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NCT03828617

Trial to Evaluate the Safety and Immunogenicity of 3 Lots of 20-valent Pneumococcal Conjugate Vaccine in Pneumococcal Vaccine-Naïve Adults

Completed Phase 3 Results posted Last updated 23 November 2020
What this trial tests

Phase 3 trial testing 20vPnC in Pneumococcal Disease in 1,710 participants. Completed in 9 October 2019.

Timeline
14 February 2019
Primary endpoint
9 October 2019
9 October 2019

Quick facts

Lead sponsorPfizer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment1,710
Start date14 February 2019
Primary completion9 October 2019
Estimated completion9 October 2019
Sites21 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 49, any sex, with Pneumococcal Disease. 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 10 Days After Vaccination Primary · Within 10 days after vaccination

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 (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). Data for this outcome measure was planned to be analyzed for the

Redness: Any
GroupValue95% CI
Pooled 20vPnC7.05.7 – 8.4
13vPnC6.23.5 – 10.0
Redness: Mild
GroupValue95% CI
Pooled 20vPnC3.93.0 – 5.0
13vPnC3.31.4 – 6.4
Redness: Moderate
GroupValue95% CI
Pooled 20vPnC2.61.9 – 3.6
13vPnC2.91.2 – 5.8
Redness: Severe
GroupValue95% CI
Pooled 20vPnC0.50.2 – 1.0
13vPnC00.0 – 1.5
Swelling: Any
GroupValue95% CI
Pooled 20vPnC8.57.1 – 10.1
13vPnC8.65.4 – 12.9
Swelling: Mild
GroupValue95% CI
Pooled 20vPnC5.44.3 – 6.7
13vPnC5.32.9 – 9.0
Swelling: Moderate
GroupValue95% CI
Pooled 20vPnC2.92.1 – 3.9
13vPnC3.31.4 – 6.4
Swelling: Severe
GroupValue95% CI
Pooled 20vPnC0.20.0 – 0.6
13vPnC00.0 – 1.5
Percentage of Participants With Systemic Events Within 7 Days After Vaccination Primary · Within 7 days after vaccination

Systemic events fever, fatigue, headache, muscle pain, joint pain 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. Fatigue, headache, muscle pain and joint pain were graded as mild (did not interfere with activity), moderate (some interference with activity) and severe (prevented daily routine activity). Data for this outcome measure was planned to be analyzed for the pooled 20vPnC vaccine groups (20vPnC Lots 1

Fever: >=38.0 degree C (Any)
GroupValue95% CI
Pooled 20vPnC1.20.7 – 1.9
13vPnC0.80.1 – 2.9
Fever: >=38.0 degree C to 38.4 degree C
GroupValue95% CI
Pooled 20vPnC0.80.4 – 1.3
13vPnC0.40.0 – 2.3
Fever: >38.4 degree C to 38.9 degree C
GroupValue95% CI
Pooled 20vPnC0.30.1 – 0.7
13vPnC0.40.0 – 2.3
Fever: >38.9 degree C to 40.0 degree C
GroupValue95% CI
Pooled 20vPnC0.20.0 – 0.6
13vPnC00.0 – 1.5
Fever: >40.0 degree C
GroupValue95% CI
Pooled 20vPnC00.0 – 0.3
13vPnC00.0 – 1.5
Fatigue: Any
GroupValue95% CI
Pooled 20vPnC47.645.0 – 50.2
13vPnC43.637.3 – 50.1
Fatigue: Mild
GroupValue95% CI
Pooled 20vPnC24.722.5 – 27.0
13vPnC24.319.0 – 30.2
Fatigue: Moderate
GroupValue95% CI
Pooled 20vPnC21.219.1 – 23.4
13vPnC17.713.1 – 23.1
Percentage of Participants With Any Adverse Events (AEs) Within 1 Month After Vaccination Primary · Within 1 month after vaccination

An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship. Data for this outcome measure was planned to be analyzed for the pooled 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) and 13vPnC group.

GroupValue95% CI
Pooled 20vPnC6.85.6 – 8.3
13vPnC5.32.9 – 8.9
Percentage of Participants With Any Serious Adverse Events (SAEs) Within 6 Months After Vaccination Primary · Within 6 month after vaccination

An SAE was 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 or that is considered to be an important medical event. Data for this outcome measure was planned to be analyzed for the pooled 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) and 13vPnC group.

GroupValue95% CI
Pooled 20vPnC0.70.3 – 1.3
13vPnC00.0 – 1.5
Percentage of Participants With Any Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 6 Months After Vaccination Primary · Within 6 months after vaccination

An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or was otherwise long-lasting in its effects. Data for this outcome measure was planned to be analyzed for the pooled 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) and 13vPnC group.

GroupValue95% CI
Pooled 20vPnC1.00.6 – 1.7
13vPnC2.00.7 – 4.7
Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 1 Month After Vaccination Primary · 1 month after vaccination

OPA titers were determined for serotypes: 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, 8, 10A, 11A, 12F, 15B, 22F and 33F. OPA titer was expressed as reciprocal of the highest serum dilution. OPA GMTs and 2-sided 95% CIs were calculated. Data for this outcome measure were planned to be analyzed for the 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) only.

Serotype 1
GroupValue95% CI
20vPnC Lot 1199.5173.5 – 229.6
20vPnC Lot 2175.1152.5 – 201.0
20vPnC Lot 3164.6143.1 – 189.3
Serotype 3
GroupValue95% CI
20vPnC Lot 147.342.7 – 52.4
20vPnC Lot 246.842.3 – 51.8
20vPnC Lot 343.138.9 – 47.8
Serotype 4
GroupValue95% CI
20vPnC Lot 11499.71288.3 – 1745.6
20vPnC Lot 21568.21350.2 – 1821.4
20vPnC Lot 31505.61294.4 – 1751.3
Serotype 5
GroupValue95% CI
20vPnC Lot 1125.8108.6 – 145.7
20vPnC Lot 2135.6117.3 – 156.7
20vPnC Lot 3116.8100.9 – 135.2
Serotype 6A
GroupValue95% CI
20vPnC Lot 14654.14033.0 – 5371.0
20vPnC Lot 23748.33255.7 – 4315.4
20vPnC Lot 33330.42885.1 – 3844.6
Serotype 6B
GroupValue95% CI
20vPnC Lot 14403.33832.6 – 5059.0
20vPnC Lot 24349.93796.4 – 4984.1
20vPnC Lot 33907.33401.4 – 4488.3
Serotype 7F
GroupValue95% CI
20vPnC Lot 11820.61588.5 – 2086.5
20vPnC Lot 21865.61629.7 – 2135.7
20vPnC Lot 31875.71632.6 – 2154.9
Serotype 9V
GroupValue95% CI
20vPnC Lot 15120.44464.6 – 5872.7
20vPnC Lot 24604.14024.4 – 5267.5
20vPnC Lot 34921.74292.4 – 5643.2
Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Geometric Mean Fold Rise (GMFR) From Before Vaccination to 1 Month After Vaccination Secondary · Before vaccination to 1 month after vaccination

Fold rises are the ratios of the 1 month after vaccination to before vaccination OPA titers. OPA GMFRs from before to 1 month after vaccination were calculated along with corresponding 2-sided 95% CIs for pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, 8, 10A, 11A, 12F, 15B, 22F and 33F. Data for this outcome measure was planned to be analyzed for the 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) only.

Serotype 1
GroupValue95% CI
20vPnC Lot 120.217.6 – 23.1
20vPnC Lot 217.815.6 – 20.3
20vPnC Lot 317.315.0 – 19.8
Serotype 3
GroupValue95% CI
20vPnC Lot 15.04.4 – 5.5
20vPnC Lot 25.04.5 – 5.5
20vPnC Lot 34.64.1 – 5.1
Serotype 4
GroupValue95% CI
20vPnC Lot 177.663.8 – 94.4
20vPnC Lot 294.779.4 – 112.9
20vPnC Lot 381.067.0 – 97.8
Serotype 5
GroupValue95% CI
20vPnC Lot 18.77.5 – 10.0
20vPnC Lot 29.48.2 – 10.7
20vPnC Lot 38.06.9 – 9.1
Serotype 6A
GroupValue95% CI
20vPnC Lot 1157.2132.6 – 186.3
20vPnC Lot 2119.6100.5 – 142.3
20vPnC Lot 3128.4107.6 – 153.1
Serotype 6B
GroupValue95% CI
20vPnC Lot 172.559.9 – 87.8
20vPnC Lot 275.462.9 – 90.4
20vPnC Lot 370.558.1 – 85.6
Serotype 7F
GroupValue95% CI
20vPnC Lot 118.315.5 – 21.7
20vPnC Lot 219.516.5 – 23.0
20vPnC Lot 319.016.1 – 22.5
Serotype 9V
GroupValue95% CI
20vPnC Lot 125.421.1 – 30.7
20vPnC Lot 223.319.4 – 27.9
20vPnC Lot 321.617.7 – 26.4
Percentage of Participants With Greater Than or Equal to (>=) 4 -Fold Rise in Serotype-specific Pneumococcal Opsonophagocytic Activity (OPA) Titers From Before Vaccination to 1 Month After Vaccination Secondary · Before vaccination to 1 month after vaccination

Percentage of participants with a \>=4-fold rise in serotype-specific pneumococcal OPA titers from before vaccination to 1 month after vaccination along with corresponding 2-sided 95% CIs were calculated for pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, 8, 10A, 11A, 12F, 15B, 22F and 33F. Data for this outcome measure was planned to be analyzed for the 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) only.

Serotype 1
GroupValue95% CI
20vPnC Lot 183.780.0 – 87.0
20vPnC Lot 282.979.2 – 86.2
20vPnC Lot 382.478.6 – 85.8
Serotype 3
GroupValue95% CI
20vPnC Lot 156.151.4 – 60.8
20vPnC Lot 257.853.1 – 62.3
20vPnC Lot 353.048.3 – 57.7
Serotype 4
GroupValue95% CI
20vPnC Lot 185.081.4 – 88.2
20vPnC Lot 287.684.1 – 90.5
20vPnC Lot 386.282.6 – 89.3
Serotype 5
GroupValue95% CI
20vPnC Lot 165.761.2 – 70.1
20vPnC Lot 267.262.7 – 71.4
20vPnC Lot 365.360.7 – 69.7
Serotype 6A
GroupValue95% CI
20vPnC Lot 194.591.9 – 96.4
20vPnC Lot 293.190.4 – 95.3
20vPnC Lot 393.090.2 – 95.2
Serotype 6B
GroupValue95% CI
20vPnC Lot 190.387.1 – 93.0
20vPnC Lot 291.488.4 – 93.8
20vPnC Lot 389.285.8 – 91.9
Serotype 7F
GroupValue95% CI
20vPnC Lot 176.872.4 – 80.7
20vPnC Lot 276.772.3 – 80.6
20vPnC Lot 380.075.8 – 83.9
Serotype 9V
GroupValue95% CI
20vPnC Lot 179.174.8 – 83.0
20vPnC Lot 279.575.2 – 83.3
20vPnC Lot 375.771.1 – 79.9
Percentage of Participants With Serotype-specific Opsonophagocytic Activity (OPA) Titers Greater Than or Equal to Lower Limit of Quantitation (>= LLOQ) at 1 Month After Vaccination Secondary · 1 month after vaccination

The percentage of participants with OPA titers \>=LLOQ were calculated along with corresponding 2-sided 95% CIs for pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F. Data for this outcome measure was planned to be analyzed for the 20vPnC vaccine groups (20vPnC Lots 1, 2 and 3) only.

Serotype 1
GroupValue95% CI
20vPnC Lot 191.888.9 – 94.1
20vPnC Lot 292.890.0 – 94.9
20vPnC Lot 391.087.9 – 93.4
Serotype 3
GroupValue95% CI
20vPnC Lot 189.786.6 – 92.4
20vPnC Lot 289.686.4 – 92.2
20vPnC Lot 388.985.6 – 91.7
Serotype 4
GroupValue95% CI
20vPnC Lot 197.695.7 – 98.8
20vPnC Lot 297.095.0 – 98.4
20vPnC Lot 397.195.1 – 98.5
Serotype 5
GroupValue95% CI
20vPnC Lot 180.376.4 – 83.9
20vPnC Lot 284.380.7 – 87.5
20vPnC Lot 381.377.4 – 84.8
Serotype 6A
GroupValue95% CI
20vPnC Lot 199.197.8 – 99.8
20vPnC Lot 298.196.4 – 99.1
20vPnC Lot 398.296.5 – 99.2
Serotype 6B
GroupValue95% CI
20vPnC Lot 197.695.7 – 98.8
20vPnC Lot 299.698.5 – 99.9
20vPnC Lot 398.997.4 – 99.6
Serotype 7F
GroupValue95% CI
20vPnC Lot 194.792.2 – 96.6
20vPnC Lot 294.091.4 – 96.0
20vPnC Lot 396.694.5 – 98.1
Serotype 9V
GroupValue95% CI
20vPnC Lot 198.596.8 – 99.4
20vPnC Lot 298.997.5 – 99.7
20vPnC Lot 398.296.5 – 99.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Local reactions: within 10 days after vaccination (systematic assessment), Systemic events: within 7 days after vaccination (systematic assessment), Non serious AEs: up to 1 month after vaccination, SAEs: up to 6 months after vaccination. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pooled 20vPnC
Serious: 10/1463 (1%)
Deaths: 0/1463
13vPnC
Serious: 0/245 (0%)
Deaths: 0/245

Serious adverse events (14 terms)

ReactionSystemPooled 20vPnC13vPnC
Splenic cystBlood and lymphatic system disorders
GastritisGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Hiatus herniaGastrointestinal disorders
Abdominal abscessInfections and infestations
OsteomyelitisInfections and infestations
Pneumonia mycoplasmalInfections and infestations
Staphylococcal bacteraemiaInfections and infestations
Procedural pneumothoraxInjury, poisoning and procedural complications
Subcutaneous haematomaInjury, poisoning and procedural complications
Diabetic ketoacidosisMetabolism and nutrition disorders
Suicidal ideationPsychiatric disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Skin necrosisSkin and subcutaneous tissue disorders
Other adverse events (8 terms — click to expand)

ReactionSystemPooled 20vPnC13vPnC
Injection site pain (PAIN)General disorders
Myalgia (MUSCLE PAIN)Musculoskeletal and connective tissue disorders
FatigueGeneral disorders
HeadacheNervous system disorders
Arthralgia (JOINT PAIN)Musculoskeletal and connective tissue disorders
Injection site swelling (SWELLING)General disorders
Injection site erythema (REDNESS)General disorders
Pyrexia (FEVER)General disorders

Most-reported serious reactions: Splenic cyst, Gastritis, Gastrooesophageal reflux disease, Hiatus hernia, Abdominal abscess, Osteomyelitis, Pneumonia mycoplasmal, Staphylococcal bacteraemia.

Data from ClinicalTrials.gov NCT03828617 adverse events section.

Sponsor's own description

This is a Phase 3, randomized, double-blind study with a 4-arm parallel design. Adults 18 through 49 years of age with no history of pneumococcal vaccination will be randomized in a 2:2:2:1 ratio to receive a single dose of: 20vPnC Lot 1; 20vPnC Lot 2; 20vPnC Lot 3; or 13vPnC.

Publications & conference data

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

  1. Safety, Tolerability, and Immunogenicity of a 20-Valent Pneumococcal Conjugate Vaccine (PCV20) in Adults 60 to 64 Years of Age.
    Hurley D, Griffin C, Young M, Scott DA, et al · · 2021 · cited 117× · PMID 32716500 · DOI 10.1093/cid/ciaa1045
  2. Development of Next Generation <i>Streptococcus pneumoniae</i> Vaccines Conferring Broad Protection.
    Masomian M, Ahmad Z, Gew LT, Poh CL. · · 2020 · cited 102× · PMID 32192117 · DOI 10.3390/vaccines8010132
  3. A phase 3, randomized, double-blind study to evaluate the immunogenicity and safety of 3 lots of 20-valent pneumococcal conjugate vaccine in pneumococcal vaccine-naive adults 18 through 49 years of age.
    Klein NP, Peyrani P, Yacisin K, Caldwell N, et al · · 2021 · cited 53× · PMID 34315611 · DOI 10.1016/j.vaccine.2021.07.004
  4. Recent advances in the epidemiology and prevention of <i>Streptococcus pneumoniae</i> infections.
    Feldman C, Anderson R. · · 2020 · cited 45× · PMID 32411353 · DOI 10.12688/f1000research.22341.1
  5. A randomized phase 1 study of the safety and immunogenicity of 2 novel pneumococcal conjugate vaccines in healthy Japanese adults in the United States.
    Fitz-Patrick D, Young M, Scott DA, Scully IL, et al · · 2021 · cited 11× · PMID 33545022 · DOI 10.1080/21645515.2020.1863177
  6. Immunogenicity of a 20-valent pneumococcal conjugate vaccine in adults 18 to 64 years old with medical conditions and other factors that increase risk of pneumococcal disease.
    Sabharwal C, Sundaraiyer V, Peng Y, Moyer L, et al · · 2022 · cited 4× · PMID 36368038 · DOI 10.1080/21645515.2022.2126253
  7. 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.
    Essink B, Peterson J, Yacisin K, Lal H, et al · · 2021 · cited 2× · PMID 33661716 · DOI 10.1080/21645515.2021.1890511

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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/NCT03828617.

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