{"id":8695,"date":"2026-01-24T06:17:44","date_gmt":"2026-01-24T06:17:44","guid":{"rendered":"https:\/\/diyhaven858.wasmer.app\/index.php\/nirsevimab-outperforms-maternal-vaccine-in-rsv-study\/"},"modified":"2026-01-24T06:17:44","modified_gmt":"2026-01-24T06:17:44","slug":"nirsevimab-outperforms-maternal-vaccine-in-rsv-study","status":"publish","type":"post","link":"https:\/\/diyhaven858.wasmer.app\/index.php\/nirsevimab-outperforms-maternal-vaccine-in-rsv-study\/","title":{"rendered":"Nirsevimab outperforms maternal vaccine in RSV study"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div xmlns:default=\"http:\/\/www.w3.org\/1999\/xhtml\" data-component=\"ArticleContent\">\n<div class=\"article__below-title\">\n<div class=\" article__posted-date\">\n<p>January 23, 2026<\/p>\n<p>2 min read<\/p>\n<\/p><\/div>\n<div class=\"mobile-trust-box\">\n<div class=\"row\">\n<div class=\"col-12 col-md-6 offset-md-1 offset-xl-0 col-xl-12\">\n<div class=\"email-alert-button-wrapper d-none\" data-component=\"EmailTopicAlert\" data-module=\"Subspecialty Email Topic Alerts Top\" data-manage-email-link=\"\/footer\/account-information\/my-account\/email-subscriptions-and-alerts#emailAlerts\">\n  <hidden data-setting-item=\"d265901d-6d37-49c7-a8f6-c7bf19a02509\"\/><br \/>\n  <hidden data-crm-source=\"Subspecialty Topic Alert\"\/><\/p>\n<div class=\"email-alert-button d-none\" data-topic-button=\"not-subscribed\">\n<p>&#13;<br \/>\n      <span data-module-track-action=\"Email Alerts TOP_Click_Healio News Article\" data-module-track-label=\"Email Alerts TOP_Healio News Article\">&#13;<br \/>\n        <i class=\"fas fa-plus-circle\"\/>&#13;<br \/>\n        Add topic to email alerts&#13;<br \/>\n      <\/span>&#13;\n    <\/p>\n<div class=\"email-alert-inner collapse u13e3060f915d4cbf8daa060e86304091\">\n<div class=\"email-alert-dialogue\">\n<p>&#13;<br \/>\n          Receive an email when new articles are posted on <span data-content=\"topic-title\"\/>&#13;\n        <\/p>\n<div class=\"d-none\" data-sign-up-type=\"unknown\">\n          Please provide your email address to receive an email when new articles are posted on <span data-content=\"topic-title\"\/>.<\/p><\/div>\n<\/p><\/div>\n<p>      <button type=\"button\" class=\"btn btn-primary\" data-loading-text=\"Loading &lt;i class=\" fa=\"\" fa-spinner=\"\" fa-spin=\"\">&#8220;&#13;<br \/>\n              data-action=&#8221;subscribe&#8221;&gt;&#13;<br \/>\n        Subscribe&#13;<br \/>\n      <\/button>\n    <\/div>\n<\/p><\/div>\n<div class=\"d-none\" data-topic-modal=\"failed\">    <strong>We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.<\/strong>  <\/p>\n<p><button data-dismiss=\"modal\" class=\"btn btn-primary btn-lg btn-block\">Back to Healio<\/button><\/p>\n<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<h2>Key takeaways:<\/h2>\n<ul>\n<li>Researchers compared the outcomes of more than 40,000 infants who were immunized through nirsevimab or maternal RSV vaccination.<\/li>\n<li>Nirsevimab was associated with fewer severe outcomes than the maternal vaccine.<\/li>\n<\/ul>\n<p>Nirsevimab may offer infants stronger protection against severe respiratory syncytial virus than maternal vaccination, real-world data suggests.<\/p>\n<p>Many studies have shown that both the maternal RSV vaccine (Abrysvo, Pfizer) and nirsevimab (Beyfortus, AstraZeneca and Sanofi) are effective at reducing infants\u2019 odds for severe RSV. The new study is the first to compare the two.<\/p>\n<figure class=\"figure article__og-image\">&#13;\n    <picture>&#13;<source srcset=\"https:\/\/www.healio.comhttps:\/\/www.healio.comhttps:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/misc\/infographics\/2026\/01_january\/idc0126jabagi_graphic_01_web.webp?w=476\" media=\"(max-width: 768px)\">&#13;<source srcset=\"https:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/misc\/infographics\/2026\/01_january\/idc0126jabagi_graphic_01_web.webp?w=800\" media=\"(max-width: 992px)\">&#13;<source srcset=\"https:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/misc\/infographics\/2026\/01_january\/idc0126jabagi_graphic_01_web.webp?w=595\" media=\"(max-width: 1200px)\">&#13;<source srcset=\"https:\/\/www.healio.comhttps:\/\/www.healio.comhttps:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/misc\/infographics\/2026\/01_january\/idc0126jabagi_graphic_01_web.webp?w=476\" media=\"(min-width: 1200px)\">&#13;<source srcset=\"https:\/\/www.healio.comhttps:\/\/www.healio.comhttps:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/misc\/infographics\/2026\/01_january\/idc0126jabagi_graphic_01_web.webp?w=476\">&#13;<br \/>\n&#13;<br \/>\n      <img decoding=\"async\" src=\"https:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/misc\/infographics\/2026\/01_january\/idc0126jabagi_graphic_01_web.jpg?w=800\" alt=\"IDC0126Jabagi_graphic\" class=\"figure-img img-fluid\" width=\"800\"\/>&#13;<br \/>\n    <\/source><\/source><\/source><\/source><\/source><\/picture>&#13;<figcaption class=\"figure-caption\">&#13;<br \/>\n      Data derived from Jabagi MJ, et al. JAMA. 2025;doi:10.1001\/jama.2025.24082.&#13;<br \/>\n    <\/figcaption>&#13;<br \/>\n  <\/figure>\n<p>\u201cWhat surprised us most was the magnitude and consistency of the difference we observed in real-world conditions,\u201d <b>Marie Joelle Jabagi, PharmD, PhD, MPH, <\/b>an epidemiologist at the French National Agency for Medicines and Health Products Safety and French National Health Insurance, told Healio. \u201cDespite maternal RSVpreF vaccination being highly efficacious in trials, passive infant immunization with nirsevimab was associated with a consistently lower risk of RSV-related hospitalization and severe outcomes across most analyses.\u201d<\/p>\n<p>The population-based cohort study included real-world data from 42,560 infants (51.7% boys; mean age, 3.7 days; standard deviation [SD], 1.4 days) who were born in France between Sept. 1, 2024, and Dec. 31, 2024. The researchers matched 21,280 infants who were exposed to the maternal RSV vaccine with 21,280 infants who received nirsevimab to compare each immunization\u2019s effectiveness at preventing RSV-related complications. The median follow-up was 84 days (interquartile range, 70-99 days).<\/p>\n<p>Overall, 481 infants (mean age, 38.9 days; SD, 22.2 days) were hospitalized for RSV-related lower respiratory tract infection (LRTI). Of these, 212 (44.1%) had received nirsevimab and 269 (55.9%) were exposed to the maternal RSV vaccine. <\/p>\n<p>According to Jabagi and colleagues, infants who received nirsevimab had a significantly lower risk for medically attended LRTI than those who were protected through maternal vaccination (adjusted HR = 0.74; 95% CI, 0.61-0.88). Infants who received nirsevimab were also less likely to be admitted to the pediatric ICU (aHR = 0.58; 95% CI, 0.42-0.8), need oxygen therapy (HR = 0.56; 95% CI, 0.38-0.81) or require a ventilator (HR = 0.57; 95% CI, 0.4-0.81). The researchers reported similar results in subgroup and sensitivity analyses.<\/p>\n<p>Notably, infants in the nirsevimab group experienced a drastic decrease in risk for LRTI over time, according to the authors. During the first 7 days after enrollment, the risk for LRTI was nearly three times higher for infants in the nirsevimab group vs. the maternal vaccination group (aHR = 2.94; 95% CI, 1.19-7.69), however their risk was only half that of the maternal vaccination group after 60 days (aHR = 0.51; 95% CI, 0.3-0.86).<\/p>\n<p>Both products are still relatively new \u2014 nirsevimab and the maternal vaccine were first implemented during the 2023-2024 respiratory season \u2014 and Jabagi said it will take several seasons\u2019 worth of data to evaluate the products\u2019 performance in real-world settings. <\/p>\n<p>\u201cOur results should not be interpreted as evidence against maternal RSV vaccination,\u201d Jabagi said. \u201cInstead, they underscore that clinicians should individualize prevention strategies based on clinical context, access to care and timing within the RSV season. Both approaches remain valuable and may be complementary, particularly in efforts to maximize population-level protection against RSV.\u201d<\/p>\n<h2>For more information:<\/h2>\n<p>      <b>Marie-Joelle Jabagi, PharmD, PhD, MPH,<\/b> can be reached at pediatrics@healio.com.<\/p>\n<div class=\"article__content--footer\">\n<div class=\"perspective\">\n<h2 class=\"title\">Perspective<\/h2>\n<p>    Back to Top <i class=\"far fa-arrow-up\"\/> <\/p>\n<div class=\"perspective-body\">\n<div class=\"img-group\">\n            <img decoding=\"async\" class=\"perspective-img\" src=\"https:\/\/www.healio.com\/~\/media\/slack-news\/pediatrics\/mugs\/h\/handy_lori_80x106.jpg?w=80\" alt=\"Lori Handy, MD, MSCE\"\/>\n        <\/div>\n<p>      <default:p xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">The United States is in the middle of its third RSV season with two strategies in place to prevent infant disease and hospitalization. Undoubtedly, young infants have benefited from both maternal vaccination against RSV as well as passive immunization with monoclonal antibodies. At this time, neither strategy has a preferential recommendation.  <\/default:p><default:p xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">The study by Jabagi and colleagues begins to fill the gap in understanding of whether one strategy is more beneficial than the other. This study, which compared immunization strategies in 42,560 infants in France, found that passive immunization was associated with a lower risk of hospitalization as its primary outcome, as well as lower risks of secondary outcomes, including PICU admission, ventilator support, and oxygen therapy. <\/default:p><default:p xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">While the results of this study demonstrate monoclonal antibodies may provide additional protection benefits compared to maternal vaccines, there are study aspects that limit generalizability. Results are from a single location during the first season of use. Groups were self-selected, as parents and their health care providers selected the immunization strategy. Statistical analyses were designed to account for this nonrandom assignment, yet groups were inherently different. Additionally, follow-up time was limited. The authors emphasize that the findings should not<default:b> <\/default:b>be interpreted as evidence against the efficacy of the RSVpreF vaccine, as there are many settings and scenarios in which this may be more accessible or preferred. Based on these factors, studies in additional settings and with a full season of data are needed to best guide parents in making decisions about immunization strategies.  <\/default:p><\/p>\n<div class=\"affiliation\">\n<p><strong>Lori Handy, MD, MSCE<\/strong><\/p>\n<ul class=\"author-affiliation-list\">\n<li>Associate Director, Vaccine Education Center<\/li>\n<li>Children\u2019s Hospital of Philadelphia<\/li>\n<li>Associate Professor of Clinical Pediatrics<\/li>\n<li>Perelman School of Medicine<\/li>\n<li>University of Pennsylvania<\/li>\n<\/ul><\/div>\n<p>&#13;<br \/>\n          <strong> Disclosures: <\/strong> Handy reports no relevant financial disclosures.&#13;\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<p><!-- Healio AI Widget --><\/p>\n<div class=\"healio-ai-component-inline\" data-no-ads=\"true\" data-module-track-category=\"Healio AI\" data-module-track-action=\"Click\" data-module-track-label=\"Access Healio Ai from component - News_AI Component - In-Content (all devices)\">\n<div class=\"healio-ai-content\">\n    <img decoding=\"async\" src=\"https:\/\/m3.healio.com\/~\/media\/images\/healio-ai\/healio-ai_logo.svg\" alt=\"Healio AI\" class=\"healio-ai-logo\"\/><\/p>\n<p><strong>Ask a clinical question<\/strong> and tap into <strong>Healio AI&#8217;s knowledge<\/strong> base.<\/p>\n<ul>&#13;<\/p>\n<li>PubMed, enrolling\/recruiting trials, guidelines<\/li>\n<p>&#13;<\/p>\n<li>Clinical Guidance, Healio CME, FDA news<\/li>\n<p>&#13;<\/p>\n<li>Healio&#8217;s exclusive daily news coverage of clinical data<\/li>\n<p>&#13;\n    <\/ul>\n<p>    <button class=\"healio-ai-button\" onclick=\"window.location.href=\" https:=\"\">Learn more<\/button>\n  <\/div>\n<\/div>\n<div class=\"email-alert-button-wrapper d-none\" data-component=\"EmailTopicAlert\" data-module=\"Subspecialty Email Topic Alerts Top\" data-manage-email-link=\"\/footer\/account-information\/my-account\/email-subscriptions-and-alerts#emailAlerts\">\n  <hidden data-setting-item=\"d265901d-6d37-49c7-a8f6-c7bf19a02509\"\/><br \/>\n  <hidden data-crm-source=\"Subspecialty Topic Alert\"\/><\/p>\n<div class=\"email-alert-button d-none\" data-topic-button=\"not-subscribed\">\n<p>&#13;<br \/>\n      <span data-module-track-action=\"Email Alerts TOP_Click_Healio News Article\" data-module-track-label=\"Email Alerts TOP_Healio News Article\">&#13;<br \/>\n        <i class=\"fas fa-plus-circle\"\/>&#13;<br \/>\n        Add topic to email alerts&#13;<br \/>\n      <\/span>&#13;\n    <\/p>\n<div class=\"email-alert-inner collapse u13e3060f915d4cbf8daa060e86304091\">\n<div class=\"email-alert-dialogue\">\n<p>&#13;<br \/>\n          Receive an email when new articles are posted on <span data-content=\"topic-title\"\/>&#13;\n        <\/p>\n<div class=\"d-none\" data-sign-up-type=\"unknown\">\n          Please provide your email address to receive an email when new articles are posted on <span data-content=\"topic-title\"\/>.<\/p><\/div>\n<\/p><\/div>\n<p>      <button type=\"button\" class=\"btn btn-primary\" data-loading-text=\"Loading &lt;i class=\" fa=\"\" fa-spinner=\"\" fa-spin=\"\">&#8220;&#13;<br \/>\n              data-action=&#8221;subscribe&#8221;&gt;&#13;<br \/>\n        Subscribe&#13;<br \/>\n      <\/button>\n    <\/div>\n<\/p><\/div>\n<div class=\"d-none\" data-topic-modal=\"failed\">    <strong>We were unable to process your request. 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