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NCT02573181

Safety, Tolerability, and Immunogenicity of V114 Compared to Prevnar 13™ in PPSV23-vaccinated Healthy Adults ≥65 Years of Age (V114-007)

Completed Phase 2 Results posted Last updated 14 August 2019
What this trial tests

Phase 2 trial testing V114 in Pneumococcal Infections in 253 participants. Completed in 28 January 2016.

Timeline
30 October 2015
Primary endpoint
28 January 2016
28 January 2016

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment253
Start date30 October 2015
Primary completion28 January 2016
Estimated completion28 January 2016

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

65 and older, any sex, with Pneumococcal Infections. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With an Adverse Event (AE) Primary · Up to Day 44 after vaccination

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

GroupValue95% CI
V11468.5
Prevnar 13™64.3
Percentage of Participants With a Solicited Injection-site Adverse Event (AE) Primary · Up to Day 5 after vaccination

Solicited injection-site AEs consisted of erythema/redness, swelling, and pain/tenderness.

Erythema/Redness
GroupValue95% CI
V1147.9
Prevnar 13™7.1
Swelling
GroupValue95% CI
V11414.2
Prevnar 13™6.3
Tenderness/Pain
GroupValue95% CI
V11455.1
Prevnar 13™44.4
Percentage of Participants With a Solicited Systemic Adverse Event (AE) Primary · Up to Day 14 after vaccination

Solicited systemic AEs consisted of fatigue, arthralgia, myalgia, and headache.

Fatigue
GroupValue95% CI
V11418.1
Prevnar 13™19.0
Arthralgia
GroupValue95% CI
V1145.5
Prevnar 13™8.7
Myalgia
GroupValue95% CI
V11415.7
Prevnar 13™11.1
Headache
GroupValue95% CI
V11413.4
Prevnar 13™15.9
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Primary · Baseline (Day 1) and Day 30 after vaccination

The IgG GMCs of each pneumococcal serotype were calculated on Day 1 (baseline) and Day 30 after vaccination. Concentrations were determined using pneumococcal electrochemiluminescence.

Serotype 1 Day 1
GroupValue95% CI
V1141.110.85 – 1.45
Prevnar 13™1.27.98 – 1.64
Serotype 1 Day 30
GroupValue95% CI
V1143.312.60 – 4.23
Prevnar 13™3.422.61 – 4.47
Serotype 3 Day 1
GroupValue95% CI
V1140.190.15 – 0.23
Prevnar 13™0.190.15 – 0.24
Serotype 3 Day 30
GroupValue95% CI
V1140.720.57 – 0.91
Prevnar 13™0.460.36 – 0.58
Serotype 4 Day 1
GroupValue95% CI
V1140.320.25 – 0.41
Prevnar 13™0.330.26 – 0.43
Serotype 4 Day 30
GroupValue95% CI
V1141.130.88 – 1.45
Prevnar 13™1.150.88 – 1.51
Serotype 5 Day 1
GroupValue95% CI
V1141.311.01 – 1.70
Prevnar 13™1.481.14 – 1.91
Serotype 5 Day 30
GroupValue95% CI
V1142.692.05 – 3.53
Prevnar 13™3.672.75 – 4.90
Geometric Mean Fold Rise (GMFR) From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Primary · Baseline (Day 1) and Day 30 after vaccination

The GMFR (Day 30 geometric mean concentration \[GMC\] / Day 1 GMC) from baseline (Day 1) to Day 30 of each pneumococcal IgG serotype was calculated. Concentrations of each pneumococcal serotype were determined using pneumococcal electrochemiluminescence.

Serotype 1
GroupValue95% CI
V1142.982.39 – 3.73
Prevnar 13™2.702.17 – 3.35
Serotype 3
GroupValue95% CI
V1143.142.54 – 3.88
Prevnar 13™2.031.78 – 2.33
Serotype 4
GroupValue95% CI
V1143.372.66 – 4.26
Prevnar 13™3.282.73 – 3.95
Serotype 5
GroupValue95% CI
V1142.141.82 – 2.50
Prevnar 13™2.391.97 – 2.91
Serotype 6A
GroupValue95% CI
V1147.095.71 – 8.79
Prevnar 13™8.246.39 – 10.62
Serotype 6B
GroupValue95% CI
V1145.204.19 – 6.46
Prevnar 13™4.923.90 – 6.22
Serotype 7F
GroupValue95% CI
V1142.972.44 – 3.63
Prevnar 13™3.032.46 – 3.74
Serotype 9V
GroupValue95% CI
V1142.982.42 – 3.67
Prevnar 13™2.572.18 – 3.05
Percentage of Participants With ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Primary · Baseline (Day 1) and Day 30 after vaccination

The percentage of participants with ≥4-fold rise from baseline (Day 1) to Day 30 in GMCs of each pneumococcal serotype was calculated. Concentrations of each pneumococcal serotype were determined using pneumococcal electrochemiluminescence.

Serotype 1
GroupValue95% CI
V11432.824.45 – 41.98
Prevnar 13™26.518.77 – 35.45
Serotype 3
GroupValue95% CI
V11436.127.53 – 45.45
Prevnar 13™17.110.77 – 25.16
Serotype 4
GroupValue95% CI
V11436.127.53 – 45.45
Prevnar 13™35.927.24 – 45.29
Serotype 5
GroupValue95% CI
V11419.312.66 – 27.58
Prevnar 13™23.916.53 – 32.70
Serotype 6A
GroupValue95% CI
V11464.755.42 – 73.24
Prevnar 13™65.055.59 – 73.55
Serotype 6B
GroupValue95% CI
V11454.645.24 – 63.77
Prevnar 13™46.236.90 – 55.61
Serotype 7F
GroupValue95% CI
V11431.122.93 – 40.23
Prevnar 13™33.324.89 – 42.64
Serotype 9V
GroupValue95% CI
V11435.326.76 – 44.58
Prevnar 13™23.916.53 – 32.70
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) Secondary · Baseline (Day 1) and Day 30 after vaccination

The OPA GMTs of each pneumococcal serotype were calculated on Day 1 (baseline) and Day 30 after vaccination. Titer levels were determined with multiplexed OPA (MOPA-4).

Serotype 1 Day 1
GroupValue95% CI
V11420.3014.87 – 27.70
Prevnar 13™24.2417.24 – 33.12
Serotype 1 Day 30
GroupValue95% CI
V114109.2579.47 – 150.19
Prevnar 13™91.5365.77 – 127.37
Serotype 3 Day 1
GroupValue95% CI
V11423.3717.56 – 31.09
Prevnar 13™26.7119.84 – 35.96
Serotype 3 Day 30
GroupValue95% CI
V114145.24114.93 – 183.55
Prevnar 13™103.7781.94 – 131.41
Serotype 4 Day 1
GroupValue95% CI
V114114.7876.28 – 172.72
Prevnar 13™96.2863.50 – 145.97
Serotype 4 Day 30
GroupValue95% CI
V114881.94662.06 – 1174.84
Prevnar 13™924.82706.73 – 1210.21
Serotype 5 Day 1
GroupValue95% CI
V11441.8928.38 – 61.83
Prevnar 13™39.5226.73 – 58.44
Serotype 5 Day 30
GroupValue95% CI
V114183.10128.24 – 261.43
Prevnar 13™222.18154.84 – 318.81
Geometric Mean Fold Rise (GMFR) From Baseline in Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) Secondary · Baseline (Day 1) and Day 30 after vaccination

The GMFR (Day 30 GMT / Day 1 GMT) from baseline (Day 1) to Day 30 of each OPA serotype was calculated. Titer levels were determined with multiplexed OPA (MOPA-4).

Serotype 1
GroupValue95% CI
V1144.163.09 – 5.58
Prevnar 13™3.332.61 – 4.25
Serotype 3
GroupValue95% CI
V1145.063.92 – 6.54
Prevnar 13™3.242.61 – 4.02
Serotype 4
GroupValue95% CI
V1146.594.52 – 9.60
Prevnar 13™7.945.53 – 11.40
Serotype 5
GroupValue95% CI
V1143.943.01 – 5.16
Prevnar 13™4.953.65 – 6.71
Serotype 6A
GroupValue95% CI
V11425.1916.41 – 38.68
Prevnar 13™43.8527.28 – 70.49
Serotype 6B
GroupValue95% CI
V11411.838.03 – 17.44
Prevnar 13™14.749.85 – 22.07
Serotype 7F
GroupValue95% CI
V1144.773.21 – 7.11
Prevnar 13™7.595.03 – 11.44
Serotype 9V
GroupValue95% CI
V1145.794.19 – 7.99
Prevnar 13™5.794.10 – 8.17
Percentage of Participants With ≥4-fold Rise From Baseline in Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) Secondary · Baseline (Day 1) and Day 30 after vaccination

The percentage of participants with ≥4-fold rise from baseline (Day 1) to Day 30 in GMTs of each pneumococcal serotype was calculated. Titer levels were determined with multiplexed OPA (MOPA-4).

Serotype 1
GroupValue95% CI
V11440.731.73 – 50.11
Prevnar 13™33.625.01 – 43.12
Serotype 3
GroupValue95% CI
V11453.844.39 – 63.10
Prevnar 13™39.330.19 – 48.96
Serotype 4
GroupValue95% CI
V11444.134.94 – 53.50
Prevnar 13™54.945.23 – 64.25
Serotype 5
GroupValue95% CI
V11444.935.75 – 54.34
Prevnar 13™50.440.88 – 59.98
Serotype 6A
GroupValue95% CI
V11471.862.73 – 79.72
Prevnar 13™77.068.13 – 84.39
Serotype 6B
GroupValue95% CI
V11462.753.33 – 71.44
Prevnar 13™67.057.44 – 75.56
Serotype 7F
GroupValue95% CI
V11441.032.02 – 50.50
Prevnar 13™50.040.40 – 59.60
Serotype 9V
GroupValue95% CI
V11447.938.54 – 57.29
Prevnar 13™44.635.24 – 54.33

Adverse events — posted to ClinicalTrials.gov

Time frame: Nonserious AEs were monitored for up to 14 days after vaccination. Deaths and serious AEs (SAEs) were monitored up to 30 days after vaccination.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

V114
Serious: 0/127 (0%)
Deaths: 0/127
Prevnar 13®
Serious: 2/126 (2%)
Deaths: 0/126

Serious adverse events (2 terms)

ReactionSystemV114Prevnar 13®
Acute myocardial infarctionCardiac disorders
Periprosthetic fractureInjury, poisoning and procedural complications
Other adverse events (7 terms — click to expand)

ReactionSystemV114Prevnar 13®
Injection site painGeneral disorders
FatigueGeneral disorders
Injection site swellingGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Injection site erythemaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Acute myocardial infarction, Periprosthetic fracture.

Data from ClinicalTrials.gov NCT02573181 adverse events section.

Sponsor's own description

This study is designed to assess the safety, tolerability, and immunogenicity of V114 compared with Prevnar 13™ in healthy adults 65 years of age or older previously vaccinated with 23-valent pneumococcal polysaccharide vaccine.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pneumococcal whole-cell and protein-based vaccines: changing the paradigm.
    Pichichero ME. · · 2017 · cited 50× · PMID 29130395 · DOI 10.1080/14760584.2017.1393335
  2. Safety and immunogenicity of 15-valent pneumococcal conjugate vaccine compared to 13-valent pneumococcal conjugate vaccine in adults ≥65 years of age previously vaccinated with 23-valent pneumococcal polysaccharide vaccine.
    Peterson JT, Stacey HL, MacNair JE, Li J, et al · · 2019 · cited 34× · PMID 30427749 · DOI 10.1080/21645515.2018.1532250

Verify or expand the search:

Other trials of V114

Trials testing the same drug.

Other recruiting trials for Pneumococcal Infections

Currently open trials in the same condition.

Other Merck Sharp & Dohme LLC trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing