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A Study to Evaluate the Safety, Tolerability and Immunogenicity of V114 in Healthy Adults and Infants (V114-005)

21. marts 2019 opdateret af: Merck Sharp & Dohme LLC

A Phase I-II, Randomized, Double-Blind, Study to Evaluate the Safety, Tolerability, and Immunogenicity of Different Formulations of V114 in Healthy Adults and Infants

This study is designed to assess the effect of different dose levels of pneumococcal polysaccharide and adjuvant on the safety and immunogenicity of V114 in healthy adults and infants.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

338

Fase

  • Fase 2
  • Fase 1

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

2 måneder til 49 år (Barn, Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

Adult Cohort: 18 to 49 years and in good health

  • Highly unlikely to conceive from vaccination through 6 weeks after administration of the study vaccine.

Infant Cohort: approximately 2 months (42 to 90 days) and in good health.

Exclusion Criteria:

Adult cohort: Prior administration of any pneumococcal vaccine

  • History of invasive pneumococcal disease
  • Known hypersensitivity to any vaccine component
  • Known or suspected impairment of immune function
  • Coagulation disorder contraindicating intramuscular vaccination
  • Received a blood transfusion or blood products within 6 months
  • Participated in another clinical study of an investigational product within 2 months
  • Breast feeding. Infant cohort: Prior administration of any pneumococcal vaccine
  • Known hypersensitivity to any vaccine component
  • Known or suspected impairment of immune function
  • History of congenital or acquired immunodeficiency
  • Has or mother has documented Human Immunodeficiency virus (HIV) infection
  • Has or mother has documented hepatitis B surface antigen positive result
  • Functional or anatomic asplenia
  • History of failure to thrive
  • Coagulation disorder contraindicating intramuscular vaccination
  • History of autoimmune disease or autoimmune disorder
  • Known neurologic or cognitive behavioral disorder
  • Received systemic corticosteroids within 14 days
  • Received other licensed non-live vaccine within 14 days
  • Received other licensed live virus vaccine within 30 days
  • Received a blood transfusion or blood products
  • Participated in another clinical study of an investigational product
  • History of invasive pneumococcal disease

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Adult: V114 Medium Dose
Adult participants will receive a single 0.5 mL intramuscular injection of medium-dose V114 on Day 1.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg) and Merck Aluminum Phosphate Adjuvant (125 mcg) in each 0.5 mL dose
Eksperimentel: Adult: V114 High Dose
Adult participants will receive a single 0.5 mL intramuscular injection of high-dose V114 on Day 1.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (4 mcg each), serotype 6B (8 mcg), and Merck Aluminum Phosphate Adjuvant (250 mcg) in each 0.5 mL dose
Eksperimentel: Adult: V114 Medium Dose with Alternative Carrier Protein
Adult participants will receive a single 0.5 mL intramuscular injection of medium-dose V114 with alternative carrier protein on Day 1.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg), and Merck Aluminum Phosphate Adjuvant (125 mcg) with alternative carrier protein in each 0.5 mL dose
Eksperimentel: Adult: V114 High Dose with Alternative Carrier Protein
Adult participants will receive a single 0.5 mL intramuscular injection of high-dose V114 with alternative carrier protein on Day 1.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (4 mcg each), serotype 6B (8 mcg), and Merck Aluminum Phosphate Adjuvant (250 mcg) with alternative carrier protein in each 0.5 mL dose
Eksperimentel: Infant: V114 Medium Dose
Infant participants will receive a 0.5 mL intramuscular injection of medium-dose V114 at 2, 4, 6, and 12 to 15 months of age.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg) and Merck Aluminum Phosphate Adjuvant (125 mcg) in each 0.5 mL dose
Eksperimentel: Infant: V114 High Dose
Infant participants will receive a 0.5 mL intramuscular injection of high-dose V114 at 2, 4, 6, and 12 to 15 months of age.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (4 mcg each), serotype 6B (8 mcg), and Merck Aluminum Phosphate Adjuvant (250 mcg) in each 0.5 mL dose
Eksperimentel: Infant: V114 Medium Dose with Alternative Carrier Protein
Infant participants will receive a 0.5 mL intramuscular injection of medium-dose V114 with alternative carrier protein at 2, 4, 6, and 12 to 15 months of age.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg), and Merck Aluminum Phosphate Adjuvant (125 mcg) with alternative carrier protein in each 0.5 mL dose
Eksperimentel: Infant: V114 High Dose with Alternative Carrier Protein
Infant participants will receive a 0.5 mL intramuscular injection of high-dose V114 with alternative carrier protein at 2, 4, 6, and 12 to 15 months of age.
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (4 mcg each), serotype 6B (8 mcg), and Merck Aluminum Phosphate Adjuvant (250 mcg) with alternative carrier protein in each 0.5 mL dose
Aktiv komparator: Infant: Prevnar 13™
Infant participants will receive a 0.5 mL intramuscular injection of Prevnar 13™ at 2, 4, 6, and 12 to 15 months of age.
13-valent pneumokokkonjugatvaccine med serotype 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2,2 mcg) og 6B (4,4 mcg) i hver 0,5 ml dosis

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Adults: Percentage of Participants With an Adverse Event
Tidsramme: Up to 6 weeks after vaccination
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.
Up to 6 weeks after vaccination
Infants: Percentage of Participants With an Adverse Event
Tidsramme: Up to 1 month after Vaccination 4 (Month 11-15)
An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.
Up to 1 month after Vaccination 4 (Month 11-15)
Infants: Percentage of Participants With Study Vaccination Withdrawn Due to an Adverse Event
Tidsramme: Up to time of Vaccination 4 (Month 10-13)
An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.
Up to time of Vaccination 4 (Month 10-13)
Infants: Percentage of Participants With a Solicited Injection-site Adverse Event
Tidsramme: Up to 14 days after any vaccination
Solicited injection-site AEs were injection-site erythema, injection-site induration, injection-site pain, and injection-site swelling.
Up to 14 days after any vaccination
Infants: Percentage of Participants With a Solicited Systemic Adverse Event
Tidsramme: Up to 14 days after any vaccination
Solicited systemic AEs were irritability, decreased appetite, somnolence, and urticaria.
Up to 14 days after any vaccination
Infants: Geometric Mean Concentration (GMC) of Pneumococcal Serotype IgG Antibodies
Tidsramme: 1 month after Vaccination 3 (Month 5)
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
1 month after Vaccination 3 (Month 5)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Adults: Geometric Mean Concentration (GMC) of Pneumococcal Serotype IgG Antibodies
Tidsramme: 1 month after vaccination
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
1 month after vaccination
Adults: Geometric Mean Fold Rise (GMFR) From Baseline in GMC of Pneumococcal Serotype IgG Antibodies
Tidsramme: Baseline and 1 month after vaccination
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay. GMFR is defined as the geometric mean of the ratio of concentration at 1 month after vaccination divided by concentration at baseline.
Baseline and 1 month after vaccination
Infants: Percentage of Participants With GMC ≥0.35 µg/mL at 1 Month After Vaccination 3
Tidsramme: 1 month after Vaccination 3 (Month 5)
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
1 month after Vaccination 3 (Month 5)
Infants: Percentage of Participants With GMC ≥0.35 µg/mL Before Vaccination 4
Tidsramme: Before Vaccination 4 (Month 10-13)
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
Before Vaccination 4 (Month 10-13)
Infants: Percentage of Participants With GMC ≥0.35 µg/mL at 1 Month After Vaccination 4
Tidsramme: 1 month after Vaccination 4 (Month 11-15)
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
1 month after Vaccination 4 (Month 11-15)
Infants: Geometric Mean Concentration of Pneumococcal Serotype IgG Antibodies
Tidsramme: Before Vaccination 4 (Month 10-13)
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
Before Vaccination 4 (Month 10-13)
Infants: Geometric Mean Concentration of Pneumococcal Serotype IgG Antibodies
Tidsramme: 1 month after Vaccination 4 (Month 11-15)
Pneumococcal serotype-specific IgG was measured in serum using an electrochemiluminescence assay.
1 month after Vaccination 4 (Month 11-15)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. september 2015

Primær færdiggørelse (Faktiske)

14. april 2017

Studieafslutning (Faktiske)

14. april 2017

Datoer for studieregistrering

Først indsendt

20. august 2015

Først indsendt, der opfyldte QC-kriterier

20. august 2015

Først opslået (Skøn)

24. august 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. april 2019

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. marts 2019

Sidst verificeret

1. marts 2019

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Pneumokokinfektioner

Kliniske forsøg med Prevnar 13™

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