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Safety and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults 50 Years of Age or Older (V116-010, STRIDE-10)

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 50 Years of Age or Older

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05569954
Enrollment
1484
Registered
2022-10-06
Start date
2022-11-07
Completion date
2025-02-07
Last updated
2026-03-02

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

Conditions

Pneumococcal Disease

Brief summary

This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 in pneumococcal vaccine-naïve adults 50 years of age and older. The polyvalent (23-valent) pneumococcal vaccine, PPSV23, is the active comparator. In addition to studying safety/tolerability, it is hypothesized that, at 30 days postvaccination, the immunogenicity of V116 is noninferior to PPSV23 for the 12 common serotypes in V116 and PPSV23, and that V116 is superior to PPSV23 for the 9 serotypes unique to V116. It is also hypothesized that V116 is superior to PPSV23 in the percentage of participants with ≥4-fold rise from baseline in unique V116 serotypes, as measured by serotype-specific opsonophagocytic activity (OPA) geometric mean titers (GMTs).

Detailed description

Selected participants may be eligible for optional immunogenicity or PBMC substudies extension that will investigate the exploratory objectives.

Interventions

BIOLOGICALV116

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

BIOLOGICALPPSV23

Sterile 0.5 mL solution in prefilled syringe containing 25 μg of each PnPs antigen 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, and 33F.

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
50 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 inclusion 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 PPSV23, 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 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 postvaccinationAn 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 consisted of pain/tenderness, redness/erythema, and swelling. 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen \& Nurminen method.
Percentage of Participants With Solicited Systemic AEsUp to 5 days postvaccinationAn 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). 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen \& Nurminen method.
Percentage of Participants With Vaccine-Related Serious Adverse Events (SAEs)Up to 6 months postvaccinationAn SAE is any untoward medical occurrence 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. SAEs that were reported to be at least possibly related by the investigator to study vaccination are summarized. 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen \& Nurminen method.
Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V116Day 30 postvaccinationSerotype-specific OPA titers for all serotypes in V116 following vaccination were determined using multiplex opsonophagocytic assay (MOPA). Serotype-specific OPA GMTs and GMT ratios with 95% confidence intervals (CIs), and they hypothesis test (1-sided p-value), were calculated using a constrained longitudinal data analysis (cLDA) model. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.
Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V116Baseline (Day 1) and Day 30 postvaccinationThe percentage of participants with ≥4-fold rise from baseline in serotype-specific OPAs for the unique pneumococcal serotypes contained in V116 was determined. The 9 unique pneumococcal serotypes in V116 are as follows: 6A, 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

Secondary

MeasureTime frameDescription
Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific Cross-Reactive OPAsBaseline (Day 1) and Day 30 postvaccinationOPA induced by serotypes 6A and 15C in V116 but cross-reactive to serotypes 6C and 15B, respectively, were measured. The percentage of participants with ≥4-fold rise from baseline in serotype-specific cross-reactive OPAs was determined. Point estimate, 95% CI, and p-value are based on the Clopper-Pearson method. Per protocol, this outcome measure was not planned or analyzed in the PPSV23 study arm.
Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V116Baseline (Day 1) and Day 30 postvaccinationThe GMFR from baseline in serotype-specific OPA GMTs for all serotypes in V116 was determined using MOPA. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.
Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116Day 30 postvaccinationThe GMCs for serotype-specific IgG antibodies for all serotypes in V116 were determined using pneumococcal electrochemiluminescence (PnECL). The GMC ratio estimation and 95% CI were calculated using a cLDA method. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.
Serotype-Specific GMFR of IgG GMCs for All Serotypes in V116Baseline (Day 1) and Day 30 postvaccinationThe GMFR from baseline in GMCs for serotype-specific IgG antibodies for all serotypes in V116 was determined using PnECL. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.
Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116Baseline (Day 1) and Day 30 postvaccinationThe percentage of participants with ≥4-fold rise from baseline in serotype-specific OPA GMTs for all serotypes in V116 was determined with MOPA. The within-group CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116Baseline (Day 1) and Day 30 postvaccinationThe percentage of participants with ≥4-fold rise from baseline in serotype-specific IgG GMCs for all serotypes in V116 was determined using PnECL. The within-group CIs were calculated based on the Clopper-Pearson method.

Countries

Argentina, Australia, Colombia, Germany, Israel, New Zealand, South Korea, Spain, Taiwan, Turkey (Türkiye), United Kingdom

Contacts

STUDY_DIRECTORMedical Director

Merck Sharp & Dohme LLC

Participant flow

Pre-assignment details

1484 participants were randomized in the base study. Additionally, a subgroup of the first 700 participants randomized in the base study to either V116 or PPSV23 were followed for an additional 18 months after completing Visit 5 as part of an immunogenicity substudy extension. 80 participants enrolled at selected study sites were followed for an additional 6 months after completing Visit 5 as part of a PBMC substudy extension. These substudies investigated exploratory objectives.

Participants by arm

ArmCount
V116
Participants received a single intramuscular (IM) vaccination of 0.5 mL of V116 on Day 1.
741
PPSV23
Participants received a single IM vaccination of 0.5 mL of PPSV23 on Day 1.
743
Total1,484

Baseline characteristics

CharacteristicPPSV23TotalV116
Age, Continuous63.7 Years
STANDARD_DEVIATION 8.3
63.8 Years
STANDARD_DEVIATION 8.3
63.9 Years
STANDARD_DEVIATION 8.4
Ethnicity (NIH/OMB)
Hispanic or Latino
162 Participants313 Participants151 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
571 Participants1150 Participants579 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
10 Participants21 Participants11 Participants
Race (NIH/OMB)
American Indian or Alaska Native
5 Participants9 Participants4 Participants
Race (NIH/OMB)
Asian
140 Participants291 Participants151 Participants
Race (NIH/OMB)
Black or African American
2 Participants4 Participants2 Participants
Race (NIH/OMB)
More than one race
124 Participants243 Participants119 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
3 Participants12 Participants9 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Race (NIH/OMB)
White
469 Participants924 Participants455 Participants
Sex: Female, Male
Female
333 Participants665 Participants332 Participants
Sex: Female, Male
Male
410 Participants819 Participants409 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 7410 / 7430 / 3490 / 3480 / 410 / 39
other
Total, other adverse events
399 / 739364 / 7410 / 3490 / 3480 / 410 / 39
serious
Total, serious adverse events
22 / 73918 / 7410 / 3490 / 3480 / 410 / 39

Outcome results

Primary

Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V116

The percentage of participants with ≥4-fold rise from baseline in serotype-specific OPAs for the unique pneumococcal serotypes contained in V116 was determined. The 9 unique pneumococcal serotypes in V116 are as follows: 6A, 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

Time frame: Baseline (Day 1) and Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (NUMBER)
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11615A69.7 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11624F50.5 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V1163174.4 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11616F63.2 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11635B63.8 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11615C87.9 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11623A70.6 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11623B86.6 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V1166A79.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11624F14.6 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V1166A53.0 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11615A30.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11615C76.2 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11616F20.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11623B44.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V1163118.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11635B5.2 Percentage of Participants
PPSV23Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V11623A34.7 Percentage of Participants
Comparison: Serotype 6A: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [20.9, 31]Stratified Miettinen & Nurminen method
Comparison: Serotype 15A: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [33.6, 44.8]Stratified Miettinen & Nurminen method
Comparison: Serotype 15C: V116-PPSV23 Percentage Differencep-value: 0.21495% CI: [7.5, 15.9]Stratified Miettinen & Nurminen method
Comparison: Serotype 16F: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [37.8, 47.8]Stratified Miettinen & Nurminen method
Comparison: Serotype 23A: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [29.6, 41.8]Stratified Miettinen & Nurminen method
Comparison: Serotype 23B: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [37.6, 47]Stratified Miettinen & Nurminen method
Comparison: Serotype 24F: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [30.6, 41]Stratified Miettinen & Nurminen method
Comparison: Serotype 31: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [51.5, 60.5]Stratified Miettinen & Nurminen method
Comparison: Serotype 35B: V116-PPSV23 Percentage Differencep-value: <0.00195% CI: [54.6, 62.7]Stratified Miettinen & Nurminen method
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 consisted of pain/tenderness, redness/erythema, and swelling. 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen & Nurminen method.

Time frame: Up to 5 days postvaccination

Population: All randomized participants that received a vaccination. Participants are included in the group corresponding to the vaccination received.

ArmMeasureGroupValue (NUMBER)
V116Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)Injection site pain39.0 Percentage of Participants
V116Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)Injection site erythema4.7 Percentage of Participants
V116Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)Injection site swelling4.9 Percentage of Participants
PPSV23Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)Injection site erythema6.3 Percentage of Participants
PPSV23Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)Injection site pain35.2 Percentage of Participants
PPSV23Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)Injection site swelling4.3 Percentage of Participants
Comparison: Injection site erythema: estimated difference in percent95% CI: [-4, 0.7]
Comparison: Injection site pain: estimated difference in percent95% CI: [-1.2, 8.7]
Comparison: Injection site swelling: estimated difference in percent95% CI: [-1.6, 2.7]
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). 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen & Nurminen method.

Time frame: Up to 5 days postvaccination

Population: All randomized participants that received a vaccination. Participants are included in the group corresponding to the vaccination received.

ArmMeasureGroupValue (NUMBER)
V116Percentage of Participants With Solicited Systemic AEsFatigue16.5 Percentage of Participants
V116Percentage of Participants With Solicited Systemic AEsHeadache13.7 Percentage of Participants
V116Percentage of Participants With Solicited Systemic AEsMyalgia5.3 Percentage of Participants
V116Percentage of Participants With Solicited Systemic AEsPyrexia1.1 Percentage of Participants
PPSV23Percentage of Participants With Solicited Systemic AEsPyrexia1.3 Percentage of Participants
PPSV23Percentage of Participants With Solicited Systemic AEsFatigue15.7 Percentage of Participants
PPSV23Percentage of Participants With Solicited Systemic AEsMyalgia5.9 Percentage of Participants
PPSV23Percentage of Participants With Solicited Systemic AEsHeadache12.0 Percentage of Participants
Comparison: Fatigue: estimated difference in percent95% CI: [-2.9, 4.6]
Comparison: Headache: estimated difference in percent95% CI: [-1.8, 5.1]
Comparison: Myalgia: estimated difference in percent95% CI: [-3.1, 1.7]
Comparison: Pyrexia: estimated difference in percent95% CI: [-1.5, 0.9]
Primary

Percentage of Participants With Vaccine-Related Serious Adverse Events (SAEs)

An SAE is any untoward medical occurrence 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. SAEs that were reported to be at least possibly related by the investigator to study vaccination are summarized. 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen & Nurminen method.

Time frame: Up to 6 months postvaccination

Population: All randomized participants that received a vaccination. Participants are included in the group corresponding to the vaccination received.

ArmMeasureValue (NUMBER)
V116Percentage of Participants With Vaccine-Related Serious Adverse Events (SAEs)0 Percentage of Participants
PPSV23Percentage of Participants With Vaccine-Related Serious Adverse Events (SAEs)0 Percentage of Participants
Comparison: Vaccine-Related Serious Adverse Events95% CI: [-0.5, 0.5]
Primary

Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V116

Serotype-specific OPA titers for all serotypes in V116 following vaccination were determined using multiplex opsonophagocytic assay (MOPA). Serotype-specific OPA GMTs and GMT ratios with 95% confidence intervals (CIs), and they hypothesis test (1-sided p-value), were calculated using a constrained longitudinal data analysis (cLDA) model. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

Time frame: Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11683379.6 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1169N7346.6 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11624F4568.0 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11610A4382.9 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11615C7604.8 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11611A3711.1 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V116315040.7 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11612F3031.8 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11623A4804.2 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11617F8215.7 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11635B10707.5 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11619A2670.0 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11615A6746.5 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11620A6966.1 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1163230.4 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11622F4724.1 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11623B2252.6 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11633F15497.3 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1167F4876.7 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1166A3193.9 Titers
V116Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11616F6675.4 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1166A964.0 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11615A1462.1 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11615C2605.0 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11616F1482.2 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11623A837.2 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11623B137.2 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11624F1346.7 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11631423.9 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11635B1735.0 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1163211.5 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1167F3314.6 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V1169N6545.9 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11610A2818.7 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11611A1809.7 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11612F1854.9 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11617F4060.5 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11619A1879.9 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11620A4208.4 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11622F3084.9 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11633F17483.0 Titers
PPSV23Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V11682882.1 Titers
Comparison: Serotype 3: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [0.96, 1.23]cLDA model
Comparison: Serotype 7F: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.29, 1.68]cLDA model
Comparison: Serotype 8: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.04, 1.32]cLDA model
Comparison: Serotype 9N: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1, 1.26]cLDA model
Comparison: Serotype 10A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.37, 1.77]cLDA model
Comparison: Serotype 11A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.82, 2.31]cLDA model
Comparison: Serotype 12F: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.4, 1.9]cLDA model
Comparison: Serotype 17F: V116/PPSV23GMT Ratiop-value: <0.00195% CI: [1.77, 2.31]cLDA model
Comparison: Serotype 19A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.26, 1.6]cLDA model
Comparison: Serotype 20A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.46, 1.88]cLDA model
Comparison: Serotype 22F: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [1.34, 1.75]cLDA model
Comparison: Serotype 33F: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [0.76, 1.04]cLDA model
Comparison: Serotype 6A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [2.84, 3.87]cLDA model
Comparison: Serotype 15A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [3.99, 5.33]cLDA model
Comparison: Serotype 15C: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [2.5, 3.42]cLDA model
Comparison: Serotype 16F: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [3.99, 5.09]cLDA model
Comparison: Serotype 23A: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [4.81, 6.85]cLDA model
Comparison: Serotype 23B: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [13.46, 20.03]cLDA model
Comparison: Serotype 24F: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [2.97, 3.87]cLDA model
Comparison: Serotype 31: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [10.16, 13.91]cLDA model
Comparison: Serotype 35B: V116/PPSV23 GMT Ratiop-value: <0.00195% CI: [5.54, 6.87]cLDA model
Secondary

Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific Cross-Reactive OPAs

OPA induced by serotypes 6A and 15C in V116 but cross-reactive to serotypes 6C and 15B, respectively, were measured. The percentage of participants with ≥4-fold rise from baseline in serotype-specific cross-reactive OPAs was determined. Point estimate, 95% CI, and p-value are based on the Clopper-Pearson method. Per protocol, this outcome measure was not planned or analyzed in the PPSV23 study arm.

Time frame: Baseline (Day 1) and Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated with V116 and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination. Per protocol, this outcome measure was not planned or analyzed in the PPSV23 study arm.

ArmMeasureGroupValue (NUMBER)
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific Cross-Reactive OPAs15B72.6 Percentage of Participants
V116Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific Cross-Reactive OPAs6C52.7 Percentage of Participants
Comparison: Serotype 6Cp-value: 0.093Clopper-Pearson method
Comparison: Serotype 15Bp-value: <0.001Clopper-Pearson method
Secondary

Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116

The percentage of participants with ≥4-fold rise from baseline in serotype-specific IgG GMCs for all serotypes in V116 was determined using PnECL. The within-group CIs were calculated based on the Clopper-Pearson method.

Time frame: Baseline (Day 1) and Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (NUMBER)
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1166A81.4 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116884.4 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11615A91.3 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11617F91.0 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11615C90.7 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11610A88.9 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11616F83.8 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11623B78.9 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11619A63.9 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11624F88.2 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1167F84.8 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11635B85.1 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11611A76.8 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11633F83.0 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11620A85.5 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1169N85.5 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11623A85.9 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11622F85.4 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11612F86.5 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1163182.0 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116359.8 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11635B2.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116354.7 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1167F79.7 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116886.5 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1169N83.2 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11610A81.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11611A56.6 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11612F73.7 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11617F79.6 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11619A58.5 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11620A73.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11622F77.5 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1166A47.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11615A34.2 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11615C72.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11623B33.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V1163111.6 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11633F83.5 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11616F11.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11623A29.9 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V11624F1.7 Percentage of Participants
Secondary

Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116

The percentage of participants with ≥4-fold rise from baseline in serotype-specific OPA GMTs for all serotypes in V116 was determined with MOPA. The within-group CIs were calculated based on the Clopper-Pearson method.

Time frame: Baseline (Day 1) and Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (NUMBER)
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11623A70.6 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1167F75.2 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116883.6 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1169N72.3 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11610A74.7 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11611A72.1 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11612F93.3 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11617F84.1 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11619A70.9 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11620A71.0 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11622F76.5 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11633F66.2 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1166A79.1 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11615A69.7 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11615C87.9 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11616F63.2 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116369.2 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11623B86.6 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11624F50.5 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1163174.4 Percentage of Participants
V116Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11635B63.8 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11622F67.2 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116366.9 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11623A34.7 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1167F69.9 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11633F70.9 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116885.4 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11616F20.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1169N73.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1166A53.0 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11610A66.5 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11623B44.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11611A58.8 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11615A30.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11612F90.7 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V1163118.3 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11617F71.8 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11615C76.2 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11619A64.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11624F14.6 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11620A58.1 Percentage of Participants
PPSV23Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V11635B5.2 Percentage of Participants
Secondary

Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V116

The GMFR from baseline in serotype-specific OPA GMTs for all serotypes in V116 was determined using MOPA. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Time frame: Baseline (Day 1) and Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11637.5 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11610A16.6 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11611A18.5 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11612F89.2 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11617F25.2 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11619A10.2 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11620A10.9 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11622F20.5 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11633F8.8 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1166A19.5 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11615A10.4 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11615C49.4 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11616F7.0 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11623A13.9 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11623B53.9 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11624F5.5 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1163119.5 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11635B7.0 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1167F18.3 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V116834.3 Ratio
V116Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1169N11.3 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11635B1.1 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11636.8 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1169N11.4 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11615A2.4 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11610A10.9 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11624F1.6 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11611A9.2 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11615C17.3 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11612F58.1 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V116828.8 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11617F12.9 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11616F1.8 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11619A7.2 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V116311.7 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11620A6.6 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11623A2.7 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11622F12.3 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1167F14.0 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11633F10.2 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V11623B4.5 Ratio
PPSV23Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V1166A5.5 Ratio
Secondary

Serotype-Specific GMFR of IgG GMCs for All Serotypes in V116

The GMFR from baseline in GMCs for serotype-specific IgG antibodies for all serotypes in V116 was determined using PnECL. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Time frame: Baseline (Day 1) and Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11635.3 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1167F19.3 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V116816.4 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1169N20.1 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11610A22.3 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11611A10.9 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11612F20.5 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11617F25.5 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11619A7.8 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11620A15.8 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11622F19.1 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11633F14.4 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1166A17.1 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11615A27.5 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11615C30.1 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11616F15.4 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11623A20.4 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11623B13.3 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11624F23.0 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1163113.0 Ratio
V116Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11635B16.8 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11622F11.0 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11634.7 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11624F1.1 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1167F10.9 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11633F12.0 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V116814.1 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11623A2.8 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1169N13.3 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V1166A4.6 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11610A11.1 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11635B1.1 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11611A5.0 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11615A3.1 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11612F10.6 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11623B2.9 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11617F10.8 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11615C8.8 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11619A5.3 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V116311.6 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11620A8.6 Ratio
PPSV23Serotype-Specific GMFR of IgG GMCs for All Serotypes in V11616F1.6 Ratio
Secondary

Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116

The GMCs for serotype-specific IgG antibodies for all serotypes in V116 were determined using pneumococcal electrochemiluminescence (PnECL). The GMC ratio estimation and 95% CI were calculated using a cLDA method. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

Time frame: Day 30 postvaccination

Population: Per protocol, all randomized participants who were vaccinated and were without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint and who had sufficient data to perform the analysis. Deviations include, but are not limited to the following: randomized but not vaccinated, blood drawn out of time window, prohibited concomitant medication or vaccination.

ArmMeasureGroupValue (NUMBER)
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11615A17.98 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V1167F9.35 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116813.83 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V1169N11.21 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11610A15.05 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11611A8.83 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11612F2.28 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11617F16.39 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11619A9.54 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11622F5.32 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11633F19.12 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V1166A5.79 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11615C19.27 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11616F3.48 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11623A4.21 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11623B5.74 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11624F8.52 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116313.48 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11635B22.26 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11620A22.97 μg/mL
V116Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11630.79 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11623A0.56 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11630.69 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11633F15.70 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V1167F5.02 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11635B1.43 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116811.85 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V1166A1.53 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V1169N7.23 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11615A2.01 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11610A7.41 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11623B1.20 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11611A4.01 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11615C5.61 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11612F1.14 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116310.40 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11617F6.85 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11616F0.35 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11619A6.42 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11620A12.32 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11624F0.40 μg/mL
PPSV23Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V11622F3.00 μg/mL
Comparison: Serotype 31: V116/PPSV23 GMC Ratio95% CI: [7.82, 9.65]
Comparison: Serotype 3: V116/PPSV23 GMC Ratio95% CI: [1.04, 1.25]
Comparison: Serotype 7F: V116/PPSV23 GMC Ratio95% CI: [1.65, 2.1]
Comparison: Serotype 35B: V116/PPSV23 GMC Ratio95% CI: [14.13, 17.07]
Comparison: Serotype 8: V116/PPSV23 GMC Ratio95% CI: [1.04, 1.31]
Comparison: Serotype 9N: V116/PPSV23 GMC Ratio95% CI: [1.37, 1.76]
Comparison: Serotype 10A: V116/PPSV23 GMC Ratio95% CI: [1.79, 2.31]
Comparison: Serotype 11A: V116/PPSV23 GMC Ratio95% CI: [1.97, 2.46]
Comparison: Serotype 12F: V116/PPSV23 GMC Ratio95% CI: [1.72, 2.3]
Comparison: Serotype 17F: V116/PPSV23 GMC Ratio95% CI: [2.12, 2.7]
Comparison: Serotype 19A: V116/PPSV23 GMC Ratio95% CI: [1.32, 1.67]
Comparison: Serotype 20A: V116/PPSV23 GMC Ratio95% CI: [1.65, 2.1]
Comparison: Serotype 22F: V116/PPSV23 GMC Ratio95% CI: [1.55, 2.02]
Comparison: Serotype 33F: V116/PPSV23 GMC Ratio95% CI: [1.08, 1.37]
Comparison: Serotype 6A: V116/PPSV23 GMC Ratio95% CI: [3.29, 4.35]
Comparison: Serotype 15A: V116/PPSV23 GMC Ratio95% CI: [7.89, 10.09]
Comparison: Serotype 15C: V116/PPSV23 GMC Ratio95% CI: [3.01, 3.92]
Comparison: Serotype 16F: V116/PPSV23 GMC Ratio95% CI: [8.83, 10.97]
Comparison: Serotype 23A: V116/PPSV23 GMC Ratio95% CI: [6.68, 8.61]
Comparison: Serotype 23B: V116/PPSV23 GMC Ratio95% CI: [4.26, 5.38]
Comparison: Serotype 24F: V116/PPSV23 GMC Ratio95% CI: [18.98, 23.65]

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026