A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by PNEUMOVAX™23 in Healthy Adults 50 Years of Age or Older (V114-016/PNEU-PATH) (PNEU-PATH)
A Phase 3, Multicenter, Randomized, Double-blind, Active Comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by Administration of PNEUMOVAX™23 One Year Later in Healthy Adults 50 Years of Age or Older (PNEU-PATH)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Seoul, Korea, Republic of, 03080
- Seoul National University Hospital ( Site 0400)
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Seoul, Korea, Republic of, 08308
- Korea University Guro Hospital ( Site 0401)
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Alicante, Spain, 03004
- Instituto de Ciencias Medicas.ICM ( Site 0301)
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Valencia, Spain, 46015
- Fundacion Oftalmologica del Mediterraneo ( Site 0300)
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Barcelona
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Centelles, Barcelona, Spain, 08540
- CAP Centelles ( Site 0303)
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Taipei, Taiwan, 100
- National Taiwan University Hospital ( Site 0500)
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Taiwan, Taiwan, 70403
- National Cheng Kung University Hospital ( Site 0502)
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Arizona
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Chandler, Arizona, United States, 85224
- East Valley Family Physicians ( Site 0104)
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Phoenix, Arizona, United States, 85020
- Central Phoenix Medical Clinic, LLC ( Site 0125)
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California
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Spring Valley, California, United States, 91978
- Encompass Clinical Research ( Site 0118)
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Walnut Creek, California, United States, 94598
- Diablo Clinical Research, Inc ( Site 0132)
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Florida
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Coral Gables, Florida, United States, 33134
- Clinical Research of South Florida ( Site 0126)
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South Miami, Florida, United States, 33143
- QPS Miami Research Associates ( Site 0116)
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Kansas
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Wichita, Kansas, United States, 67207
- Heartland Research Associates, Llc ( Site 0115)
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Maryland
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Elkridge, Maryland, United States, 21075
- Centennial Medical Group ( Site 0109)
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Ohio
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Cleveland, Ohio, United States, 44122
- Rapid Medical Research, Inc. ( Site 0119)
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Texas
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Galveston, Texas, United States, 77555-1115
- University of Texas Medical Branch at Galveston ( Site 0127)
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Houston, Texas, United States, 77081
- Texas Center For Drug Development ( Site 0107)
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San Antonio, Texas, United States, 78229
- Diagnostics Research Group ( Site 0100)
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Utah
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Salt Lake City, Utah, United States, 84109
- J Lewis Research Inc / Foothill Family Clinic ( Site 0123)
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South Jordan, Utah, United States, 84095
- J Lewis Research Inc/Jordan River Family Medicine ( Site 0114)
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Virginia
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Newport News, Virginia, United States, 23606
- Health Research of Hampton Roads, Inc. ( Site 0106)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female in good health
- Female participant: not pregnant, not breastfeeding and 1) not of childbearing potential, or 2) of childbearing potential and agrees to practice contraception through 6 weeks after administration of last study vaccine.
Exclusion Criteria
- History of invasive pneumococcal disease
- Known hypersensitivity to any component of pneumococcal polysaccharide vaccine, pneumococcal conjugate vaccine, or any diphtheria toxoid-containing vaccine.
- Known or suspected impairment of immune function
- Coagulation disorder contraindicating intramuscular vaccination
- History of malignancy ≤5 years before enrollment, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
- Female participant: positive urine or serum pregnancy test
- Prior administration of any pneumococcal vaccine
- Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed intervention at least 30 days before study entry.
- Received systemic corticosteroids exceeding physiologic replacement doses (approximately 5 mg/day prednisone equivalent) within 14 days before vaccination. (Note: Topical, ophthalmic, intra-articular or soft-tissue [e.g., bursa, tendon steroid injections], and inhaled/nebulized steroids are permitted).
- Received immunosuppressive therapy
- Received a blood transfusion or blood products within 6 months of enrollment
- Participated in another clinical study of an investigational product within 2 months of enrollment
- Current user of recreational or illicit drugs or history of drug or alcohol abuse or dependence.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: V114
Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 12 (Vaccination 2)
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15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg) and Merck Aluminum Phosphate Adjuvant (125 mcg) in each 0.5 mL dose
23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose
Other Names:
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Active Comparator: Prevnar 13™
Participants will receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 12 (Vaccination 2)
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23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose
Other Names:
13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg) and aluminum phosphate adjuvant (125 mcg) in each 0.5 mL dose
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Solicited Injection-site Adverse Events Following V114 or Prevnar 13™
Time Frame: Up to 5 days after Vaccination 1
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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.
Following vaccination with V114 or Prevnar 13™, the percentage of participants with solicited injection-site AEs was assessed.
The solicited injection-site AEs assessed were redness/erythema, swelling, and tenderness/pain.
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Up to 5 days after Vaccination 1
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Percentage of Participants With Solicited Injection-site Adverse Events Following PNEUMOVAX™23
Time Frame: Up to 5 days after Vaccination 2
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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.
Following vaccination with PNEUMOVAX™23, the percentage of participants with solicited systemic AEs was assessed.
The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue.
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Up to 5 days after Vaccination 2
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Percentage of Participants With Solicited Systemic Adverse Events Following V114 or Prevnar 13™
Time Frame: Up to 14 days after Vaccination 1
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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.
Following vaccination with V114 or Prevnar 13™, the percentage of participants with solicited systemic AEs was assessed.
The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue.
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Up to 14 days after Vaccination 1
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Percentage of Participants With Solicited Systemic Adverse Events Following PNEUMOVAX™23
Time Frame: Up to 14 days after Vaccination 2
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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.
Following vaccination with PNEUMOVAX™23, the percentage of participants with solicited systemic AEs was assessed.
The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue.
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Up to 14 days after Vaccination 2
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Percentage of Participants With Vaccine-related Serious Adverse Events Following V114 or Prevnar 13™
Time Frame: Up to 12 months after Vaccination 1
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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 will be determined by the investigator.
Following vaccination with V114 or Prevnar 13™, the percentage of participants with vaccine-related serious adverse events was assessed.
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Up to 12 months after Vaccination 1
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Percentage of Participants With Vaccine-related Serious Adverse Events Following PNEUMOVAX™23
Time Frame: Month 12 to Month 13 (Up to 44 days after Vaccination 2)
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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 will be determined by the investigator.
Following vaccination with PNEUMOVAX™23, the percentage of participants with vaccine-related serious adverse events was assessed.
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Month 12 to Month 13 (Up to 44 days after Vaccination 2)
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Geometric Mean Titer of Serotype-specific Opsonophagocytic Activity at 30 Days Following PNEUMOVAX™23
Time Frame: Month 13 (30 days after Vaccination 2)
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Serotype-specific opsonophagocytic activity (OPA) geometric mean titers (GMTs) (estimated) and GMT ratios with 95% confidence intervals (CIs) were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups.
Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMT ratios); within-group CIs were not calculated.
OPA for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
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Month 13 (30 days after Vaccination 2)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Geometric Mean Concentration of Serotype-specific Immunoglobulin G at 30 Days Following PNEUMOVAX™23
Time Frame: Month 13 (30 days after Vaccination 2)
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Serotype-specific Immunoglobulin G (IgG) geometric mean concentrations (GMCs) (estimated) and GMC ratios with 95% confidence intervals (CIs) were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups.
Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMC ratios); within-group CIs were not calculated.
IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
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Month 13 (30 days after Vaccination 2)
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GMT of Serotype-specific OPA at Day 30
Time Frame: Day 30
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Serotype-specific OPA GMTs (estimated) and GMT ratios with 95% CIs were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups.
Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMT ratios); within-group CIs were not calculated.
OPA for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
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Day 30
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GMC of Serotype-specific IgG at Day 30
Time Frame: Day 30
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Serotype-specific IgG GMC (estimated) and GMC ratios with 95% CIs were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups.
Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMC ratios); within-group CIs were not calculated.
IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
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Day 30
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Geometric Mean Fold Rise in Serotype-specific OPA Day 1 to Day 30
Time Frame: Day 1 (Baseline) and Day 30
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay.
Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
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Day 1 (Baseline) and Day 30
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GMFR in Serotype-specific IgG Day 1 to Day 30
Time Frame: Day 1 (Baseline) and Day 30
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Activity for the serotypes contained in Prevnar 13™ and V114 and (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.
GMFR is the geometric mean of fold rise from baseline to postvaccination.
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Day 1 (Baseline) and Day 30
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Titer Day 1 to Day 30
Time Frame: Day 1 (Baseline) and Day 30
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
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Day 1 (Baseline) and Day 30
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Concentration Day 1 to Day 30
Time Frame: Day 1 (Baseline) and Day 30
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
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Day 1 (Baseline) and Day 30
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GMT of Serotype-specific OPA at Month 12
Time Frame: Month 12
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Serotype-specific OPA GMTs (estimated) and GMT ratios with 95% CIs were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups.
Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMT ratios); within-group CIs were not calculated.
OPA for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
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Month 12
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GMC of Serotype-specific IgG at Month 12
Time Frame: Month 12
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Serotype-specific IgG GMC (estimated) and GMC ratios with 95% CIs were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups.
Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMC ratios); within-group CIs were not calculated.
IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
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Month 12
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GMFR in Serotype-specific OPA Day 1 to Month 12
Time Frame: Day 1 (Baseline) and Month 12
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay.
Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
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Day 1 (Baseline) and Month 12
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GMFR in Serotype-specific IgG Day 1 to Month 12
Time Frame: Day 1 (Baseline) and Month 12
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.
GMFR is the geometric mean of fold rise from baseline to postvaccination.
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Day 1 (Baseline) and Month 12
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Titer Day 1 to Month 12
Time Frame: Day 1 (Baseline) and Month 12
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
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Day 1 (Baseline) and Month 12
|
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Concentration Day 1 to Month 12
Time Frame: Day 1 (Baseline) and Month 12
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
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Day 1 (Baseline) and Month 12
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GMFR in Serotype-specific OPA Day 1 to Month 13
Time Frame: Day 1 (Baseline) and Month 13
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay.
Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
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Day 1 (Baseline) and Month 13
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GMFR in Serotype-specific IgG Day 1 to Month 13
Time Frame: Day 1 (Baseline) and Month 13
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.
GMFR is the geometric mean of fold rise from baseline to postvaccination.
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Day 1 (Baseline) and Month 13
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Titer Day 1 to Month 13
Time Frame: Day 1 (Baseline) and Month 13
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Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
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Day 1 (Baseline) and Month 13
|
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Concentration Day 1 to Month 13
Time Frame: Day 1 (Baseline) and Month 13
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
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Day 1 (Baseline) and Month 13
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GMFR in Serotype-specific OPA Month 12 to Month 13
Time Frame: Month 12 (Baseline) and Month 13
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay.
Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
|
Month 12 (Baseline) and Month 13
|
|
GMFR in Serotype-specific IgG Month 12 to Month 13
Time Frame: Month 12 (Baseline) and Month 13
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.
GMFR is the geometric mean of fold rise from baseline to postvaccination.
|
Month 12 (Baseline) and Month 13
|
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Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Titer Month 12 to Month 13
Time Frame: Month 12 (Baseline) and Month 13
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using a Multiplexed Opsonophagocytic Assay.
The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
|
Month 12 (Baseline) and Month 13
|
|
Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Concentration Month 12 to Month 13
Time Frame: Month 12 (Baseline) and Month 13
|
Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) will be determined using an electrochemiluminescence assay.
The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
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Month 12 (Baseline) and Month 13
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- V114-016 (Other Identifier: Merck Protocol Number)
- 2017-004024-30 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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