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A Study to Evaluate the Safety, Tolerability, and Immunogenicity of Two Lots of V114 in Healthy Infants (V114-008)

Phase 2
Completed
Conditions
Pneumococcal Infections
Interventions
Biological: V114 Lot 1
Biological: V114 Lot 2
Biological: Prevnar 13™
Registration Number
NCT02987972
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

This study is designed to evaluate the safety, tolerability, and immunogenicity of two different lots of V114 in healthy infants 6 to 12 weeks (\>=42 days to \<=90 days) of age. The primary hypothesis of the study is that the proportion of participants receiving V114 who have serotype specific IgG \>=0.35 mcg/mL for each of pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F at 1 month after Dose 3 is non-inferior to that for recipients of Prevnar 13™.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1051
Inclusion Criteria
  • Infant approximately 2 months of age (42 days to 90 days), inclusive
  • In good health
Exclusion Criteria
  • Prior administration of any pneumococcal vaccine
  • Known hypersensitivity to any component of the pneumococcal conjugate vaccine or any diphtheria toxoid-containing vaccine
  • Known or suspected impairment of immunological function
  • History of congenital or acquired immunodeficiency (eg, splenomegaly)
  • Mother has documented human immunodeficiency virus (HIV) infection
  • Mother has documented hepatitis B surface antigen-positive test result
  • Known or history of functional or anatomic asplenia
  • History of failure to thrive
  • History of a coagulation disorder
  • History of autoimmune disease
  • Known neurologic or cognitive behavioral disorder
  • Expects to require systemic corticosteroids within 30 days after each vaccination during the trial
  • Prior administration of a blood transfusion or blood products, including immunoglobulin
  • Participated in another clinical trial of an investigational product
  • History of invasive pneumococcal disease or known history of other culture-positive pneumococcal disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
V114 Lot 1V114 Lot 1Infants will receive a 0.5 mL intramuscular injection of V114 Lot 1 at 2, 4, 6, and 12-15 months of age (Study Day 1, Month 2, Month 4, and Month 10-13)
V114 Lot 2V114 Lot 2Infants will receive a 0.5 mL intramuscular injection of V114 Lot 2 at 2, 4, 6, and 12-15 months of age (Study Day 1, Month 2, Month 4, and Month 10-13)
Prevnar 13™Prevnar 13™Infants will receive a 0.5 mL intramuscular injection of Prevnar 13™ at 2, 4, 6, and 12-15 months of age (Study Day 1, Month 2, Month 4, and Month 10-13)
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving the Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody Threshold Value of ≥0.35 µg/mL for the 13 Common Serotypes in V114 and Prevnar 13™: 1 Month Post Vaccination 31 month post vaccination 3 (Month 5)

Serotype-specific pneumococcal IgG antibody was measured using the Meso-Scale Discovery (MSD) Pneumococcal electrochemiluminescence assay (Pn ECL). The percentage of participants with serotype-specific IgG ≥0.35 µg/mL was summarized for each serotype.

Percentage of Participants Who Discontinued From the Study Due to an Adverse EventUp to 1 month post Vaccination 4 (up to 14 months)

The percentage of participants who discontinued the study because of an AE (as defined above) was assessed.

Geometric Mean Concentration of Serotype-specific Pneumococcal IgG Antibody for the 13 Common Serotypes in V114 and Prevnar 13™ and the 2 Serotypes Unique to V114: 1 Month Post Vaccination 31 month post Vaccination 3 (Month 5)

Serotype-specific pneumococcal IgG antibody will be assayed using the Meso-Scale Discovery (MSD) Pn electrochemiluminescence assay. The geometric mean concentration (GMC) of serotype-specific IgG will be assessed.

Percentage of Participants With a Solicited Injection-site Adverse EventUp to 14 days post any vaccination

Injection-site AEs solicited on the Vaccine Report Card were redness, swelling, hard lump, and pain/tenderness. The percentage of participants with 1 or more solicited injection-site AEs was assessed.

Percentage of Participants With a Solicited Systemic Adverse EventUp to 14 days post any vaccination

Systemic AEs solicited on the Vaccine Report Card were fever, irritability, drowsiness, hive/welts, and appetite loss. The percentage of participants with 1 or more solicited systemic AEs was assessed.

Percentage of Participants Who Experience at Least 1 Adverse EventUp to 1 month post Vaccination 4 (up to 14 months)

An adverse event (AE) is defined as any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. The percentage of participants with one or more AEs was assessed.

Secondary Outcome Measures
NameTimeMethod
Geometric Mean Concentration of Serotype-specific Pneumococcal IgG Antibody for the 13 Common Serotypes in V114 and Prevnar and the 2 Serotypes Unique to V114: Pre-vaccination 4Before Vaccination 4 (Month 10 to 13)

Serotype-specific pneumococcal IgG antibody was assayed using the MSD Pn electrochemiluminescence assay.

Geometric Mean Concentration of Serotype-specific Pneumococcal IgG Antibody for the 13 Common Serotypes in V114 and Prevnar and the 2 Serotypes Unique to V114: 1 Month Post Vaccination 41 month post vaccination 4 (Month 11-14)

Serotype-specific pneumococcal IgG antibody was assayed using the MSD Pn electrochemiluminescence assay.

Trial Locations

Locations (49)

Hospital Clinico Universitario de Santiago ( Site 0016)

🇪🇸

Santiago de Compostela, Spain

Unidad de Estudios e Investigacion IHP ( Site 0017)

🇪🇸

Sevilla, Spain

Premier Health Research Center, LLC ( Site 0035)

🇺🇸

Downey, California, United States

Sherif Khamis MD, Inc. ( Site 0044)

🇺🇸

Palmdale, California, United States

Kaiser Permanente - Roseville ( Site 0045)

🇺🇸

Roseville, California, United States

Kaiser Permanente Clinical Trial - Sacramento ( Site 0076)

🇺🇸

Sacramento, California, United States

University of Louisville: Pediatric Clinical Trials Unit ( Site 0049)

🇺🇸

Louisville, Kentucky, United States

ACC Pediatric Research ( Site 0039)

🇺🇸

Haughton, Louisiana, United States

Woburn Pediatric Associates ( Site 0046)

🇺🇸

Woburn, Massachusetts, United States

Ohio Pediatric Research Association ( Site 0060)

🇺🇸

Dayton, Ohio, United States

Pediatric Medical Associates ( Site 0059)

🇺🇸

East Norriton, Pennsylvania, United States

Kid's Way Pediatrics ( Site 0036)

🇺🇸

Hermitage, Pennsylvania, United States

Coastal Pediatric Research ( Site 0070)

🇺🇸

Charleston, South Carolina, United States

Wee Care Pediatrics ( Site 0042)

🇺🇸

Layton, Utah, United States

University of Texas Medical Branch at Galveston ( Site 0068)

🇺🇸

League City, Texas, United States

Copperview Medical Center ( Site 0062)

🇺🇸

South Jordan, Utah, United States

Cottonwood Pediatrics ( Site 0041)

🇺🇸

Murray, Utah, United States

Pediatric Research of Charlottesville, LLC ( Site 0066)

🇺🇸

Charlottesville, Virginia, United States

Huguenot Pediatrics ( Site 0057)

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Midlothian, Virginia, United States

Family Health Care of Ellensburg ( Site 0077)

🇺🇸

Ellensburg, Washington, United States

Tampereen yliopisto Järvenpään rokotetutkimusklinikka ( Site 0003)

🇫🇮

Järvenpää, Finland

Tampereen yliopisto Oulun rokotetutkimusklinikka ( Site 0004)

🇫🇮

Oulu, Finland

Tampereen yliopisto - Tampereen rokotetutkimusklinikka ( Site 0001)

🇫🇮

Tampere, Finland

Aarhus Universitetshospital-Skejby-Forskningsklinikken for Kvindesygdomme ( Site 0025)

🇩🇰

Aarhus N, Denmark

OUH Klinisk Forsk center Gyn Obs D. ( Site 0024)

🇩🇰

Odense, Denmark

Southeastern Pediatric Associates, P.A. ( Site 0079)

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Dothan, Alabama, United States

Pediatric Associates of Mt. Carmel, Inc. ( Site 0052)

🇺🇸

Cincinnati, Ohio, United States

Senders Pediatrics ( Site 0058)

🇺🇸

Cleveland, Ohio, United States

Holston Medical Group [Kingsport, TN] ( Site 0048)

🇺🇸

Kingsport, Tennessee, United States

University of Texas Medical Branch at Galveston ( Site 0056)

🇺🇸

Galveston, Texas, United States

Birmingham Pediatric Research ( Site 0043)

🇺🇸

Birmingham, Alabama, United States

State University of New York Upstate Medical University ( Site 0065)

🇺🇸

Syracuse, New York, United States

Kentucky Pediatric/Adult Research Inc ( Site 0037)

🇺🇸

Bardstown, Kentucky, United States

Children's Clinic of Jonesboro, PA ( Site 0054)

🇺🇸

Jonesboro, Arkansas, United States

Child Health Care Associates ( Site 0064)

🇺🇸

East Syracuse, New York, United States

Thomas Jefferson University ( Site 0067)

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Philadelphia, Pennsylvania, United States

Tampereen yliopisto Etela-Helsingin rokotetutkimusklinikka ( Site 0005)

🇫🇮

Helsinki, Finland

Tampereen yliopisto Ita-Helsingin rokotetutkimusklinikka ( Site 0006)

🇫🇮

Helsinki, Finland

Soroka University Medical Center - Vav Family health center ( Site 0022)

🇮🇱

Beer-Sheva, Israel

Tampereen yliopisto Espoon rokotetutkimusklinikka ( Site 0007)

🇫🇮

Espoo, Finland

Tampereen yliopisto Porin rokotetutkimusklinikka ( Site 0008)

🇫🇮

Pori, Finland

Tampereen yliopisto Turun rokotetutkimusklinikka ( Site 0002)

🇫🇮

Turku, Finland

Soroka University Medical Center - Rahat Family health center ( Site 0020)

🇮🇱

Beer-Sheva, Israel

Soroka University Medical Center ( Site 0019)

🇮🇱

Beer-Sheva, Israel

Soroka University Medical Center - Ramot Family health center ( Site 0021)

🇮🇱

Beer-Sheva, Israel

CHU Ste-Justine ( Site 0084)

🇨🇦

Montreal, Quebec, Canada

McGill University Health Centre - Vaccine Study Centre ( Site 0030)

🇨🇦

Pierrefonds, Quebec, Canada

CHU de Quebec Universite de Laval ( Site 0031)

🇨🇦

Quebec, Canada

Dundee Clinic ( Site 0063)

🇺🇸

Omaha, Nebraska, United States

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