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Safety and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults (V116-003, STRIDE-3)

A Phase 3, Randomized, Double-blind, Active Comparator-controlled Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05425732
Enrollment
2663
Registered
2022-06-21
Start date
2022-07-13
Completion date
2023-05-18
Last updated
2024-10-26

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

Conditions

Pneumococcal Infection

Brief summary

This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 compared to PCV20 (pneumococcal 20-valent conjugate vaccine (\[Prevnar 20™ / APEXXNAR™\]) in pneumococcal vaccine-naïve adults. It is hypothesized that V116 is noninferior to PCV20 for the common serotypes and superior to PCV20 for the unique serotypes as assessed by serotype specific opsonophagocytic activity (OPA) 30 days postvaccination. It is also hypothesized that V116 in participants 18 to 49 years of age immunobridges to V116 in participants 50 to 64 years of age as assessed by serotype specific OPA geometric mean titers (GMTs) 30 days postvaccination for all 21 serotypes in V116. Participants ≥50 years of age will be enrolled in Cohort 1, and participants 18 to 49 years of age will be enrolled in Cohort 2.

Interventions

BIOLOGICALV116

0.5 mL injection solution in prefilled syringe containing 4 μg of each PnPs antigen (3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B) given by intramuscular (IM) injection.

BIOLOGICALPCV20

0.5 mL injection suspension in prefilled syringe containing 2.2 μg of each PnPs antigen (1, 3, 4, 5, 6A, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F) and 4.4 μg of PnPs antigen 6B.

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* For females, is not pregnant or breastfeeding and is either not a woman of childbearing potential (WOCBP) or is a WOCBP and uses acceptable contraception/abstinence; and has medical, menstrual, and recent sexual activity history reviewed by the investigator to decrease the chance of an early undetected pregnancy.

Exclusion criteria

* Has a history of invasive pneumococcal disease (IPD) \[positive blood culture, positive cerebrospinal fluid culture, or positive culture at another sterile site\] or known history of other culture-positive pneumococcal disease within 3 years of Visit 1 (Day 1) * Has a known hypersensitivity to any component of V116 or PCV20, including diphtheria toxoid * Has a known or suspected impairment of immunological function including, but not limited to, a history of congenital or acquired immunodeficiency, documented human immunodeficiency virus (HIV) infection, functional or anatomic asplenia, or history of autoimmune disease * Has a coagulation disorder contraindicating IM vaccination * Had a recent febrile illness (defined as oral or tympanic temperature ≥100.4°F \[≥38.0°C\] or axillary or temporal temperature ≥99.4°F \[≥37.4°C\]) or received antibiotic therapy for any acute illness occurring \<72 hours before receipt of study vaccine * Has a known malignancy that is progressing or has required active treatment \<3 years before enrollment * Received prior administration (prior to age of 5 is acceptable) of any pneumococcal vaccine or is expected to receive any pneumococcal vaccine during the study outside the protocol * Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed intervention ≥14 days before receipt of study vaccine * Is currently receiving immunosuppressive therapy, including chemotherapeutic agents or other immunotherapies/immunomodulators used to treat cancer or other conditions, and interventions associated with organ or bone marrow transplantation, or autoimmune disease * Received any nonlive vaccine ≤14 days before receipt of study vaccine or is scheduled to receive any nonlive vaccine ≤30 days after receipt of study vaccine (inactivated influenza and SARS-CoV2 vaccines may be acceptable) * Received any live virus vaccine ≤30 days before receipt of study vaccine or is scheduled to receive any live virus vaccine ≤30 days after receipt of study vaccine * Received a blood transfusion or blood products, including immunoglobulin ≤6 months before receipt of study vaccine or is scheduled to receive a blood transfusion or blood product until the Day 30 postvaccination blood draw is complete

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Up to 5 days post-vaccinationAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited injection-site AEs consist of the following: pain/tenderness, redness/erythema, and swelling.
Percentage of Participants With Solicited Systemic AEsUp to 5 days post-vaccinationAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs consist of the following: fatigue (tiredness), headache, myalgia (muscle aches), and pyrexia (maximum temperature ≥ 100.4 °F/38.0 °C)
Percentage of Participants With Vaccine-related Serious AE (SAE)Up to 194 days post-vaccinationA vaccine-related SAE is any untoward medical consequence that results in death, is life-threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an other important medical event, which is determined by the investigator to be related to the vaccine.
Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Day 30 post-vaccinationThe serotype specific OPA GMTs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using the multiplex opsonophagocytic assay (MOPA). GMT values were estimated from a constrained longitudinal data analysis; (cLDA) model. Per protocol, within group, confidence intervals (CIs) or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Baseline and Day 30 post-vaccinationThe percentage of participants with ≥4-fold rise from baseline in serotype specific OPAs for the 11 unique pneumococcal serotypes contained in V116. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Day 30 post-vaccinationThe serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA. GMT values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.

Secondary

MeasureTime frameDescription
Percentage of Participants From Cohort 1 V116 With ≥4-fold Change in OPA Responses for Cross Reactive Pneumococcal SerotypesBaseline and Day 30 post-vaccinationThe percentage of participants with ≥4-fold rise from baseline was determined for Cohort 1 V116 serotypes 6C and 15B, two serotypes which cross react with PCV20. Point estimate and 95% CI are based on the Clopper-Pearson method. A conclusion of acceptability is based on the lower bound of the 95% CI of the percentages of participants with a ≥4-fold rise from baseline being \> 50 percentage points (one-sided p-value \< 0.025). Per protocol, participants treated with PCV20, and V116 Cohort 2 were not analyzed in this outcome measure.
Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Baseline and Day 30 post-vaccinationPercentage of participants with ≥4-fold rise from baseline in OPA GMTs in Cohort 1 was determined using MOPA. The within-group 95% CIs were based on the exact binomial method proposed by Clopper and Pearson. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 2Day 30 post-vaccinationThe serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA for serotypes 6C and 15B which cross react with PCV20. GMT values were estimated from a LDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.
Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Day 30 post-vaccinationThe serotype specific IgG GMCs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using pneumococcal electrochemiluminescence (PnECL). GMC values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Baseline and Day 30 post-vaccinationThe geometric mean fold rise (GMFR) from baseline in serotype specific OPA GMTs for cohort 1 was determined using MOPA. The within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Baseline and Day 30 post-vaccinationThe GMFR from baseline in serotype specific IgG antibody GMCs for cohort 1 was determined using PnECL. The within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Baseline and Day 30 post-vaccinationPercentage of participants with ≥4-fold rise from baseline in serotype specific IgG antibody GMCs for cohort 1 was determined using PnECL. The within-group 95% CIs were based on the exact binomial method proposed by Clopper and Pearson. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Countries

Australia, Belgium, Chile, Germany, New Zealand, Puerto Rico, South Korea, Sweden, Taiwan, Turkey (Türkiye), United States

Participant flow

Recruitment details

Pneumococcal vaccine-naïve adults ≥18 years of age were enrolled in this study. Participants with underlying chronic conditions were eligible if the conditions were assessed to be stable per the investigator's judgment.

Participants by arm

ArmCount
Cohort 1 V116
Pneumococcal vaccine-naïve adult participants (≥50 years of age) receive a single dose of V116 on Day 1.
1,179
Cohort 1 PCV20
Pneumococcal vaccine-naïve adult participants (≥50 years of age) receive a single dose of PCV20 on Day 1.
1,177
Cohort 2 V116
Pneumococcal vaccine-naïve adult participants (18 to 49 years of age) receive a single dose of V116 on Day 1.
200
Cohort 2 PCV20
Pneumococcal vaccine-naïve adult participants (18 to 49 years of age) receive a single dose of PCV20 on Day 1.
100
Total2,656

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath4200
Overall StudyLost to Follow-up101553
Overall StudyPhysician Decision0200
Overall StudyRandomized By Mistake Without Study Treatment1200
Overall StudyRandomized to PCV20 first, discontinued; then randomized to V116 second2000
Overall StudyWithdrawal by Subject4811

Baseline characteristics

CharacteristicTotalCohort 1 PCV20Cohort 1 V116Cohort 2 V116Cohort 2 PCV20
Age, Continuous60.7 Years
STANDARD_DEVIATION 12.4
63.9 Years
STANDARD_DEVIATION 8.3
63.9 Years
STANDARD_DEVIATION 8.3
35.2 Years
STANDARD_DEVIATION 9
34.6 Years
STANDARD_DEVIATION 8.7
Age, Customized
18 to 49 years
300 Participants0 Participants0 Participants200 Participants100 Participants
Age, Customized
50 to 64 years
1176 Participants587 Participants589 Participants0 Participants0 Participants
Age, Customized
65 to 74 years
928 Participants464 Participants464 Participants0 Participants0 Participants
Age, Customized
75 to 84 years
225 Participants113 Participants112 Participants0 Participants0 Participants
Age, Customized
≥85 years
27 Participants13 Participants14 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
583 Participants242 Participants259 Participants58 Participants24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2048 Participants922 Participants909 Participants141 Participants76 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
25 Participants13 Participants11 Participants1 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
9 Participants4 Participants4 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
369 Participants168 Participants148 Participants38 Participants15 Participants
Race (NIH/OMB)
Black or African American
258 Participants115 Participants116 Participants13 Participants14 Participants
Race (NIH/OMB)
More than one race
71 Participants30 Participants26 Participants9 Participants6 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
36 Participants16 Participants17 Participants1 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
White
1912 Participants844 Participants867 Participants139 Participants62 Participants
Sex: Female, Male
Female
1558 Participants670 Participants687 Participants137 Participants64 Participants
Sex: Female, Male
Male
1098 Participants507 Participants492 Participants63 Participants36 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
4 / 1,1792 / 1,1790 / 2010 / 1000 / 2
other
Total, other adverse events
615 / 1,177722 / 1,175161 / 20078 / 1000 / 2
serious
Total, serious adverse events
19 / 1,17724 / 1,1751 / 2003 / 1000 / 2

Outcome results

Primary

Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116

The percentage of participants with ≥4-fold rise from baseline in serotype specific OPAs for the 11 unique pneumococcal serotypes contained in V116. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Baseline and Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (NUMBER)
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 15A66.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 23A78.9 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 35B60.0 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 9N64.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 15C83.4 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 16F71.9 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 17F75.8 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 20A67.3 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 23B85.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 24F80.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 3176.5 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 3117.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 17F9.5 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 23A36.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 24F6.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 20A9.6 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 9N19.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 15A35.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 35B6.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 15C74.2 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 23B49.6 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116Serotype 16F20.8 Percentage of participants
Comparison: Serotype 9N: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [40.7, 48.6]Stratified Miettinen & Nurminen
Comparison: Serotype 15A: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [25.8, 35.8]Stratified Miettinen & Nurminen
Comparison: Serotype 15C: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [5.6, 12.9]Stratified Miettinen & Nurminen
Comparison: Serotype 16F: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [47.1, 54.9]Stratified Miettinen & Nurminen
Comparison: Serotype 17F: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [62.8, 69.6]Stratified Miettinen & Nurminen
Comparison: Serotype 20A: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [54.2, 61.1]Stratified Miettinen & Nurminen
Comparison: Serotype 23A: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [37.6, 46.6]Stratified Miettinen & Nurminen
Comparison: Serotype 23B: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [32.1, 39.6]Stratified Miettinen & Nurminen
Comparison: Serotype24F: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [71.1, 77.1]Stratified Miettinen & Nurminen
Comparison: Serotype 31: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [54.8, 62.1]Stratified Miettinen & Nurminen
Comparison: Serotype35B: V116-PCV20 Percentage Differencep-value: <0.00195% CI: [49.6, 56.6]Stratified Miettinen & Nurminen
Primary

Percentage of Participants With Solicited Injection-site Adverse Events (AEs)

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited injection-site AEs consist of the following: pain/tenderness, redness/erythema, and swelling.

Time frame: Up to 5 days post-vaccination

Population: All participants as treated consisting of randomized participants who were included in the group corresponding to the vaccine actually received.

ArmMeasureGroupValue (NUMBER)
Cohort 1 V116Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site erythema5.4 Percentage of participants
Cohort 1 V116Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site swelling6.0 Percentage of participants
Cohort 1 V116Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site pain39.4 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site erythema6.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site swelling8.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site pain51.7 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site pain71.5 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site erythema15.5 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site swelling14.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site erythema13.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site swelling14.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Injection-site Adverse Events (AEs)Injection site pain74.0 Percentage of participants
Comparison: Injection site erythema: estimated difference in percent96% CI: [-2.8, 1.1]
Comparison: Injection site pain: estimated difference in percent95% CI: [-16.2, -8.2]
Comparison: Injection site swelling: estimated difference in percent95% CI: [-4.4, -0.2]
Comparison: Injection site erythema: estimated difference in percent95% CI: [-6.6, 10.3]
Comparison: Injection site pain: estimated difference in percent95% CI: [-12.7, 8.6]
Comparison: Injection site swelling: estimated difference in percent95% CI: [-9.2, 7.9]
Primary

Percentage of Participants With Solicited Systemic AEs

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs consist of the following: fatigue (tiredness), headache, myalgia (muscle aches), and pyrexia (maximum temperature ≥ 100.4 °F/38.0 °C)

Time frame: Up to 5 days post-vaccination

Population: All participants as treated consisting of randomized participants who were included in the group corresponding to the vaccine actually received.

ArmMeasureGroupValue (NUMBER)
Cohort 1 V116Percentage of Participants With Solicited Systemic AEsFatigue20.1 Percentage of participants
Cohort 1 V116Percentage of Participants With Solicited Systemic AEsHeadache11.5 Percentage of participants
Cohort 1 V116Percentage of Participants With Solicited Systemic AEsMyalgia5.9 Percentage of participants
Cohort 1 V116Percentage of Participants With Solicited Systemic AEsPyrexia1.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Systemic AEsHeadache12.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Systemic AEsMyalgia6.7 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Systemic AEsPyrexia1.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Solicited Systemic AEsFatigue19.6 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Systemic AEsMyalgia16.5 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Systemic AEsHeadache29.5 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Systemic AEsPyrexia3.5 Percentage of participants
Cohort 2 V116Percentage of Participants With Solicited Systemic AEsFatigue40.5 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Systemic AEsPyrexia1.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Systemic AEsHeadache24.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Systemic AEsFatigue34.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Solicited Systemic AEsMyalgia14.0 Percentage of participants
Comparison: Fatigue: estimated difference in percent95% CI: [-2.7, 3.8]
Comparison: Headache: estimated difference in percent95% CI: [-4.1, 1.2]
Comparison: Myalgia: estimated difference in percent96% CI: [-2.8, 1.2]
Comparison: Pyrexia: estimated difference in percent95% CI: [-1, 1]
Comparison: Fatigue: estimated difference in percent95% CI: [-5.3, 17.6]
Comparison: Headache: estimated difference in percent5% CI: [-5.5, 15.5]
Comparison: Myalgia: estimated difference in percent95% CI: [-6.8, 10.6]
Comparison: Pyrexia: estimated difference in percent95% CI: [-2.2, 6.2]
Primary

Percentage of Participants With Vaccine-related Serious AE (SAE)

A vaccine-related SAE is any untoward medical consequence that results in death, is life-threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an other important medical event, which is determined by the investigator to be related to the vaccine.

Time frame: Up to 194 days post-vaccination

Population: All participants as treated consisting of randomized participants who were included in the group corresponding to the vaccine actually received.

ArmMeasureValue (NUMBER)
Cohort 1 V116Percentage of Participants With Vaccine-related Serious AE (SAE)0.0 Percentage of participants
Cohort 1 PCV20Percentage of Participants With Vaccine-related Serious AE (SAE)0.0 Percentage of participants
Cohort 2 V116Percentage of Participants With Vaccine-related Serious AE (SAE)0.0 Percentage of participants
Cohort 2 PCV20Percentage of Participants With Vaccine-related Serious AE (SAE)0.0 Percentage of participants
Primary

Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116

The serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA. GMT values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.

Time frame: Day 30 post-vaccination

Population: All randomized participants treated with V116 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 6A5289.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 16F8877.0 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 23B2140.1 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 3308.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 7F6447.2 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 84516.0 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 9N17283.2 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 10A6808.1 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 11A5871.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 12F6150.4 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 15A11319.2 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 15C10194.0 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype17F16070.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 19A2773.2 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 20A13150.0 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 22F9299.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 23A8848.7 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 24F4137.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 318005.6 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 33F34805.5 Titer
Cohort 1 V116Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 35B13933.4 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 15C5708.0 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 16F5720.0 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 23B1420.9 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype17F10068.0 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 3282.7 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 6A2572.9 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 35B9053.9 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 7F4278.8 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 19A2374.6 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 83004.7 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 24F3047.2 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 9N8791.4 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 20A7562.7 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 10A4382.6 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 33F17607.4 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 11A3785.8 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 22F4683.6 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 12F3561.2 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 313820.7 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 15A5901.2 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116Serotype 23A4739.5 Titer
Comparison: Serotype 3: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [0.9, 1.33]LDA model
Comparison: Serotype 6A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.61, 2.62]LDA model
Comparison: Serotype 7F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.0015% CI: [1.23, 1.84]LDA model
Comparison: Serotype 8: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.26, 1.79]LDA model
Comparison: Serotype 9N: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.59, 2.43]LDA model
Comparison: Serotype 10A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.26, 1.92]LDA model
Comparison: Serotype 11A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.26, 1.91]LDA model
Comparison: Serotype 12F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.37, 2.17]LDA model
Comparison: Serotype 15A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.55, 2.37]LDA model
Comparison: Serotype 15C: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.36, 2.35]LDA model
Comparison: Serotype 16F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.26, 1.91]LDA model
Comparison: Serotype 17F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.26, 2.02]LDA model
Comparison: Serotype 19A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [0.97, 1.4]LDA model
Comparison: Serotype 20A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.39, 2.18]LDA model
Comparison: Serotype 22F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.58, 2.49]LDA model
Comparison: Serotype 23A: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.43, 2.44]LDA model
Comparison: Serotype 23B: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.11, 2.04]LDA model
Comparison: Serotype 24F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.1, 1.67]LDA model
Comparison: Serotype 31: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.63, 2.69]LDA model
Comparison: Serotype 33F: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.52, 2.57]LDA model
Comparison: Serotype 35B: V116 18-49 years/V116 50-64 years GMT Ratiop-value: <0.00195% CI: [1.26, 1.87]LDA model
Primary

Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20

The serotype specific OPA GMTs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using the multiplex opsonophagocytic assay (MOPA). GMT values were estimated from a constrained longitudinal data analysis; (cLDA) model. Per protocol, within group, confidence intervals (CIs) or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N7470.7 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 11A3232.6 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype15A5237.2 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A2302.0 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C4216.2 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 82501.3 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F4868.2 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A2136.1 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F7764.9 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3274.0 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A6099.2 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F3874.5 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A3737.2 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A3893.4 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B1082.5 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F13558.9 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F2728.6 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F3637.4 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 313132.5 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B8527.8 Titer
Cohort 1 V116Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F2641.2 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B1383.0 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 31144.4 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3176.7 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A2972.5 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F3429.9 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 81811.1 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A4678.0 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 11A2092.8 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F2499.6 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A2817.8 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F4770.1 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F11742.1 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N1640.4 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype15A1589.0 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C2072.3 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F846.3 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F460.4 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A631.1 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A461.5 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B107.3 Titer
Cohort 1 PCV20Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F70.5 Titer
Comparison: Serotype 3: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [1.4, 1.72]cLDA model
Comparison: Serotype 6A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [0.68, 0.88]cLDA model
Comparison: Serotype 7F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [0.95, 1.18]cLDA model
Comparison: Serotype 8: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [1.25, 1.53]cLDA model
Comparison: Serotype 10A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [0.75, 0.93]cLDA model
Comparison: Serotype 11A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [1.39, 1.72]cLDA model
Comparison: Serotype 12F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [0.92, 1.21]cLDA model
Comparison: Serotype 19A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [0.69, 0.84]cLDA model
Comparison: Serotype 22F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [0.72, 0.92]cLDA model
Comparison: Serotype 33F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [1.01, 1.32]cLDA model
Comparison: Serotype 9N: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [4.12, 5.04]cLDA model
Comparison: Serotype 15A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [2.91, 3.74]cLDA model
Comparison: Serotype 15C: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [1.77, 2.34]cLDA model
Comparison: Serotype 16F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [5.16, 6.41]cLDA model
Comparison: Serotype 17F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [14.9, 19.09]cLDA model
Comparison: Serotype 20A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [8.66, 10.79]cLDA model
Comparison: Serotype 23A: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [6.86, 9.55]cLDA model
Comparison: Serotype 23B: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [8.48, 12]cLDA model
Comparison: Serotype 24F: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [33.87, 44.25]cLDA model
Comparison: Serotype 31: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [18.68, 25.18]cLDA model
Comparison: Serotype 35B: V116/PCV20 GMT Ratiop-value: <0.00195% CI: [5.59, 6.8]cLDA model
Secondary

Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20

The GMFR from baseline in serotype specific IgG antibody GMCs for cohort 1 was determined using PnECL. The within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Baseline and Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B12.1 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A12.2 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F12.5 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 812.6 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A15.4 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A8.7 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F13.1 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A5.4 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F12.7 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F9.6 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N15.0 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A22.3 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C19.8 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F13.3 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F19.8 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A17.8 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35.1 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A11.7 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F21.2 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3113.0 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B14.7 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33.5 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A3.4 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A15.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C8.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F12.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B1.0 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 88.8 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F1.6 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A19.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B3.8 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A7.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F1.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F12.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A0.9 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A7.7 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 311.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F16.3 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A2.9 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F9.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F1.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N2.7 GMFR
Secondary

Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20

The geometric mean fold rise (GMFR) from baseline in serotype specific OPA GMTs for cohort 1 was determined using MOPA. The within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Baseline and Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A16.7 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A9.4 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F16.5 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C38.0 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F77.4 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F9.5 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A18.1 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F17.3 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A8.6 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A10.3 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 822.0 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A21.8 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F19.1 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B51.4 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 38.4 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F29.0 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F9.9 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3128.7 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N8.9 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B7.2 GMFR
Cohort 1 V116Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A17.4 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B1.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A11.6 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F8.5 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35.4 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A22.6 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F14.7 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 814.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A20.8 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F73.5 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A11.0 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F25.5 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N2.0 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A3.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C20.3 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F1.9 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F1.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A1.2 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A3.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B6.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F1.1 GMFR
Cohort 1 PCV20Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 311.5 GMFR
Secondary

Percentage of Participants From Cohort 1 V116 With ≥4-fold Change in OPA Responses for Cross Reactive Pneumococcal Serotypes

The percentage of participants with ≥4-fold rise from baseline was determined for Cohort 1 V116 serotypes 6C and 15B, two serotypes which cross react with PCV20. Point estimate and 95% CI are based on the Clopper-Pearson method. A conclusion of acceptability is based on the lower bound of the 95% CI of the percentages of participants with a ≥4-fold rise from baseline being \> 50 percentage points (one-sided p-value \< 0.025). Per protocol, participants treated with PCV20, and V116 Cohort 2 were not analyzed in this outcome measure.

Time frame: Baseline and Day 30 post-vaccination

Population: All randomized participants treated with V116 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, participants treated with PCV20 and V116 Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (NUMBER)
Cohort 1 V116Percentage of Participants From Cohort 1 V116 With ≥4-fold Change in OPA Responses for Cross Reactive Pneumococcal SerotypesSerotype 6C49.3 Percentage of participants
Cohort 1 V116Percentage of Participants From Cohort 1 V116 With ≥4-fold Change in OPA Responses for Cross Reactive Pneumococcal SerotypesSerotype 15B64.7 Percentage of participants
Comparison: Serotype 6Cp-value: 0.667Clopper-Pearson method.
Comparison: Serotype 15Bp-value: <0.001Clopper-Pearson method.
Secondary

Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20

Percentage of participants with ≥4-fold rise from baseline in serotype specific IgG antibody GMCs for cohort 1 was determined using PnECL. The within-group 95% CIs were based on the exact binomial method proposed by Clopper and Pearson. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Baseline and Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (NUMBER)
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A71.1 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A85.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A73.1 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C81.4 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F74.2 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F81.4 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 356.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F84.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A55.6 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A74.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A80.3 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A85.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F76.8 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B76.1 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F76.4 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F84.0 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F71.6 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3181.1 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N77.9 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B83.1 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 875.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B3.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F66.7 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 341.0 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A79.7 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F75.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 867.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A82.0 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A62.7 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F71.4 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A65.0 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F78.5 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N29.4 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A37.7 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C63.2 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F11.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F4.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A1.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A29.4 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B42.2 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F2.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 313.9 Percentage of participants
Secondary

Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20

Percentage of participants with ≥4-fold rise from baseline in OPA GMTs in Cohort 1 was determined using MOPA. The within-group 95% CIs were based on the exact binomial method proposed by Clopper and Pearson. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Baseline and Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (NUMBER)
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A64.4 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F70.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B85.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F67.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F71.0 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N64.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C83.4 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 875.8 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F71.9 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3176.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F75.8 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A71.9 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A67.3 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 371.3 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A78.9 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A70.0 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F80.5 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A66.7 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F89.0 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B60.0 Percentage of participants
Cohort 1 V116Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A76.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B6.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C74.2 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B49.6 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 359.1 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A79.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F65.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 867.4 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A74.1 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype11A61.5 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F87.1 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F74.4 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F61.5 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N19.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15A35.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F20.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F9.5 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A9.6 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A36.8 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F6.3 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 3117.9 Percentage of participants
Cohort 1 PCV20Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A70.2 Percentage of participants
Secondary

Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20

The serotype specific IgG GMCs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using pneumococcal electrochemiluminescence (PnECL). GMC values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.

Time frame: Day 30 post-vaccination

Population: All randomized participants from cohort 1 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, Cohort 2 were not analyzed in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A8.39 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F6.97 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F4.39 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 313.07 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F13.81 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 810.02 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 30.78 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype15A13.88 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A11.98 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C12.39 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F14.16 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F2.86 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 11A7.20 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A4.30 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A19.03 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N7.72 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A3.78 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F1.73 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B5.13 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B19.98 μg/mL
Cohort 1 V116Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F6.87 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 20A1.47 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 24F0.33 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 310.27 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 35B1.41 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 30.53 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 6A5.45 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 7F6.57 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 87.00 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 10A14.66 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 11A5.87 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 12F1.57 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 19A12.02 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 22F5.48 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 33F13.02 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 9N1.43 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype15A2.04 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 15C5.04 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 16F0.33 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 17F0.84 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23A0.59 μg/mL
Cohort 1 PCV20Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20Serotype 23B1.58 μg/mL
Comparison: Serotype 3: V116/PCV20 GMC Ratio95% CI: [1.35, 1.6]
Comparison: Serotype 6A: V116/PCV20 GMC Ratio95% CI: [0.7, 0.89]
Comparison: Serotype 7F: V116/PCV20 GMC Ratio95% CI: [0.95, 1.18]
Comparison: Serotype 8: V116/PCV20 GMC Ratio95% CI: [1.29, 1.59]
Comparison: Serotype 10A: V116/PCV20 GMC Ratio95% CI: [0.72, 0.92]
Comparison: Serotype 11A: V116/PCV20 GMC Ratio95% CI: [1.11, 1.36]
Comparison: Serotype 12F: V116/PCV20 GMC Ratio95% CI: [0.96, 1.26]
Comparison: Serotype 19A: V116/PCV20 GMC Ratio95% CI: [0.63, 0.77]
Comparison: Serotype 22F: V116/PCV20 GMC Ratio95% CI: [0.72, 0.9]
Comparison: Serotype 33F: V116/PCV20 GMC Ratio95% CI: [0.95, 1.18]
Comparison: Serotype 9N: V116/PCV20 GMC Ratio95% CI: [4.82, 6.06]
Comparison: Serotype 15A: V116/PCV20 GMC Ratio95% CI: [6.03, 7.64]
Comparison: Serotype 15C: V116/PCV20 GMC Ratio95% CI: [2.17, 2.79]
Comparison: Serotype 16F: V116/PCV20 GMC Ratio95% CI: [7.95, 9.64]
Comparison: Serotype 17F: V116/PCV20 GMC Ratio95% CI: [15.25, 18.41]
Comparison: Serotype 20A: V116/PCV20 GMC Ratio5% CI: [11.81, 14.13]
Comparison: Serotype 23A: V116/PCV20 GMC Ratio95% CI: [5.69, 7.24]
Comparison: Serotype 23B: V116/PCV20 GMC Ratio95% CI: [2.91, 3.64]
Comparison: Serotype 24F: V116/PCV20 GMC Ratio85% CI: [18.97, 23.43]
Comparison: Serotype 31: V116/PCV20 GMC Ratio95% CI: [10.36, 12.34]
Comparison: Serotype 35B: V116/PCV20 GMC Ratio95% CI: [12.97, 15.4]
Secondary

Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 2

The serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA for serotypes 6C and 15B which cross react with PCV20. GMT values were estimated from a LDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.

Time frame: Day 30 post-vaccination

Population: All randomized participants treated with V116 only, without deviations from the protocol that may substantially affect immunogenicity. Deviations include, but are not limited to the following: missing serology results; and blood draw out of window. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1 V116Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 26C2577.2 Titer
Cohort 1 V116Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 215B10976.7 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 26C1254.7 Titer
Cohort 1 PCV20Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 215B5438.9 Titer
Comparison: Serotype 6C: V116 18-49 years/V116 50-64 years GMT Ratio95% CI: [1.52, 2.77]
Comparison: Serotype 15B: V116 18-49 years/V116 50-64 years GMT ratiop-value: <0.00195% CI: [1.57, 2.6]LDA model

Source: ClinicalTrials.gov · Data processed: Feb 7, 2026