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Wyeth Study To Evaluate a 13-valent Pneumococcal Conjugate Vaccine in Infants

A Phase 3, Randomised,Active-Controlled ,Double-Blind Trial Evaluating the Safety, Tolerability, and Immunogenicity of Manufacturing Scale 13-valent Pneumococcal Conjugate Vaccine

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00464945
Enrollment
269
Registered
2007-04-24
Start date
2007-06-30
Completion date
2008-09-30
Last updated
2012-08-15

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

Conditions

Pneumococcal Vaccines

Brief summary

The purpose of this study is to assess the safety, tolerability and immunogenicity of manufacturing scale 13-valent pneumococcal conjugate (13vPnC) vaccine compared to pilot scale 13vPnC in healthy infants when given with routine pediatric vaccines.

Interventions

BIOLOGICAL13-valent Pneumococcal Conjugate Vaccine

1 dose at 2,3,4 and 12 months of age

Sponsors

Wyeth is now a wholly owned subsidiary of Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
41 Days to 99 Days
Healthy volunteers
Yes

Inclusion criteria

1. Aged 2 months (42 to 98 days) at time of enrollment. 2. Available for entire study period and whose parent/legal guardian can be reached by telephone. 3. Healthy infant as determined by medical history, physical examination, and judgment of the investigator. 4. Parent/legal guardian must be able to complete all relevant study procedures during study participation.

Exclusion criteria

1. Previous vaccination with licensed or investigational pneumococcal, Hib conjugate, diphtheria, tetanus, pertussis, or polio vaccines. 2. A previous anaphylactic reaction to any vaccine or vaccine-related component. 3. Contraindication to vaccination with Hib conjugate, diphtheria, tetanus, pertussis, polio, hepatitis B, measles, mumps, rubella, or pneumococcal vaccines. 4. Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection. 5. Known or suspected immune deficiency or suppression. 6. History of culture-proven invasive disease caused by S pneumoniae. 7. Major known congenital malformation or serious chronic disorders. 8. Significant neurological disorder or history of seizure including febrile seizure, or significant stable or evolving disorders such as cerebral palsy, encephalopathy, hydrocephalus, or other significant disorders. Does not include resolving syndromes due to birth trauma such as Erb palsy. 9. Receipt of blood products or gamma-globulin (including hepatitis B immunoglobulin and monoclonal antibodies; eg, Synagis®). 10. Participation in another investigational or interventional trial. Participation in purely observational studies is acceptable. 11. Infant who is a direct descendant (child or grandchild) of a member of the study site personnel.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesOne month after 3-dose infant series (5 months of age)Percentages of participants achieving WHO predefined antibody threshold ≥0.35μg/mL along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented.
Percentage of Participants Reporting Pre-Specified Local ReactionsDuring the 4-day period after each doseLocal reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant(Sig) (present and interfered with limb movement). Induration and erythema were scaled as Any (induration or erythema present); Mild (0.5 centimeters \[cm\] to 2.0 cm); Moderate (Mod) (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category.
Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)During the 4-day period after each doseSystemic events (fever ≥ 38 degrees Celsius \[C\] but ≤ 39 C, fever \>39 C but ≤ 40 C, fever \> 40 C, decreased appetite, irritability, increased sleep, decreased sleep, use of medication (Meds)to prevent symptoms (sx), and use of medication to treat symptoms) were collected using an electronic diary. Participants may be represented in more than 1 category.
Percentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)During the 4-day period after toddler doseSystemic events (fever ≥ 38 degrees Celsius \[C\] but ≤ 39 C, fever \>39 C but ≤ 40 C, fever \> 40 C), decreased appetite, irritability, increased sleep, decreased sleep, use of medication to prevent symptoms, and use of medication to treat symptoms) were collected using an electronic diary. Participants may be represented in more than 1 category.
Geometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesOne month after 3-dose infant series (5 months of age)Antibody concentration/geometric mean concentration (GMC) as measured by enzyme-linked immunosorbent assay (ELISA) for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented.

Countries

Poland

Participant flow

Recruitment details

Participants were recruited in Poland from June 2007 to August 2007.

Pre-assignment details

Participants were enrolled into the study according to inclusion/exclusion criteria without a screening period.

Participants by arm

ArmCount
13vPnC Manufacturing
Participants received one single 0.5mL manufacturing scale dose of 13-valent pneumococcal conjugate vaccine (13vPnC) coadministered with combined diphtheria, tetanus, and acellular pertussis inactivated poliovirus, and hemophilus influenza type b vaccine (DTaP-IPV-Hib) and hepatitis B virus vaccine (HBV) at 2 months (infant series, dose 1). Participants received one single 0.5mL manufacturing scale dose of 13vPnC coadministered with DTaP-IPV-Hib at 3 and 4 months (infant series, dose 2 and 3). Participants received one single 0.5mL manufacturing scale dose of 13vPnC coadministered with measles, mumps, and rubella vaccine (MMR) and 12 months of age (toddler dose).
135
13vPnC Pilot
Participants received one single 0.5mL pilot scale dose of 13-valent pneumococcal conjugate vaccine (13vPnC) coadministered with combined diphtheria, tetanus, and acellular pertussis inactivated poliovirus, and hemophilus influenza type b vaccine (DTaP-IPV-Hib) and hepatitis B virus vaccine (HBV) at 2 months (infant series, dose 1). Participants received one single 0.5mL pilot scale dose of 13vPnC coadministered with DTaP-IPV-Hib at 3 and 4 months (infant series, dose 2 and 3). Participants received one single 0.5mL pilot scale dose of 13vPnC coadministered with measles, mumps, and rubella vaccine (MMR) and 12 months of age (toddler dose).
134
Total269

Withdrawals & dropouts

PeriodReasonFG000FG001
After Infant SeriesWithdrawal by Subject02
Infant SeriesLost to Follow-up10
Infant SeriesProtocol Violation10
Infant SeriesWithdrawal by parent/guardian request21
Toddler DoseLost to Follow-up01

Baseline characteristics

Characteristic13vPnC Manufacturing13vPnC PilotTotal
Age Continuous2.1 months
STANDARD_DEVIATION 0.6
2.1 months
STANDARD_DEVIATION 0.5
2.1 months
STANDARD_DEVIATION 0.5
Sex: Female, Male
Female
65 Participants67 Participants132 Participants
Sex: Female, Male
Male
70 Participants67 Participants137 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
70 / 13468 / 1343 / 1347 / 13448 / 13155 / 131
serious
Total, serious adverse events
4 / 1342 / 13410 / 13411 / 1340 / 1311 / 131

Outcome results

Primary

Geometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant Series

Antibody concentration/geometric mean concentration (GMC) as measured by enzyme-linked immunosorbent assay (ELISA) for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented.

Time frame: One month after 3-dose infant series (5 months of age)

Population: Evaluable immunogenicity (per protocol) population were participants who adhered to the protocol requirements, had valid and determinate assay results, and had no other major protocol violations.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 9V1.28 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 11.42 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 18C1.60 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 31.20 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 6B0.80 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 50.96 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 19F1.60 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 6A0.87 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 142.15 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 7F2.00 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 23F0.82 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 19A2.19 μg/mL
13vPnC ManufacturingGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 42.09 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 19A2.31 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 41.55 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 6B0.83 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 9V1.21 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 142.30 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 18C1.51 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 19F1.64 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 23F0.92 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 11.29 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 31.21 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 51.00 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 6A1.05 μg/mL
13vPnC PilotGeometric Mean Antibody Concentration in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 7F2.14 μg/mL
Comparison: For serotype 4 the GMC ratio was calculated95% CI: [1.1, 1.65]
Comparison: For serotype 6B the GMC ratio was calculated95% CI: [0.7, 1.31]
Comparison: For serotype 9V the GMC ratio was calculated95% CI: [0.89, 1.24]
Comparison: For serotype 14 the GMC ratio was calculated95% CI: [0.71, 1.22]
Comparison: For serotype 18C the GMC ratio was calculated95% CI: [0.86, 1.3]
Comparison: For serotype 19F the GMC ratio was calculated95% CI: [0.81, 1.17]
Comparison: For serotype 23F the GMC ratio was calculated95% CI: [0.7, 1.15]
Comparison: For serotype 1 the GMC ratio was calculated95% CI: [0.88, 1.37]
Comparison: For serotype 3 the GMC ratio was calculated95% CI: [0.83, 1.2]
Comparison: For serotype 5 the GMC ratio was calculated95% CI: [0.79, 1.16]
Comparison: For serotype 6A the GMC ratio was calculated95% CI: [0.66, 1.05]
Comparison: For serotype 7F the GMC ratio was calculated95% CI: [0.79, 1.11]
Comparison: For serotype 19A the GMC ratio was calculated95% CI: [0.79, 1.13]
Primary

Percentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant Series

Percentages of participants achieving WHO predefined antibody threshold ≥0.35μg/mL along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented.

Time frame: One month after 3-dose infant series (5 months of age)

Population: Evaluable immunogenicity (per protocol) population consisting of eligible participants who adhered to protocol requirements, had valid and determinate assay results, and had no other major protocol violations.

ArmMeasureGroupValue (NUMBER)
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 9V98.4 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 193.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 18C96.1 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 393.7 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 6B77.3 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 590.6 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 19F98.4 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 6A85.2 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 1492.9 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 7F100.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 23F82.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 19A99.2 percentage of participants
13vPnC ManufacturingPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 497.7 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 19A99.2 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 496.9 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 6B74.0 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 9V96.2 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 1494.5 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 18C93.1 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 19F97.7 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesCommon Serotypes-Serotype 23F81.7 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 190.8 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 395.4 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 588.5 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 6A86.3 percentage of participants
13vPnC PilotPercentage of Participants Achieving Antibody Level ≥0.35μg/mL in 13vPnC Manufacturing Scale Group Relative to 13vPnC Pilot Scale Group After the 3-Dose Infant SeriesAdditional Serotypes-Serotype 7F100.0 percentage of participants
Comparison: For serotype 4 the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-3.9, 5.6]
Comparison: For serotype 6B the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-7.3, 13.8]
Comparison: For serotype 9V the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-2.1, 7.3]
Comparison: For serotype 14 the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-8.2, 4.7]
Comparison: For serotype 18C the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-2.8, 9.2]
Comparison: For serotype 19F the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-3.5, 5.1]
Comparison: For serotype 23F the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-8.4, 10.6]
Comparison: For serotype 1 the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-4.8, 9.2]
Comparison: For serotype 3 the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-7.9, 4.2]
Comparison: For serotype 5 the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-5.6, 9.9]
Comparison: For serotype 6A the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-9.9, 7.6]
Comparison: For serotype 7F the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-3, 2.8]
Comparison: For serotype 19A the difference in percentages between the two groups (13vPnC Manufacturing - 13vPnC Pilot) was calculated95% CI: [-3.6, 3.5]
Primary

Percentage of Participants Reporting Pre-Specified Local Reactions

Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant(Sig) (present and interfered with limb movement). Induration and erythema were scaled as Any (induration or erythema present); Mild (0.5 centimeters \[cm\] to 2.0 cm); Moderate (Mod) (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category.

Time frame: During the 4-day period after each dose

Population: The safety population included all participants who received at least 1 dose of vaccine; (n) = number of participants reporting yes for at least 1 day or no for all days.

ArmMeasureGroupValue (NUMBER)
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)6.1 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)22.7 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)0.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)0.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)18.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)28.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)28.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)25.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)20.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)17.7 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)7.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)24.4 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)1.6 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)20.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)22.9 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)3.9 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)1.6 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)20.3 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)30.2 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)29.5 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)8.6 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)37.2 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)36.4 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)3.1 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)8.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)1.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)33.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)25.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)17.2 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)33.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)27.1 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)3.1 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)1.6 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)40.0 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)8.9 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)27.0 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)15.3 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)5.6 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)29.4 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)38.4 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)25.6 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)13.3 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)0.0 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)34.1 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)33.3 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)12.6 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)3.4 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)30.3 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)8.8 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)33.9 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)24.3 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)1.8 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)10.6 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)22.1 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)37.4 percentage of participants
13vPnC Manufacturing Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)22.1 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Severe(n=131,129,128,128,124,119,112,113)0.0 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mod (n=131,129,128,128,124,119,113,114)12.3 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mod (n=132,129,128,128,124,120,113,114)8.8 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Mild (n=132,131,129,131,125,123,115,115)36.5 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Any (n=132,130,129,129,126,122,113,115)26.1 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Severe(n=131,129,128,128,124,119,112,113)0.9 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Any (n=133,130,128,128,124,119,115,117)29.1 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness-Any (n=132,131,129,131,125,123,115,116)42.2 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsTenderness-Sig (n=131,129,128,128,124,119,112,114)3.5 percentage of participants
13vPnC Pilot Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling-Mild (n=132,130,129,129,126,121,113,115)25.2 percentage of participants
Primary

Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)

Systemic events (fever ≥ 38 degrees Celsius \[C\] but ≤ 39 C, fever \>39 C but ≤ 40 C, fever \> 40 C, decreased appetite, irritability, increased sleep, decreased sleep, use of medication (Meds)to prevent symptoms (sx), and use of medication to treat symptoms) were collected using an electronic diary. Participants may be represented in more than 1 category.

Time frame: During the 4-day period after each dose

Population: The safety population included all participants (268) who received at least 1 dose of vaccine; (n) = number of participants reporting yes for at least 1 day or no for all days.

ArmMeasureGroupValue (NUMBER)
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to treat sx (n=132,130,128,128,124,123)12.9 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to prevent sx (n=132,130,128,129124,121)12.9 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Increased sleep (n=132,129,128,129124,121)41.7 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased sleep (n=132,130,129,129,124,123)27.3 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Irritability (n=134,131,130,131,127,123)50.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >39°C but ≤40°C (n=131,129,128,128,124,119)0.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever ≥38°C but ≤39°C (n=132,130,129,130,124,121)18.2 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased appetite (n=133,129,129,128,125,121)20.3 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to prevent sx (n=132,130,128,129124,121)9.2 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Increased sleep (n=132,129,128,129124,121)39.5 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >39°C but ≤40°C (n=131,129,128,128,124,119)0.8 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever ≥38°C but ≤39°C (n=132,130,129,130,124,121)19.2 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to treat sx (n=132,130,128,128,124,123)17.7 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased appetite (n=133,129,129,128,125,121)24.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased sleep (n=132,130,129,129,124,123)32.3 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Irritability (n=134,131,130,131,127,123)51.9 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >39°C but ≤40°C (n=131,129,128,128,124,119)0.8 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Increased sleep (n=132,129,128,129124,121)25.0 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased appetite (n=133,129,129,128,125,121)14.7 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to treat sx (n=132,130,128,128,124,123)13.3 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to prevent sx (n=132,130,128,129124,121)11.7 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased sleep (n=132,130,129,129,124,123)24.0 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Irritability (n=134,131,130,131,127,123)53.8 percentage of participants
13vPnC Manufacturing Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever ≥38°C but ≤39°C (n=132,130,129,130,124,121)16.3 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Increased sleep (n=132,129,128,129124,121)29.5 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever ≥38°C but ≤39°C (n=132,130,129,130,124,121)20.0 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >39°C but ≤40°C (n=131,129,128,128,124,119)1.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased appetite (n=133,129,129,128,125,121)15.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Irritability (n=134,131,130,131,127,123)49.6 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased sleep (n=132,130,129,129,124,123)20.9 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to treat sx (n=132,130,128,128,124,123)14.1 percentage of participants
13vPnC Pilot Dose 2Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to prevent sx (n=132,130,128,129124,121)10.1 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Irritability (n=134,131,130,131,127,123)41.7 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased appetite (n=133,129,129,128,125,121)16.8 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased sleep (n=132,130,129,129,124,123)18.5 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to prevent sx (n=132,130,128,129124,121)10.5 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to treat sx (n=132,130,128,128,124,123)8.9 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >39°C but ≤40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever ≥38°C but ≤39°C (n=132,130,129,130,124,121)11.3 percentage of participants
13vPnC Manufacturing Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Increased sleep (n=132,129,128,129124,121)20.2 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever ≥38°C but ≤39°C (n=132,130,129,130,124,121)17.4 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased appetite (n=133,129,129,128,125,121)19.0 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Increased sleep (n=132,129,128,129124,121)30.6 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to prevent sx (n=132,130,128,129124,121)8.3 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Meds to treat sx (n=132,130,128,128,124,123)14.6 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Decreased sleep (n=132,130,129,129,124,123)19.5 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >40°C (n=131,129,128,128,124,119)0.0 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Irritability (n=134,131,130,131,127,123)37.4 percentage of participants
13vPnC Pilot Dose 3Percentage of Participants Reporting Pre-Specified Systemic Events (Infant Series)Fever >39°C but ≤40°C (n=131,129,128,128,124,119)3.4 percentage of participants
Primary

Percentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)

Systemic events (fever ≥ 38 degrees Celsius \[C\] but ≤ 39 C, fever \>39 C but ≤ 40 C, fever \> 40 C), decreased appetite, irritability, increased sleep, decreased sleep, use of medication to prevent symptoms, and use of medication to treat symptoms) were collected using an electronic diary. Participants may be represented in more than 1 category.

Time frame: During the 4-day period after toddler dose

Population: The safety population included all participants who received at least 1 dose of vaccine; (n) = number of participants reporting yes for at least 1 day or no for all days.

ArmMeasureGroupValue (NUMBER)
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Irritability (n=119,123)40.3 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Fever >40°C (n=112,113)0.0 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Increased sleep (n=114,119)18.4 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Fever >39°C but ≤40°C (n=112,113)0.9 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Decreased sleep (n=116,117)13.8 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Medication to treat symptoms (n=113,115)17.7 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Decreased appetite (n=115,117)20.9 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Medication to prevent symptoms (n=114,114)12.3 percentage of participants
13vPnC ManufacturingPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Fever ≥38°C but ≤39°C (n=114,114)14.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Medication to prevent symptoms (n=114,114)12.3 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Fever ≥38°C but ≤39°C (n=114,114)13.2 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Fever >39°C but ≤40°C (n=112,113)0.9 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Fever >40°C (n=112,113)0.0 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Decreased appetite (n=115,117)23.1 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Irritability (n=119,123)44.7 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Increased sleep (n=114,119)16.8 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Medication to treat symptoms (n=113,115)17.4 percentage of participants
13vPnC PilotPercentage of Participants Reporting Pre-Specified Systemic Events (Toddler Series)Decreased sleep (n=116,117)13.7 percentage of participants

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