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Study Evaluating 13-valent Pneumococcal Conjugate Vaccine in Healthy Japanese Infants

A Phase 3, Open-Label Trial Evaluating the Safety, Tolerability, and Immunogenicity of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants in Japan

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00574795
Enrollment
193
Registered
2007-12-17
Start date
2007-09-30
Completion date
2008-08-31
Last updated
2012-08-08

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

Conditions

Vaccines, Pneumococcal Conjugate Vaccine

Brief summary

The purpose of this study is to evaluate the safety, tolerability, and immunogenicity of the 13-valent pneumococcal conjugate vaccine (13vPnC) in infants of Japanese descent.

Interventions

BIOLOGICAL13vPnC

First dose during 2 to 6 months of age Second dose at least 28 days after the first dose Third dose at least 28 days after the second dose Forth dose during 12 to 15 months of age

Sponsors

Wyeth is now a wholly owned subsidiary of Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
2 Months to 6 Months
Healthy volunteers
Yes

Inclusion criteria

* Healthy 2 to 6 month-old infant * Available for entire study period

Exclusion criteria

* Previous vaccination with licensed or investigational pneumococcal vaccine. * Previous anaphylactic reaction to any vaccine or vaccine-related component. * Contraindication to vaccination with a pneumococcal conjugate vaccine. * Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate any type of injection. * Known or suspected immune deficiency or suppression.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant Seriesone month after 3-dose infant series (at 7 months of age)Percentages of participants achieving World Health Organization (WHO) predefined antibody threshold ≥ 0.35 μg/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.

Secondary

MeasureTime frameDescription
Geometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant Seriesone mone month after 3-dose infant series (at 7 months of age)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.
Percentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler Doseone month after the toddler dose (at 12 - 15 months of age)Percentages of participants achieving World Health Organization (WHO) predefined antibody threshold ≥ 0.35 μg/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.
Geometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler Doseone month after the toddler dose (at 12-15 months of age)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.

Other

MeasureTime frameDescription
Percentage of Participants Reporting Pre-Specified Local ReactionsWithin 7 days after each doseLocal reactions were collected using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 centimeters \[cm\] to 2.0 cm); Moderate (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 EventsWithin 7 days after each doseSystemic events (fever ≥ 37.5 degrees Celsius \[C\], fever ≥ 38 C but ≤ 39 C, fever \>39 C but ≤ 40 C, fever \> 40 C, decreased appetite, irritability, increased sleep, decreased sleep, hives, use of medication to treat symptoms, and use of medication to prevent symptoms) were reported using an electronic diary. Participants may be represented in more than 1 category.

Countries

Japan

Participant flow

Recruitment details

Participants were recruited in Japan from September 2007 to February 2008.

Pre-assignment details

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

Participants by arm

ArmCount
13vPnC
Participants received one single 0.5mL dose of 13-valent pneumococcal conjugate vaccine (13vPnC) at approximately 2, 4, 6 months (infant series) and 12-15 months of age (toddler dose).
193
Total193

Withdrawals & dropouts

PeriodReasonFG000
After Infant SeriesAdverse Event2
After Infant SeriesWithdrawal by Subject1
Infant SeriesAdverse Event1
Infant SeriesProtocol Violation2
Infant SeriesWithdrawal by Subject2
Toddler DoseWithdrawal by Subject1

Baseline characteristics

Characteristic13vPnC
Age Continuous3.7 months
STANDARD_DEVIATION 1.5
Sex: Female, Male
Female
93 Participants
Sex: Female, Male
Male
100 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
192 / 19319 / 193171 / 185
serious
Total, serious adverse events
9 / 19314 / 1931 / 185

Outcome results

Primary

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

Percentages of participants achieving World Health Organization (WHO) predefined antibody threshold ≥ 0.35 μg/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 (at 7 months of age)

Population: Evaluable immunogenicity population had valid and determinate assay results and had no other major protocol violations.

ArmMeasureGroupValue (NUMBER)
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 4100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 6B98.3 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 9V100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 14100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 18C100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 19F97.2 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesCommon Serotypes - Serotype 23F97.7 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 1100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 3100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 5100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 6A100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 7F100.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 19A100.0 percentage of participants
Secondary

Geometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant Series

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 mone month after 3-dose infant series (at 7 months of age)

Population: Evaluable immunogenicity population had valid and determinate assay results, and had no other major protocol violations.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 46.76 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 6B4.77 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 9V3.39 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 1414.69 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 18C3.68 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 19F5.71 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesCommon Serotypes - Serotype 23F2.57 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 15.11 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 32.87 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 53.85 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 6A3.77 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 7F5.78 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the 3-Dose Infant SeriesAdditional Serotypes - Serotype 19A6.97 μg/mL
Secondary

Geometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler Dose

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 the toddler dose (at 12-15 months of age)

Population: Evaluable immunogenicity population had valid and determinate assay results, and had no other major protocol violations.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 1416.33 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 49.70 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 6B14.61 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 9V4.49 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 18C6.09 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 19F12.20 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseCommon Serotypes - Serotype 23F6.55 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseAdditional Serotypes - Serotype 19.85 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseAdditional Serotypes - Serotype 32.06 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseAdditional Serotypes - Serotype 57.31 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseAdditional Serotypes - Serotype 6A11.03 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseAdditional Serotypes - Serotype 7F8.31 μg/mL
13vPnC After Infant SeriesGeometric Mean Antibody Concentration (GMC) in 13vPnC Group Relative After the Toddler DoseAdditional Serotypes - Serotype 19A15.97 μg/mL
Secondary

Percentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler Dose

Percentages of participants achieving World Health Organization (WHO) predefined antibody threshold ≥ 0.35 μg/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 the toddler dose (at 12 - 15 months of age)

Population: Evaluable immunogenicity population had valid and determinate assay results, and had no other major protocol violations.

ArmMeasureGroupValue (NUMBER)
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 4100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 6B100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 9V100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 14100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 18C100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 19F98.9 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseCommon Serotypes - Serotype 23F98.9 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseAdditional Serotypes - Serotype 1100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseAdditional Serotypes - Serotype 399.4 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseAdditional Serotypes - Serotype 5100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseAdditional Serotypes - Serotype 6A100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseAdditional Serotypes - Serotype 7F100 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Achieving Antibody Level ≥ 0.35 μg/mL in the 13vPnC Group After the Toddler DoseAdditional Serotypes - Serotype 19A100 percentage of participants
Other Pre-specified

Percentage of Participants Reporting Pre-Specified Local Reactions

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

Time frame: Within 7 days 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 After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Any (n=165,156,147,143)13.3 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Significant (n=160,152,143,132)0.6 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Any (n=176,173,165,163)47.2 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Mild (n=174,171,163,154)46.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Moderate (n=167,164,150,151)14.4 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Severe (n=160,153,143,132)0.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Any (n=186,180,171,166)74.2 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Mild (n=183,179,162,156)68.3 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Moderate (n=170,168,157,155)24.7 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Severe (n=160,153,143,132)0.0 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Any (n=176,173,165,163)53.8 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Moderate (n=170,168,157,155)43.5 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Mild (n=174,171,163,154)49.1 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Moderate (n=167,164,150,151)28.7 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Severe (n=160,153,143,132)1.3 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Any (n=186,180,171,166)74.4 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Severe (n=160,153,143,132)1.3 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Mild (n=183,179,162,156)64.8 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Any (n=165,156,147,143)19.9 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Significant (n=160,152,143,132)0.0 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Mild (n=183,179,162,156)55.6 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Any (n=186,180,171,166)67.8 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Severe (n=160,153,143,132)0.7 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Any (n=165,156,147,143)14.3 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Mild (n=174,171,163,154)50.3 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Severe (n=160,153,143,132)0.7 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsRedness - Moderate (n=170,168,157,155)38.9 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Significant (n=160,152,143,132)0.0 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Moderate (n=167,164,150,151)29.3 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Any (n=176,173,165,163)53.9 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Moderate (n=167,164,150,151)36.4 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Mild (n=183,179,162,156)53.8 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Severe (n=160,153,143,132)2.3 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Severe (n=160,153,143,132)1.5 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Any (n=186,180,171,166)68.1 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Significant (n=160,152,143,132)0.0 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Any (n=176,173,165,163)57.1 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsSwelling - Mild (n=174,171,163,154)44.2 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsTenderness - Any (n=165,156,147,143)18.2 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Local ReactionsRedness - Moderate (n=170,168,157,155)40.6 percentage of participants
Other Pre-specified

Percentage of Participants Reporting Pre-Specified Systemic Events

Systemic events (fever ≥ 37.5 degrees Celsius \[C\], fever ≥ 38 C but ≤ 39 C, fever \>39 C but ≤ 40 C, fever \> 40 C, decreased appetite, irritability, increased sleep, decreased sleep, hives, use of medication to treat symptoms, and use of medication to prevent symptoms) were reported using an electronic diary. Participants may be represented in more than 1 category.

Time frame: Within 7 days after each dose

Population: The safety population included all subjects 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 After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsFever ≥37.5°C (n=170,163,154,150)32.9 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsFever >40°C (n=160,152,143,132)0.0 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsDecreased sleep (n=169,160,145,138)21.3 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsFever ≥38°C but ≤39°C (n=163,156,146,137)6.7 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsIncreased sleep (n=175,160,153,139)40.6 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsDecreased appetite (n=163,158,144,138)11.7 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsFever >39°C but ≤40°C (n=161,153,143,133)1.2 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsMedication to prevent symptoms (n=160,153,144,134)0.6 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsMedication to treat symptoms (n=160,153,145,135)1.9 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsIrritability (n=170,166,149,140)30.6 percentage of participants
13vPnC After Infant SeriesPercentage of Participants Reporting Pre-Specified Systemic EventsHives (n=160,152,143,132)1.3 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsIrritability (n=170,166,149,140)36.1 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsHives (n=160,152,143,132)1.3 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsIncreased sleep (n=175,160,153,139)29.4 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsDecreased sleep (n=169,160,145,138)23.1 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsFever >39°C but ≤40°C (n=161,153,143,133)2.6 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsMedication to prevent symptoms (n=160,153,144,134)3.3 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsFever >40°C (n=160,152,143,132)0.7 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsMedication to treat symptoms (n=160,153,145,135)6.5 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsDecreased appetite (n=163,158,144,138)16.5 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsFever ≥38°C but ≤39°C (n=163,156,146,137)12.2 percentage of participants
13vPnC Dose 2Percentage of Participants Reporting Pre-Specified Systemic EventsFever ≥37.5°C (n=170,163,154,150)33.1 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsMedication to treat symptoms (n=160,153,145,135)5.5 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsFever ≥37.5°C (n=170,163,154,150)40.3 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsFever ≥38°C but ≤39°C (n=163,156,146,137)10.3 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsFever >39°C but ≤40°C (n=161,153,143,133)2.8 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsFever >40°C (n=160,152,143,132)0.0 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsDecreased appetite (n=163,158,144,138)9.7 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsIrritability (n=170,166,149,140)23.5 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsIncreased sleep (n=175,160,153,139)22.2 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsDecreased sleep (n=169,160,145,138)15.9 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsHives (n=160,152,143,132)0.7 percentage of participants
13vPnC Dose 3Percentage of Participants Reporting Pre-Specified Systemic EventsMedication to prevent symptoms (n=160,153,144,134)2.1 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsIrritability (n=170,166,149,140)26.4 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsMedication to prevent symptoms (n=160,153,144,134)3.0 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsHives (n=160,152,143,132)0.0 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsDecreased appetite (n=163,158,144,138)18.1 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsFever >40°C (n=160,152,143,132)0.0 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsFever >39°C but ≤40°C (n=161,153,143,133)5.3 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsMedication to treat symptoms (n=160,153,145,135)8.1 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsFever ≥38°C but ≤39°C (n=163,156,146,137)20.4 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsFever ≥37.5°C (n=170,163,154,150)50.7 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsDecreased sleep (n=169,160,145,138)12.3 percentage of participants
13vPnC Toddler DosePercentage of Participants Reporting Pre-Specified Systemic EventsIncreased sleep (n=175,160,153,139)24.5 percentage of participants

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