NCT03313050

Brief Summary

This is a 2-stage, phase 1/2, randomized, active-controlled, observer-blinded study with a 2-arm parallel design in each stage. In Stage 1 healthy adults 50 to 64 years of age with no history of pneumococcal vaccination will be randomized equally to receive either a single intramuscular dose of multivalent pneumococcal conjugate vaccine or a licensed tetanus, diphtheria, acellular pertussis combination vaccine (Tdap) (control group). In Stage 2 healthy adults 65 to 85 years of age previously vaccinated with Prevnar 13 \>=2 months prior to investigational product administration will be randomized equally to receive either a single intramuscular dose of multivalent pneumococcal conjugate vaccine or the licensed 23-valent pneumococcal polysaccharide vaccine (control group).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
511

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Oct 2017

Geographic Reach
1 country

18 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 10, 2017

Completed
2 days until next milestone

Study Start

First participant enrolled

October 12, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 18, 2017

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 24, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 24, 2019

Completed
1 year until next milestone

Results Posted

Study results publicly available

June 4, 2020

Completed
Last Updated

June 4, 2020

Status Verified

May 1, 2020

Enrollment Period

1.6 years

First QC Date

October 10, 2017

Results QC Date

May 15, 2020

Last Update Submit

May 15, 2020

Conditions

Outcome Measures

Primary Outcomes (12)

  • Stage 1: Percentage of Participants With Local Reactions Within 14 Days After Vaccination

    Local reactions included pain at injection site, swelling and redness recorded by participants in an electronic diary (e-diary). 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: greater than (\>) 2.0 to 5.0 cm, moderate: \>5.0 to 10.0 cm and severe: \>10.0 cm. Pain at injection site was graded as mild: did not interfere with activity, moderate: interfered with activity and severe: prevented daily activity.

    within 14 days after vaccination

  • Stage 2: Percentage of Participants With Local Reactions Within 14 Days After Vaccination

    Local reactions included pain at injection site, swelling and redness recorded by participants in an e-diary. 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: \>2.0 to 5.0 cm, moderate: \>5.0 to 10.0 cm and severe: \>10.0 cm. Pain at injection site was graded as mild: did not interfere with activity, moderate: interfered with activity and severe: prevented daily activity.

    within 14 days after vaccination

  • Stage 1: Percentage of Participants With Systemic Events Within 14 Days After Vaccination

    Systemic events included fever, fatigue, headache, muscle pain and joint pain recorded by participants in an e-diary. Fever was categorized as: \>=38.0 degrees Celsius (C), \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Fatigue, headache, muscle pain and joint pain were graded as any, mild: did not interfere with activity, moderate: some interference with activity and severe: prevented daily routine activity.

    within 14 days after vaccination

  • Stage 2: Percentage of Participants With Systemic Events Within 14 Days After Vaccination

    Systemic events included fever, fatigue, headache, muscle pain and joint pain recorded by participants in an e-diary. Fever was categorized as: \>=38.0 degrees C, \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Fatigue, headache, muscle pain and joint pain were graded as any, mild: did not interfere with activity, moderate: some interference with activity and severe: prevented daily routine activity.

    within 14 days after vaccination

  • Stage 1: Percentage of Participants With Adverse Events (AEs) Within 1 Month After Vaccination

    An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both AEs and Non-SAEs.

    within 1 month after vaccination

  • Stage 2: Percentage of Participants With Adverse Events (AEs) Within 1 Month After Vaccination

    An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both AEs and Non-SAEs.

    within 1 month after vaccination

  • Stage 1: Percentage of Participants With Serious Adverse Events (SAEs) Within 6 Months After Vaccination

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    within 6 months after vaccination

  • Stage 2: Percentage of Participants With Serious Adverse Events (SAEs) Within 6 Months After Vaccination

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    within 6 months after vaccination

  • Stage 1: Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 6 Months After Vaccination

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

    within 6 months after vaccination

  • Stage 2: Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 6 Months After Vaccination

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

    within 6 months after vaccination

  • Stage 2: Percentage of Participants With Serious Adverse Events (SAEs) Within 12 Months After Vaccination

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    within 12 months after vaccination

  • Stage 2: Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 12 Months After Vaccination

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

    within 12 months after vaccination

Secondary Outcomes (4)

  • Stage 1: Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Geometric Mean Titer (GMT) 1 Month After Vaccination

    1 month after vaccination

  • Stage 2: Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Geometric Mean Titer (GMT) 1 Month After Vaccination

    within 1 month after vaccination

  • Stage 1: Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Geometric Mean Fold Rises (GMFRs) From Pre-vaccination to 1 Month After Vaccination

    before Vaccination to 1 month after Vaccination

  • Stage 2: Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Geometric Mean Fold Rises (GMFRs) From Pre-Vaccination to 1 Month After Vaccination

    before Vaccination to 1 month after Vaccination

Study Arms (4)

Stage 1 multivalent (ages 50-64 years)

EXPERIMENTAL

multivalent

Biological: Multivalent

Stage 1 Tdap (ages 50-64 years)

ACTIVE COMPARATOR

Tdap

Biological: Tdap

Stage 2 multivalent (ages 65-85 years)

EXPERIMENTAL

multivalent

Biological: Multivalent

Stage 2 polysaccharide (ages 65-85 years)

ACTIVE COMPARATOR

polysaccharide

Biological: polysaccharide

Interventions

MultivalentBIOLOGICAL

Pneumococcal conjugate vaccine

Stage 1 multivalent (ages 50-64 years)Stage 2 multivalent (ages 65-85 years)
TdapBIOLOGICAL

Tetanus, diphtheria, acellular pertussis vaccine

Stage 1 Tdap (ages 50-64 years)
polysaccharideBIOLOGICAL

23-valent pneumococcal polysaccharide vaccine

Stage 2 polysaccharide (ages 65-85 years)

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Stage 1: Healthy male or female adults 50 to 64 years of age with no history of pneumococcal vaccination
  • Stage 2: Healthy male or female adults 65 to 85 years of age previously vaccinated with Prevnar 13 \>= 2 months prior to investigational product administration

You may not qualify if:

  • Stage 1: Vaccination within 12 months before investigational product administration with diphtheria-, pertussis-, or tetanus-containing vaccine
  • Stage 2: Previous vaccination with any pneumococcal vaccine other than a single prior dose of Prevnar 13

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Achieve Clinical Research LLC

Birmingham, Alabama, 35216, United States

Location

Core Healthcare Group

Cerritos, California, 90703, United States

Location

Meridian Clinical Research, LLC

Savannah, Georgia, 31406, United States

Location

Augusta Family Practice

Augusta, Kansas, 67010, United States

Location

Heartland Research Associates, LLC

Augusta, Kansas, 67010, United States

Location

Axtell Clinic, P.A.

Newton, Kansas, 67114, United States

Location

Heartland Research Associates, LLC

Newton, Kansas, 67114, United States

Location

Heartland Research Associates, LLC

Wichita, Kansas, 67205, United States

Location

Kentucky Pediatric/Adult Research

Bardstown, Kentucky, 40004, United States

Location

Meridian Clinical Research, LLC

Norfolk, Nebraska, 68701, United States

Location

Meridian Clinical Research LLC

Omaha, Nebraska, 68134, United States

Location

PMG Research of Charlotte, LLC

Charlotte, North Carolina, 28209, United States

Location

PMG Research of Wilmington, LLC

Wilmington, North Carolina, 28401, United States

Location

Omega Medical Research

Warwick, Rhode Island, 02886, United States

Location

Medical Research South, LLC

Goose Creek, South Carolina, 29445, United States

Location

J. Lewis Research Incorporated, Foothill Family Clinic

Salt Lake City, Utah, 84109, United States

Location

J. Lewis Research, Incorporated/Foothill Family Clinic South

Salt Lake City, Utah, 84121, United States

Location

Advanced Clinical Research

West Jordan, Utah, 84088, United States

Location

Related Publications (1)

  • Essink B, Peterson J, Yacisin K, Lal H, Mirza S, Xu X, Scully IL, Scott DA, Gruber WC, Jansen KU, Watson W. A randomized phase 1/2 study of the safety and immunogenicity of a multivalent pneumococcal conjugate vaccine in healthy adults 50 through 85 years of age. Hum Vaccin Immunother. 2021 Aug 3;17(8):2691-2699. doi: 10.1080/21645515.2021.1890511. Epub 2021 Mar 4.

Related Links

MeSH Terms

Conditions

Pneumococcal Infections

Interventions

Vaccines, CombinedPolysaccharides

Condition Hierarchy (Ancestors)

Streptococcal InfectionsGram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Intervention Hierarchy (Ancestors)

VaccinesBiological ProductsComplex MixturesCarbohydrates

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Masking Details
Observer-blinded
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 10, 2017

First Posted

October 18, 2017

Study Start

October 12, 2017

Primary Completion

May 24, 2019

Study Completion

May 24, 2019

Last Updated

June 4, 2020

Results First Posted

June 4, 2020

Record last verified: 2020-05

Data Sharing

IPD Sharing
Will share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

More information

Locations