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V221 Concomitant Use Study With Pneumococcal Conjugate Vaccine (V221-019)

An Open, Randomized, Multicenter Study of the Safety, Tolerability, and Immunogenicity of V221 Given Concomitantly With Pneumococcal Conjugate Vaccine in Healthy Children 12 to 15 Months of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00109343
Enrollment
1027
Registered
2005-04-27
Start date
2006-03-31
Completion date
2007-09-30
Last updated
2017-04-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Measles, Mumps, Rubella, Varicella

Brief summary

The study is being conducted to demonstrate that V221 may be administered concomitantly with pneumococcal conjugate vaccine without impairing the safety or immunogenicity of measles, mumps, rubella, varicella, or the 7 serotypes of S. pneumoniae.

Interventions

BIOLOGICALComparator: ProQuad™ (V221)

0.5-mL subcutaneous injection of measles, mumps, rubella, varicella virus vaccine live (MMRV)

0.5-mL intramuscular injection of pneumococcal 7-valent conjugate vaccine

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Months to 15 Months
Healthy volunteers
Yes

Inclusion criteria

* In good health * 12 to 15 months of age * Negative clinical history to measles, mumps, rubella, varicella and/or zoster * Received only the 3-dose primary series of a pneumococcal conjugate vaccine with at least 2 months prior to the receipt of any of the study vaccines * Signed consent

Exclusion criteria

* Previous administration of any measles, mumps, rubella, or varicella vaccine either alone or in any combination * Any condition resulting in depressed immunity * Any allergy to any vaccine component as stated in the package circulars * Exposure to measles, mumps, rubella, varicella, or zoster within 4 weeks prior to the study vaccination * History of seizure disorder * Receipt of an inactivated vaccine within 14 days prior to enrollment or live vaccine within 30 days * Recent febrile illness

Design outcomes

Primary

MeasureTime frameDescription
Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alonePostvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 23F
Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ aloneAntibody Response to Rubella at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<10 IU/mL) to Rubella at Baseline.
Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mL6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ aloneAntibody Response to Varicella at 6 Weeks Postvaccination for Subjects Initially With Varicella Antibody Titer \<1.25 gpELISA units/mL at Baseline
Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alonePostvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 4
Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alonePostvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 9V
Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alonePostvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 14
Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alonePostvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 18C
Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alonePostvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 19F
Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone.Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 6B
Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ aloneAntibody Response to Measles at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<255 mIU/mL) to Measles at Baseline.
Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ aloneAntibody Response to Mumps at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<10 ELISA Ab units/mL) to Mumps at Baseline.

Other

MeasureTime frame
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 6B6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 9V6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 146 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 18C6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 19F6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 23F6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 46 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Participant flow

Recruitment details

24 clinical sites in the United States Date first participant visit: 06-Mar-2006 Date last participant visit: 14-Sep-2007

Participants by arm

ArmCount
Group 1 - ProQuad™ + PREVNAR™
Group 1 - ProQuad™ (measles, mumps, rubella, and varicella vaccine) + fourth dose of PREVNAR™ (pneumococcal 7-valent conjugate vaccine) administered concomitantly at separate injection sites on Day 1. Second dose of ProQuad™ administered at least 90 days (Day 91) after the first dose.
510
Group 2 - PREVNAR™ Followed by ProQuad™
Group 2 - Fourth dose of PREVNAR™ (pneumococcal 7-valent conjugate vaccine) administered on Day 1. ProQuad™ (measles, mumps, rubella, and varicella vaccine) administered on Day 43. Second dose of ProQuad™ administered at least 90 days (Day 133) after the first dose.
258
Group 3 - ProQuad™ Followed by PREVNAR™
Group 3 - ProQuad™ (measles, mumps, rubella, and varicella vaccine) administered on Day 1. Fourth dose of PREVNAR™ (pneumococcal 7-valent conjugate vaccine) administered on Day 43. Second dose of ProQuad™ administered at least 90 days (Day 91) after the first dose.
259
Total1,027

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event102
Overall StudyLack of Efficacy100
Overall StudyLost to Follow-up352014
Overall StudyOther521
Overall StudyProtocol Violation122
Overall StudySubject Moved621
Overall StudyWithdrawal by Subject151110

Baseline characteristics

CharacteristicGroup 1 - ProQuad™ + PREVNAR™Group 2 - PREVNAR™ Followed by ProQuad™Group 3 - ProQuad™ Followed by PREVNAR™Total
Age, Continuous12.6 Months
STANDARD_DEVIATION 0.96
12.5 Months
STANDARD_DEVIATION 0.93
12.6 Months
STANDARD_DEVIATION 0.98
12.6 Months
STANDARD_DEVIATION 0.96
Race/Ethnicity, Customized
Asian
18 participants5 participants8 participants31 participants
Race/Ethnicity, Customized
Black
83 participants36 participants36 participants155 participants
Race/Ethnicity, Customized
Hispanic
46 participants31 participants26 participants103 participants
Race/Ethnicity, Customized
Other
28 participants25 participants15 participants68 participants
Race/Ethnicity, Customized
White
335 participants161 participants174 participants670 participants
Sex: Female, Male
Female
230 Participants120 Participants117 Participants467 Participants
Sex: Female, Male
Male
280 Participants138 Participants142 Participants560 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
367 / 498311 / 495499 / 910
serious
Total, serious adverse events
4 / 4983 / 4950 / 910

Outcome results

Primary

Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 14

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer6.88 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer5.61 mcg/mL
Primary

Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 18C

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer2.35 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer2.23 mcg/mL
Primary

Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 19F

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer3.59 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer3.22 mcg/mL
Primary

Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 23F

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer4.24 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer3.71 mcg/mL
Primary

Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 4

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer1.54 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer1.34 mcg/mL
Primary

Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 6B

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone.

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer9.17 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer8.22 mcg/mL
Primary

Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 9V

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 - ProQuad™ + PREVNAR™Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer2.98 mcg/mL
Group 3 - ProQuad™ Followed by PREVNAR™Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer2.71 mcg/mL
Primary

Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL

Antibody Response to Measles at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<255 mIU/mL) to Measles at Baseline.

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges, were seronegative to measles at baseline, and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL395 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL203 Participants
Primary

Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL

Antibody Response to Mumps at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<10 ELISA Ab units/mL) to Mumps at Baseline.

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges, were seronegative to mumps at baseline, and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL390 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL205 Participants
Primary

Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL

Antibody Response to Rubella at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<10 IU/mL) to Rubella at Baseline.

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges, were seronegative to rubella at baseline, and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL372 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL191 Participants
Primary

Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mL

Antibody Response to Varicella at 6 Weeks Postvaccination for Subjects Initially With Varicella Antibody Titer \<1.25 gpELISA units/mL at Baseline

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges, Varicella Antibody Titer \<1.25 gpELISA units/mL at baseline, and followed protocol procedures.

ArmMeasureGroupValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mLNumber of Participants ≥1.25 gpELISA units/mL374 Participants
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mLNumber of Participants ≥5 gpELISA units/mL350 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mLNumber of Participants ≥1.25 gpELISA units/mL187 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mLNumber of Participants ≥5 gpELISA units/mL169 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 14

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 14407 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 14193 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 18C

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 18C404 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 18C191 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 19F

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 19F407 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 19F192 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 23F

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 23F412 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 23F194 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 4

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 4403 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 4193 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 6B

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 6B408 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 6B192 Participants
Other Pre-specified

Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 9V

Time frame: 6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Population: Per-protocol analysis set includes participants who had pre- and postvaccination blood samples within predefined day ranges and followed protocol procedures.

ArmMeasureValue (NUMBER)
Group 1 - ProQuad™ + PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 9V407 Participants
Group 3 - ProQuad™ Followed by PREVNAR™Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 9V193 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026