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A Study to Learn About How a New Pneumococcal Vaccine Works in Infants

Phase 2
Recruiting
Conditions
Pneumococcal Disease
Interventions
Biological: 20-valent pneumococcal conjugate vaccine (20vPnC)
Biological: 15-valent pneumococcal conjugate vaccine (PCV15)
Registration Number
NCT06524414
Lead Sponsor
Pfizer
Brief Summary

The purpose of this study is to learn about the safety of a new pneumococcal vaccine and how the new pneumococcal vaccine helps to fight against germs in infants when compared to the pneumococcal vaccines that are currently in use, 20vPnC (Prevnar 20®) or another licensed pneumococcal vaccine.

To ensure that the new vaccine (PG4) stays stable, it is placed in a liquid mixture of sterile water and other substances (a solution). This study will also test if there is a difference in the safety and immune effects of the new pneumococcal vaccine when it is one type of solution compared to when it is in a different type of solution.

The immune response is how the body's cells; tissues and organs work together to protect the body from infection. Blood samples will be used to measure the amount of antibodies produced after the vaccination. Antibodies are proteins that protect you when an unwanted germ enters the body. This will help understand how well the new pneumococcal vaccine works. This vaccine can possibly provide protection against pneumococcal disease. Pneumococcal disease includes a variety of infections caused by a specific germ, Streptococcus pneumoniae.

This study is seeking participants who are:

* male or female infants who are 2 months of age,

* infants born at 36 weeks (about 8 and a half months) of pregnancy or later; and,

* said to be healthy by the study doctor

There are four groups in this study. All participants will be assigned to one of the four groups. All study vaccines will be given as a single shot into the left thigh muscle. Participants in the three groups will have 3 blood samples collected during the 1 and a half years they are in the study.

The first 400 participants who enter the study will be assigned to either Group 1 or Group 2. Half the participants in Group 1 and half the participants in Group 2 will receive 4 doses at 2, 4, 6, and 12 to 15 months of age of PG4 mixed in the first solution. The other half of the participants in Groups 1 and 2 will receive 4 doses of 20vPnC (Prevnar 20®) at 2, 4, 6, and 12 to 15 months of age. The main difference between Groups 1 and 2 is that participants in Group 2 will have the first blood sample collected at an earlier time than those in Group 1.

Once 400 participants have been assigned to Groups 1 and 2 then 100 new participants will be assigned to Group 3. Half the participants in Group 3 will receive PG4 in the second solution at 2, 4, 6, and 12 to 15 months of age. The other half of the participants in Groups 3 will receive 4 doses of 20vPnC (Prevnar 20®) at 2, 4, 6, and 12 to 15 months of age.

Once the 100 participants have been assigned to Group 3 then 300 new participants will be assigned to Group 4. Half the participants in Group 4 will receive PG4 in the first solution at 2, 4, 6, and 12 to 15 months of age. The other half of the participants in Group 4 will receive 4 doses of a licensed pneumococcal comparator vaccine at 2, 4, 6, and 12 to 15 months of age.

Participants will take part in this study for about 16 to 19 months (about 1 and a half years). During this time, participants will have 6 study clinic visits and 1 to 2 phone calls. At these study clinic visits, parent(s) or legal guardian(s) will be asked if the participant experienced any side effects. A side effect is an unintentional or unexpected reaction to a vaccine.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
800
Inclusion Criteria
  • Male or female infants born at >36 weeks of gestation and 2 months of age at the time of consent.
  • Healthy infants determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study.
Exclusion Criteria
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis).
  • Major known congenital malformation or serious chronic disorder.
  • Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
  • Previous vaccination with any licensed or investigational pneumococcal vaccine, or planned receipt through study participation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 1 PG4PG4Multivalent Pneumococcal Vaccine
Group 4 PG4PG4Multivalent Pneumococcal Vaccine
Group 1 20-valent pneumococcal conjugate vaccine (20vPnC)20-valent pneumococcal conjugate vaccine (20vPnC)20-valent pneumococcal conjugate vaccine (20vPnC)
Group 2 PG4PG4Multivalent Pneumococcal Vaccine
Group 2 20-valent pneumococcal conjugate vaccine (20vPnC)20-valent pneumococcal conjugate vaccine (20vPnC)20-valent pneumococcal conjugate vaccine (20vPnC)
Group 3 PG4PG4Multivalent Pneumococcal Vaccine
Group 3 20-valent pneumococcal conjugate vaccine (20vPnC)20-valent pneumococcal conjugate vaccine (20vPnC)20-valent pneumococcal conjugate vaccine (20vPnC)
Group 4 15-valent pneumococcal conjugate vaccine (PCV15)15-valent pneumococcal conjugate vaccine (PCV15)15-valent pneumococcal conjugate vaccine (PCV15)
Primary Outcome Measures
NameTimeMethod
Percentage of participants reporting systemic events within 7 days after each doseDay 7

Prompted systemic reactions after each dose

Percentage of participants reporting adverse events (AEs)Dose 1 to 1 month after Dose 3

AEs occurring from Dose 1 to 1 month after Dose 2

Percentage of participants reporting AEsDose 4 to 1 month after Dose 4

AEs occurring from Dose 4 to 1 month after Dose 4

Percentage of participants reporting serious adverse events (SAEs)Dose 1 to 6 months after Dose 4

SAEs occurring from Dose 1 to 6 months after Dose 4

Percentage of participants reporting local reactions within 7 days after each doseDay 7

Prompted local reactions after each dose

Secondary Outcome Measures
NameTimeMethod
Pneumococcal immunoglobulin G (IgG) geometric mean concentrations (GMCs)1 month after Dose 4

Pneumococcal IgG GMCs 1 month after Dose 4

Trial Locations

Locations (49)

Caribbean Medical Research Center

🇵🇷

San Juan, Puerto Rico

University of Puerto Rico - Medical Sciences Campus

🇵🇷

San Juan, Puerto Rico

The Hispanic Alliance for Clinical and Translational Research

🇵🇷

San Juan, Puerto Rico

San Miguel Medical

🇵🇷

Trujillo Alto, Puerto Rico

Northwest Arkansas Pediatric Clinic

🇺🇸

Fayetteville, Arkansas, United States

Los Ninos Children's Medical Clinic

🇺🇸

West Covina, California, United States

Kaiser Permanente South Sacramento

🇺🇸

Sacramento, California, United States

The Children's Clinic

🇺🇸

Jonesboro, Arkansas, United States

Kaiser Permanente Daly City

🇺🇸

Daly City, California, United States

Kaiser Permanente San Jose

🇺🇸

San Jose, California, United States

Private Practice - Dr. Carey Chronis

🇺🇸

Ventura, California, United States

Kaiser Permanente Walnut Creek

🇺🇸

Walnut Creek, California, United States

Riveldi Biomedical Research and Associates - Miami

🇺🇸

Miami Lakes, Florida, United States

Clinical Research Prime

🇺🇸

Idaho Falls, Idaho, United States

Clinical Research Prime Rexburg

🇺🇸

Rexburg, Idaho, United States

The Iowa Clinic

🇺🇸

Ankeny, Iowa, United States

Cotton O'Neil Pediatrics

🇺🇸

Topeka, Kansas, United States

Kentucky Pediatric/ Adult Research

🇺🇸

Bardstown, Kentucky, United States

All Children Pediatrics

🇺🇸

Louisville, Kentucky, United States

Bluegrass Clinical Research, Inc.

🇺🇸

Louisville, Kentucky, United States

LSUHSC Clinical Trials Office

🇺🇸

Shreveport, Louisiana, United States

Louisiana State University Health Sciences Shreveport

🇺🇸

Shreveport, Louisiana, United States

Ochsner/LSU Health Ambulatory Care Center

🇺🇸

Shreveport, Louisiana, United States

University of Maryland

🇺🇸

Baltimore, Maryland, United States

UMB/CVD

🇺🇸

Frederick, Maryland, United States

Pediatric Associates of Fall River

🇺🇸

Fall River, Massachusetts, United States

Midwest Children's Health Research Institute

🇺🇸

Lincoln, Nebraska, United States

Child Health Care Associates

🇺🇸

East Syracuse, New York, United States

Duke Vaccine and Trials Unit

🇺🇸

Durham, North Carolina, United States

Durham Pediatrics at North Duke Street

🇺🇸

Durham, North Carolina, United States

Dayton Clinical Research

🇺🇸

Dayton, Ohio, United States

Ohio Pediatric Research Assn.

🇺🇸

Dayton, Ohio, United States

Senders Pediatrics

🇺🇸

South Euclid, Ohio, United States

Cyn3rgy Research

🇺🇸

Gresham, Oregon, United States

Allegheny Health and Wellness Pavilion

🇺🇸

Erie, Pennsylvania, United States

Coastal Pediatric Research

🇺🇸

Summerville, South Carolina, United States

Holston Medical Group

🇺🇸

Kingsport, Tennessee, United States

Javara - Privia Medical Group North Texas - Dallas

🇺🇸

Dallas, Texas, United States

Oak Cliff Research Company, LLC

🇺🇸

Dallas, Texas, United States

PAS Research - McAllen

🇺🇸

Edinburg, Texas, United States

Pediatric Associates

🇺🇸

Houston, Texas, United States

Houston Clinical Research Associates

🇺🇸

Houston, Texas, United States

University of Texas Medical Branch

🇺🇸

League City, Texas, United States

DCOL Center for Clinical Research

🇺🇸

Longview, Texas, United States

Alliance for Multispecialty Research, LLC

🇺🇸

Syracuse, Utah, United States

Pediatric Research of Charlottesville, LLC

🇺🇸

Charlottesville, Virginia, United States

Clinical Research Puerto Rico

🇵🇷

Guayama, Puerto Rico

Ponce Medical School Foundation Inc.

🇵🇷

Ponce, Puerto Rico

BRCR Global Puerto Rico

🇵🇷

San Juan, Puerto Rico

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