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Not yet recruitingNCT07411261PremaBiomUpdated Feb 13, 2026

PremaBiom: Metatranscriptomics of the Respiratory Microbiome to Predict the Occurrence of Bronchopulmonary Dysplasia in Preterm Infants

An interventional study of Nasal swab and blood sampling in Bronchopulmonary Dysplasia, Preterm Infant Development and Asthma Childhood, sponsored by University Hospital, Caen. Not yet recruiting at 6 sites in France. Open to participants aged Up to 72 Hours. Per ClinicalTrials.gov, last updated 2026-02-13.

Sponsored by University Hospital, Caen · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
270
Allocation
Not applicable
Ages
Up to 72 Hours
Sex
All
01

Study summary

The goal of this clinical trial is to understand the impact of respiratory microbiome maturation in respiratory health of preterm infants under 32 gestational weeks. The main questions it aims to answer are:

  • What is the role of microbiome maturation in respiratory health (development of bronchopulmonary dysplasia, childhood asthma and viral respiratory infections) of preterm infants ?
  • Which environmental or health factors are involved in the maturation of the respiratory microbiome ?

Participants will undergo follow-up from birth until 3 years of corrected age including nasal swabs, stool samples, and for some of them blood and milk sample.

02

Conditions studied

  • Bronchopulmonary Dysplasia
  • Preterm Infant Development
  • Asthma Childhood
  • Bronchiolitis
  • Viral Respiratory Tract Infections

Keywords

  • respiratory microbiome
  • bronchopulmonary dysplasia
  • Prematurity
  • asthma
  • bronchiolitis
  • inflammation
  • inate immunity
  • respiratory tract infections
  • dysbiosis
  • personalized medicine
  • metatranscriptomics
03

In context

Bronchopulmonary Dysplasia

362 studies on the registry are indexed under Bronchopulmonary Dysplasia; 85 are open to participants now.

This study's planned enrollment of 270 is above the median of 66 across 244 interventional studies indexed under Bronchopulmonary Dysplasia.

Browse Bronchopulmonary Dysplasia studies →

Lead sponsor

University Hospital, Caen is the lead sponsor of 512 studies on the registry; 82 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 72 Hours
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Preterm infants with gestational age at birth lower than 32 gestational weeks and 6 days.
  • Hospital stay in one of the participant neonatal care units
  • Infants covered by the social security system of at least one of their parents
  • Whose parents have been informed about the study and agree to sign the form

Exclusion criteria

Exclusion Criteria:

  • Palliative care only
  • Lack of parental consent
  • Parents who are minors or under legal protection (guardianship, conservatorship, judicial protection)
  • Parents who do not speak French
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
270 participants (estimated)

Study arms

  • Other
    Observational arm

    This is a cohort of preterm infants, the interventions provided additionally to standard care are biological sampling (nasal swab, stool, blood and milk).

    Biological: Nasal swab · Biological: blood sampling · Biological: Mother milk sampling · Biological: Stool sampling

Interventions

  • BiologicalNasal swab

    Nasal swab is performed by nurses at birth (within 72 hours), and each week during initial neonatal care unit stay. After discharge, nasal swabs will be performed by parents at home and sent by post to the investigational center.

  • Biologicalblood sampling

    For 50-60 patients: 1 mL of blood sampling will be performed once during current care blood test (without additional blood draw), around 36 gestational weeks (+/- 1 week).

  • BiologicalMother milk sampling

    For 50-60 patients: 1 mL of mother milk will be sampled once during hospital stay in case of breastfeeding.

  • BiologicalStool sampling

    Stool sampling will occure at birth (within 72 hours after birth), then once a week during neonatal unit stay.

06

What researchers measure

Primary outcomes

  1. Diagnosis of bronchopulmonary dysplasia

    At 36 gestational weeks, bronchopulmonary dysplasia (BPD) will be retained if any ventilatory support (invasive, non invasive, high or low flow oxygen) is required at least 23h over 24. This definition is based on the Jobe 2001 criteria for BPD diagnosis moderate or severe.

    Time frame: 36 gestational weeks

Secondary outcomes

  1. Multidimensional analysis of microbiome profiles

    From metatranscriptomics analysis of nasal swabs, the following informations will be computed: most abundant species, diversity indexes, clustering, relative abundance of pathobionts, expressed functions, metabolic pathways activated, principal component analysis, linear differencial analysis and effect size. Also the RNA host expression in particular inate immunity, metabolic and inflammatory pathways.

    Time frame: At birth, 32 GW (gestational weeks), 36 GW and 4 months of corrected age.

  2. Bronchopulmonary dysplasia severity

    According to the ventilatory support and oxygenation level required at 36 gestational weeks, BPD severity will be defined accordind to Higgings 2018 criteria.

    Time frame: 36 gestational weeks

  3. Viral detection

    At each timepoint, metatranscriptomic approach may identify a virus into the nasal swabs.

    Time frame: At birth, 32 GW (gestational weeks), 36 GW and 4 months of corrected age.

  4. Viral infections or bronchiolitis during childhood

    Parents will answer short questionnaires to assess the occurence of viral respiratory infections or bronchiolitis for their infant after discharge.

    Time frame: 1, 2, 4, 8, 12, 18, 24 and 36 months of corrected age.

  5. Preschool asthma

    The existence of preschool asthma (diagnosed or described by symptoms), will be search at 12, 18, 24, and 36 months by parental questionnaire.

    Time frame: Up to 36 months of corrected age.

  6. Cellular RNA expression in peripherical blood

    For a subgroup of 50-60 patients, single cell RNA sequencing of peripherical blood mononuclear cells will be performed to assess the immune / inflammatory status of patients.

    Time frame: 36 gestational weeks

07

Study locations

6 sites
  • Service de néonatalogie, CHU d'Amiens
    Amiens, 80000, France
  • Service de néonatalogie, CHU de Caen
    Caen, 14000, France
  • Service de néonatalogie, CH Cherbourg-en-Cotentin
    Cherbourg, 50000, France
  • Service de néonatalogie, GHT du Havre
    Le Havre, 76600, France
  • Service de néonatalogie, CHRU de Lille
    Lille, 59000, France
  • Service de néonatalogie, CHU de Rouen
    Rouen, 76000, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2026; primary completion for Mar 2029, 36 months later.

Of 71 non-industry interventional studies with no phase under Bronchopulmonary Dysplasia, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 56. This study's planned 36 months is above that.

Counting every sponsor, half of 73 studies reached it within 37 months; a quarter within 19 and three quarters within 63.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 4, 2026
First posted
Feb 13, 2026
StartEst.
Mar 2026
Primary completionEst.
Mar 2029
CompletionEst.
Mar 2031
Last update
Feb 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07411261
Collaborators
INSERM UMR1311 DYNAMICURE
Responsible party
Sponsor
First posted
Feb 13, 2026
Start date
Mar 2026 (estimated)
Primary completion
Mar 2029 (estimated)
Completion
Mar 2031 (estimated)
Last update
Feb 13, 2026

Study contacts

Amélie Blanchetière
Contact
amelie.blanchetiere@unicaen.fr
+33231272564

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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