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NCT03480802: PNEU-WAY

A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by PNEUMOVAX™23 in Adults Infected With Human Immunodeficiency Virus (HIV) (V114-018)

Completed Phase 3 Results posted Last updated 5 May 2022
What this trial tests

Phase 3 trial testing V114 in Pneumococcal Infections in 302 participants. Completed in 17 January 2020.

Timeline
6 July 2018
Primary endpoint
16 September 2019
17 January 2020

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment302
Start date6 July 2018
Primary completion16 September 2019
Estimated completion17 January 2020
Sites13 locations across France, South Africa, Peru, Thailand, United States

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

18 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 a Solicited Injection-site Adverse Event After Vaccination 1 Primary · Up to 5 days after Vaccination 1 (Up to Day 5)

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. Solicited injection-site AEs consist of redness/erythema, swelling, and tenderness/pain. The 95% confidence interval (CI) were based on the exact binomial method proposed by Clopper and Pearson.

Injection site erythema
GroupValue95% CI
V1144.61.9 – 9.3
Prevnar 13™3.31.1 – 7.6
Injection site pain
GroupValue95% CI
V11457.249.0 – 65.2
Prevnar 13™51.343.0 – 59.6
Injection site swelling
GroupValue95% CI
V11411.87.2 – 18.1
Prevnar 13™4.01.5 – 8.5
Percentage of Participants With a Solicited Systemic Adverse Event After Vaccination 1 Primary · Up to 14 days after Vaccination 1 (Up to Day 14)

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. Solicited systemic AEs consist of muscle pain (myalgia), joint pain (arthralgia), headache, and tiredness (fatigue). The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Arthralgia
GroupValue95% CI
V1143.31.1 – 7.5
Prevnar 13™4.01.5 – 8.5
Fatigue
GroupValue95% CI
V11420.414.3 – 27.7
Prevnar 13™13.38.3 – 19.8
Headache
GroupValue95% CI
V11413.28.2 – 19.6
Prevnar 13™9.35.2 – 15.2
Myalgia
GroupValue95% CI
V11412.57.7 – 18.8
Prevnar 13™9.35.2 – 15.2
Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 1 Primary · Day 1 up to 8 weeks after Vaccination 1 (Up to Week 8)

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. Relatedness of an SAE to the study vaccine is determined by the investigator. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

GroupValue95% CI
V11400.0 – 2.4
Prevnar 13™00.0 – 2.4
Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) After Vaccination 1 Primary · Day 30

Opsonization of pneumococci for phagocytosis is an important mechanism by which antibodies to polysaccharides protect against disease in vivo. Sera from participants was used to measure geometric mean titer (GMT) of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, using the Multiplexed Opsonophagocytic Assay (MOPA). This assay reads the reciprocal of the highest dilution (1/dil) that gives ≥50% bacterial killing, as determined by comparison to assay background controls. The 95% CIs

Serotype 1
GroupValue95% CI
V114238.8173.1 – 329.3
Prevnar 13™200.9142.7 – 282.7
Serotype 3
GroupValue95% CI
V114116.894.9 – 143.7
Prevnar 13™72.358.6 – 89.2
Serotype 4
GroupValue95% CI
V114824.0618.8 – 1097.2
Prevnar 13™1465.51154.5 – 1860.3
Serotype 5
GroupValue95% CI
V114336.7242.4 – 467.7
Prevnar 13™276.7197.9 – 386.7
Serotype 6A
GroupValue95% CI
V1146421.04890.4 – 8430.7
Prevnar 13™5645.14278.9 – 7447.4
Serotype 6B
GroupValue95% CI
V1144772.93628.3 – 6278.7
Prevnar 13™3554.02751.0 – 4591.4
Serotype 7F
GroupValue95% CI
V1146085.84871.6 – 7602.8
Prevnar 13™6144.34982.8 – 7576.6
Serotype 9V
GroupValue95% CI
V1142836.32311.5 – 3480.4
Prevnar 13™2133.91721.8 – 2644.5
Geometric Mean Concentration of Serotype-specific Immunoglobulin G (IgG) After Vaccination 1 Primary · Day 30

The geometric mean concentration of IgG serotype-specific antibodies to the 13 pneumococcal polysaccharide serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) contained in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, were quantitated from participants' sera by multiplex electrochemiluminescence (ECL) using the pneumococcal electrochemiluminescence (PnECL) v2.0 assay, based on the Meso-Scale Discovery technology, which employs disposable multi-spot microtiter plates. The 95% CIs were derived by exponentiating the CIs of the mean of the natural l

Serotype 1
GroupValue95% CI
V1143.162.48 – 4.01
Prevnar 13™4.273.31 – 5.50
Serotype 3
GroupValue95% CI
V1140.570.48 – 0.68
Prevnar 13™0.500.41 – 0.60
Serotype 4
GroupValue95% CI
V1141.140.90 – 1.44
Prevnar 13™2.001.56 – 2.55
Serotype 5
GroupValue95% CI
V1142.381.89 – 3.01
Prevnar 13™2.031.56 – 2.64
Serotype 6A
GroupValue95% CI
V1145.133.73 – 7.04
Prevnar 13™4.913.49 – 6.91
Serotype 6B
GroupValue95% CI
V1147.175.34 – 9.63
Prevnar 13™5.233.73 – 7.35
Serotype 7F
GroupValue95% CI
V1142.612.00 – 3.41
Prevnar 13™3.742.91 – 4.81
Serotype 9V
GroupValue95% CI
V1143.352.71 – 4.14
Prevnar 13™3.552.77 – 4.56
Percentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 2 Secondary · Up to 5 days after Vaccination 2 (Up to Day 61)

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. Solicited injection-site AEs consist of redness/erythema, swelling, and tenderness/pain. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Injection site erythema
GroupValue95% CI
V11410.05.7 – 16.0
Prevnar 13™12.27.4 – 18.5
Injection site pain
GroupValue95% CI
V11453.345.0 – 61.5
Prevnar 13™61.553.1 – 69.4
Injection site swelling
GroupValue95% CI
V11420.013.9 – 27.3
Prevnar 13™29.121.9 – 37.1
Percentage of Participants With a Solicited Systemic Adverse Event After Vaccination 2 Secondary · Up to 14 days after Vaccination 2 (Up to Day 70)

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. Solicited systemic AEs consist of muscle pain (myalgia), joint pain (arthralgia), headache, and tiredness (fatigue). The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Arthralgia
GroupValue95% CI
V1142.70.7 – 6.7
Prevnar 13™1.40.2 – 4.8
Fatigue
GroupValue95% CI
V11412.77.8 – 19.1
Prevnar 13™10.86.3 – 17.0
Headache
GroupValue95% CI
V1148.74.7 – 14.4
Prevnar 13™8.84.8 – 14.6
Myalgia
GroupValue95% CI
V11411.36.7 – 17.5
Prevnar 13™12.27.4 – 18.5
Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 2 Secondary · From Week 8 up to Month 6

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. Relatedness of an SAE to the study vaccine is determined by the investigator. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

GroupValue95% CI
V11400.0 – 2.4
Prevnar 13™00.0 – 2.5
Geometric Mean Titer of Serotype-specific OPA After Vaccination 2 Secondary · Week 12

Opsonization of pneumococci for phagocytosis is an important mechanism by which antibodies to polysaccharides protect against disease in vivo. Sera from participants was used to measure GMT of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, using the MOPA. The MOPA reads the reciprocal of the highest dilution (1/dil) that gives ≥50% bacterial killing, as determined by comparison to assay background controls. The 95% CIs were derived by exponentiating the CIs of the mean of the natu

Serotype 1
GroupValue95% CI
V114212.0160.5 – 280.2
Prevnar 13™154.0111.6 – 212.4
Serotype 3
GroupValue95% CI
V114102.883.0 – 127.2
Prevnar 13™96.679.5 – 117.4
Serotype 4
GroupValue95% CI
V114915.4722.9 – 1159.1
Prevnar 13™984.7772.1 – 1255.7
Serotype 5
GroupValue95% CI
V114418.1312.1 – 560.3
Prevnar 13™274.5199.9 – 376.8
Serotype 6A
GroupValue95% CI
V1144065.43052.1 – 5415.1
Prevnar 13™4593.23543.0 – 5954.7
Serotype 6B
GroupValue95% CI
V1143661.12735.1 – 4900.6
Prevnar 13™2826.42202.7 – 3626.8
Serotype 7F
GroupValue95% CI
V1145983.54788.9 – 7476.1
Prevnar 13™5516.54522.2 – 6729.5
Serotype 9V
GroupValue95% CI
V1142454.82008.7 – 3000.0
Prevnar 13™1929.91567.7 – 2375.7
Geometric Mean Concentration of Serotype-specific IgG After Vaccination 2 Secondary · Week 12

The geometric mean concentration of IgG serotype-specific antibodies to the 13 pneumococcal polysaccharide serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) contained in V114 and Prevnar 13™ ; and two serotypes (22F and 33F) which are unique to V114, were quantitated from participants' sera by multiplex ECL using the PnECL v2.0 assay, based on the Meso-Scale Discovery technology, which employs disposable multi-spot microtiter plates. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Serotype 1
GroupValue95% CI
V1142.802.25 – 3.49
Prevnar 13™4.043.27 – 5.00
Serotype 3
GroupValue95% CI
V1140.510.43 – 0.61
Prevnar 13™0.590.50 – 0.70
Serotype 4
GroupValue95% CI
V1141.261.10 – 1.57
Prevnar 13™1.611.31 – 1.98
Serotype 5
GroupValue95% CI
V1142.612.08 – 3.28
Prevnar 13™2.131.69 – 2.68
Serotype 6A
GroupValue95% CI
V1143.122.27 – 4.30
Prevnar 13™3.712.74 – 5.03
Serotype 6B
GroupValue95% CI
V1144.693.52 – 6.25
Prevnar 13™4.353.23 – 5.86
Serotype 7F
GroupValue95% CI
V1142.451.91 – 3.15
Prevnar 13™3.172.60 – 3.87
Serotype 9V
GroupValue95% CI
V1142.922.39 – 3.57
Prevnar 13™3.242.62 – 4.01

Adverse events — posted to ClinicalTrials.gov

Time frame: V114 and Prevnar 13™ arms: NSAEs from Day 1 up to 14 days after vaccination 1, and SAEs from Day 1 up to Week 8. V114 (Post-PPV23) and Prevnar 13™ (Post-PPV23) arms: NSAEs from week 8 up to 14 days after vaccination 2, and SAEs after Week 8 vaccination up to Month 6. All-Cause Mortality: From screening up to Month 6.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

V114
Serious: 3/152 (2%)
Deaths: 0/152
Prevnar 13™
Serious: 0/150 (0%)
Deaths: 0/150
V114 (Post-PPV23)
Serious: 2/150 (1%)
Deaths: 0/150
Prevnar 13™ (Post-PPV23)
Serious: 6/148 (4%)
Deaths: 0/148

Serious adverse events (11 terms)

ReactionSystemV114Prevnar 13™V114 (Post-PPV23)Prevnar 13™ (Post-PPV23)
Herpes zosterInfections and infestations
Chest painGeneral disorders
AppendicitisInfections and infestations
PeritonitisInfections and infestations
Soft tissue infectionInfections and infestations
Foot fractureInjury, poisoning and procedural complications
Chondrocalcinosis pyrophosphateMusculoskeletal and connective tissue disorders
Transient ischaemic attackNervous system disorders
Suicide attemptPsychiatric disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Dry gangreneVascular disorders
Other adverse events (6 terms — click to expand)

ReactionSystemV114Prevnar 13™V114 (Post-PPV23)Prevnar 13™ (Post-PPV23)
Injection site painGeneral disorders
Injection site swellingGeneral disorders
FatigueGeneral disorders
HeadacheNervous system disorders
MyalgiaMusculoskeletal and connective tissue disorders
Injection site erythemaGeneral disorders

Most-reported serious reactions: Herpes zoster, Chest pain, Appendicitis, Peritonitis, Soft tissue infection, Foot fracture, Chondrocalcinosis pyrophosphate, Transient ischaemic attack.

Data from ClinicalTrials.gov NCT03480802 adverse events section.

Sponsor's own description

This study is designed to 1) describe the safety, tolerability, and immunogenicity of V114 and Prevnar 13™ in pneumococcal vaccine-naïve adults infected with HIV and to 2) describe the safety, tolerability, and immunogenicity of PNEUMOVAX™23 when administered 8 weeks after receipt of either V114 or Prevnar 13™.

Publications & conference data

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

  1. The impact of human vaccines on bacterial antimicrobial resistance. A review.
    Jansen KU, Gruber WC, Simon R, Wassil J, et al · · 2021 · cited 39× · PMID 34602924 · DOI 10.1007/s10311-021-01274-z
  2. Vaccination of older adults: Influenza, pneumococcal disease, herpes zoster, COVID-19 and beyond.
    Weinberger B. · · 2021 · cited 31× · PMID 34627326 · DOI 10.1186/s12979-021-00249-6
  3. Immunogenicity of pneumococcal vaccination in HIV infected individuals: A systematic review and meta-analysis.
    Garrido HMG, Schnyder JL, Tanck MWT, Vollaard A, et al · · 2020 · cited 27× · PMID 33294820 · DOI 10.1016/j.eclinm.2020.100576
  4. Safety and immunogenicity of V114, a 15-valent pneumococcal conjugate vaccine, in adults living with HIV.
    Mohapi L, Pinedo Y, Osiyemi O, Supparatpinyo K, et al · · 2022 · cited 26× · PMID 34750291 · DOI 10.1097/qad.0000000000003126

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03480802.

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