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NCT03512288

Trial to Evaluate the Safety and Immunogenicity of a Multivalent Pneumococcal Vaccine in Healthy Infants

Completed Phase 2 Results posted Last updated 2 March 2021
What this trial tests

Phase 2 trial testing Multivalent in Pneumococcal Infections in 460 participants. Completed in 11 February 2020.

Timeline
16 April 2018
Primary endpoint
11 February 2020
11 February 2020

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment460
Start date16 April 2018
Primary completion11 February 2020
Estimated completion11 February 2020
Sites39 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 42 Days to 98 Days, 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 Local Reactions Within 7 Days After Vaccination 1 Primary · Within 7 days after Vaccination 1

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. 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 (0.5 to 2.0 centimeter \[cm\]), moderate (greater than \[\>\] 2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb m

Redness: Any
GroupValue95% CI
20vPnC24.919.4 – 31.0
13vPnC25.419.9 – 31.7
Redness: Mild
GroupValue95% CI
20vPnC22.317.1 – 28.2
13vPnC23.718.3 – 29.8
Redness: Moderate
GroupValue95% CI
20vPnC2.61.0 – 5.6
13vPnC1.80.5 – 4.5
Redness: Severe
GroupValue95% CI
20vPnC00.0 – 1.6
13vPnC00.0 – 1.6
Swelling: Any
GroupValue95% CI
20vPnC12.78.6 – 17.7
13vPnC14.310.0 – 19.6
Swelling: Mild
GroupValue95% CI
20vPnC10.06.5 – 14.7
13vPnC12.98.8 – 18.1
Swelling: Moderate
GroupValue95% CI
20vPnC2.20.7 – 5.0
13vPnC1.30.3 – 3.9
Swelling: Severe
GroupValue95% CI
20vPnC0.40.0 – 2.4
13vPnC00.0 – 1.6
Percentage of Participants With Local Reactions Within 7 Days After Vaccination 2 Primary · Within 7 days after Vaccination 2

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. 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 (0.5 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Redness: Any
GroupValue95% CI
20vPnC24.719.0 – 31.0
13vPnC28.422.4 – 35.2
Redness: Mild
GroupValue95% CI
20vPnC21.916.5 – 28.0
13vPnC24.018.3 – 30.5
Redness: Moderate
GroupValue95% CI
20vPnC2.81.0 – 6.0
13vPnC4.42.0 – 8.20
Redness: Severe
GroupValue95% CI
20vPnC00.0 – 1.7
13vPnC00.0 – 1.8
Swelling: Any
GroupValue95% CI
20vPnC16.311.6 – 21.9
13vPnC18.613.5 – 24.7
Swelling: Mild
GroupValue95% CI
20vPnC12.68.4 – 17.7
13vPnC13.28.9 – 18.7
Swelling: Moderate
GroupValue95% CI
20vPnC3.71.6 – 7.2
13vPnC5.42.7 – 9.4
Swelling: Severe
GroupValue95% CI
20vPnC00.0 – 1.7
13vPnC00.0 – 1.8
Percentage of Participants With Local Reactions Within 7 Days After Vaccination 3 Primary · Within 7 days after Vaccination 3

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. 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 (0.5 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Redness: Any
GroupValue95% CI
20vPnC26.920.9 – 33.6
13vPnC26.520.6 – 33.1
Redness: Mild
GroupValue95% CI
20vPnC26.420.4 – 33.0
13vPnC23.017.4 – 29.4
Redness: Moderate
GroupValue95% CI
20vPnC0.50.0 – 2.7
13vPnC3.41.4 – 6.9
Redness: Severe
GroupValue95% CI
20vPnC00.0 – 1.8
13vPnC00.0 – 1.8
Swelling: Any
GroupValue95% CI
20vPnC17.912.9 – 23.9
13vPnC19.614.4 – 25.7
Swelling: Mild
GroupValue95% CI
20vPnC16.912.0 – 22.8
13vPnC15.711.0 – 21.4
Swelling: Moderate
GroupValue95% CI
20vPnC1.00.1 – 3.5
13vPnC3.41.4 – 6.9
Swelling: Severe
GroupValue95% CI
20vPnC00.0 – 1.8
13vPnC0.50.0 – 2.7
Percentage of Participants With Local Reactions Within 7 Days After Vaccination 4 Primary · Within 7 days after Vaccination 4

Local reactions were recorded using an electronic diary. Local reactions included redness, swelling and pain at the injection site. 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 (0.5 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7.0 cm). Pain at injection site was graded as mild (hurt if gently touched example, whimpered, winced, protested, or withdrew), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Redness: Any
GroupValue95% CI
20vPnC25.819.7 – 32.7
13vPnC30.323.7 – 37.4
Redness: Mild
GroupValue95% CI
20vPnC24.218.2 – 31.0
13vPnC25.419.3 – 32.3
Redness: Moderate
GroupValue95% CI
20vPnC1.60.3 – 4.6
13vPnC4.92.2 – 9.0
Redness: Severe
GroupValue95% CI
20vPnC00.0 – 2.0
13vPnC00.0 – 2.0
Swelling: Any
GroupValue95% CI
20vPnC17.212.1 – 23.4
13vPnC14.19.4 – 19.9
Swelling: Mild
GroupValue95% CI
20vPnC15.110.2 – 21.0
13vPnC12.48.0 – 18.1
Swelling: Moderate
GroupValue95% CI
20vPnC2.20.6 – 5.4
13vPnC1.60.3 – 4.7
Swelling: Severe
GroupValue95% CI
20vPnC00.0 – 2.0
13vPnC00.0 – 2.0
Percentage of Participants With Systemic Events Within 7 Days After Vaccination 1 Primary · Within 7 days after Vaccination 1

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as greater than or equal to (\>=) 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled

Fever: >=38.0 degree C
GroupValue95% CI
20vPnC14.410.1 – 19.6
13vPnC9.86.3 – 14.5
Fever: >=38.0 degree C to 38.4 degree C
GroupValue95% CI
20vPnC10.06.5 – 14.7
13vPnC6.33.5 – 10.3
Fever: >38.4 degree C to 38.9 degree C
GroupValue95% CI
20vPnC3.91.8 – 7.3
13vPnC2.20.7 – 5.1
Fever: >38.9 degree C to 40.0 degree C
GroupValue95% CI
20vPnC0.40.0 – 2.4
13vPnC1.30.3 – 3.9
Fever: >40.0 degree C
GroupValue95% CI
20vPnC00.0 – 1.6
13vPnC00.0 – 1.6
Decreased appetite: Any
GroupValue95% CI
20vPnC25.319.8 – 31.5
13vPnC30.424.4 – 36.8
Decreased appetite: Mild
GroupValue95% CI
20vPnC16.211.6 – 21.6
13vPnC19.214.3 – 25.0
Decreased appetite: Moderate
GroupValue95% CI
20vPnC9.25.8 – 13.7
13vPnC10.77.0 – 15.5
Percentage of Participants With Systemic Events Within 7 Days After Vaccination 2 Primary · Within 7 days after Vaccination 2

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as \>= 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual d

Fever: >=38.0 degree C
GroupValue95% CI
20vPnC17.212.4 – 22.9
13vPnC23.017.4 – 29.4
Fever: >=38.0 degree C to 38.4 degree C
GroupValue95% CI
20vPnC10.26.5 – 15.1
13vPnC12.78.5 – 18.1
Fever: >38.4 degree C to 38.9 degree C
GroupValue95% CI
20vPnC4.21.9 – 7.8
13vPnC7.84.5 – 12.4
Fever: >38.9 degree C to 40.0 degree C
GroupValue95% CI
20vPnC2.81.0 – 6.0
13vPnC2.50.8 – 5.6
Fever: >40.0 degree C
GroupValue95% CI
20vPnC00.0 – 1.7
13vPnC00.0 – 1.8
Decreased appetite: Any
GroupValue95% CI
20vPnC23.317.8 – 29.5
13vPnC27.021.0 – 33.6
Decreased appetite: Mild
GroupValue95% CI
20vPnC14.410.0 – 19.8
13vPnC14.710.1 – 20.3
Decreased appetite: Moderate
GroupValue95% CI
20vPnC7.94.7 – 12.4
13vPnC11.87.7 – 17.0
Percentage of Participants With Systemic Events Within 7 Days After Vaccination 3 Primary · Within 7 days after Vaccination 3

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as \>= 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual d

Fever: >=38.0 degree C
GroupValue95% CI
20vPnC17.912.9 – 23.9
13vPnC18.113.1 – 24.1
Fever: >=38.0 degree C to 38.4 degree C
GroupValue95% CI
20vPnC10.06.2 – 14.9
13vPnC9.86.1 – 14.7
Fever: >38.4 degree C to 38.9 degree C
GroupValue95% CI
20vPnC4.52.1 – 8.3
13vPnC4.92.4 – 8.8
Fever: >38.9 degree C to 40.0 degree C
GroupValue95% CI
20vPnC3.51.4 – 7.0
13vPnC3.41.4 – 6.9
Fever: >40.0 degree C
GroupValue95% CI
20vPnC00.0 – 1.8
13vPnC00.0 – 1.8
Decreased appetite: Any
GroupValue95% CI
20vPnC30.824.5 – 37.7
13vPnC33.326.9 – 40.3
Decreased appetite: Mild
GroupValue95% CI
20vPnC20.915.5 – 27.2
13vPnC19.114.0 – 25.2
Decreased appetite: Moderate
GroupValue95% CI
20vPnC9.55.8 – 14.4
13vPnC13.79.3 – 19.2
Percentage of Participants With Systemic Events Within 7 Days After Vaccination 4 Primary · Within 7 days after Vaccination 4

Systemic events included fever, decreased appetite, drowsiness, irritability and were recorded by using an electronic diary. Fever was defined as \>= 38.0 degree Celsius (C) and categorized to \>=38.0 to 38.4 degree C, \>38.4 to 38.9 degree C, \>38.9 to 40.0 degree C and \>40.0 degree C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabled, not interested in usual d

Fever: >=38.0 degree C
GroupValue95% CI
20vPnC12.48.0 – 18.0
13vPnC14.69.8 – 20.5
Fever: >=38.0 degree C to 38.4 degree C
GroupValue95% CI
20vPnC5.93.0 – 10.3
13vPnC4.31.9 – 8.3
Fever: >38.4 degree C to 38.9 degree C
GroupValue95% CI
20vPnC3.21.2 – 6.9
13vPnC7.03.8 – 11.7
Fever: >38.9 degree C to 40.0 degree C
GroupValue95% CI
20vPnC3.21.2 – 6.9
13vPnC3.21.2 – 6.9
Fever: >40.0 degree C
GroupValue95% CI
20vPnC00.0 – 2.0
13vPnC00.0 – 2.0
Decreased appetite: Any
GroupValue95% CI
20vPnC23.717.7 – 30.4
13vPnC29.222.8 – 36.3
Decreased appetite: Mild
GroupValue95% CI
20vPnC13.48.9 – 19.2
13vPnC15.710.8 – 21.7
Decreased appetite: Moderate
GroupValue95% CI
20vPnC10.26.3 – 15.5
13vPnC13.58.9 – 19.3
Percentage of Participants With Adverse Events (AEs) From Vaccination 1 to 1 Month After Vaccination 3 Primary · From Vaccination 1 to 1 month after Vaccination 3 (up to 5 months)

An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship.

GroupValue95% CI
20vPnC61.054.4 – 67.4
13vPnC56.449.7 – 62.9
Percentage of Participants With Adverse Events (AEs) From Vaccination 4 to 1 Month After Vaccination 4 Primary · From Vaccination 4 to 1 month after Vaccination 4

An AE was any untoward medical occurrence in study participant who received study vaccine without regard to possibility of causal relationship.

GroupValue95% CI
20vPnC18.313.1 – 24.4
13vPnC25.319.3 – 32.0
Percentage of Participants With Serious Adverse Events (SAEs) From Vaccination 1 to 6 Months Following Vaccination 4 Primary · From Vaccination 1 to 6 months after Vaccination 4 (up to 16 months)

An SAE is any untoward medical occurrence at any dose that results in death; is life-threatening (immediate risk of death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); results in congenital anomaly/birth defect.

GroupValue95% CI
20vPnC5.22.7 – 8.9
13vPnC2.20.7 – 5.1
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Vaccination 1 to 6 Months Following Vaccination 4 Primary · From Vaccination 1 to 6 months after Vaccination 4 (duration of 16 months)

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

GroupValue95% CI
20vPnC5.22.7 – 8.9
13vPnC3.51.5 – 6.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Local reactions and Systemic events: within 7 days after each vaccination (systematic assessment), Non serious AEs: Vaccination 1 to 1 month after Vaccination 3 (up to 5 months) and Vaccination 4 to 1 month after Vaccination 4, SAEs: up to 16 months after Vaccination 1. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

20vPnC
Serious: 12/231 (5%)
Deaths: 0/231
13vPnC
Serious: 5/227 (2%)
Deaths: 0/227

Serious adverse events (18 terms)

ReactionSystem20vPnC13vPnC
AnaemiaBlood and lymphatic system disorders
BronchiolitisInfections and infestations
Bronchitis viralInfections and infestations
Croup infectiousInfections and infestations
GastroenteritisInfections and infestations
Meningitis viralInfections and infestations
Parainfluenzae virus infectionInfections and infestations
PneumoniaInfections and infestations
Respiratory syncytial virus bronchiolitisInfections and infestations
Respiratory syncytial virus infectionInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Failure to thriveMetabolism and nutrition disorders
MalnutritionMetabolism and nutrition disorders
Seizure like phenomenaNervous system disorders
Respiratory distressRespiratory, thoracic and mediastinal disorders
OliguriaRenal and urinary disorders
Other adverse events (55 terms — click to expand)

ReactionSystem20vPnC13vPnC
Irritability (IRRITABILITY)Psychiatric disorders
Hypersomnia (INCREASED SLEEP)Nervous system disorders
Injection site pain (PAIN)General disorders
Decreased appetite (DECREASED APPETITE)Metabolism and nutrition disorders
Injection site erythema (REDNESS)General disorders
Pyrexia (FEVER)General disorders
Injection site swelling (SWELLING)General disorders
Upper respiratory tract infectionInfections and infestations
Otitis mediaInfections and infestations
TeethingGastrointestinal disorders
NasopharyngitisInfections and infestations
Otitis media acuteInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
PyrexiaGeneral disorders
ConjunctivitisInfections and infestations
Nasal congestionRespiratory, thoracic and mediastinal disorders
BronchiolitisInfections and infestations
Dermatitis diaperSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Viral infectionInfections and infestations
VomitingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
GastroenteritisInfections and infestations
Gastroenteritis viralInfections and infestations
Respiratory tract infection viralInfections and infestations
FallInjury, poisoning and procedural complications
Dermatitis atopicSkin and subcutaneous tissue disorders
Candida infectionInfections and infestations
Candida nappy rashInfections and infestations
Skin candidaInfections and infestations
EczemaSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
PlagiocephalyCongenital, familial and genetic disorders
Ear infectionInfections and infestations
Acquired plagiocephalyMusculoskeletal and connective tissue disorders
Agitation neonatalNervous system disorders
UrticariaSkin and subcutaneous tissue disorders
Croup infectiousInfections and infestations

Most-reported serious reactions: Anaemia, Bronchiolitis, Bronchitis viral, Croup infectious, Gastroenteritis, Meningitis viral, Parainfluenzae virus infection, Pneumonia.

Data from ClinicalTrials.gov NCT03512288 adverse events section.

Sponsor's own description

A Phase 2, Randomized, Double-Blind Trial to Evaluate the Safety and Immunogenicity of a Multivalent Pneumococcal Conjugate Vaccine in Healthy Infants

Publications & conference data

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

  1. Safety and Immunogenicity of a 20-valent Pneumococcal Conjugate Vaccine in Healthy Infants in the United States.
    Senders S, Klein NP, Lamberth E, Thompson A, et al · · 2021 · cited 46× · PMID 34525007 · DOI 10.1097/inf.0000000000003277
  2. Immunogenicity of a 20-Valent Pneumococcal Conjugate Vaccine Versus a 13-Valent Vaccine in Infants: A Systematic Review and Meta-Analysis.
    Pacheco-Haro MD, de Arenas-Arroyo SN, Díaz-Goñi V, Velasco-Lucio EJ, et al · · 2025 · PMID 41295529 · DOI 10.3390/vaccines13111156

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