A Clinical Study of Novel Pneumococcal Vaccine V118C in Children (V118C-002)

Phase
Recruitment status
Participants
Lead sponsor
Merck Sharp & Dohme LLC
Start date
Number of sites

Summary
Researchers are looking for new vaccines to prevent pneumococcal disease, which is any infection in the lungs or other parts of the body that is caused by a type of bacteria called Streptococcus pneumoniae. V118C is a new vaccine designed to help prevent disease from Streptococcus pneumoniae bacteria. This study will look at V118C in toddlers and infants. The goal of the study is to learn how safe V118C is for children and how well they tolerate it.
Short title
A Clinical Study of Novel Pneumococcal Vaccine V118C in Children (V118C-002)
Official title
A Phase 1, Randomized, Double-Blind, Active Comparator Controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of a Novel Pneumococcal Vaccine in Children

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Merck Sharp & Dohme LLC
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Prevention
Masking
Double masking
Masked roles
Participants, Investigators
Sources for study design

  1. Stage 1: Percentage of Participants With Immediate Adverse Events (AEs) Following Vaccination

    Timeframe: Up to approximately 30 minutes postvaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Percentage of participants with immediate AEs following vaccination will be reported.

  2. Stage 1: Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)

    Timeframe: Up to approximately 7 days postvaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. A solicited AE is a predefined event that participants legally acceptable representative (LAR) are specifically asked about and record on their electronic vaccine report card (eVRC). Solicited injection-site AEs include redness, swelling, pain or tenderness and hard lump. Percentage of participants with solicited injection-site AEs will be reported.

  3. Stage 1: Percentage of Participants With Solicited Systemic AEs

    Timeframe: Up to approximately 7 days postvaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. A solicited AE is a predefined event that participants LAR are specifically asked about and record on their eVRC. Solicited systemic AEs include irritability, drowsiness, appetite lost, hives or welts, and fever. Percentage of participants with solicited systemic AEs will be reported.

  4. Stage 1: Percentage of Participants With Unsolicited Systemic or Injection-Site AEs

    Timeframe: Up to approximately 28 days postvaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE is an event that is not solicited using a eVRC and that is communicated by a participant. Percentage of participants with unsolicited Systemic or Injection-Site AEs will be reported.

  5. Stage 1: Percentage of Participants With Serious Adverse Events (SAEs)

    Timeframe: Up to approximately 12 months postvaccination

    A serious adverse event (SAE) is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Percentage of participants with one or more SAEs will be reported.

  6. Stage 1: Percentage of Participants With Medically Attended AEs (MAAEs)

    Timeframe: Up to approximately 12 months postvaccination

    A MAAE is defined as an adverse event in which medical attention is received during an unscheduled, non-routine outpatient visit, such as an emergency department visit, office visit, or an urgent care visit with any medical personnel for any reason. Percentage of participants with MAAEs will be reported.

  7. Stage 2: Percentage of Participants With Immediate AEs Following Vaccination

    Timeframe: Up to approximately 30 minutes after each vaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Percentage of participants with immediate AEs following vaccination will be reported.

  8. Stage 2: Percentage of Participants With Solicited Injection-Site AEs

    Timeframe: Up to approximately 7 days after each vaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. A solicited AE is a predefined event that participants LAR are specifically asked about and record on their eVRC. Solicited injection-site AEs include redness, swelling, pain or tenderness and hard lump. Percentage of participants with solicited injection-site AEs will be reported.

  9. Stage 2: Percentage of Participants With Solicited Systemic AEs

    Timeframe: Up to approximately 7 days after each vaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. A solicited AE is a predefined event that participants LAR are specifically asked about and record on their eVRC. Solicited systemic AEs include irritability, drowsiness, appetite lost, hives or welts, and fever. Percentage of participants with solicited systemic AEs will be recorded.

  10. Stage 2: Percentage of Participants With Unsolicited Systemic or Injection-Site AEs

    Timeframe: Up to approximately 28 days after each vaccination

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE is an event that is not solicited using a eVRC and that is communicated by a participant. Percentage of participants with unsolicited Systemic or Injection-Site AEs will be reported.

  11. Stage 2: Percentage of Participants With SAEs

    Timeframe: Up to approximately 12 months postdose 4

    A SAE is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Percentage of participants with one or more SAEs will be reported.

  12. Stage 2: Percentage of Participants With MAAEs

    Timeframe: Up to approximately 12 months postdose 4

    A MAAE is defined as an adverse event in which medical attention is received during an unscheduled, non-routine outpatient visit, such as an emergency department visit, office visit, or an urgent care visit with any medical personnel for any reason. Percentage of participants with MAAEs will be reported.

  1. Stage 1: Geometric Mean Concentrations (GMCs) of Serotype-Specific Immunoglobulin G (IgG)

    Timeframe: Up to approximately 30 days post vaccination

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. GMCs of Serotype-specific IgG at 30 days postvaccination with V118C and PCV20 will be reported.

  2. Stage 1: Ratio of GMCs of Serotype-Specific IgG of V118C to PCV20 [V118C/PCV20]

    Timeframe: Approximately Day 30 postvaccination

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. Ratio of GMCs of serotype-specific IgG of V118C to PCV20 will be reported.

  3. Stage 1: Geometric Mean Fold Rises (GMFRs) of Serotype-Specific Immunoglobulin G (IgG)

    Timeframe: Day 1 (Baseline) and approximately Day 30 postvaccination

    Geometric mean fold rise (GMFR) is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline. GMFRs of serotype-specific IgG from baseline (Day 1) to Day 30 with V118C and PCV20 for IgG responses will be reported.

  4. Stage 1: Percentage of Participants With a ≥ 4-fold Rise for Serotype Specific IgG Concentrations

    Timeframe: Day 1 (Baseline) and approximately Day 30 postvaccination

    The percentage of participants with ≥4-fold rise from baseline (Day 1) to Day 30 with V118C and PCV20 for IgG responses will be reported.

  5. Stage 2: Percentage of Participants With IgG ≥0.35 μg/mL (Response Rates) for Serotype Specific IgG Concentrations at 30 Days Postdose 3

    Timeframe: Up to approximately 30 days postdose 3

    Percentage of participants with IgG ≥0.35 μg/mL (response rates) for each serotype at 30 days postdose 3 (PD3) with V118C and PCV20 will be reported will be reported.

  6. Stage 2: Percentage of Participants With IgG ≥0.35 μg/mL (Response Rates) for Serotype Specific IgG Concentrations at 30 Days Predose 4

    Timeframe: Up to approximately 6 months post dose 3

    Percentage of participants with IgG ≥0.35 μg/mL (response rates) for each serotype at predose 4 (PD4) with V118C and PCV20 will be reported.

  7. Stage 2: Percentage of Participants With IgG ≥0.35 μg/mL (Response Rates) for Serotype Specific IgG Concentrations at 30 Days Postdose 4

    Timeframe: Up to approximately 30 days postdose 4

    Percentage of participants with IgG ≥0.35 μg/mL (response rates) for each serotype at 30 days postdose 4 with V118C and PCV20 will be reported.

  8. Stage 2: Difference in the Response Rates [V118C minus PCV20] for Each Serotype at 30 Days Postdose 3

    Timeframe: Up to approximately 30 days postdose 3

    Difference in the response rates \[V118C minus PCV20\] for each serotype at 30 days postdose 3 with V118C and PCV20 will be reported.

  9. Stage 2: Difference in the Response Rates [V118C Minus PCV20] for Each Serotype at 30 Days Postdose 4

    Timeframe: Up to approximately 30 days postdose 4

    Difference in the response rates \[V118C minus PCV20\] for each serotype at 30 days postdose 4 with V118C and PCV20 will be reported.

  10. Stage 2: GMCs of Serotype-Specific IgG at 30 Days Postdose 3

    Timeframe: Up to approximately 30 days postdose 3

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. GMCs of serotype-specific IgG at 30 days postdose 3 with V118C and PCV20 will be reported.

  11. Stage 2: GMCs of Serotype-Specific IgG at 30 Days Predose 4

    Timeframe: Up to approximately 6 months post dose 3

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. Serotype-specific IgG GMCs at 30 days predose 4 with V118C and PCV20 will be reported.

  12. Stage 2: GMCs of Serotype-Specific IgG at 30 Days Postdose 4

    Timeframe: Up to approximately 30 days postdose 4

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. Serotype-specific IgG GMCs at 30 days postdose 4 with V118C and PCV20 will be reported.

  13. Stage 2: Ratio of Serotype-Specific IgG GMCs of V118C to PCV20 [V118C/PCV20] at 30 Days Postdose 3

    Timeframe: Up to approximately 30 days postdose 3

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. Ratio of serotype-specific IgG GMCs of V118C to PCV20 \[V118C/PCV20\] at 30 days postdose 3 will be reported.

  14. Stage 2: Ratio of Serotype-Specific IgG GMCs of V118C to PCV20 [V118C/PCV20] at 30 Days Postdose 4

    Timeframe: Up to approximately 30 days postdose 4

    The GMCs for serotype-specific IgG antibodies will be determined using pneumococcal electrochemiluminescence (Pn ECL) assay. Ratio of serotype-specific IgG GMCs of V118C to PCV20 \[V118C/PCV20\] at 30 days postdose 4 will be reported.

Sources for outcomes

Sex
All
Age groups
Children
Minimum age
2 Months
Maximum age
15 Months
Healthy volunteers
Yes

The main inclusion criteria include but are not limited to the following:

Stage 1:

  • Is previously vaccinated with 3 routine infant doses of Pneumococcal 20-valent conjugate vaccine (PCV20)
  • Is 12 through 15 months of age

Stage 2:

- Is approximately 2 months of age

Both Stages:

  • Was born at full term (gestational age greater than or equal to 37 weeks)

The main exclusion criteria include but are not limited to the following:

Stage 1:

- Has received a PCV dose at 10 months of age and older

Stage 2:

  • Has received prior administration of any pneumococcal vaccine

Both stages:

  • Has a history of invasive pneumococcal disease (IPD)
  • Has a known hypersensitivity to any component of V118C or PCV20 including diphtheria toxoid
Sources for eligibility

  • Madera Family Medical Group ( Site 1004)Madera, United StatesRecruiting
  • Acevedo Clinical Research Associates ( Site 1029)Miami, United StatesRecruiting
  • University of South Florida-Department of Pediatrics ( Site 1002)Tampa, United StatesRecruiting
  • Cotton O'Neil Research Center ( Site 1039)Topeka, United StatesRecruiting
  • University of Louisville, Norton Children's Research Institute ( Site 1005)Louisville, United StatesRecruiting
  • The Pediatric Center ( Site 1025)Columbia, United StatesRecruiting
  • Saint Louis University Center for Vaccine Development ( Site 1031)St Louis, United StatesRecruiting
  • Child Health Care Associates ( Site 1035)East Syracuse, United StatesRecruiting
  • Tribe Clinical Research, LLC-Pediatrics ( Site 1008)Greenville, United StatesRecruiting
  • Tribe Clinical Research - Spartanburg ( Site 1001)Spartanburg, United StatesRecruiting
  • Epic Medical Research - Carrollton ( Site 1038)Carrollton, United StatesRecruiting
  • Epic Medical Research- Garland ( Site 1017)Garland, United StatesRecruiting
  • University of Texas Medical Branch ( Site 1020)League City, United StatesRecruiting
  • Pediatric Research of Charlottesville, LLC ( Site 1012)Charlottesville, United StatesRecruiting
Sources for sites

Sources for references

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)

Targets (9)