Skip to content

A Phase 2 Study to Learn About a Monovalent Pneumococcal Conjugate Candidate in Healthy Toddlers

A Phase 2, Randomized, Open-Label Trial to Describe the Safety and Immunogenicity of a Monovalent Pneumococcal Conjugate Candidate Administered As a 2-Dose Series in Healthy Toddlers 11 Through 15 Months of Age Who Previously Received the PCV10 Primary Series

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06116591
Enrollment
105
Registered
2023-11-03
Start date
2023-11-08
Completion date
2024-05-27
Last updated
2025-05-08

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

Conditions

Healthy Participants

Keywords

Pneumococcal Disease

Brief summary

The purpose of the study is to learn about the effects of a monovalent (single component) pneumococcal conjugate candidate (mPnC candidate) when given to toddlers between 11 and 15 months of age. All participants in this study will receive 2 doses of either mPnC candidate or mPnC control at the clinic approximately 8 weeks apart. All participants will also receive their third (toddler) dose of PCV10 at Visit 1.

Interventions

BIOLOGICALmPnC candidate

monovalent pneumococcal conjugate candidate

BIOLOGICALmPnC control

monovalent pneumococcal conjugate control

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
11 Months to 15 Months
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: * Toddlers ≥11 to ≤15 months of age at the time of consent. * Have received exactly 2 infant doses of PCV10 according to a local immunization schedule. * Healthy toddlers determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study. Key

Exclusion criteria

* History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of study intervention, 13vPnC, 20vPnC, or any diphtheria toxoid-containing vaccine. * significant neurological disorder or history of seizure (excluding febrile seizure) or significant stable or evolving disorders such as cerebral palsy, encephalopathy, hydrocephalus, or other significant disorders. * Major known congenital malformation or serious chronic disorder. * History of microbiologically proven invasive disease caused by S pneumoniae. * Previous vaccination with any licensed pneumococcal vaccine (other than the PCV10 primary infant series) or investigational pneumococcal vaccine, or planned receipt of nonstudy pneumococcal vaccine during study participation.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Local Reactions Within 7 Days After Dose 1Day 1 through Day 7, where Day 1 is the day of Dose 1 administration (Visit 1 of study)Local reactions included redness, swelling and pain at injection site. Redness and swelling were graded as mild: \> 0 to 2.0 centimeter (cm), moderate: \>2.0 to 7.0 cm, severe: \>7.0 cm and Grade 4: necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched, with crying, severe: caused limitation of limb movement and Grade 4 (potentially life threatening): emergency room visit or hospitalization for severe pain at injection site. Grade 4 assessments were made by the investigator. Any local reaction: any mild, moderate, severe, or Grade 4 redness, swelling, or pain at the injection site.
Percentage of Participants With Local Reactions Within 7 Days After Dose 2Day 1 through Day 7, where Day 1 is the day of Dose 2 administration (Visit 3 of study)Local reactions included redness, swelling and pain at injection site. Redness and swelling were graded as mild: \> 0 to 2.0 cm, moderate: \>2.0 to 7.0 cm, severe: \>7.0 cm and Grade 4: necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched, with crying, severe: caused limitation of limb movement and Grade 4 (potentially life threatening): emergency room visit or hospitalization for severe pain at injection site. Grade 4 assessments were made by the investigator. Any local reaction: any mild, moderate, severe, or Grade 4 redness, swelling, or pain at the injection site.
Percentage of Participants With Systemic Events Within 7 Days After Dose 1Day 1 through Day 7, where Day 1 is the day of Dose 1 administration (Visit 1 of study)Fever (oral temperature \>= 38 degree Celsius \[degC\]) was categorized as \>=38.0-38.4 degC, \>38.4-38.9 degC, \>38.9-40.0 degC and \>40.0 degC. Decreased appetite was graded as mild: decreased interest in eating, moderate: decreased oral intake, severe: refusal to feed. Drowsiness was graded as mild: increased/prolonged sleeping bouts, moderate: slightly subdued, interfered daily activity, severe: disabled, not interested in daily activity. Irritability was graded as mild: easily consolable, moderate: required increased attention, severe: inconsolable, crying couldn't be comforted. Grade 4 decreased appetite, drowsiness and irritability events led to emergency room visit or hospitalization and were classified by investigator/medically qualified person. Any systemic event: any fever, decreased appetite, drowsiness, irritability.
Percentage of Participants With Systemic Events Within 7 Days After Dose 2Day 1 through Day 7, where Day 1 is the day of Dose 2 administration (Visit 3 of study)Fever (oral temperature \>= 38 degC) was categorized as \>=38.0-38.4 degC, \>38.4-38.9 degC, \>38.9-40.0 degC and \>40.0 degC. Decreased appetite was graded as mild: decreased interest in eating, moderate: decreased oral intake, severe: refusal to feed. Drowsiness was graded as mild: increased/prolonged sleeping bouts, moderate: slightly subdued, interfered daily activity, severe: disabled, not interested in daily activity. Irritability was graded as mild: easily consolable, moderate: required increased attention, severe: inconsolable, crying couldn't be comforted. Grade 4 decreased appetite, drowsiness and irritability events led to emergency room visit or hospitalization and were classified by investigator/medically qualified person. Any systemic event: any fever, decreased appetite, drowsiness, irritability.
Percentage of Participants With Adverse Events (AEs) From Dose 1 Through 1 Month After Dose 2From Dose 1 through 1 month after Dose 2 [up to approximately 3.7 months]An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. Results excluded local reactions and systemic events data.
Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 Through 1 Month After Dose 2From Dose 1 through 1 month after Dose 2 [up to approximately 3.7 months]An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was an AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity; constituted a congenital anomaly/birth defect; was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or nonpathogenic; other situations as judged by investigator.

Secondary

MeasureTime frameDescription
Geometric Mean Titer (GMTs) of Pneumococcal Opsonophagocytic Activity (OPA) at 1 Month After Dose 11 month after Dose 1GMTs and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on student's t distribution).
GMTs of Pneumococcal OPA at 1 Month After Dose 21 month after Dose 2GMTs and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on student's t distribution).
GMCs of Pneumococcal IgG at 1 Month After Dose 21 month after Dose 2GMCs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the student t distribution).
GMFRs of Pneumococcal OPA From 1 Month After Dose 1 to 1 Month After Dose 2From 1 month after Dose 1 to 1 month after Dose 2GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).
GMFRs of Pneumococcal OPA From Before Dose 1 to 1 Month After Dose 1From before Dose 1 to 1 month after Dose 1GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).
Percentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 11 month after Dose 1Predefined IgG concentrations was \>= 0.35 micrograms per milliliter (mcg/mL).
Percentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 21 month after Dose 2Predefined level of IgG concentrations was \>= 0.35 mcg/mL.
Geometric Mean Concentration (GMCs) of Pneumococcal Immunoglobulin G (IgG) at 1 Month After Dose 11 month after Dose 1GMCs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the student t distribution).
Geometric Mean Fold Rise (GMFRs) of Pneumococcal IgG From Before Dose 1 to 1 Month After Dose 1From before Dose 1 to 1 month after Dose 1GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).
GMFRs of Pneumococcal IgG From 1 Month After Dose 1 to 1 Month After Dose 2From 1 month after Dose 1 to 1 month after Dose 2GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).

Countries

Finland, Poland

Participant flow

Participants by arm

ArmCount
mPnC Candidate
Participants who had previously received 2 doses of PCV10 primary series as part of their infant routine vaccines were administered 0.5 mL dose of mPnC candidate intramuscularly at Visit 1 of the study (Day 1 of study; Dose 1) and Visit 3 of the study (56 to 70 days after Visit 1; Dose 2). Participants also received their third (toddler) dose of PCV10 at Visit 1 per childhood vaccine standard of care.
52
mPnC Control
Participants who had previously received 2 doses of PCV10 primary series as part of their infant routine vaccines were administered 0.5 mL dose of mPnC control intramuscularly at Visit 1 of the study (Day 1 of study; Dose 1) and Visit 3 of the study (56 to 70 days after Visit 1; Dose 2). Participants also received their third (toddler) dose of PCV10 at Visit 1 per childhood vaccine standard of care.
53
Total105

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyNo longer met eligibility criteria01
Overall StudyOther: Change in life situation01

Baseline characteristics

CharacteristicmPnC ControlTotalmPnC Candidate
Age, Continuous11.3 Months
STANDARD_DEVIATION 0.54
11.3 Months
STANDARD_DEVIATION 0.55
11.4 Months
STANDARD_DEVIATION 0.56
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants3 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
51 Participants102 Participants51 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
51 Participants103 Participants52 Participants
Sex: Female, Male
Female
25 Participants52 Participants27 Participants
Sex: Female, Male
Male
28 Participants53 Participants25 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 520 / 53
other
Total, other adverse events
51 / 5253 / 53
serious
Total, serious adverse events
1 / 521 / 53

Outcome results

Primary

Percentage of Participants With Adverse Events (AEs) From Dose 1 Through 1 Month After Dose 2

An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. Results excluded local reactions and systemic events data.

Time frame: From Dose 1 through 1 month after Dose 2 [up to approximately 3.7 months]

Population: Safety analysis set included all participants who received at least 1 dose of the study intervention. Here, ''Overall Number of Participants Analyzed'' signifies participants who received Dose 1 and who were evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
mPnC CandidatePercentage of Participants With Adverse Events (AEs) From Dose 1 Through 1 Month After Dose 284.6 Percentage of participants
mPnC ControlPercentage of Participants With Adverse Events (AEs) From Dose 1 Through 1 Month After Dose 275.5 Percentage of participants
Primary

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

Local reactions included redness, swelling and pain at injection site. Redness and swelling were graded as mild: \> 0 to 2.0 centimeter (cm), moderate: \>2.0 to 7.0 cm, severe: \>7.0 cm and Grade 4: necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched, with crying, severe: caused limitation of limb movement and Grade 4 (potentially life threatening): emergency room visit or hospitalization for severe pain at injection site. Grade 4 assessments were made by the investigator. Any local reaction: any mild, moderate, severe, or Grade 4 redness, swelling, or pain at the injection site.

Time frame: Day 1 through Day 7, where Day 1 is the day of Dose 1 administration (Visit 1 of study)

Population: Safety analysis set included all participants who received at least 1 dose of the study intervention. Here, ''Overall Number of Participants Analyzed'' signifies participants who received Dose 1 and who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Severe0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Mild17.3 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Any15.4 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Any28.8 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Severe0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Mild21.2 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Mild11.5 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Moderate5.8 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Moderate0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Severe1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Moderate3.8 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Any17.3 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Any15.1 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Mild9.4 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Moderate5.7 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Redness: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Any7.5 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Mild5.7 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Moderate1.9 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Swelling: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Any30.2 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Mild17.0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Moderate13.2 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 1Pain at the injection site: Severe0 Percentage of participants
Primary

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

Local reactions included redness, swelling and pain at injection site. Redness and swelling were graded as mild: \> 0 to 2.0 cm, moderate: \>2.0 to 7.0 cm, severe: \>7.0 cm and Grade 4: necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched, with crying, severe: caused limitation of limb movement and Grade 4 (potentially life threatening): emergency room visit or hospitalization for severe pain at injection site. Grade 4 assessments were made by the investigator. Any local reaction: any mild, moderate, severe, or Grade 4 redness, swelling, or pain at the injection site.

Time frame: Day 1 through Day 7, where Day 1 is the day of Dose 2 administration (Visit 3 of study)

Population: Safety analysis set included all participants who received at least 1 dose of the study intervention. Here, ''Overall Number of Participants Analyzed'' signifies participants who received Dose 2 and who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Severe0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Moderate3.8 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Severe0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Moderate3.8 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Any0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Any13.5 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Mild0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Mild11.5 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Moderate0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Mild9.6 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Severe0 Percentage of participants
mPnC CandidatePercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Any15.4 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Any17.6 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Mild11.8 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Moderate5.9 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Pain at the injection site: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Any17.6 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Mild15.7 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Moderate2.0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Redness: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Any7.8 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Mild7.8 Percentage of participants
mPnC ControlPercentage of Participants With Local Reactions Within 7 Days After Dose 2Swelling: Moderate0 Percentage of participants
Primary

Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 Through 1 Month After Dose 2

An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was an AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity; constituted a congenital anomaly/birth defect; was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or nonpathogenic; other situations as judged by investigator.

Time frame: From Dose 1 through 1 month after Dose 2 [up to approximately 3.7 months]

Population: Safety analysis set included all participants who received at least 1 dose of the study intervention. Here, ''Overall Number of Participants Analyzed'' signifies participants who received Dose 1 and who were evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
mPnC CandidatePercentage of Participants With Serious Adverse Events (SAEs) From Dose 1 Through 1 Month After Dose 21.9 Percentage of participants
mPnC ControlPercentage of Participants With Serious Adverse Events (SAEs) From Dose 1 Through 1 Month After Dose 21.9 Percentage of participants
Primary

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

Fever (oral temperature \>= 38 degree Celsius \[degC\]) was categorized as \>=38.0-38.4 degC, \>38.4-38.9 degC, \>38.9-40.0 degC and \>40.0 degC. Decreased appetite was graded as mild: decreased interest in eating, moderate: decreased oral intake, severe: refusal to feed. Drowsiness was graded as mild: increased/prolonged sleeping bouts, moderate: slightly subdued, interfered daily activity, severe: disabled, not interested in daily activity. Irritability was graded as mild: easily consolable, moderate: required increased attention, severe: inconsolable, crying couldn't be comforted. Grade 4 decreased appetite, drowsiness and irritability events led to emergency room visit or hospitalization and were classified by investigator/medically qualified person. Any systemic event: any fever, decreased appetite, drowsiness, irritability.

Time frame: Day 1 through Day 7, where Day 1 is the day of Dose 1 administration (Visit 1 of study)

Population: Safety analysis set included all participants who received at least 1 dose of the study intervention. Here, ''Overall Number of Participants Analyzed'' signifies participants who received Dose 1 and who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >=38.0 deg C to 38.4 deg C3.8 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.4 deg C to 38.9 deg C1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.9 deg C to 40.0 deg C1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >40.0 deg C0 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Mild17.3 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Moderate21.2 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Severe1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Any53.8 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Mild42.3 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Moderate9.6 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Severe1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Any73.1 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Mild23.1 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Moderate42.3 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Severe7.7 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Any40.4 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >=38.0 deg C7.7 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >=38.0 deg C to 38.4 deg C9.4 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Moderate17.0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.4 deg C to 38.9 deg C7.5 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Moderate37.7 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >38.9 deg C to 40.0 deg C1.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Severe1.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Any34.0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >40.0 deg C0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Mild15.1 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Moderate18.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Severe3.8 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Any67.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Decreased appetite: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Fever: >=38.0 deg C18.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Any50.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Irritability: Mild26.4 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 1Drowsiness: Mild32.1 Percentage of participants
Primary

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

Fever (oral temperature \>= 38 degC) was categorized as \>=38.0-38.4 degC, \>38.4-38.9 degC, \>38.9-40.0 degC and \>40.0 degC. Decreased appetite was graded as mild: decreased interest in eating, moderate: decreased oral intake, severe: refusal to feed. Drowsiness was graded as mild: increased/prolonged sleeping bouts, moderate: slightly subdued, interfered daily activity, severe: disabled, not interested in daily activity. Irritability was graded as mild: easily consolable, moderate: required increased attention, severe: inconsolable, crying couldn't be comforted. Grade 4 decreased appetite, drowsiness and irritability events led to emergency room visit or hospitalization and were classified by investigator/medically qualified person. Any systemic event: any fever, decreased appetite, drowsiness, irritability.

Time frame: Day 1 through Day 7, where Day 1 is the day of Dose 2 administration (Visit 3 of study)

Population: Safety analysis set included all participants who received at least 1 dose of the study intervention. Here, ''Overall Number of Participants Analyzed'' signifies participants who received Dose 2 and who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.4 deg C to 38.9 deg C1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >40.0 deg C0 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Any30.8 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >=38.0 deg C to 38.4 deg C9.6 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Mild17.3 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Any23.1 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Moderate11.5 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Mild7.7 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Severe1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >=38.0 deg C13.5 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Mild21.2 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Moderate15.4 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Any53.8 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.9 deg C to 40.0 deg C1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Moderate30.8 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Grade 40 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Severe1.9 Percentage of participants
mPnC CandidatePercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >=38.0 deg C15.7 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >=38.0 deg C to 38.4 deg C7.8 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Any31.4 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.4 deg C to 38.9 deg C2.0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >38.9 deg C to 40.0 deg C5.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Fever: >40.0 deg C0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Mild7.8 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Moderate23.5 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Decreased appetite: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Any31.4 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Mild25.5 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Moderate5.9 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Severe0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Drowsiness: Grade 40 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Any49.0 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Mild19.6 Percentage of participants
mPnC ControlPercentage of Participants With Systemic Events Within 7 Days After Dose 2Irritability: Moderate29.4 Percentage of participants
Secondary

Geometric Mean Concentration (GMCs) of Pneumococcal Immunoglobulin G (IgG) at 1 Month After Dose 1

GMCs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the student t distribution).

Time frame: 1 month after Dose 1

Population: Dose 1 evaluable immunogenicity population included all participants who were eligible and randomized, received the study intervention to which they were randomized, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 1, and had no other major protocol deviations as determined by the clinician up to the 1-month post-Dose 1 visit.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGeometric Mean Concentration (GMCs) of Pneumococcal Immunoglobulin G (IgG) at 1 Month After Dose 17.53 Microgram/milliliter (mcg/mL)
mPnC ControlGeometric Mean Concentration (GMCs) of Pneumococcal Immunoglobulin G (IgG) at 1 Month After Dose 15.73 Microgram/milliliter (mcg/mL)
Secondary

Geometric Mean Fold Rise (GMFRs) of Pneumococcal IgG From Before Dose 1 to 1 Month After Dose 1

GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).

Time frame: From before Dose 1 to 1 month after Dose 1

Population: Dose 1 evaluable immunogenicity population included all participants who were eligible and randomized, received study intervention to which they were randomized, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 1, and had no other major protocol deviations as determined by clinician up to 1-month post-Dose 1 visit. Here, ''Overall Number of Participants Analyzed'' signifies Dose 1 evaluable participants with valid result at both timepoints.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGeometric Mean Fold Rise (GMFRs) of Pneumococcal IgG From Before Dose 1 to 1 Month After Dose 1496.7 Fold rise
mPnC ControlGeometric Mean Fold Rise (GMFRs) of Pneumococcal IgG From Before Dose 1 to 1 Month After Dose 1306.3 Fold rise
Secondary

Geometric Mean Titer (GMTs) of Pneumococcal Opsonophagocytic Activity (OPA) at 1 Month After Dose 1

GMTs and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on student's t distribution).

Time frame: 1 month after Dose 1

Population: Dose 1 evaluable immunogenicity population included all participants who were eligible and randomized, received study intervention to which they were randomized, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 1, and had no other major protocol deviations as determined by clinician up to 1-month post-Dose 1 visit. Here, ''Overall Number of Participants Analyzed'' signifies Dose 1 evaluable participants with valid OPA titers.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGeometric Mean Titer (GMTs) of Pneumococcal Opsonophagocytic Activity (OPA) at 1 Month After Dose 1425 Titer
mPnC ControlGeometric Mean Titer (GMTs) of Pneumococcal Opsonophagocytic Activity (OPA) at 1 Month After Dose 1447 Titer
Secondary

GMCs of Pneumococcal IgG at 1 Month After Dose 2

GMCs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the student t distribution).

Time frame: 1 month after Dose 2

Population: Dose 2 evaluable immunogenicity population included all participants who were eligible and randomized, received both doses of study intervention to which they were randomly assigned, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 2, and had no other major protocol deviations as determined by the clinician up to the 1-month post-Dose 2 visit.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGMCs of Pneumococcal IgG at 1 Month After Dose 217.41 Microgram/milliliter (mcg/mL)
mPnC ControlGMCs of Pneumococcal IgG at 1 Month After Dose 28.08 Microgram/milliliter (mcg/mL)
Secondary

GMFRs of Pneumococcal IgG From 1 Month After Dose 1 to 1 Month After Dose 2

GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).

Time frame: From 1 month after Dose 1 to 1 month after Dose 2

Population: Dose 2 evaluable immunogenicity population included all participants who were eligible, randomized, received both doses of study intervention to which they were randomly assigned, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 2, had no major protocol deviations as determined by clinician up to 1-month post-Dose 2 visit. Here, ''Overall Number of Participants Analyzed'' signifies Dose 2 evaluable participants with valid result at both timepoints.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGMFRs of Pneumococcal IgG From 1 Month After Dose 1 to 1 Month After Dose 22.4 Fold rise
mPnC ControlGMFRs of Pneumococcal IgG From 1 Month After Dose 1 to 1 Month After Dose 21.5 Fold rise
Secondary

GMFRs of Pneumococcal OPA From 1 Month After Dose 1 to 1 Month After Dose 2

GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).

Time frame: From 1 month after Dose 1 to 1 month after Dose 2

Population: Dose 2 evaluable immunogenicity population included all participants who were eligible, randomized, received both doses of study intervention to which they were randomly assigned, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 2, had no major protocol deviations as determined by clinician up to 1-month post-Dose 2 visit. Here, ''Overall Number of Participants Analyzed'' signifies Dose 2 evaluable participants with valid OPA result at both timepoints.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGMFRs of Pneumococcal OPA From 1 Month After Dose 1 to 1 Month After Dose 21.5 Fold rise
mPnC ControlGMFRs of Pneumococcal OPA From 1 Month After Dose 1 to 1 Month After Dose 21.3 Fold rise
Secondary

GMFRs of Pneumococcal OPA From Before Dose 1 to 1 Month After Dose 1

GMFRs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the student-t distribution).

Time frame: From before Dose 1 to 1 month after Dose 1

Population: Dose 1 evaluable immunogenicity population included all participants who were eligible and randomized, received study intervention to which they were randomized, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 1, and had no other major protocol deviations as determined by clinician up to 1-month post-Dose 1 visit. Here, ''Overall Number of Participants Analyzed'' signifies Dose 1 evaluable participants with valid OPA result at both timepoints.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGMFRs of Pneumococcal OPA From Before Dose 1 to 1 Month After Dose 140.7 Fold rise
mPnC ControlGMFRs of Pneumococcal OPA From Before Dose 1 to 1 Month After Dose 142.6 Fold rise
Secondary

GMTs of Pneumococcal OPA at 1 Month After Dose 2

GMTs and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on student's t distribution).

Time frame: 1 month after Dose 2

Population: Dose 2 evaluable immunogenicity population included all participants who were eligible, randomized, received both doses of study intervention to which they were randomly assigned, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 2, had no major protocol deviations as determined by clinician up to 1-month post-Dose 2 visit. Here, ''Overall Number of Participants Analyzed'' signifies Dose 2 evaluable participants with valid OPA titers.

ArmMeasureValue (GEOMETRIC_MEAN)
mPnC CandidateGMTs of Pneumococcal OPA at 1 Month After Dose 2645 Titer
mPnC ControlGMTs of Pneumococcal OPA at 1 Month After Dose 2544 Titer
Secondary

Percentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 1

Predefined IgG concentrations was \>= 0.35 micrograms per milliliter (mcg/mL).

Time frame: 1 month after Dose 1

Population: Dose 1 evaluable immunogenicity population included all participants who were eligible and randomized, received the study intervention to which they were randomized, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 1, and had no other major protocol deviations as determined by the clinician up to the 1-month post-Dose 1 visit.

ArmMeasureValue (NUMBER)
mPnC CandidatePercentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 198.0 Percentage of participants
mPnC ControlPercentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 1100.0 Percentage of participants
Secondary

Percentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 2

Predefined level of IgG concentrations was \>= 0.35 mcg/mL.

Time frame: 1 month after Dose 2

Population: Dose 2 evaluable immunogenicity population included all participants who were eligible and randomized, received both doses of study intervention to which they were randomly assigned, had at least 1 valid immunogenicity result within 27 to 56 days, inclusive, after Dose 2, and had no other major protocol deviations as determined by the clinician up to the 1-month post-Dose 2 visit.

ArmMeasureValue (NUMBER)
mPnC CandidatePercentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 2100.0 Percentage of participants
mPnC ControlPercentage of Participants With Predefined IgG Concentrations at 1 Month After Dose 2100.0 Percentage of participants

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