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A Study to Evaluate the Safety and Tolerability of V114 and Prevnar 13™ in Healthy Infants (V114-031/PNEU-LINK)

Phase 3
Completed
Conditions
Pneumococcal Infections
Interventions
Biological: Prevnar 13™
Biological: V114
Registration Number
NCT03692871
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

This study is designed to evaluate the safety and tolerability of V114 and Prevnar 13™ in healthy infants. This study will include both full-term infants (≥37 weeks gestational age) and premature infants (\<37 weeks gestational age). Premature infants will be included in a Premature Infant Immunogenicity Substudy, which will assess immunogenicity and safety following administration of V114 or Prevnar 13™.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2409
Inclusion Criteria
  • Healthy (based on a review of medical history and physical examination) based on the clinical judgment of the investigator
  • Male or female approximately 2 months of age, from 42 days to 90 days inclusive, at the time of obtaining the informed consent
  • Have a legally acceptable representative who understands the study procedures, alternate treatments available, and risks involved with the study and voluntarily agrees to participate by giving written informed consent.
Exclusion Criteria
  • History of Invasive Pneumococcal Disease (IPD) (positive blood culture, positive cerebrospinal fluid culture, or other sterile site) or known history of other culture positive pneumococcal disease
  • Known hypersensitivity to any component of the pneumococcal conjugate vaccine (PCV) or any diphtheria toxoid containing vaccine
  • Known or suspected impairment of immunological function
  • History of congenital or acquired immunodeficiency
  • Has or his/her mother has a documented human immunodeficiency virus (HIV) infection
  • Known or history of functional or anatomic asplenia
  • Failure to thrive based on the clinical judgment of the investigator
  • Known coagulation disorder contraindicating intramuscular vaccination
  • History of autoimmune disease (including but not limited to systemic lupus erythematosus, antiphospholipid syndrome, Behcet's disease, autoimmune thyroid disease, polymyositis and dermatomyositis, scleroderma, type 1 diabetes mellitus, or other autoimmune disorders)
  • Known neurologic or cognitive behavioral disorder, including encephalitis/myelitis, acute disseminating encephalomyelitis, pervasive development disorder, and related disorders
  • Received a dose of any pneumococcal vaccine prior to study entry
  • Received a blood transfusion or blood products, including immunoglobulins, before receipt of first dose of study vaccine
  • Participated in another clinical study of an investigational product before the beginning or anytime during the duration of the current clinical study. Participants enrolled in observational studies may be included.
  • Has any other reason that, in the opinion of the investigator, may interfere with the evaluation required by the study
  • Has an immediate family member who is investigational site or Sponsor staff directly involved with this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Prevnar 13™Prevnar 13™Participants will receive a single 0.5 mL IM injection of Prevnar 13™ at approximately 2 months of age (Vaccination 1); approximately 4 months of age (Vaccination 2); approximately 6 months of age (Vaccination 3); and approximately 12-15 months of age (Vaccination 4).
V114V114Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 at approximately 2 months of age (Vaccination 1); approximately 4 months of age (Vaccination 2); approximately 6 months of age (Vaccination 3); and approximately 12-15 months of age (Vaccination 4).
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With a Solicited Injection-site Adverse EventUp to Day 14 after each study vaccination

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs included injection-site erythema (redness), injection-site induration (hard lump), injection-site pain (tenderness), and injection-site swelling.

Percentage of Participants With a Vaccine-related Serious Adverse EventUp to 6 months after Vaccination 4 (up to 19 months after Vaccination 1)

A serious adverse event (SAE) is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. SAEs that were reported by the investigator to be at least possibly related to the study vaccination were summarized.

Percentage of Participants With a Solicited Systemic Adverse EventUp to Day 14 after each study vaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited systemic AEs included decreased appetite, irritability, somnolence (drowsiness), and urticaria (hives or welts).

Secondary Outcome Measures
NameTimeMethod
Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG) at 30 Days After Vaccination 3 (Premature Infants Only)30 days after Vaccination 3 (approximately 5 months after Vaccination 1)

The GMC of IgG serotype-specific antibodies to the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 were quantitated from participants' sera by a multiplex electrochemiluminescence (ECL) assay. This endpoint was part of a Premature Infant Immunogenicity Substudy.

GMC of Serotype-specific IgG Before Vaccination 4 (Premature Infants Only)Before Vaccination 4 (10-13 months after Vaccination 1)

The GMC of IgG serotype-specific antibodies to the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 were quantitated from participants' sera by a multiplex electrochemiluminescence (ECL) assay. This endpoint was part of a Premature Infant Immunogenicity Substudy.

GMC of Serotype-specific IgG at 30 Days After Vaccination 4 (Premature Infants Only)30 days after Vaccination 4 (11-14 months after Vaccination 1)

The GMC of IgG serotype-specific antibodies to the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 were quantitated from participants' sera by a multiplex electrochemiluminescence (ECL) assay. This endpoint was part of a Premature Infant Immunogenicity Substudy.

Percentage of Participants Meeting Serotype-specific IgG Threshold of ≥0.35 μg/mL 30 Days After Vaccination 3 (Premature Infants Only)30 days after Vaccination 3 (approximately 5 months after Vaccination 1)

The GMC of IgG serotype-specific antibodies to the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 were quantitated from participants' sera by a multiplex electrochemiluminescence (ECL) assay. Immunoglobulin G for the 15 serotypes contained in V114 vaccine was determined using a pneumococcal electrochemiluminescence (PnECL) assay. This endpoint was part of a Premature Infant Immunogenicity Substudy.

Trial Locations

Locations (76)

Tampereen yliopisto Etela-Helsingin Rokotetutkimusklinikka ( Site 0064)

🇫🇮

Helsinki, Finland

Seinajoki Vaccine Research Center ( Site 0070)

🇫🇮

Seinajoki, Finland

Chulalongkorn University ( Site 0102)

🇹🇭

Bangkok, Thailand

National Taiwan University Hospital ( Site 0097)

🇨🇳

Taipei, Taiwan

Chang Gung Medical Foundation. Linkou ( Site 0098)

🇨🇳

Taoyuan, Taiwan

Pediatric Associates [Houston, TX] ( Site 0039)

🇺🇸

Houston, Texas, United States

Kinderarztpraxis ( Site 0081)

🇩🇪

Huerth, Germany

Beach Pediatrics ( Site 0040)

🇺🇸

Huntington Beach, California, United States

Kaiser Permanente - Santa Clara ( Site 0027)

🇺🇸

Santa Clara, California, United States

Premier Health Research Center, LLC ( Site 0005)

🇺🇸

Downey, California, United States

Kaiser Permanente - San Jose ( Site 0036)

🇺🇸

San Jose, California, United States

Medical Research South, LLC ( Site 0013)

🇺🇸

Charleston, South Carolina, United States

Perth Children s Hospital ( Site 0092)

🇦🇺

Nedlands, Australia

Pediatric Partners, P.A. ( Site 0010)

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Overland Park, Kansas, United States

Advanced Research For Health Improvement LLC ( Site 0030)

🇺🇸

Naples, Florida, United States

Novak Center for Childrens Health ( Site 0033)

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Louisville, Kentucky, United States

Medpharmics, LLC ( Site 0037)

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Metairie, Louisiana, United States

Child Health Care Associates ( Site 0024)

🇺🇸

East Syracuse, New York, United States

Children, Youth and Woman's Health Service ( Site 0094)

🇦🇺

North Adelaide, Australia

McGill University Health Centre - Vaccine Study Centre ( Site 0045)

🇨🇦

Pierrefonds, Quebec, Canada

CHUQ - Unite de Recherche en Sante Publique ( Site 0042)

🇨🇦

Quebec, Canada

University of Texas Medical Branch ( Site 0018)

🇺🇸

League City, Texas, United States

University of Wisconsin American Family Children's Hospital ( Site 0023)

🇺🇸

Madison, Wisconsin, United States

Vaccine Evaluation Center BC Children s Hospital Research Institute ( Site 0046)

🇨🇦

Vancouver, British Columbia, Canada

Porin Rokotetutkimusklinikka ( Site 0069)

🇫🇮

Pori, Finland

Kinderarztpraxis ( Site 0124)

🇩🇪

Aschaffenburg, Germany

Kinderarztpraxis Dr. Friedrich Kaiser & Dr. Marinesse ( Site 0085)

🇩🇪

Hamburg, Germany

Kinderarztpraxis ( Site 0123)

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Bramsche, Germany

Kinderarztpraxis Dr. Muehlschlegel - Dr. Goetz ( Site 0122)

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Lauffen, Germany

Kinderarztpraxis ( Site 0080)

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Moenchengladbach, Germany

Kinderarztpraxis ( Site 0084)

🇩🇪

Schoenau, Germany

Soroka University Medical Center - Ramot Family health center ( Site 0078)

🇮🇱

Beer-Sheva, Israel

Rambam Medical Center- Keriat Eliezer Family Health Center ( Site 0138)

🇮🇱

Haifa, Israel

Klinik Kesihatan Greentown ( Site 0132)

🇲🇾

Ipoh, Perak, Malaysia

Klinik Kesihatan Pandamaran ( Site 0110)

🇲🇾

Pelabuhan Klang, Malaysia

Clinica Peruano Americana S.A. ( Site 0061)

🇵🇪

Trujillo, Peru

Hamilton Medical Research Group ( Site 0049)

🇨🇦

Hamilton, Ontario, Canada

Kinderarztpraxis Matthias Donner Dr. M. Luechtrath ( Site 0091)

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Munchengladbach, Germany

Tanner Clinic ( Site 0009)

🇺🇸

Layton, Utah, United States

Primedical Clinical Research ( Site 0035)

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Dayton, Ohio, United States

Khruz Biotechnology Research Institute ( Site 0006)

🇺🇸

San Diego, California, United States

Children's Research, LLC ( Site 0025)

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Lake Mary, Florida, United States

Wee Care Pediatrics ( Site 0020)

🇺🇸

Roy, Utah, United States

Thomas Jefferson University ( Site 0029)

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Philadelphia, Pennsylvania, United States

CCP- Kid's Way ( Site 0008)

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Hermitage, Pennsylvania, United States

Jarvenpaan rokotetutkimuskeskus ( Site 0067)

🇫🇮

Jarvenpaa, Finland

Kokkolan rokotetutkimusklinikka ( Site 0071)

🇫🇮

Kokkola, Finland

CHU Sainte Justine ( Site 0047)

🇨🇦

Montreal, Quebec, Canada

Medicor Research Inc. ( Site 0041)

🇨🇦

Sudbury, Ontario, Canada

Ita-Helsingin Rokotetutkimuskeskus ( Site 0065)

🇫🇮

Helsinki, Finland

Turun rokotetutkimuskeskus ( Site 0068)

🇫🇮

Turku, Finland

Soroka University Medical Center ( Site 0077)

🇮🇱

Beer Sheva, Israel

Sarawak General Hospital ( Site 0107)

🇲🇾

Kuching, Sarawak, Malaysia

Rambam Medical Center ( Site 0076)

🇮🇱

Haifa, Israel

Kinderaerztliche Gemeinschaftspraxis Drs. Westerholt/Matyas ( Site 0083)

🇩🇪

Wolfsburg, Germany

Universiti Malaya Medical Center-Clinical Investigation Center ( Site 0108)

🇲🇾

Kuala Lumpur, Malaysia

Instituto de Investigacion Nutricional ( Site 0058)

🇵🇪

Lima, Peru

Taichung Veterans General Hospital ( Site 0100)

🇨🇳

Taichung, Taiwan

Srinagarind Hospital. Khon Kaen University ( Site 0104)

🇹🇭

Khon Kaen, Thailand

Prince of Songkla University, Faculty of Medicine ( Site 0105)

🇹🇭

Hat Yai, Thailand

Espoon rokotetutkimuskeskus ( Site 0066)

🇫🇮

Espoo, Finland

IWK Health Centre [Halifax, Canada] ( Site 0043)

🇨🇦

Halifax, Nova Scotia, Canada

Monash Children s Hospital ( Site 0093)

🇦🇺

Clayton, Victoria, Australia

Tampereen yliopisto Oulun rokotetutkimusklinikka ( Site 0072)

🇫🇮

Oulu, Finland

Tampereen yliopisto - Tampereen rokotetutkimusklinikka ( Site 0063)

🇫🇮

Tampere, Finland

Hospital Nacional Docente Madre - Nino San Bartolome ( Site 0057)

🇵🇪

Lima, Peru

Rambam Medical Center- Neve David Family Health Center ( Site 0139)

🇮🇱

Haifa, Israel

Soroka Medical Center_ Hura Family health center ( Site 0137)

🇮🇱

Hura, Israel

Soroka University Medical Center - Rahat Family health center ( Site 0079)

🇮🇱

Rahat, Israel

Siriraj Hospital ( Site 0101)

🇹🇭

Bangkok, Thailand

Maharaj Nakorn Chiang Mai Hospital ( Site 0103)

🇹🇭

Chiang Mai, Thailand

Allegheny Health & Wellness Pavilion West ( Site 0034)

🇺🇸

Erie, Pennsylvania, United States

Wee Care Pediatrics ( Site 0031)

🇺🇸

Layton, Utah, United States

Alberta Children s Hospital ( Site 0048)

🇨🇦

Calgary, Alberta, Canada

Hospital Sibu ( Site 0111)

🇲🇾

Sibu, Sarawak, Malaysia

Mackay Memorial Hospital ( Site 0099)

🇨🇳

Taipei, Taiwan

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