Pneumococcal Disease
Conditions
Brief summary
The purpose of this study is to understand the safety and effects of a study vaccine (20vPnC) in infants and toddlers. This study is enrolling participants who are: * Born after at least 36 weeks of pregnancy and about 2 months of age at the time of entering the study * Have a bodyweight of at least 3 kg Participants will receive either the study vaccine (20vPnC) or a licensed vaccine (13vPnC) as a 4-dose schedule as a shot in the muscle. Participants will receive Dose 1 on study day 1. Dose 2 will be given 28-70 days after Dose 1, and Dose 3 will be given 28-70 days after Dose 2. Dose 4 will be given at 365-455 days (approximately 12-15 months) of age. Participation in the study will take approximately 15 months, during which participants will come to the study clinic for 6 times. The study team will ask questions about the participant's health and take some blood samples during the visit.
Interventions
20-valent pneumococcal conjugate vaccine
13-valent pneumococcal conjugate vaccine
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female infants born at ≥36 weeks of gestation and approximately 2 months of age at the time of consent * Healthy infants determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study * Weight of 3.0 kg or greater at the time of randomization
Exclusion criteria
* History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of 13vPnC, 20vPnC, or any other diphtheria toxoid-containing vaccine. * Major known congenital malformation or serious chronic disorder * Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study intervention administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study * Previous vaccination with any licensed or investigational pneumococcal vaccine, or planned receipt through study participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| GMCs of serotype-specific IgG concentrations in Indian participants 1 month after Dose 4 in each vaccine group | 1 month after Dose 4 | IgG GMCs for the 20vPnC serotypes 1 month after Dose 4, Indian participants only |
| Percentage of participants in India and Taiwan with systemic events (fever, decreased appetite, drowsiness/increased sleep, and irritability), separately by country | Day 7 | Prompted systemic reactions after each dose |
| Percentage of participants in India and Taiwan with adverse events (AEs) from Dose 1 through 1 month after Dose 3 in each group, separately by country | Dose 1 to 1 month after Dose 3 | Adverse events occurring from Dose 1 to 1 month after Dose 3 in each group |
| Percentage of participants from India and Taiwan with AEs from Dose 4 through 1 month after Dose 4 in each group, separately by country | Dose 4 to 1 month after Dose 4 | Adverse events occurring from Dose 4 to 1 month after Dose 4 in each group |
| Percentage of participants in India and Taiwan with SAEs from Dose 1 through 1 month after Dose 4 in each group, separately by country | Dose 1 to 1 month after Dose 4 | SAEs occurring up to 1 month after Dose 4 in each group |
| Percentage of participants in India and Taiwan with local reactions (redness, swelling, and pain at the injection site), separately by country | Day 7 | Prompted local reactions after each dose |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentages of participants in India and Taiwan with predefined serotype-specific IgG concentration for the 20vPnC serotypes at approximately 1 month after Dose 3 in each vaccine group, separately by country | 1 month after Dose 3 | IgG concentrations for 20vPnC serotypes 1 month after Dose 3 |
| GMCs of serotype-specific IgG concentrations in Taiwanese participants 1 month after Dose 4 in each vaccine group | 1 month after Dose 4 | IgG GMCs for the 20vPnC serotypes 1 month after Dose 4, Taiwanese participants only |
| Percentages of participants in India and Taiwan with predefined serotype-specific IgG concentrations for the 20vPnC serotypes at approximately 1 month after Dose 4 in each vaccine group, separately by country | 1 month after Dose 4 | IgG concentrations for 20vPnC serotypes 1 month after Dose 4 |
| Geometric mean concentrations (GMCs) of serotype-specific IgG concentrations 1 month after Dose 3 in each vaccine group, separately by country | 1 month after Dose 3 | IgG GMCs for the 20vPnC serotypes 1 month after Dose 3 |
Countries
India, Taiwan