Identification of Clinical, Genetic and Immunological Factors Involved in the Development of Severe Bacterial Infections in Pediatrics

NCT ID: NCT07111793

Last Updated: 2025-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

1401 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-01

Study Completion Date

2029-06-01

Brief Summary

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Severe bacterial infections (SBI) are responsible for significant morbidity and mortality in the paediatric population. There is considerable individual variability in children's susceptibility to developing SBIs. This variability is multifactorial, and the mechanisms at work are not yet fully understood. The investigators of this study therefore propose to study a population of children who had particularly severe bacterial infections requiring hospitalization in a pediatric intensive care unit in France between 2015 and 2018. This study is part of a global approach to understanding the mechanisms favoring the occurrence of IBS in pediatrics.

The study will initially focus on analyzing the clinical phenotype of these children in terms of the type of infection presented, as well as immunologically with an immune workup of all these patients. The investigators also plan to contact each family individually to identify other episodes of personal or family IBS or other elements suggestive of immune deficiency (opportunistic infections, autoimmune manifestations, severe atopy). The investigators will also assess the persistent sequelae since their infectious episode, and their quality of life following this IBS.

In parallel, the genetic analysis of these patients and their parents will be carried out using whole-exome sequencing. The investigators will compare the results with those obtained in 2 IBS-free control populations (N=70 and N=116). The goal is to identify genetic variants that favor the occurrence of IBS in general, and some that are specific to certain bacteria or clinical presentations.

Detailed Description

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Conditions

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Severe Bacterial Infections

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Patients with severe childhood bacterial infections

Patient inclus dans l'étude DIABACT IV (NCT02167802) entre 2015 et 2018, dans les suites de son hospitalisation en réanimation pédiatrique en France pour une infection bactérienne sévère.

Group Type OTHER

Extended phenotyping

Intervention Type OTHER

Extended phenotyping (analysis performed at Nantes University Hospital, MANDATORY DELIVERY WITHIN 24 HOURS) = 1 EDTA 3 mL tube for patients included in Nantes.

Blood sample for WES

Intervention Type OTHER

Blood sample for WES : 1 x 3 mL EDTA tube (if not included in DIABACT IV biocollection)

Blood sample for PBMC freezing

Intervention Type OTHER

Blood sample for PBMC freezing integrated into the biocollection: 1 EDTA tube = 3 mL

POPC score evaluation

Intervention Type OTHER

Assessment of POPC score (Pediatric Overall Performance Category)

Questionnaire completion

Intervention Type OTHER

Questionnaires completed by parents or children:

* SDQ
* PedSQL4.0

Patient's biological parents

Group Type OTHER

Blood sample for WES

Intervention Type OTHER

Blood sample for WES : 1 x 3 mL EDTA tube (if not included in DIABACT IV biocollection)

Questionnaire completion

Intervention Type OTHER

Questionnaires completed by parents or children:

* SDQ
* PedSQL4.0

Interventions

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Extended phenotyping

Extended phenotyping (analysis performed at Nantes University Hospital, MANDATORY DELIVERY WITHIN 24 HOURS) = 1 EDTA 3 mL tube for patients included in Nantes.

Intervention Type OTHER

Blood sample for WES

Blood sample for WES : 1 x 3 mL EDTA tube (if not included in DIABACT IV biocollection)

Intervention Type OTHER

Blood sample for PBMC freezing

Blood sample for PBMC freezing integrated into the biocollection: 1 EDTA tube = 3 mL

Intervention Type OTHER

POPC score evaluation

Assessment of POPC score (Pediatric Overall Performance Category)

Intervention Type OTHER

Questionnaire completion

Questionnaires completed by parents or children:

* SDQ
* PedSQL4.0

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

For patients:

* Patient included in the DIABACT IV study between 2015 and 2018, following hospitalization in a pediatric intensive care unit in France for a severe bacterial infection.
* Patient affiliated to a social security system
* Patient alive at the time of inclusion.
* Written consent from legal representatives for participation in research. If one of the legal representatives is unable to complete/sign the written consent, it will be sought orally by telephone and recorded in the patient's file. If the patient is over 18, written consent will be obtained. If the patient is a minor, consent will be sought with communication adapted to his/her level of understanding and age.

For parents:

* Patient's biological parents
* Written consent

Exclusion Criteria

* Persons under court protection
* Refusal to participate in research
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Center for Research in Transplantation and Translational Immunology (UMR_S 1064)

UNKNOWN

Sponsor Role collaborator

Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Nantes University Hospital

Nantes, Loire Atlantique, France

Site Status

Countries

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France

Central Contacts

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Elise LAUNAY

Role: CONTACT

2 40 08 31 79 ext. +33

Sponsor Department

Role: CONTACT

Facility Contacts

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Élise LAUNAY

Role: primary

2 98 22 32 53 ext. +33

Other Identifiers

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2025-A01367-42

Identifier Type: OTHER

Identifier Source: secondary_id

RC25_0061

Identifier Type: -

Identifier Source: org_study_id