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NCT03571607

A Safety And Immunogenicity Study Of A 13-valent Pneumococcal Conjugate Vaccine In Japanese Subjects Aged 6 To 64 Years.

Completed Phase 3 Results posted Last updated 18 February 2020
What this trial tests

Phase 3 trial testing 13-valent pneumococcal conjugate vaccine in Pneumococcal Infections in 206 participants. Completed in 16 November 2018.

Timeline
12 July 2018
Primary endpoint
16 November 2018
16 November 2018

Quick facts

Lead sponsorPfizer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment206
Start date12 July 2018
Primary completion16 November 2018
Estimated completion16 November 2018
Sites8 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 6 to 64, 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 Reporting Pre-Specified Local Reactions Within 7 Days After Vaccination in Participants Aged Between 6 to <18 Years Primary · Day 1 up to Day 7

Local reactions were recorded using an electronic daily diary. Local reactions included redness, swelling and pain at injection site. 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) for participants aged 6 to \<12 years, and as mild (2.5 to 5.0 cm), moderate (\>5.0 to 10.0 cm) and, severe (\>10.0 cm) for participants aged 12 to \<18 years. Pain at injection site was graded as mild (did not interfere with activity), moderate (interfered with activity), and severe (prevented daily activity).

Redness: Any
GroupValue95% CI
13vPnC: 6 to <18 Years21.310.7 – 35.7
Redness: Mild
GroupValue95% CI
13vPnC: 6 to <18 Years10.63.5 – 23.1
Redness: Moderate
GroupValue95% CI
13vPnC: 6 to <18 Years10.63.5 – 23.1
Redness: Severe
GroupValue95% CI
13vPnC: 6 to <18 Years0.00.0 – 7.5
Swelling: Any
GroupValue95% CI
13vPnC: 6 to <18 Years34.020.9 – 49.3
Swelling: Mild
GroupValue95% CI
13vPnC: 6 to <18 Years14.96.2 – 28.3
Swelling: Moderate
GroupValue95% CI
13vPnC: 6 to <18 Years17.07.6 – 30.8
Swelling: Severe
GroupValue95% CI
13vPnC: 6 to <18 Years2.10.1 – 11.3
Percentage of Participants Reporting Pre-Specified Local Reactions Within 14 Days After Vaccination in Participants Aged Between 18 to <65 Years Primary · Day 1 up to Day 14

Local reactions were recorded using an electronic daily diary. Local reactions included redness, swelling and pain at injection site. Redness and swelling were graded as mild (2.5 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).

Redness: Any
GroupValue95% CI
13vPnC: 18 to <65 Years7.43.6 – 13.2
Redness: Mild
GroupValue95% CI
13vPnC: 18 to <65 Years5.22.1 – 10.4
Redness: Moderate
GroupValue95% CI
13vPnC: 18 to <65 Years2.20.5 – 6.4
Redness: Severe
GroupValue95% CI
13vPnC: 18 to <65 Years0.00.0 – 2.7
Swelling: Any
GroupValue95% CI
13vPnC: 18 to <65 Years12.57.5 – 19.3
Swelling: Mild
GroupValue95% CI
13vPnC: 18 to <65 Years5.12.1 – 10.3
Swelling: Moderate
GroupValue95% CI
13vPnC: 18 to <65 Years7.43.6 – 13.1
Swelling: Severe
GroupValue95% CI
13vPnC: 18 to <65 Years0.00.0 – 2.7
Percentage of Participants Reporting Systemic Events and Use of Antipyretic or Pain Medication Within 7 Days After Vaccination in Participants Aged Between 6 to <18 Years Primary · Day 1 up to Day 7

Systemic events included fever, vomiting, diarrhea, headache, fatigue, muscle and joint pain, and were recorded by using an e-diary. Use of antipyretic or pain medication was also collected by using an e-diary. Fever was graded as 37.5 to 38.4 degree Celsius (C), 38.5 to 38.9 degree C, 39.0 to 40.0 degree C and \>40.0 degree C. Vomiting was graded as mild (1-2 times in 24 hours), moderate (\>2 times in 24 hours) and severe (required intravenous hydration). Diarrhea was graded as mild (2-3 loose stools in 24 hours), moderate (4-5 loose stools in 24 hours) and severe (greater than or equals to \

Fever: 37.5 degree C to 38.4 degree C
GroupValue95% CI
13vPnC: 6 to <18 Years12.54.7 – 25.2
Fever: 38.5 degree C to 38.9 degree C
GroupValue95% CI
13vPnC: 6 to <18 Years2.10.1 – 11.1
Fever: 39.0 degree C to 40.0 degree C
GroupValue95% CI
13vPnC: 6 to <18 Years0.00.0 – 7.4
Fever: >40.0 degree C
GroupValue95% CI
13vPnC: 6 to <18 Years0.00.0 – 7.4
Fatigue: Any
GroupValue95% CI
13vPnC: 6 to <18 Years37.524.0 – 52.6
Fatigue: Mild
GroupValue95% CI
13vPnC: 6 to <18 Years25.013.6 – 39.6
Fatigue: Moderate
GroupValue95% CI
13vPnC: 6 to <18 Years10.43.5 – 22.7
Fatigue: Severe
GroupValue95% CI
13vPnC: 6 to <18 Years2.10.1 – 11.1
Percentage of Participants Reporting Systemic Events and Use of Antipyretic or Pain Medication Within 14 Days After Vaccination in Participants Aged Between 18 to <65 Years Primary · Day 1 up to Day 14

Systemic events included fever, vomiting, diarrhea, headache, fatigue, muscle and joint pain, and were recorded by using an e-diary. Use of antipyretic or pain medication was also collected by using an e-diary. Fever was graded as 37.5 to 38.4 degree C, 38.5 to 38.9 degree C, 39.0 to 40.0 degree C and \>40.0 degree C. Vomiting was graded as mild (1-2 times in 24 hours), moderate (\>2 times in 24 hours) and severe (required intravenous hydration). Diarrhea was graded as mild (2-3 loose stools in 24 hours), moderate (4-5 loose stools in 24 hours) and severe (\>=6 loose stools in 24 hours). Heada

Fever: 37.5 degree C to 38.4 degree C
GroupValue95% CI
13vPnC: 18 to <65 Years6.02.6 – 11.4
Fever: 38.5 degree C to 38.9 degree C
GroupValue95% CI
13vPnC: 18 to <65 Years0.00.0 – 2.7
Fever: 39.0 degree C to 40.0 degree C
GroupValue95% CI
13vPnC: 18 to <65 Years0.00.0 – 2.7
Fever: >40.0 degree C
GroupValue95% CI
13vPnC: 18 to <65 Years0.00.0 – 2.7
Fatigue: Any
GroupValue95% CI
13vPnC: 18 to <65 Years33.125.4 – 41.5
Fatigue: Mild
GroupValue95% CI
13vPnC: 18 to <65 Years25.418.4 – 33.3
Fatigue: Moderate
GroupValue95% CI
13vPnC: 18 to <65 Years7.73.9 – 13.4
Fatigue: Severe
GroupValue95% CI
13vPnC: 18 to <65 Years0.00.0 – 2.6
Percentage of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Primary · signing of informed consent form (Day 1) up to Day 43

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

AEs
GroupValue95% CI
13vPnC: All Participants16
SAEs
GroupValue95% CI
13vPnC: All Participants0
Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at Pre-vaccination and 1 Month After Vaccination Secondary · Pre-vaccination and 1 month after vaccination

Antibody-mediated serum OPA against each of the 13 pneumococcal serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) was measured centrally using a quantitative functional microcolony OPA (mcOPA) assay. Results were expressed as OPA titers. OPA titers were logarithmically transformed for analysis; geometric means calculated and expressed as geometric mean titers (GMTs). Two (2)-sided 95% CIs were constructed by back transformation of the CI for the mean of the logarithmically transformed assay results computed based on the Student t distribution. OPA titer was expressed as recipr

Pre-vaccination; Serotype 1
GroupValue95% CI
13vPnC: All Participants109.2 – 10.2
1 month after vaccination; Serotype 1
GroupValue95% CI
13vPnC: All Participants152119.2 – 193.8
Pre-vaccination; Serotype 3
GroupValue95% CI
13vPnC: All Participants119.8 – 13.1
1 month after vaccination; Serotype 3
GroupValue95% CI
13vPnC: All Participants6352.6 – 75.8
Pre-vaccination; Serotype 4
GroupValue95% CI
13vPnC: All Participants1814.5 – 22.1
1 month after vaccination; Serotype 4
GroupValue95% CI
13vPnC: All Participants1257896.0 – 1763.8
Pre-vaccination; Serotype 5
GroupValue95% CI
13vPnC: All Participants1615.3 – 17.5
1 month after vaccination; Serotype 5
GroupValue95% CI
13vPnC: All Participants185143.9 – 237.5
Geometric Mean Fold Rises (GMFRs) in Serotype-specific OPA Titers 1 Month After Vaccination Secondary · Pre-vaccination to 1 month after vaccination

OPA GMFRs were calculated along with corresponding 2-sided 95% CIs for pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F. GMFRs were computed as the fold rise in titer value at 1 month after vaccination compared to baseline (pre-vaccination). The CIs for GMFRs were back transformations of a CI based on the Student t distribution for the mean difference of the log-transformed assay results before vaccination and 1 month after vaccination.

Serotype 1
GroupValue95% CI
13vPnC: All Participants15.612.33 – 19.82
Serotype 3
GroupValue95% CI
13vPnC: All Participants5.54.59 – 6.54
Serotype 4
GroupValue95% CI
13vPnC: All Participants61.742.80 – 88.99
Serotype 5
GroupValue95% CI
13vPnC: All Participants11.28.69 – 14.34
Serotype 6A
GroupValue95% CI
13vPnC: All Participants34.724.39 – 49.44
Serotype 6B
GroupValue95% CI
13vPnC: All Participants21.915.71 – 30.51
Serotype 7F
GroupValue95% CI
13vPnC: All Participants12.19.84 – 14.76
Serotype 9V
GroupValue95% CI
13vPnC: All Participants6.85.36 – 8.62
Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) at Pre-vaccination and 1 Month After Vaccination Secondary · Pre-vaccination and 1 month after vaccination

Pneumococcal IgG antibody against each of the 13 pneumococcal serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) was measured centrally using direct binding Luminex assay. Results were expressed as IgG concentrations. IgG concentrations were logarithmically transformed for analysis; geometric means calculated and expressed as GMCs. Two (2)-sided 95% CIs were constructed by back transformation of the CI for the mean of the logarithmically transformed assay results computed based on the Student t distribution.

Pre-vaccination; Serotype 1
GroupValue95% CI
13vPnC: All Participants0.1320.109 – 0.161
1 month after vaccination; Serotype 1
GroupValue95% CI
13vPnC: All Participants4.4273.423 – 5.726
Pre-vaccination; Serotype 3
GroupValue95% CI
13vPnC: All Participants0.1150.094 – 0.141
1 month after vaccination; Serotype 3
GroupValue95% CI
13vPnC: All Participants0.5310.437 – 0.646
Pre-vaccination; Serotype 4
GroupValue95% CI
13vPnC: All Participants0.0550.045 – 0.068
1 month after vaccination; Serotype 4
GroupValue95% CI
13vPnC: All Participants1.8261.387 – 2.404
Pre-vaccination; Serotype 5
GroupValue95% CI
13vPnC: All Participants0.0580.046 – 0.075
1 month after vaccination; Serotype 5
GroupValue95% CI
13vPnC: All Participants2.7791.972 – 3.915
GMFRs in Serotype-specific IgG From Before Vaccination to 1 Month After Vaccination Secondary · Pre- vaccination to 1 month after vaccination

IgG GMFRs were calculated along with corresponding 2-sided 95% CIs for pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F. GMFRs were computed as the fold rise in concentrations at 1 month after vaccination compared to baseline (pre-vaccination). The CIs for GMFRs were back transformations of a CI based on the Student t distribution for the mean difference of the log-transformed assay results before vaccination and 1 month after vaccination.

Serotype 1
GroupValue95% CI
13vPnC: All Participants33.44526.374 – 42.413
Serotype 3
GroupValue95% CI
13vPnC: All Participants4.6053.839 – 5.524
Serotype 4
GroupValue95% CI
13vPnC: All Participants32.96025.331 – 42.886
Serotype 5
GroupValue95% CI
13vPnC: All Participants47.56536.867 – 61.368
Serotype 6A
GroupValue95% CI
13vPnC: All Participants23.58718.010 – 30.890
Serotype 6B
GroupValue95% CI
13vPnC: All Participants22.42117.045 – 29.493
Serotype 7F
GroupValue95% CI
13vPnC: All Participants39.84331.473 – 50.438
Serotype 9V
GroupValue95% CI
13vPnC: All Participants22.23217.426 – 28.362

Adverse events — posted to ClinicalTrials.gov

Time frame: signing of informed consent form (Day 1) up to Day 43. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

13vPnC: 6 to <18 Years
Serious: 0/53 (0%)
Deaths: 0/53
13vPnC: 18 to <65 Years
Serious: 0/153 (0%)
Deaths: 0/153
13vPnC: All Participants
Serious: 0/206 (0%)
Deaths: 0/206
Other adverse events (32 terms — click to expand)

ReactionSystem13vPnC: 6 to <18 Years13vPnC: 18 to <65 Years13vPnC: All Participants
Pain at the injection siteGeneral disorders
FatigueGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Injection site swellingGeneral disorders
DiarrhoeaGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
RednessGeneral disorders
PyrexiaGeneral disorders
NasopharyngitisInfections and infestations
PharyngitisInfections and infestations
Injection site painGeneral disorders
VomitingGastrointestinal disorders
TinnitusEar and labyrinth disorders
Injection site erythemaGeneral disorders
BronchitisInfections and infestations
ConjunctivitisInfections and infestations
GastroenteritisInfections and infestations
Herpes zosterInfections and infestations
Upper respiratory tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
Wrist fractureInjury, poisoning and procedural complications
Decreased appetiteMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Middle insomniaPsychiatric disorders
AsthmaRespiratory, thoracic and mediastinal disorders
HyperventilationRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Rash papularSkin and subcutaneous tissue disorders
EnteritisGastrointestinal disorders

Data from ClinicalTrials.gov NCT03571607 adverse events section.

Sponsor's own description

This study is to evaluate the safety, tolerability and immunogenicity of a single dose of 13-valent pneumococcal conjugate vaccine in Japanese subjects aged 6 to 64 years who are considered to be at increased risk of pneumococcal disease and who are naive to pneumococcal vaccines.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A phase 3, multicenter, single-arm, open-label study to assess the safety, tolerability, and immunogenicity of a single dose of 13-valent pneumococcal conjugate vaccine in Japanese participants aged 6-64 years who are considered to be at increased risk of pneumococcal disease and
    Yamazaki Y, Ikeda M, Imada T, Furuno K, et al · · 2021 · cited 2× · PMID 34563397 · DOI 10.1016/j.vaccine.2021.08.106

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