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Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 in Healthy Japanese Infants (V114-033)

Phase 3
Completed
Conditions
Pneumococcal Infections
Interventions
Biological: V114
Biological: PCV13
Registration Number
NCT04384107
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

The purpose of this clinical study is to evaluate the safety and immunogenicity of a 4-dose schedule (3-dose primary series followed by a toddler dose) of V114 compared with Pneumococcal 13-valent Conjugate Vaccine (PCV13). The hypotheses are that: 1) V114 is non-inferior to PCV13 for the 13 shared serotypes between V114 and PCV13 based on the response rates at 30 days following dose 3; 2) V114 is non-inferior to PCV13 for the 2 unique V114 serotypes based on the response rate of the 2 unique V114 serotypes at 30 days following dose 3; 3) V114 is non-inferior to PCV13 for the 13 shared serotypes between V114 and PCV13 based on anti-pneumococcal polysaccharide (PnPs) serotype-specific Immunoglobulin G (IgG) geometric mean concentrations (GMCs) at 30 days following dose 3.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
694
Inclusion Criteria
  • Japanese male or female
Exclusion Criteria
  • Has a history of invasive pneumococcal disease (IPD)
  • Has a known hypersensitivity to any component of the pneumococcal conjugate vaccine (PCV), or any diphtheria toxoid containing vaccine
  • Has a known or suspected impairment of immunological function
  • Has a history of congenital or acquired immunodeficiency
  • Has or his/her mother has a documented human immunodeficiency virus (HIV) infection
  • Has or his/her mother has a documented hepatitis B surface antigen-positive test
  • Has known or history of functional or anatomic asplenia
  • Has a history of autoimmune disease
  • Has a known neurologic or cognitive behavioral disorder
  • Has received a dose of any pneumococcal vaccine prior to study entry
  • Has received a blood transfusion or blood products, including immunoglobulins

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
V114V114Participants will receive a single 0.5 mL subcutaneous injection of V114 administered at 2 to 6 months of age, and second and third dose is administered at an interval of ≥27 days from the prior dose. The fourth dose is administered at 12 to 15 months of age.
Pneumococcal 13-valent Conjugate Vaccine (PCV13)PCV13Participants will receive a single 0.5 mL subcutaneous injection of PCV13 administered at 2 to 6 months of age, and second and third dose is administered at an interval of ≥27 days from the prior dose. The fourth dose is administered at 12 to 15 months of age.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Vaccine-Related Serious Adverse Events~1 month after Dose 4, up to a total of 14 months

A serious adverse event (SAE) is an AE that 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. The percentage of participants with a vaccine-related SAE following dose 1 (with either V114 or PCV13) was reported. Vaccine-related SAEs were counted starting after vaccine dose 1 through completion of study.

Percentage of Participants Meeting the Serotype Specific Immunoglobulin G Threshold Value of ≥0.35 μg/mL for Each Serotype in V114 After Dose 330 Days after Dose 3, up to a total of 11 months

The anti-pneumococcal polysaccharide (PnPs) serotype-specific immunoglobulin G (IgG) response rates (percentage of participants meeting serotype-specific IgG threshold value of ≥0.35 μg/mL of participants administered V114 versus participants administered PCV13) for the 15 serotypes contained in V114 were determined using an electrochemiluminescence assay.

Geometric Mean Concentration of Serotype-Specific IgG for the 13 Shared Serotypes in V114 and PCV13 After Dose 330 Days after Dose 3, up to a total of 11 months

The anti-PnPs serotype-specific IgG Geometric Mean Concentrations (GMCs) of participants administered V114 versus participants administered PCV13 for the 13 serotypes shared in V114 and PCV13 were determined using an electrochemiluminescence assay.

Percentage of Participants With Solicited Injection-Site Adverse EventsDay 1 to Day 14 post any vaccination, up to a total of 13.5 months

An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Following any injection with either V114 or PCV13 the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs were erythema, induration, pain, and swelling.

Percentage of Participants With Solicited Systemic Adverse EventsDay 1 to Day 14 post any vaccination, up to a total of 13.5 months

An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Following any of the injections with either V114 or PCV13, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were decreased appetite, irritability, somnolence, and urticaria.

Secondary Outcome Measures
NameTimeMethod
GMC of Serotype-Specific IgG for Each Serotype in V114 After Dose 430 Days after Dose 4, up to a total of 14 months

The anti-PnPs serotype-specific IgG GMCs of participants administered V114 versus participants administered PCV13 for the 15 serotypes contained in V114 was determined using an electrochemiluminescence assay.

GMT of Serotype-Specific OPA for Each Serotype in V114 After Dose 430 Days after Dose 4, up to a total of 14 months

The anti-PnPs serotype-specific opsonophagocytic activity (OPA) and geometric mean titers (GMTs) of participants administered V114 versus participants administered PCV13 for the 15 serotypes contained in V114 was determined using a multiplexed opsonophagocytic assay.

GMC of Serotype-Specific IgG for the 2 Unique V114 Serotypes After Dose 330 days after Dose 3, up to a total of 11 months

The anti-PnPs serotype-specific IgG GMCs of participants administered V114 versus participants administered PCV13 for the 2 unique V114 serotypes was determined using an electrochemiluminescence assay.

Percentage of Participants Meeting the Serotype Specific IgG Threshold Value of ≥0.35 μg/mL for Each Serotype in V114 After Dose 430 Days after Dose 4, up to a total of 14 months

The anti-PnPs serotype-specific IgG response rates (percentage of participants meeting serotype-specific IgG threshold value of ≥0.35 μg/mL of participants administered V114 versus participants administered PCV13) for the 15 serotypes contained in V114 were determined using an electrochemiluminescence assay.

Geometric Mean Titer of Serotype-Specific Opsonophagocytic Activity for Each Serotype in V114 After Dose 330 Days after Dose 3, up to a total of 11 months

The anti-PnPs serotype-specific opsonophagocytic activity (OPA) and geometric mean titers (GMTs) of participants administered V114 versus participants administered PCV13 for the 15 serotypes contained in V114 was determined using a multiplexed opsonophagocytic assay.

Trial Locations

Locations (45)

National Hospital Organization Sendai Medical Center ( Site 3311)

🇯🇵

Sendai, Miyagi, Japan

INAMITSU Children's Clinic ( Site 3321)

🇯🇵

Fukuoka, Japan

Fukui Aiiku Hospital ( Site 3315)

🇯🇵

Fukui, Japan

Sotobo Children's Clinic ( Site 3323)

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Isumi, Chiba, Japan

Social Medical Corporation Koujunkai Daido Clinic ( Site 3326)

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Nagoya, Aichi, Japan

Morinaga Maternity Clinic ( Site 3345)

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Kasugai, Aichi, Japan

Yokoyama Children's Clinic ( Site 3309)

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Kasuga, Fukuoka, Japan

Chugoku Rosai Hospital ( Site 3340)

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Kure, Hiroshima, Japan

Kyoritsu Narashinodai Hospital ( Site 3332)

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Funabashi, Chiba, Japan

Tsuchiura Kyodo General Hospital ( Site 3327)

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Tsuchiura, Ibaraki, Japan

Kagoshima Children's Hospital ( Site 3342)

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Hioki, Kagoshima, Japan

JOHAS Yokohama Rosai Hospital ( Site 3343)

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Yokohama, Kanagawa, Japan

National Hospital Organization Sagamihara National Hospital ( Site 3303)

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Sagamihara, Kanagawa, Japan

Ina Central Hospital ( Site 3346)

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Ina, Nagano, Japan

Kawasaki Municipal Hospital ( Site 3302)

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Kawasaki, Kanagawa, Japan

National Hospital Organization Mie Chuo Medical Center ( Site 3308)

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Tsu, Mie, Japan

Aizawa Hospital ( Site 3313)

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Matsumoto, Nagano, Japan

Taniguchi Hospital ( Site 3310)

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Izumisano, Osaka, Japan

Saiseikai Kawaguchi General Hospital ( Site 3304)

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Kawaguchi, Saitama, Japan

Hara Children's Clinic ( Site 3339)

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Tokorozawa, Saitama, Japan

Medical corporation Waffle GunGunkids Clinic ( Site 3329)

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Sakai, Osaka, Japan

Aiwa Hospital ( Site 3336)

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Kawagoe, Saitama, Japan

Suita Municipal Hospital ( Site 3338)

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Suita, Osaka, Japan

Takatsuki General Hospital ( Site 3318)

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Takatsuki, Osaka, Japan

Kobayashi Pediatric Clinic ( Site 3301)

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Fujieda, Shizuoka, Japan

Nishida Kodomo Clinic ( Site 3306)

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Tama, Tokyo, Japan

Saiseikai Shiga Hospital ( Site 3349)

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Ritto, Shiga, Japan

Fukui-ken Saiseikai Hospital ( Site 3314)

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Fukui, Japan

National Hospital Organization Saitama Hospital ( Site 3312)

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Wako, Saitama, Japan

Saiwai Kodomo Clinic ( Site 3331)

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Tachikawa, Tokyo, Japan

Shindo Children's Clinic ( Site 3325)

🇯🇵

Fukuoka, Japan

Kurokawa Michiko Pediatric Clinic ( Site 3319)

🇯🇵

Fukuoka, Japan

Shimomura Pediatrics Clinic ( Site 3320)

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Fukuoka, Japan

Kubota Children's Clinic ( Site 3334)

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Osaka, Japan

Nagamine Soyokaze Clinic ( Site 3348)

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Kumamoto, Japan

Minaminagano Medical Center Shinonoi General Hospital ( Site 3344)

🇯🇵

Nagano, Japan

Saiseikai Noe Hospital ( Site 3330)

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Osaka, Japan

Aizenbashi Hospital ( Site 3317)

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Osaka, Japan

Japanese Red Cross Shizuoka Hospital ( Site 3322)

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Shizuoka, Japan

Hosaka Children's Clinic ( Site 3307)

🇯🇵

Tokyo, Japan

Sano Kids Clinic ( Site 3341)

🇯🇵

Osaka, Japan

Shizuoka City Shimizu Hospital ( Site 3347)

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Shizuoka, Japan

The Fraternity Memorial Hospital ( Site 3333)

🇯🇵

Tokyo, Japan

Okawa Children & Family Clinic ( Site 3305)

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Tokyo, Japan

Toyama City Hospital ( Site 3328)

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Toyama, Japan

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