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20-valent Pneumococcal Conjugate Vaccine Safety Study in Healthy Infants

A PHASE 3, RANDOMIZED, DOUBLE-BLIND TRIAL TO EVALUATE THE SAFETY OF A 20-VALENT PNEUMOCOCCAL CONJUGATE VACCINE IN HEALTHY INFANTS

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04379713
Enrollment
1511
Registered
2020-05-07
Start date
2020-05-21
Completion date
2022-08-31
Last updated
2023-06-13

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

Conditions

Pneumococcal Disease

Brief summary

This study is designed to evaluate the safety and tolerability of 20vPnC in healthy infants.

Interventions

Pneumococcal conjugate vaccine

BIOLOGICAL13-valent pneumococcal conjugate vaccine

Pneumococcal conjugate vaccine

Sponsors

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
42 Days to 98 Days
Healthy volunteers
Yes

Inclusion criteria

* Male or female infants born at ≥34 weeks of gestation and who are 2 months of age (≥42 to ≤98 days) at the time of consent (the day of birth is considered day of life 1). * Healthy infants determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study.

Exclusion criteria

* Previous vaccination with any licensed or investigational pneumococcal vaccine, or planned receipt through study participation. * Major known congenital malformation or serious chronic disorder.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Local Reactions Within 7 Days After Dose 1Within 7 Days after Dose 1Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild: greater than (\>) 0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Percentage of Participants With Local Reactions Within 7 Days After Dose 2Within 7 Days after Dose 2Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Percentage of Participants With Local Reactions Within 7 Days After Dose 3Within 7 Days after Dose 3Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Percentage of Participants With Local Reactions Within 7 Days After Dose 4Within 7 Days after Dose 4Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Percentage of Participants With Systemic Events Within 7 Days After Dose 1Within 7 Days after Dose 1Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature greater than or equal to (\>=) 38.0 degrees Celsius (C) and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Percentage of Participants With Systemic Events Within 7 Days After Dose 2Within 7 Days after Dose 2Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Percentage of Participants With Systemic Events Within 7 Days After Dose 3Within 7 Days after Dose 3Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Percentage of Participants With Systemic Events Within 7 Days After Dose 4Within 7 Days after Dose 4Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3From Dose 1 to 1 Month after Dose 3An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.
Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4From Dose 4 to 1 Month after Dose 4An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.
Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 4From Dose 1 to 6 Months after Dose 4A SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect and other important medical events.
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 4From Dose 1 to 6 Months after Dose 4An NDCMC was defined as a significant disease or medical condition, not previously identified, that is expected to be persistent or was otherwise long-lasting in its effects.

Countries

Argentina, Canada, Chile, Czechia, Finland, Germany, Greece, Hungary, Puerto Rico, Spain, United States

Participant flow

Pre-assignment details

A total of 1511 participants were enrolled and randomized to receive 4 doses of 20-valent pneumococcal conjugate vaccine (20vPnC) or 13vPnC of which 7 participants were not vaccinated and 1504 were vaccinated with either 20vPnC or 13vPnC.

Participants by arm

ArmCount
20vPnC
Infants 42 to 98 days of age were enrolled to receive 4 doses of 0.5 mL 20vPnC intramuscularly. Dose 1 was given at enrollment. Dose 2 was given 42 to 63 days later. Dose 3 was given 42 to 63 days after Dose 2. Dose 4 was administered between 12 to 15 months of age.
1,000
13vPnC
Infants 42 to 98 days of age were enrolled to receive 4 doses of 0.5 mL 13vPnC intramuscularly. Dose 1 was given at enrollment. Dose 2 was given 42 to 63 days later. Dose 3 was given 42 to 63 days after Dose 2. Dose 4 was administered between 12 to 15 months of age.
503
Total1,503

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event20
Overall StudyLost to Follow-up3121
Overall StudyNo longer met eligibility criteria1411
Overall StudyPhysician Decision21
Overall StudyProtocol Violation116
Overall StudyWithdrawal by parent/guardian3615

Baseline characteristics

Characteristic13vPnCTotal20vPnC
Age, Continuous65.0 Days
STANDARD_DEVIATION 8.95
64.8 Days
STANDARD_DEVIATION 8.66
64.6 Days
STANDARD_DEVIATION 8.51
Ethnicity (NIH/OMB)
Hispanic or Latino
193 Participants560 Participants367 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
303 Participants924 Participants621 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants19 Participants12 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants5 Participants4 Participants
Race (NIH/OMB)
Asian
10 Participants31 Participants21 Participants
Race (NIH/OMB)
Black or African American
15 Participants70 Participants55 Participants
Race (NIH/OMB)
More than one race
21 Participants56 Participants35 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants4 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants24 Participants15 Participants
Race (NIH/OMB)
White
445 Participants1313 Participants868 Participants
Sex: Female, Male
Female
259 Participants742 Participants483 Participants
Sex: Female, Male
Male
244 Participants761 Participants517 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1,0000 / 503
other
Total, other adverse events
960 / 1,000481 / 503
serious
Total, serious adverse events
44 / 1,00028 / 503

Outcome results

Primary

Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3

An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.

Time frame: From Dose 1 to 1 Month after Dose 3

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis.

ArmMeasureValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 329.6 Percentage of participants95% Confidence Interval 26.8
13vPnCPercentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 327.6 Percentage of participants95% Confidence Interval 23.8
Primary

Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4

An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.

Time frame: From Dose 4 to 1 Month after Dose 4

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants who received Dose 4.

ArmMeasureValue (NUMBER)Dispersion
20vPnCPercentage of Participants With AEs From Dose 4 to 1 Month After Dose 415.1 Percentage of participants95% Confidence Interval 12.8
13vPnCPercentage of Participants With AEs From Dose 4 to 1 Month After Dose 415.8 Percentage of participants95% Confidence Interval 12.6
Primary

Percentage of Participants With Local Reactions Within 7 Days After Dose 1

Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild: greater than (\>) 0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.

Time frame: Within 7 Days after Dose 1

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 1.

ArmMeasureGroupValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Moderate3.7 Percentage of participants95% Confidence Interval 2.6
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Mild13.8 Percentage of participants95% Confidence Interval 11.7
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at injection site: Mild24.8 Percentage of participants95% Confidence Interval 22.1
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at injection site: Moderate15.5 Percentage of participants95% Confidence Interval 13.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Moderate6.1 Percentage of participants95% Confidence Interval 4.7
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at injection site: Severe0.2 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Mild18.0 Percentage of participants95% Confidence Interval 15.7
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at injection site: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Mild16.5 Percentage of participants95% Confidence Interval 13.3
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Moderate3.0 Percentage of participants95% Confidence Interval 1.7
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Mild11.2 Percentage of participants95% Confidence Interval 8.6
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Moderate5.4 Percentage of participants95% Confidence Interval 3.6
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at injection site: Mild25.3 Percentage of participants95% Confidence Interval 21.5
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at injection site: Moderate16.7 Percentage of participants95% Confidence Interval 13.5
Primary

Percentage of Participants With Local Reactions Within 7 Days After Dose 2

Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.

Time frame: Within 7 Days after Dose 2

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 2.

ArmMeasureGroupValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Moderate3.2 Percentage of participants95% Confidence Interval 2.1
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Mild13.4 Percentage of participants95% Confidence Interval 11.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Mild20.8 Percentage of participants95% Confidence Interval 18.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Moderate10.7 Percentage of participants95% Confidence Interval 8.8
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Moderate4.4 Percentage of participants95% Confidence Interval 3.2
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Severe0.7 Percentage of participants95% Confidence Interval 0.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Mild20.4 Percentage of participants95% Confidence Interval 17.9
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Severe0.8 Percentage of participants95% Confidence Interval 0.2
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Mild19.4 Percentage of participants95% Confidence Interval 16
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Moderate3.9 Percentage of participants95% Confidence Interval 2.4
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Mild13.4 Percentage of participants95% Confidence Interval 10.5
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Moderate5.6 Percentage of participants95% Confidence Interval 3.7
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Mild20.2 Percentage of participants95% Confidence Interval 16.7
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Moderate11.8 Percentage of participants95% Confidence Interval 9
Primary

Percentage of Participants With Local Reactions Within 7 Days After Dose 3

Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.

Time frame: Within 7 Days after Dose 3

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 3.

ArmMeasureGroupValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Redness: Moderate3.8 Percentage of participants95% Confidence Interval 2.7
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Swelling: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Swelling: Mild12.2 Percentage of participants95% Confidence Interval 10.2
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Pain at the injection site: Mild16.3 Percentage of participants95% Confidence Interval 14
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Redness: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Pain at the injection site: Moderate8.3 Percentage of participants95% Confidence Interval 6.6
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Swelling: Moderate4.1 Percentage of participants95% Confidence Interval 3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Pain at the injection site: Severe0.1 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Redness: Mild19.4 Percentage of participants95% Confidence Interval 16.9
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Pain at the injection site: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Redness: Mild17.0 Percentage of participants95% Confidence Interval 13.7
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Redness: Moderate3.1 Percentage of participants95% Confidence Interval 1.8
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Redness: Severe0.2 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Swelling: Mild13.0 Percentage of participants95% Confidence Interval 10.1
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Swelling: Moderate3.1 Percentage of participants95% Confidence Interval 1.8
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Swelling: Severe0.2 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Pain at the injection site: Mild16.6 Percentage of participants95% Confidence Interval 13.3
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 3Pain at the injection site: Moderate10.3 Percentage of participants95% Confidence Interval 7.7
Primary

Percentage of Participants With Local Reactions Within 7 Days After Dose 4

Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.

Time frame: Within 7 Days after Dose 4

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 4.

ArmMeasureGroupValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Redness: Moderate5.9 Percentage of participants95% Confidence Interval 4.5
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Swelling: Severe0 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Swelling: Mild10.1 Percentage of participants95% Confidence Interval 8.2
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Pain at the injection site: Mild19.8 Percentage of participants95% Confidence Interval 17.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Redness: Severe0.1 Percentage of participants95% Confidence Interval 0
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Pain at the injection site: Moderate10.2 Percentage of participants95% Confidence Interval 8.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Swelling: Moderate4.7 Percentage of participants95% Confidence Interval 3.4
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Pain at the injection site: Severe0.8 Percentage of participants95% Confidence Interval 0.3
20vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Redness: Mild15.1 Percentage of participants95% Confidence Interval 12.8
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Pain at the injection site: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Redness: Mild19.4 Percentage of participants95% Confidence Interval 15.8
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Redness: Moderate2.4 Percentage of participants95% Confidence Interval 1.2
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Redness: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Swelling: Mild11.5 Percentage of participants95% Confidence Interval 8.7
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Swelling: Moderate2.9 Percentage of participants95% Confidence Interval 1.5
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Swelling: Severe0 Percentage of participants95% Confidence Interval 0
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Pain at the injection site: Mild21.8 Percentage of participants95% Confidence Interval 18.1
13vPnCPercentage of Participants With Local Reactions Within 7 Days After Dose 4Pain at the injection site: Moderate10.1 Percentage of participants95% Confidence Interval 7.5
Primary

Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 4

An NDCMC was defined as a significant disease or medical condition, not previously identified, that is expected to be persistent or was otherwise long-lasting in its effects.

Time frame: From Dose 1 to 6 Months after Dose 4

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis.

ArmMeasureValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 42.8 Percentage of participants95% Confidence Interval 1.9
13vPnCPercentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 42.8 Percentage of participants95% Confidence Interval 1.5
Primary

Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 4

A SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect and other important medical events.

Time frame: From Dose 1 to 6 Months after Dose 4

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis.

ArmMeasureValue (NUMBER)Dispersion
20vPnCPercentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 44.4 Percentage of participants95% Confidence Interval 3.2
13vPnCPercentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 45.6 Percentage of participants95% Confidence Interval 3.7
Primary

Percentage of Participants With Systemic Events Within 7 Days After Dose 1

Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature greater than or equal to (\>=) 38.0 degrees Celsius (C) and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame: Within 7 Days after Dose 1

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 1.

ArmMeasureGroupValue (NUMBER)
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.9 degrees C to 40.0 degrees C0.7 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Mild48.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Mild14.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Moderate15.8 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.4 degrees C to 38.9 degrees C2.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Severe0.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Moderate10.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Mild22.7 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >40.0 degrees C0 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Moderate41.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Severe0.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Severe4.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >=38.0 degrees C to 38.4 degrees C6.3 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Severe4.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >=38.0 degrees C to 38.4 degrees C7.8 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.4 degrees C to 38.9 degrees C1.8 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.9 degrees C to 40.0 degrees C0.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >40.0 degrees C0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Mild14.7 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Moderate8.6 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Severe0.4 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Mild47.4 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Moderate14.5 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Severe0.4 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Mild22.9 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Moderate41.4 Percentage of participants
Primary

Percentage of Participants With Systemic Events Within 7 Days After Dose 2

Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame: Within 7 Days after Dose 2

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 2.

ArmMeasureGroupValue (NUMBER)
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.9 degrees C to 40.0 degrees C1.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Mild35.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Mild13.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Moderate13.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.4 degrees C to 38.9 degrees C3.6 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Severe0.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Moderate9.6 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Mild23.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >40.0 degrees C0 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Moderate37.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Severe0.7 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Severe4.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >=38.0 degrees C to 38.4 degrees C10.6 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Severe5.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >=38.0 degrees C to 38.4 degrees C8.5 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.4 degrees C to 38.9 degrees C2.7 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.9 degrees C to 40.0 degrees C0.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >40.0 degrees C0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Mild12.0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Moderate8.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Severe0.4 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Mild35.3 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Moderate13.8 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Severe1.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Mild19.8 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Moderate42.7 Percentage of participants
Primary

Percentage of Participants With Systemic Events Within 7 Days After Dose 3

Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame: Within 7 Days after Dose 3

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 3.

ArmMeasureGroupValue (NUMBER)
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >38.9 degrees C to 40.0 degrees C1.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Drowsiness: Mild26.6 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Decreased appetite: Mild15.0 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Drowsiness: Moderate8.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >38.4 degrees C to 38.9 degrees C2.9 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Drowsiness: Severe0.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Decreased appetite: Moderate8.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Irritability: Mild22.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >40.0 degrees C0 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Irritability: Moderate30.1 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Decreased appetite: Severe0.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Irritability: Severe2.3 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >=38.0 degrees C to 38.4 degrees C7.4 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Irritability: Severe2.7 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >=38.0 degrees C to 38.4 degrees C8.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >38.4 degrees C to 38.9 degrees C0.6 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >38.9 degrees C to 40.0 degrees C1.0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Fever: >40.0 degrees C0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Decreased appetite: Mild10.5 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Decreased appetite: Moderate6.3 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Decreased appetite: Severe0.4 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Drowsiness: Mild27.3 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Drowsiness: Moderate9.0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Drowsiness: Severe0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Irritability: Mild22.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 3Irritability: Moderate29.8 Percentage of participants
Primary

Percentage of Participants With Systemic Events Within 7 Days After Dose 4

Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame: Within 7 Days after Dose 4

Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 4.

ArmMeasureGroupValue (NUMBER)
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >38.9 degrees C to 40.0 degrees C3.7 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Drowsiness: Mild24.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Decreased appetite: Mild16.1 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Drowsiness: Moderate12.2 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >38.4 degrees C to 38.9 degrees C4.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Drowsiness: Severe0.7 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Decreased appetite: Moderate10.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Irritability: Mild21.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >40.0 degrees C0.1 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Irritability: Moderate31.4 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Decreased appetite: Severe1.7 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Irritability: Severe2.5 Percentage of participants
20vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >=38.0 degrees C to 38.4 degrees C9.8 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Irritability: Severe3.3 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >=38.0 degrees C to 38.4 degrees C9.5 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >38.4 degrees C to 38.9 degrees C4.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >38.9 degrees C to 40.0 degrees C3.1 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Fever: >40.0 degrees C0.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Decreased appetite: Mild12.3 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Decreased appetite: Moderate11.7 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Decreased appetite: Severe1.8 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Drowsiness: Mild25.1 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Drowsiness: Moderate10.6 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Drowsiness: Severe0.2 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Irritability: Mild22.0 Percentage of participants
13vPnCPercentage of Participants With Systemic Events Within 7 Days After Dose 4Irritability: Moderate29.7 Percentage of participants

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