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Study of the Safety of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age

Phase 3
Recruiting
Conditions
Pneumococcal Immunization
Interventions
Registration Number
NCT06824194
Lead Sponsor
Sanofi
Brief Summary

This study is a Phase 3, randomized, modified double-blind study which aims to document the safety profile of the PCV21 vaccine (investigational pneumococcal vaccine) compared to a licensed 20-valent pneumococcal conjugate vaccine in infants aged from approximately 2 months (42 to 89 days).

The study duration per participant will be up to approximately 19 months. The study vaccines (either PCV21 or 20vPCV) will be administered at approximately 2, 4, 6 and 12 to 15 months of age. Routine pediatric vaccines will be given as per local recommendations.

There will be 6 study visits:

Visit (V)01, V02 separated from V01 by 60 days, V03 separated from V02 by 60 days, V04 separated from V03 by 30 days, V05 at 12 months of age until 15 months of age, V06 separated from V05 by 30 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2320
Inclusion Criteria
  • Aged 42 to 89 days on the day of inclusion
  • Participants who are healthy as determined by medical evaluation including medical history and physical examination
  • Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or born after a gestation period above 28 (> 28 weeks) through 36 weeks with a birth weight ≥ 1.5 kg, and in both cases medically stable as assessed by the investigator
Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy
  • History of microbiologically confirmed Streptococcus pneumoniae infection or disease
  • Any contraindication to the routine pediatric vaccine being administered in the study
  • History of seizure or significant stable or progressive neurologic disorders such as infantile spasms, inflammatory nervous system diseases, encephalopathy, cerebral palsy
  • Known systemic hypersensitivity to any of the study interventions components, or history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances
  • Laboratory-confirmed or known thrombocytopenia, as reported by the parent(s) / legal acceptable representative (LAR(s)), contraindicating intramuscular (IM) injection
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM injection
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness/infection (according to investigator judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of study intervention administration. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Receipt of any non-US Food and Drug Administration (FDA) approved vaccine in the 4 weeks preceding the study intervention administration or planned receipt of any non-US FDA approved vaccine in the 4 weeks following the study intervention administration, including monovalent pandemic influenza vaccines and multivalent influenza vaccines, as applicable per local recommendations.
  • Receipt of any Bacillus of Calmette and Guerin (BCG) vaccine within 4 weeks preceding the first study intervention administration or planned receipt any BCG vaccine within the study period
  • Previous vaccination against S. pneumoniae
  • Previous vaccination against the following antigens: diphtheria, tetanus, pertussis, H. influenzae type b, poliovirus
  • Receipt of more than 1 dose of hepatitis B vaccine
  • Receipt of immune globulins, blood or blood-derived products since birth
  • Participation at the time of study enrollment (or in the 6 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure

Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 1: PCV21PCV21 vaccineParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21M-M-R II vaccineParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21RotarixParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21RotaTeqParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21Vaxelis vaccineParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21VarivaxParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21VAQTAParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21HavrixParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVPrevnar 20 vaccineParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVM-M-R II vaccineParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVRotarixParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVRotaTeqParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVVaxelis vaccineParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVVarivaxParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVVAQTAParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVHavrixParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 1: PCV21PriorixParticipants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA
Group 2: 20vPCVPriorixParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA
Primary Outcome Measures
NameTimeMethod
Presence of any immediate adverse events (AEs)Within 30 minutes after each vaccination

Number of participants experiencing solicited and unsolicited immediate AEs

Presence of solicited injection site and systemic reactions through 7 days after each vaccine injectionThrough 7 days after each vaccine injection

Number of participants experiencing solicited injection site and systemic reactions

Presence of unsolicited (spontaneously reported) injection site reactions and unsolicited systemic AEs through 30 days after each vaccine injectionThrough 30 days after each vaccine injection

Number of participants experiencing unsolicited injection site reactions and unsolicited systemic AEs

Presence of serious adverse events (SAEs) throughout the study (through 6 months post- last vaccine injection)Throughout the study (through 6 months post-last vaccine injection), approximately 19 months

Number of participants experiencing SAEs

Presence adverse events of special interest (AESIs) throughout the study (through 6 months post- last vaccine injection)Throughout the study (through 6 months post-last vaccine injection), approximately 19 months

Number of participants experiencing AESIs

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (41)

Investigational Site Number : 3400003

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Tegucigalpa, Honduras

Investigational Site Number : 6300002

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Bayamon, Puerto Rico

Investigational Site Number : 3400001

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San Pedro Sula, Honduras

Investigational Site Number : 3400002

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Tegucigalpa, Honduras

Helping Hands Healthcare Group-Fullerton- Site Number : 8400063

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Fullerton, California, United States

Advanced Investigative Medicine, Inc.- Site Number : 8400055

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Hawthorne, California, United States

Matrix Clinical Research - Los Angeles- Site Number : 8400026

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Los Angeles, California, United States

Child Health Care Associates - Site Number : 8400005

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East Syracuse, New York, United States

Madera Family Medical Group- Site Number : 8400011

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Madera, California, United States

Integrated Clinical Research- Site Number : 8400027

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Tarzana, California, United States

Clinical Research Prime- Site Number : 8400022

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Idaho Falls, Idaho, United States

South Bend Clinic - Main Campus- Site Number : 8400023

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South Bend, Indiana, United States

Midwest Children's Health Research Institute- Site Number : 8400045

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Lincoln, Nebraska, United States

PAS Research - Henderson- Site Number : 8400033

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Henderson, Nevada, United States

Advantage Clinical Trials- Site Number : 8400030

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New York, New York, United States

The University of Texas Health Science Center- Site Number : 8400024

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Houston, Texas, United States

Pediatric Care - Provo- Site Number : 8400041

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Provo, Utah, United States

Wee Care Pediatrics - Syracuse- Site Number : 8400066

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Syracuse, Utah, United States

Alabama Clinical Therapeutics - Birmingham - St. Vincent's Drive- Site Number : 8400013

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Birmingham, Alabama, United States

Lakeview Clinical Research, LLC- Site Number : 8400054

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Guntersville, Alabama, United States

ABBA Medical Group- Site Number : 8400064

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Miami, Florida, United States

Kentucky Pediatric Research- Site Number : 8400014

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Bardstown, Kentucky, United States

Bluegrass Clinical Research- Site Number : 8400056

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Louisville, Kentucky, United States

Midwest Children's Health Research Institute- Site Number : 8400019

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Lincoln, Nebraska, United States

Midwest Children's Health Research Institute- Site Number : 8400016

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Lincoln, Nebraska, United States

Be Well Clinical Studies - Lincoln- Site Number : 8400031

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Lincoln, Nebraska, United States

Midwest Childrens Health Research Institute- Site Number : 8400021

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Lincoln, Nebraska, United States

Haywood Pediatric and Adolescent Medicine- Site Number : 8400051

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Clyde, North Carolina, United States

Cyn3rgy Research- Site Number : 8400029

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Gresham, Oregon, United States

Pas Research - Pittsburgh- Site Number : 8400050

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Pittsburgh, Pennsylvania, United States

Neighbors Pediatrics - Site Number : 8400068

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Charleston, South Carolina, United States

Tribe Clinical Research at Parkside Pediatrics - Site Number : 8400069

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Simpsonville, South Carolina, United States

PAS RESEARCH- Site Number : 8400012

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Edinburg, Texas, United States

Helios Clinical Research - Plano- Site Number : 8400009

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Plano, Texas, United States

Wee Care Pediatrics - Kaysville- Site Number : 8400028

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Kaysville, Utah, United States

Wee Care Pediatrics-Layton- Site Number : 8400044

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Layton, Utah, United States

Ogden Clinic - Mountain View - CCT Research- Site Number : 8400032

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Pleasant View, Utah, United States

Wee Care Pediatrics - Roy- Site Number : 8400070

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Roy, Utah, United States

J Lewis Research Inc.- Site Number : 8400058

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Salt Lake City, Utah, United States

National Clinical Research, Inc- Site Number : 8400010

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Richmond, Virginia, United States

Investigational Site Number : 6300001

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Bayamón, Puerto Rico

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