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Trial to Evaluate the Safety and Immunogenicity of a Multivalent Pneumococcal Vaccine in Healthy Infants

Phase 2
Completed
Conditions
Pneumococcal Infections
Interventions
Biological: 13vPnC
Biological: Multivalent
Registration Number
NCT03512288
Lead Sponsor
Pfizer
Brief Summary

A Phase 2, Randomized, Double-Blind Trial to Evaluate the Safety and Immunogenicity of a Multivalent Pneumococcal Conjugate Vaccine in Healthy Infants

Detailed Description

NOTE: Detailed description has not been entered.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
460
Inclusion Criteria
  • Male or female infant born at >36 weeks of gestation and aged 2 months (42 to 98 days) at the time of consent (the day of birth is considered day of life 1).
  • Healthy infant determined by medical history, physical examination, and clinical judgment to be eligible for the study.
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Exclusion Criteria
  • Previous vaccination with licensed or investigational pneumococcal vaccine.
  • Prior receipt of diphtheria, tetanus, pertussis, or polio vaccines.
  • Previous receipt of >1 dose of hepatitis B vaccine.
  • Prior hepatitis B vaccine must have been administered at age <30 days.
  • Major known congenital malformation or serious chronic disorder. Receipt of blood/plasma products or immunoglobulins
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control13vPnC13vPnC
MultivalentMultivalentPneumococcal conjugate vaccines
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Systemic Events Within 7 Days After Vaccination 3Within 7 days after Vaccination 3

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as \>= 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable; crying could not be comforted).

Percentage of Participants With Local Reactions Within 7 Days After Vaccination 3Within 7 days after Vaccination 3

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (0.5 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Percentage of Participants With Systemic Events Within 7 Days After Vaccination 2Within 7 days after Vaccination 2

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as \>= 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable; crying could not be comforted).

Percentage of Participants With Systemic Events Within 7 Days After Vaccination 4Within 7 days after Vaccination 4

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as \>= 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable; crying could not be comforted).

Percentage of Participants With Local Reactions Within 7 Days After Vaccination 2Within 7 days after Vaccination 2

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (0.5 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Percentage of Participants With Local Reactions Within 7 Days After Vaccination 4Within 7 days after Vaccination 4

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (0.5 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Vaccination 1 to 6 Months Following Vaccination 4From Vaccination 1 to 6 months after Vaccination 4 (duration of 16 months)

An NDCMC is defined as a disease or medical condition, not previously identified, that is expected to be persistent or is otherwise long-lasting in its effects.

Percentage of Participants With Local Reactions Within 7 Days After Vaccination 1Within 7 days after Vaccination 1

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild (0.5 to 2.0 centimeter \[cm\]), moderate (greater than \[\>\] 2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Percentage of Participants With Systemic Events Within 7 Days After Vaccination 1Within 7 days after Vaccination 1

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as greater than or equal to (\>=) 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable; crying could not be comforted).

Percentage of Participants With Adverse Events (AEs) From Vaccination 1 to 1 Month After Vaccination 3From Vaccination 1 to 1 month after Vaccination 3 (up to 5 months)

An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship.

Percentage of Participants With Adverse Events (AEs) From Vaccination 4 to 1 Month After Vaccination 4From Vaccination 4 to 1 month after Vaccination 4

An AE was any untoward medical occurrence in study participant who received study vaccine without regard to possibility of causal relationship.

Percentage of Participants With Serious Adverse Events (SAEs) From Vaccination 1 to 6 Months Following Vaccination 4From Vaccination 1 to 6 months after Vaccination 4 (up to 16 months)

An SAE is any untoward medical occurrence at any dose that results in death; is life-threatening (immediate risk of death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); results in congenital anomaly/birth defect.

Secondary Outcome Measures
NameTimeMethod
Pneumococcal Serotype-specific IgG GMCs at 1 Month After Vaccination 41 Month after Vaccination 4

IgG GMCs were determined for each of the 20 pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, 8, 10A, 11A, 12F, 15B, 22F and 33F.

Percentage of Participants Who Achieved Pre-specified Level of Pneumococcal IgG Concentrations Within 1 Month After Vaccination 31 month after Vaccination 3

Pre-specified levels of serotypes were as follows: for serotype 1, 3, 4, 6A, 7F, 9V, 14, 18C, 19F, 23F, 8, 10A, 11A, 12F, 15B, 22F, 33F: \>=0.35 microgram per milliliter, for serotype 5: \>=0.23 microgram per milliliter, for serotype 6B: \>=0.10 microgram per milliliter and for serotype 19A: \>=0.12 microgram per milliliter.

Pneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) at 1 Month After Vaccination 31 month after Vaccination 3

IgG GMCs were determined for each of the 20 pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, 8, 10A, 11A, 12F, 15B, 22F and 33F.

Trial Locations

Locations (35)

University of Texas Medical Branch

🇺🇸

Galveston, Texas, United States

Cincinnati Children's Medical Center

🇺🇸

Cincinnati, Ohio, United States

Pediatric Associates of Mt. Carmel, Inc.

🇺🇸

Cincinnati, Ohio, United States

St. Joseph Heritage Healthcare

🇺🇸

Huntington Beach, California, United States

Premier Health Research Center, LLC

🇺🇸

Downey, California, United States

Kaiser Permanente Oakland

🇺🇸

Oakland, California, United States

Orange County Research Institute

🇺🇸

Ontario, California, United States

Kaiser Permanente San Jose

🇺🇸

San Jose, California, United States

Kaiser Permanente South Sacramento

🇺🇸

Sacramento, California, United States

LSUHSC Shreveport

🇺🇸

Shreveport, Louisiana, United States

ACC Pediatric Research

🇺🇸

Haughton, Louisiana, United States

Children's Physicians, Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

Kaiser Permanente Santa Clara

🇺🇸

Santa Clara, California, United States

MedPharmics, LLC

🇺🇸

Metairie, Louisiana, United States

Child Health Care Associates

🇺🇸

East Syracuse, New York, United States

Blue Ridge Pediatric and Adolescent Medicine, Inc.

🇺🇸

Boone, North Carolina, United States

Capitol Pediatrics & Adolescent Center PLLC

🇺🇸

Raleigh, North Carolina, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Ohio Pediatric Research Association, Inc.

🇺🇸

Dayton, Ohio, United States

Senders Pediatrics

🇺🇸

South Euclid, Ohio, United States

Oklahoma State University - Center for Health Sciences

🇺🇸

Tulsa, Oklahoma, United States

Allegheny Health and Wellness Pavilion

🇺🇸

Erie, Pennsylvania, United States

CCP - Kid's Way

🇺🇸

Hermitage, Pennsylvania, United States

Coastal Pediatric Associates

🇺🇸

Charleston, South Carolina, United States

Wasatch Pediatrics, Cottonwood Office

🇺🇸

Murray, Utah, United States

Wee Care Pediatrics

🇺🇸

Syracuse, Utah, United States

Tekton Research, Inc.

🇺🇸

San Antonio, Texas, United States

CopperView Medical Center

🇺🇸

South Jordan, Utah, United States

Pediatric Associates of Charlottesville, PLC

🇺🇸

Charlottesville, Virginia, United States

Pediatric Research of Charlottesville, LLC

🇺🇸

Charlottesville, Virginia, United States

Coastal Pediatric Research

🇺🇸

Charleston, South Carolina, United States

Palmetto Pediatrics, PA

🇺🇸

North Charleston, South Carolina, United States

Northwest Arkansas Pediatrics

🇺🇸

Fayetteville, Arkansas, United States

University Health Shreveport

🇺🇸

Shreveport, Louisiana, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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