasonal RSV monoclonal antibody

    RSV monoclonal antibody administered to infants at birth (or up to 7 days later) if the infant is born during the RSV season.

    Drug: Nirsevimab

  • Experimental
    RSV Maternal Vaccine + RSV infant monoclonal antibody at 4months of age

    RSV Maternal Vaccine administered to the woman in pregnancy, between 32 and 36 gestational weeks, combined with infant RSV monoclonal antibody administered to the infant at 4 months of age.

    Drug: Nirsevimab · Drug: Abrysvo

Interventions

  • Infant RSV monoclonal antibody (mAb). For infants \<5kg: 50mg (0.5mL in pre-filled syringe), for infants ≥5kg: 100mg (1mL in pre-filled syringe), administered as a single intramuscular injection.

  • Maternal RSV Vaccine (MV). RSV bivalent recombinant vaccine with subgroup A and B stabilised prefusion F antigens, single intramuscular injection of 0.5 mL, administered once, in pregnancy.

06

What researchers measure

Primary outcomes

  1. Symptomatic RSV respiratory tract infection (RTI) in an infant, confirmed by an approved positive RSV test, by 12 months of age.

    Time frame: From birth to when the infant is 12 months of age.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07232706
Lead sponsor
Centre Hospitalier Annecy Genevois
Responsible party
Sponsor
First posted
Nov 18, 2025
Start date
May 6, 2026
Primary completion
May 5, 2029 (estimated)
Completion
May 5, 2029 (estimated)
Last update
May 27, 2026

Study contacts

Marion Ghidi
Contact
mghidi@ch-annecygenevois.fr
+33450637031
Marie-Claire Parriault
Contact
mcparriault@ch-annecygenevois.fr
+33456497504
Pierre Frange
principal investigator · Université Paris Cité

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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