Could a stool sample replace a spinal tap? new study tests Non-Invasive infection detection
NCT ID NCT07603453
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study will test whether analyzing stool and urine samples using a technique called metagenomics can find infections in people with weakened immune systems (due to HIV, chemotherapy, or immunosuppressive drugs). Currently, doctors often need to take invasive samples like blood, spinal fluid, or tissue biopsies to find the cause of an infection. If stool and urine work as well, it could make diagnosis easier and safer. The study will enroll 120 participants and compare results from non-invasive samples with those from standard invasive tests.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Metagenomic sequencing (mNGS) of stool and urine samples
- What this could lead to
- If successful, this could allow doctors to diagnose infections in immunocompromised patients using simple stool or urine samples instead of invasive procedures like spinal taps or tissue biopsies.
- What could go wrong
- This is an early-stage study with only 120 participants, so results may not apply to all patients. The technique may not detect all pathogens, and false positives or negatives are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Pediatric or adult patient with a primary or secondary immune deficiency
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pediatric or adult patient with a primary or secondary immune deficiency (including immunosuppressive therapy, chemotherapy, HIV infection). * mNGS prescription on tissue, CSF, BAL and/or blood to identify the causative pathogen in patient with symptoms or biological signs compatible with an infection as per investigator's judgment (e.g., fever, leukocytosis, increased CRP level) * Non opposition of the participant (or parent(s)/ legal guardian(s) of infant participant) Exclusion Criteria: * No healthcare insurance
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hôpital Necker - Enfants Malades
Paris, Île-de-France Region, 75015, France
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