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Safety and Immunogenicity of V114 in Children Infected With Human Immunodeficiency Virus (HIV) (V114-030/PNEU-WAY PED)

A Phase 3, Multicenter, Randomized, Double-blind, Active Comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by Administration of PNEUMOVAX™23 Eight Weeks Later in Children Infected With Human Immunodeficiency Virus (HIV) (PNEU-WAY PED)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03921424
Acronym
PNEU-WAY PED
Enrollment
407
Registered
2019-04-19
Start date
2019-11-05
Completion date
2021-05-03
Last updated
2023-06-07

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

Conditions

Pneumococcal Infections

Keywords

Pneumococcal conjugate vaccine (PCV), 15-valent, 22F, 33F

Brief summary

This is a study of V114 in children infected with HIV. Participants will be randomly assigned in a 1:1 ratio to receive either V114 or Prevnar 13™ followed 8 weeks later by a single dose of PNEUMOVAX™23. The primary objectives of this study are to evaluate the safety and tolerability of V114 in children 6 to 17 years of age inclusive infected with HIV and to evaluate the anti-pneumococcal polysaccharide (PnPs) serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) at 30 days following vaccination with V114 or Prevnar 13™ by each vaccination group. There are no formal hypotheses.

Interventions

BIOLOGICALV114

15-valent pneumococcal conjugate vaccine containing 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F) present in Prevnar 13™ plus 2 additional serotypes (22F, 33F) in each 0.5 mL dose.

BIOLOGICALPrevnar 13™

13-valent pneumococcal conjugate vaccine containing 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F) in each 0.5 mL dose.

BIOLOGICALPNEUMOVAX™23

23-valent pneumococcal polysaccharide vaccine containing 23 serotypes (1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F) in each 0.5 mL dose

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* Male or female between the ages of 6 and 17 years (inclusive) infected with HIV and has a Cluster of Differentiation 4+ (CD4+) T-cell count ≥200 cells/µL and plasma HIV ribonucleic acid (RNA) \<50,000 copies/mL * Is Pneumococcal Conjugate Vaccine (PCV) naïve, previously vaccinated with a \<13-valent PCV, partially vaccinated with Prevnar 13™, or has a history of previous Prevnar 13™ vaccination ≥3 years before Visit 2 (Day 1) * Is PnPs vaccine naïve or has a history of 1 previous PnPs vaccination ≥5 years before Visit 2 (Day 1) * Female participant: not pregnant, not breastfeeding and 1) not of childbearing potential, or 2) of childbearing potential and agrees to practice contraception through 6 weeks after administration of last dose of the study vaccine.

Exclusion criteria

* History of World Health Organization (WHO) HIV classification of clinical Stage 4 disease within the past 12 months * History of invasive pneumococcal disease * Known hypersensitivity to any vaccine component * Known or suspected congenital immunodeficiency (other than HIV infection), functional or anatomic asplenia, or history of autoimmune disease * Bleeding disorder contraindicating intramuscular vaccinations * History of malignancy ≤5 years prior to signing informed consent/assent, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer * Female participant: positive urine or serum pregnancy test * Expect to receive any pneumococcal vaccine during the study outside of the protocol * Receiving immunosuppressive therapy, including chemotherapeutic agents used to treat cancer or other conditions, and interventions associated with organ or bone marrow transplantation, or autoimmune disease * Received a blood transfusion or blood products within 6 months of enrollment * Participated in another clinical study of an investigational product within 2 months of enrollment * Current user of recreational or illicit drugs or history of drug or alcohol abuse or dependence

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Through 14 Days after Vaccination 1 (Up to Day 14)An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 1 with either V114 or Prevnar 13™, the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, hard lump/induration, tenderness/pain, and swelling.
Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Through 14 Days after Vaccination 1 (Up to Day 14)An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 1 with either V114 or Prevnar 13™, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were joint pain/arthralgia, tiredness/fatigue, headache, muscle pain/myalgia, and hives or welts/urticaria.
Percentage of Participants With a Vaccine-related Serious Adverse Event (SAE) Following Vaccination 1 (V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) Through Completion of StudyThrough 6 Months after Vaccination 1 (Up to Day 194)An SAE is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is an other important medical event deemed such by medical or scientific judgment. The percentage of participants with a vaccine-related SAE following Vaccination 1 (with either V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) through completion of study participation was reported.
Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Day 30The GMC of serotype-specific IgG for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.

Secondary

MeasureTime frameDescription
Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Through 14 Days after Vaccination 2 (Up to Day 84)An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 2 with PNEUMOVAX™23 (PPV23), the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, hard lump/induration, tenderness/pain, and swelling.
Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Week 12The GMC of serotype-specific IgG for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.
Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Through 14 Days after Vaccination 2 (Up to Day 84)An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 2 with PNEUMOVAX™23, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were joint pain/arthralgia, tiredness/fatigue, headache, muscle pain/myalgia, and hives or welts/urticaria.
Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Day 30The GMT of serotype-specific OPA for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplexed opsonophagocytic assay.
Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Week 12The GMT of serotype-specific OPA for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplexed opsonophagocytic assay.

Countries

South Africa, Thailand, Ukraine

Participant flow

Pre-assignment details

407 participants were randomized in a 1:1 ratio to receive either V114 or Prevnar 13™ on Day 1 and PNEUMOVAX™23 at Week 8.

Participants by arm

ArmCount
V114
Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Week 8 (Vaccination 2).
203
Prevnar 13™
Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Week 8 (Vaccination 2).
204
Total407

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up01
Overall StudyWithdrawal By Parent/Guardian02

Baseline characteristics

CharacteristicV114Prevnar 13™Total
Age, Continuous12.7 years
STANDARD_DEVIATION 2.7
12.6 years
STANDARD_DEVIATION 3
12.7 years
STANDARD_DEVIATION 2.9
Age, Customized
85 years and over
0 Participants0 Participants0 Participants
Age, Customized
Adolescents (12-17 years)
143 Participants142 Participants285 Participants
Age, Customized
Adults (18-64 years)
0 Participants0 Participants0 Participants
Age, Customized
Children (2-11 years)
60 Participants62 Participants122 Participants
Age, Customized
From 65-84 years
0 Participants0 Participants0 Participants
Age, Customized
Infants and toddlers (28 days-23 months)
0 Participants0 Participants0 Participants
Age, Customized
In utero
0 Participants0 Participants0 Participants
Age, Customized
Newborns (0-27 days)
0 Participants0 Participants0 Participants
Age, Customized
Preterm newborn infants (gestational age < 37 wks)
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
201 Participants203 Participants404 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants0 Participants2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
62 Participants66 Participants128 Participants
Race (NIH/OMB)
Black or African American
88 Participants78 Participants166 Participants
Race (NIH/OMB)
More than one race
12 Participants9 Participants21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants2 Participants3 Participants
Race (NIH/OMB)
White
40 Participants49 Participants89 Participants
Sex: Female, Male
Female
96 Participants99 Participants195 Participants
Sex: Female, Male
Male
107 Participants105 Participants212 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 2030 / 2040 / 2030 / 202
other
Total, other adverse events
158 / 203138 / 204152 / 203154 / 202
serious
Total, serious adverse events
1 / 2031 / 2042 / 2032 / 202

Outcome results

Primary

Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™

The GMC of serotype-specific IgG for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.

Time frame: Day 30

Population: All randomized participants included participants without protocol deviations that could have substantially impacted the results of the immunogenicity outcome measure and who had sufficient serum volume to perform the analyses.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 23F (Shared)6.71 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 1 (Shared)2.17 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 3 (Shared)1.05 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 4 (Shared)2.59 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 5 (Shared)2.94 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6A (Shared)7.98 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6B (Shared)11.44 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 7F (Shared)4.84 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 9V (Shared)4.15 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 14 (Shared)20.38 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 18C (Shared)5.18 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19A (Shared)14.20 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19F (Shared)9.76 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 22F (Unique to V114)9.28 μg/mL
V114Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 33F (Unique to V114)4.53 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 22F (Unique to V114)0.24 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 9V (Shared)4.78 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 1 (Shared)3.26 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19F (Shared)8.61 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 3 (Shared)0.84 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 14 (Shared)18.29 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 4 (Shared)4.27 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 23F (Shared)6.35 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 5 (Shared)2.78 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 18C (Shared)5.15 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6A (Shared)7.56 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 33F (Unique to V114)0.29 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6B (Shared)6.92 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19A (Shared)14.78 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG Geometric Mean Concentrations (GMCs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 7F (Shared)5.00 μg/mL
Primary

Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™

An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 1 with either V114 or Prevnar 13™, the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, hard lump/induration, tenderness/pain, and swelling.

Time frame: Through 14 Days after Vaccination 1 (Up to Day 14)

Population: All randomized participants who received at least 1 dose of study vaccination were analyzed.

ArmMeasureGroupValue (NUMBER)Dispersion
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site redness/erythema9.4 Percentage of Participants95% Confidence Interval 5.7
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site hard lump/induration10.3 Percentage of Participants95% Confidence Interval 6.5
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site tenderness/pain55.2 Percentage of Participants95% Confidence Interval 48.1
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site swelling28.6 Percentage of Participants95% Confidence Interval 22.5
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site swelling21.6 Percentage of Participants95% Confidence Interval 16.1
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site redness/erythema5.9 Percentage of Participants95% Confidence Interval 3.1
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site tenderness/pain53.9 Percentage of Participants95% Confidence Interval 46.8
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With V114 or Prevnar 13™Injection site hard lump/induration6.4 Percentage of Participants95% Confidence Interval 3.4
Primary

Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 1 with either V114 or Prevnar 13™, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were joint pain/arthralgia, tiredness/fatigue, headache, muscle pain/myalgia, and hives or welts/urticaria.

Time frame: Through 14 Days after Vaccination 1 (Up to Day 14)

Population: All randomized participants who received at least 1 dose of study vaccination were analyzed.

ArmMeasureGroupValue (NUMBER)Dispersion
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Tiredness/fatigue7.9 Percentage of Participants95% Confidence Interval 4.6
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Muscle pain/myalgia34.0 Percentage of Participants95% Confidence Interval 27.5
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Headache14.8 Percentage of Participants95% Confidence Interval 10.2
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Hives or welts/urticaria0.5 Percentage of Participants95% Confidence Interval 0
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Joint pain/arthralgia9.4 Percentage of Participants95% Confidence Interval 5.7
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Hives or welts/urticaria1.5 Percentage of Participants95% Confidence Interval 0.3
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Joint pain/arthralgia10.3 Percentage of Participants95% Confidence Interval 6.5
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Tiredness/fatigue8.3 Percentage of Participants95% Confidence Interval 4.9
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Headache10.8 Percentage of Participants95% Confidence Interval 6.9
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With V114 or Prevnar 13™Muscle pain/myalgia25.5 Percentage of Participants95% Confidence Interval 19.7
Primary

Percentage of Participants With a Vaccine-related Serious Adverse Event (SAE) Following Vaccination 1 (V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) Through Completion of Study

An SAE is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is an other important medical event deemed such by medical or scientific judgment. The percentage of participants with a vaccine-related SAE following Vaccination 1 (with either V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) through completion of study participation was reported.

Time frame: Through 6 Months after Vaccination 1 (Up to Day 194)

Population: All randomized participants who received at least 1 dose of the relevant study vaccination for the timepoint of interest were analyzed. Two participants in the Prevnar 13™ group did not receive PNEUMOVAX™23 and therefore were not analyzed for Vaccination 2.

ArmMeasureGroupValue (NUMBER)
V114Percentage of Participants With a Vaccine-related Serious Adverse Event (SAE) Following Vaccination 1 (V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) Through Completion of StudyVaccination 10.0 Percentage of Participants
V114Percentage of Participants With a Vaccine-related Serious Adverse Event (SAE) Following Vaccination 1 (V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) Through Completion of StudyVaccination 20.0 Percentage of Participants
Prevnar 13™Percentage of Participants With a Vaccine-related Serious Adverse Event (SAE) Following Vaccination 1 (V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) Through Completion of StudyVaccination 10.0 Percentage of Participants
Prevnar 13™Percentage of Participants With a Vaccine-related Serious Adverse Event (SAE) Following Vaccination 1 (V114 or Prevnar 13™) or Vaccination 2 (PNEUMOVAX™23) Through Completion of StudyVaccination 20.0 Percentage of Participants
Secondary

Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)

The GMC of serotype-specific IgG for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.

Time frame: Week 12

Population: All randomized participants included participants without protocol deviations that could have substantially impacted the results of the immunogenicity outcome measure and who had sufficient serum volume to perform the analyses.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6A (Shared)4.67 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 14 (Shared)18.88 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 3 (Shared)1.10 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 18C (Shared)3.75 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6B (Shared)7.12 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19A (Shared)11.23 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 5 (Shared)3.01 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19F (Shared)8.56 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 7F (Shared)4.10 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 23F (Shared)4.40 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 4 (Shared)2.36 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 22F (Unique to V114)8.18 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 9V (Shared)3.69 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 33F (Unique to V114)3.76 μg/mL
V114Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 1 (Shared)2.58 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 33F (Unique to V114)6.18 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 1 (Shared)3.33 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 3 (Shared)1.08 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 4 (Shared)3.61 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 5 (Shared)3.24 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6A (Shared)4.91 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6B (Shared)4.96 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 7F (Shared)4.27 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 9V (Shared)4.52 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 14 (Shared)19.89 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 18C (Shared)4.11 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19A (Shared)12.19 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19F (Shared)7.98 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 23F (Shared)4.83 μg/mL
Prevnar 13™Anti-PnPs Serotype-specific IgG GMCs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 22F (Unique to V114)10.32 μg/mL
Secondary

Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)

The GMT of serotype-specific OPA for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplexed opsonophagocytic assay.

Time frame: Week 12

Population: All randomized participants included participants without protocol deviations that could have substantially impacted the results of the immunogenicity outcome measure and who had sufficient serum volume to perform the analyses.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6A (Shared)10208.7 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 14 (Shared)17207.5 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 3 (Shared)327.2 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 18C (Shared)3635.1 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6B (Shared)13774.8 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19A (Shared)7613.7 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 5 (Shared)985.6 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19F (Shared)3694.8 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 7F (Shared)17415.9 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 23F (Shared)10216.7 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 4 (Shared)5445.7 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 22F (Unique to V114)8756.1 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 9V (Shared)5135.9 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 33F (Unique to V114)34173.6 Titers (1/dil)
V114Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 1 (Shared)326.4 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 33F (Unique to V114)30651.0 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 1 (Shared)337.0 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 3 (Shared)384.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 4 (Shared)7526.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 5 (Shared)939.5 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6A (Shared)10699.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 6B (Shared)12745.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 7F (Shared)19140.5 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 9V (Shared)6152.2 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 14 (Shared)16461.2 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 18C (Shared)3369.0 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19A (Shared)8838.0 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 19F (Shared)3904.4 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 23F (Shared)10086.0 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific OPA GMTs at 30 Days Following Vaccination With PNEUMOVAX™23 (Week 12)Serotype 22F (Unique to V114)6958.0 Titers (1/dil)
Secondary

Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™

The GMT of serotype-specific OPA for the serotypes contained in V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplexed opsonophagocytic assay.

Time frame: Day 30

Population: All randomized participants included participants without protocol deviations that could have substantially impacted the results of the immunogenicity outcome measure and who had sufficient serum volume to perform the analyses.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6A (Shared)14274.6 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 14 (Shared)18444.3 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 3 (Shared)330.0 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 18C (Shared)4556.2 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6B (Shared)17636.5 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19A (Shared)8176.4 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 5 (Shared)847.6 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19F (Shared)3711.8 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 7F (Shared)17574.4 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 23F (Shared)11693.1 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 4 (Shared)6078.3 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 22F (Unique to V114)10791.3 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 9V (Shared)4800.0 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 33F (Unique to V114)36357.0 Titers (1/dil)
V114Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 1 (Shared)353.4 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 33F (Unique to V114)5520.6 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 1 (Shared)398.3 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 3 (Shared)301.5 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 4 (Shared)9172.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 5 (Shared)642.1 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6A (Shared)11915.4 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 6B (Shared)15052.9 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 7F (Shared)18519.3 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 9V (Shared)5879.7 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 14 (Shared)17920.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 18C (Shared)3543.0 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19A (Shared)8690.2 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 19F (Shared)3277.6 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 23F (Shared)11933.8 Titers (1/dil)
Prevnar 13™Anti-PnPs Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) at 30 Days Following Vaccination With V114 or Prevnar 13™Serotype 22F (Unique to V114)503.1 Titers (1/dil)
Secondary

Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 2 with PNEUMOVAX™23 (PPV23), the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, hard lump/induration, tenderness/pain, and swelling.

Time frame: Through 14 Days after Vaccination 2 (Up to Day 84)

Population: All randomized participants who received at least 1 dose of the relevant study vaccination for the timepoint of interest were analyzed. Two participants in the Prevnar 13™ group did not receive PNEUMOVAX™23 and therefore were not included in the analysis for this outcome measure.

ArmMeasureGroupValue (NUMBER)Dispersion
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site redness/erythema10.3 Percentage of Participants95% Confidence Interval 6.5
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site hard lump/induration18.2 Percentage of Participants95% Confidence Interval 13.2
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site tenderness/pain51.7 Percentage of Participants95% Confidence Interval 44.6
V114Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site swelling47.3 Percentage of Participants95% Confidence Interval 40.3
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site swelling34.7 Percentage of Participants95% Confidence Interval 28.1
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site redness/erythema12.4 Percentage of Participants95% Confidence Interval 8.2
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site tenderness/pain55.0 Percentage of Participants95% Confidence Interval 47.8
Prevnar 13™Percentage of Participants With a Solicited Injection-Site Adverse Event Following Vaccination With PNEUMOVAX™23Injection site hard lump/induration13.4 Percentage of Participants95% Confidence Interval 9
Secondary

Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following Vaccination 2 with PNEUMOVAX™23, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were joint pain/arthralgia, tiredness/fatigue, headache, muscle pain/myalgia, and hives or welts/urticaria.

Time frame: Through 14 Days after Vaccination 2 (Up to Day 84)

Population: All randomized participants who received at least 1 dose of the relevant study vaccination for the timepoint of interest were analyzed. Two participants in the Prevnar 13™ group did not receive PNEUMOVAX™23 and therefore were not included in the analysis for this outcome measure.

ArmMeasureGroupValue (NUMBER)Dispersion
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Tiredness/fatigue12.3 Percentage of Participants95% Confidence Interval 8.1
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Muscle pain/myalgia43.3 Percentage of Participants95% Confidence Interval 36.4
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Headache10.3 Percentage of Participants95% Confidence Interval 6.5
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Hives or welts/urticaria0.0 Percentage of Participants95% Confidence Interval 0
V114Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Joint pain/arthralgia12.8 Percentage of Participants95% Confidence Interval 8.5
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Hives or welts/urticaria0.5 Percentage of Participants95% Confidence Interval 0
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Joint pain/arthralgia8.4 Percentage of Participants95% Confidence Interval 5
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Tiredness/fatigue11.4 Percentage of Participants95% Confidence Interval 7.4
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Headache9.4 Percentage of Participants95% Confidence Interval 5.8
Prevnar 13™Percentage of Participants With a Solicited Systemic Adverse Event Following Vaccination With PNEUMOVAX™23Muscle pain/myalgia39.1 Percentage of Participants95% Confidence Interval 32.3

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026