Original Investigation

Nirsevimab vs RSVpreF Vaccine for Respiratory Syncytial Virus–Related Hospitalization in Newborns

JAMA 10.1001/jama.2025.24082

December 22, 2025 at 11:05 AM EST

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How does maternal vaccination with the respiratory syncytial virus prefusion F protein (RSVpreF) vaccine compare with passive infant immunization with nirsevimab for the prevention of RSV-related hospitalization?In this French nationwide study, infant immunization with nirsevimab was associated with a lower risk of RSV-related hospitalization compared with maternal vaccination with the RSVpreF vaccine (hazard ratio, 0.74). The risk of severe outcomes, including admission to the pediatric intensive care unit and requiring ventilator support or oxygen therapy, was also lower.Compared with maternal vaccination with the RSVpreF vaccine during the first RSV season in France, infant immunization with nirsevimab was associated with a lower risk of RSV-related hospitalization.

Corresponding Author: Marie-Joelle Jabagi, PharmD, PhD, French National Agency for Medicines and Health Products Safety, 143-147 Boulevard Anatole France, Saint-Denis CEDEX F-93285, France (marie-joelle.jabagi@ansm.sante.fr).

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