Airway Microbiome of Patients With Protracted Bacterial Bronchitis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeUp to 5
SponsorUniversity Hospital, Antwerp

About this trial

This project aims to assess the relationship between the microbiome and virome composition, the immune responses, and the respiratory health of children with protracted bacterial bronchitis (PBB). In addition, we aim to evaluate how the standard treatment with azithromycin interacts with the components of the microbiome, virome and immune biomarkers.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children with PBB diagnosis according to case definition

Consent form signed by parents or legal guardians

Disqualifiers

Comorbidities (HIV, asthma, chronic obstructive pulmonary disease, diabetes)

Have had serious illnesses (meningitis, pneumonia, bacteremia, empyema, etc) in the previous three months, identified only at the time of enrollment.

Have chronic respiratory conditions at the time of enrollment (non-PBB bronchiectasis not caused by PBB, CF, allergy, etc.).

Having received mechanical ventilation.

Trial population

Children under five years old diagnosed with PBB.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

160 Participants
are grouped into 1 trial group
Group A: Participants with Protracted bacterial bronchitis diagnostic

Trial outcomes

Primary outcomes

1

Analysis of respiratory microbiome composition

Description: Analysis of microbiome communities in airway samples will be performed using amplicon or shotgun sequencing to determine relative microbial abundances (in percentages) as the unit of measure, coupled with the use of bioinformatic tools for community structure analysis.

Time frame
Baseline, 3 months, 6 months, 9 months, 12 months and during exacerbations
2

Prevalence of respiratory viruses

Description: Detection of respiratory viruses from airway samples using RT-qPCR. Unit of Measure: percentage of positive samples (in percentages).

Time frame
Baseline, 3 months, 6 months, 9 months, 12 months and during exacerbations

Secondary outcomes

1

Immune biomarkers profiling in airway samples

Immunological profiling will be performed in airway samples by determining (1) cytokine concentrations based on protein-level analysis such as ELISA (pg/mL) and/or (2) differential gene expression based on RNA analysis (log fold-change or similar metric).

Time frame
Baseline, 3 months, 6 months, 9 months, 12 months and during exacerbations
2

Correlates of respiratory microbiome

Description: Microbial profiles will be associated with demographic, epidemiological and clinical data collected through standardized questionnaires and clinical assessments to determine relevant correlates. Unit of Measure: Statistical association measure (e.g., correlation coefficients or similar).

Time frame
Baseline, 3 months, 6 months, 9 months, 12 months and during exacerbations
3

Correlates of Protracted Bacterial Bronchitis

PBB events will be associated with demographic, epidemiological and clinical data collected through standardized questionnaires and clinical assessments to determine relevant correlates. Unit of Measure: Effect estimates (odds/prevalence/hazard ratios or similar).

Time frame
Baseline, 3 months, 6 months, 9 months, 12 months and during exacerbations

Other outcomes

Sponsors and contacts

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