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Nasopharyngeal CarriageNCT04460313

Nasopharyngeal Carriage of S. Pneumoniae

A study testing nasopharyngeal sample (mandatory), Stools collection or anorectal swab samples (optional) and nasopharyngeal sample (optional) in people with Nasopharyngeal Carriage and Children, Only, run by Association Clinique Thérapeutique Infantile du val de Marne at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This nasopharyngeal (NP) carriage surveillance study was requested by the European Agency for the Evaluation of Medicinal Products as a post-licensing commitment to determine whether the use of the pneumococcal conjugate vaccines (PCVs) including 7 then 13 valents (introduced in 2001 and 2010, respectively) caused a… Read more about this study

Who is it for?
Ages 4 months to 15 yearsHealthy volunteers can take part
What is being tested?
nasopharyngeal sample (mandatory), Stools collection or anorectal swab samples (optional) and nasopharyngeal sample (optional)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
29,360 participants
Where
1 siteFrance
Study dates
11 Sep 2001to 31 Dec 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 4 months to 15 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • both sexes
  • suffering from suppurative AOM or healthy children
  • age: 4 months to 36 months for AOM
  • age: 4 months to 15 years for healthy children
  • informed consent from parents or guardians
  • Children who haven't received antibiotic treatment within 7 days before enrollment,
  • Children with bullous myringitis cannot be included.

Who cannot join

  • severe underlying disease,

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • ACTIV

    Créteil

    Corinne Levy, MD, 0033148850404, corinne.levy@activ-france.fr

    Stéphane Béchet, MSc, 0033148850404, stephane.bechet@activ-france.fr

    Recruiting

Other trials in France

About this study

Official title: Observatory of Streptococcus Pneumoniae Nasopharyngeal Carriage in Infants With Acute Otitis Media (AOM) and in Healthy Children"

This nasopharyngeal (NP) carriage surveillance study was requested by the European Agency for the Evaluation of Medicinal Products as a post-licensing commitment to determine whether the use of the pneumococcal conjugate vaccines (PCVs) including 7 then 13 valents (introduced in 2001 and 2010, respectively) caused a shift in the distribution of Streptococcus pneumoniae serotypes in children with acute otitis media and modified the resistance of this bacterial species to antibiotics.

Read the detailed description

Since September 2001, 66 pediatricians from the ACTIV research and teaching network throughout France participate in this prospective study. Each year from October to June, children of both sexes aged 4 to 36 months, presenting with suppurative acute otitis media (AOM) accompanied by fever and/or otalgia (to increase the probability of pneumococcal AOM), are enrolled. Within this cohort, patients are offered an additional, optional nasal swab for a rapid viral diagnostic test (targeting SARS-CoV-2, RSV, Influenza A, Influenza B, and hMPV).

Additionally, another group of healthy children aged 4 months to 15 years is also enrolled for the main study.

For the ancillary study, a subgroup of children with AOM (aged 6 to 24 months) is enrolled for the assessment of ESBL-producing E. coli resistance.

Being tested
nasopharyngeal sample (mandatory), Stools collection or anorectal swab samples (optional), nasopharyngeal sample (optional)
Keywords
Pneumococcal conjugate vaccine, Streptococcus pneumoniae, Carriage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • nasopharyngeal sample (mandatory)Other

    A mandatory nasopharyngeal swab is planned for each included patient: patients aged 4 to 36 months with AOM and control children (healthy) aged 4 months to 15 years. The bacteriological analyses will be carried out by the French National Reference Centre for Pneumococci.

  • Stools collection or anorectal swab samples (optional)Other

    For a subgroup of AOM children aged 6 to 24 months, stools samples or anorectal swab samples were collected for assessment of E. coli (ESBL) resistance

  • nasopharyngeal sample (optional)Other

    Optional nasopharyngeal swabs from children with AOM aged 4 to 36 months to assess the association of various respiratory viruses (SARS-CoV-2, RSV, Influenza A, Influenza B, hMPV) with different pneumococcal serotypes.

Study groups in NCT04460313
Study groupRoleWhat they receive
prospective cohort: Main studyOther2100 children aged 4 to 36 months with AOM and 1500 healthy control children aged 4 months to 15 years will be enrolled. A mandatory nasopharyngeal swab is planned for these groups.
Receives: Other: nasopharyngeal sample (mandatory)
ESBL cohort- Ancillary studyOtherFor a subgroup of approximately 1500 children with AOM, aged 6 to 24 months, optional stool or anorectal swab samples will be collected.
Receives: Other: nasopharyngeal sample (mandatory); Other: Stools collection or anorectal swab samples (optional); Other: nasopharyngeal sample (optional)
Optional Nasopharyngeal sampleOtherFor a subgroup of 1680 children with AOM, an optional nasal sample will be collected to assess the association of various respiratory viruses (SARS-CoV-2, RSV, Influenza A, Influenza B, hMPV) with different pneumococcal serotypes.
Receives: Other: nasopharyngeal sample (mandatory); Other: nasopharyngeal sample (optional)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. S. Pneumoniae colonisation

    Percentage of children colonised by S. Pneumoniae

    Measured: at inclusion

  2. S. Pneumoniae colonisation involving to vaccine serotypes

    Percentage of children colonised by vaccine serotypes

    Measured: at inclusion

  3. S. Pneumoniae colonisation involving to non vaccine serotypes

    Percentage of children colonised by non vaccine serotypes

    Measured: at inclusion

  4. Reduced of sensitivity to penicillin

    Percentage of Sp carriers with reduced sensitivity to penicillin

    Measured: at inclusion

  5. Detect the emergence of new serotypes

    Percentage of emerging serotypes detected (> 10 Percent of isolated Sp, 5 percent of carrier children)

    Measured: at inclusion

  6. Association of Pneumococcal Serotypes with Respiratory Viruses

    Percentage of pneumococcal serotypes associated with various respiratory viruses (SARS-CoV-2, RSV, Influenza A, Influenza B, hMPV) in children with AOM.

    Measured: at inclusion

Secondary outcomes (3)
  1. Detect the emergence of resistance S. pneumoniae

    Percentage of penicillin resistant S. pneumoniae

    Measured: at inclusion

  2. Evaluation of nasopharyngeal carriage of other bacteria

    Assessment of carriage of Haemophilus influenzae, Moraxella Catarrhalis, Staphylococcus aureus and group A Streptococcus in AOM group and in healthy children group.

    Measured: at inclusion

  3. For the ancillary study, the resistance of E. coli (ESBL) will be evaluated.

    Assessment of E. coli (ESBL) resistance.

    Measured: at inclusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jul 2020
  2. Study start11 Sep 2001
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Single group
Model description
multicenter nationwide prospective cohort
Masking
None (open label)
Enrolment
29,360 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04460313
Sponsor's protocol ID
ACT0806
Status last verified
Oct 2026
First submitted
19 Jun 2020
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ouldali N, Cohen R, Levy C, Gelbert-Baudino N, Seror E, Corrard F, Vie Le Sage F, Michot AS, Romain O, Bechet S, Bonacorsi S, Angoulvant F, Varon E. Pneumococcal susceptibility to antibiotics in carriage: a 17 year time series analysis of the adaptive evolution of non-vaccine emerging serotypes to a new selective pressure environment. J Antimicrob Chemother. 2019 Oct 1;74(10):3077-3086. doi: 10.1093/jac/dkz281.

    PubMed 31280295
  • Rybak A, Levy C, Bonacorsi S, Bechet S, Vie le Sage F, Elbez A, Varon E, Cohen R. Antibiotic Resistance of Potential Otopathogens Isolated From Nasopharyngeal Flora of Children With Acute Otitis Media Before, During and After Pneumococcal Conjugate Vaccines Implementation. Pediatr Infect Dis J. 2018 Mar;37(3):e72-e78. doi: 10.1097/INF.0000000000001862.

    PubMed 29227464
  • Birgy A, Bidet P, Levy C, Sobral E, Cohen R, Bonacorsi S. CTX-M-27-Producing Escherichia coli of Sequence Type 131 and Clade C1-M27, France. Emerg Infect Dis. 2017 May;23(5):885. doi: 10.3201/eid2305.161865. No abstract available.

    PubMed 28418829
  • Cohen R, Varon E, Doit C, Schlemmer C, Romain O, Thollot F, Bechet S, Bonacorsi S, Levy C. A 13-year survey of pneumococcal nasopharyngeal carriage in children with acute otitis media following PCV7 and PCV13 implementation. Vaccine. 2015 Sep 22;33(39):5118-26. doi: 10.1016/j.vaccine.2015.08.010. Epub 2015 Aug 11.

    PubMed 26271823
  • Cohen R, Levy C, Bonnet E, Thollot F, Boucherat M, Fritzell B, Derkx V, Bingen E, Varon E. Risk factors for serotype 19A carriage after introduction of 7-valent pneumococcal vaccination. BMC Infect Dis. 2011 Apr 18;11:95. doi: 10.1186/1471-2334-11-95.

    PubMed 21501471
  • Cohen R, Bingen E, Levy C, Thollot F, Boucherat M, Derkx V, Varon E. Nasopharyngeal flora in children with acute otitis media before and after implementation of 7 valent pneumococcal conjugate vaccine in France. BMC Infect Dis. 2012 Mar 7;12:52. doi: 10.1186/1471-2334-12-52.

    PubMed 22397629
  • Levy C, Vie le Sage F, Varon E, Chalumeau M, Grimprel E, Cohen R. Pediatric Ambulatory and Hospital Networks for Surveillance and Clinical Epidemiology of Community-Acquired Infections. J Pediatr. 2018 Mar;194:269-270.e2. doi: 10.1016/j.jpeds.2017.11.050. Epub 2018 Feb 22. No abstract available.

    PubMed 29637893
  • Vermee Q, Cohen R, Hays C, Varon E, Bonacorsi S, Bechet S, Thollot F, Corrard F, Poyart C, Levy C, Raymond J. Biofilm production by Haemophilus influenzae and Streptococcus pneumoniae isolated from the nasopharynx of children with acute otitis media. BMC Infect Dis. 2019 Jan 11;19(1):44. doi: 10.1186/s12879-018-3657-9.

    PubMed 30634919
  • Birgy A, Madhi F, Jung C, Levy C, Cointe A, Bidet P, Hobson CA, Bechet S, Sobral E, Vuthien H, Ferroni A, Aberrane S, Cuzon G, Beraud L, Gajdos V, Launay E, Pinquier D, Haas H, Desmarest M, Dommergues MA, Cohen R, Bonacorsi S; Group of the National Observatory of Urinary tract Infection due to ESBL-producing Enterobacteriaceae in children. Diversity and trends in population structure of ESBL-producing Enterobacteriaceae in febrile urinary tract infections in children in France from 2014 to 2017. J Antimicrob Chemother. 2020 Jan 1;75(1):96-105. doi: 10.1093/jac/dkz423.

    PubMed 31617912
  • Mizrahi A, Cohen R, Varon E, Bonacorsi S, Bechet S, Poyart C, Levy C, Raymond J. Non typable-Haemophilus influenzae biofilm formation and acute otitis media. BMC Infect Dis. 2014 Jul 19;14:400. doi: 10.1186/1471-2334-14-400.

    PubMed 25037572
  • Birgy A, Levy C, Bidet P, Thollot F, Derkx V, Bechet S, Mariani-Kurkdjian P, Cohen R, Bonacorsi S. ESBL-producing Escherichia coli ST131 versus non-ST131: evolution and risk factors of carriage among French children in the community between 2010 and 2015. J Antimicrob Chemother. 2016 Oct;71(10):2949-56. doi: 10.1093/jac/dkw219. Epub 2016 Jun 20.

    PubMed 27330068
  • Hau I, Levy C, Caeymaex L, Cohen R. Impact of pneumococcal conjugate vaccines on microbial epidemiology and clinical outcomes of acute otitis media. Paediatr Drugs. 2014 Feb;16(1):1-12. doi: 10.1007/s40272-013-0044-2.

    PubMed 23963858
  • Birgy A, Cohen R, Levy C, Bidet P, Courroux C, Benani M, Thollot F, Bingen E. Community faecal carriage of extended-spectrum beta-lactamase-producing Enterobacteriaceae in French children. BMC Infect Dis. 2012 Nov 21;12:315. doi: 10.1186/1471-2334-12-315.

    PubMed 23171127
  • Caeymaex L, Varon E, Levy C, Bechet S, Derkx V, Desvignes V, Doit C, Cohen R. Characteristics and outcomes of acute otitis media in children carrying streptococcus pneumoniae or haemophilus influenzae in their nasopharynx as a single otopathogen after introduction of the heptavalent pneumococcal conjugate vaccine. Pediatr Infect Dis J. 2014 May;33(5):533-6. doi: 10.1097/INF.0000000000000213.

    PubMed 24263220
  • Cohen R, Levy C, Bingen E, Koskas M, Nave I, Varon E. Impact of 13-valent pneumococcal conjugate vaccine on pneumococcal nasopharyngeal carriage in children with acute otitis media. Pediatr Infect Dis J. 2012 Mar;31(3):297-301. doi: 10.1097/INF.0b013e318247ef84.

    PubMed 22330166

Questions about this trial

What is this clinical trial studying?

A study testing nasopharyngeal sample (mandatory), Stools collection or anorectal swab samples (optional) and nasopharyngeal sample (optional) in people with Nasopharyngeal Carriage and Children, Only, run by Association Clinique Thérapeutique Infantile du val de Marne at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Corinne Levy, MD (0033148850404, corinne.levy@activ-france.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

S. Pneumoniae colonisation (time frame: at inclusion). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04460313, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2026.

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