> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/a-clinical-study-of-novel-pneumococcal-vaccine-v118c-in-d6487b9b-a525-4860-bc13-9338ed58336d
> Record changed: 2026-10-13

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

NCT07300267

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

Participants

210

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

Lead sponsor

Merck Sharp & Dohme LLC

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

Start date

2026-01-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

Number of sites

14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Title and summary

**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.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Short title**

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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Status and phase

**Control arm**

Active comparator

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Dates

**Completion date**

2029-05-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**First posted**

2025-12-23

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Registry last updated**

2026-04-17

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Primary completion date**

2028-10-24

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Start date**

2026-01-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Size and sites

**Participants**

210

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Planned participants**

210

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Protocol amendments**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Number of sites**

14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Lead sponsor**

Merck Sharp & Dohme LLC

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Identifiers

**Registry ID**

NCT07300267

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**ClinicalTrials.gov ID**

NCT07300267

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Prevention

**Masking**

Double masking

**Masked roles**

Participants, Investigators

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Outcomes

### Primary outcomes

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.

### Secondary outcomes

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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Eligibility

**Sex**

All

**Age groups**

Children

**Minimum age**

2 Months

**Maximum age**

15 Months

**Healthy volunteers**

Yes

### Inclusion criteria

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)

### Exclusion criteria

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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Sites

- 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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## References

- Related resource (www.merckclinicaltrials.com)  
Source: [www.merckclinicaltrials.com](https://www.merckclinicaltrials.com/)

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07300267)

## Related records

### Drugs (1)

- [Dactolisib](https://trialight.com/data/asset/dactolisib-c690af54-bc20-4e80-bd3c-2db9669c43d1.md)

### Lead sponsors (1)

- [Merck Sharp & Dohme LLC](https://trialight.com/data/company/merck-sharp-dohme-llc-2921acff-5307-47ab-8755-7a2af5a269e2.md)

### Conditions (1)

- [Pneumococcal infection](https://trialight.com/data/condition/pneumococcal-infection-b3a7fc66-25ac-57f8-8fb4-073403fe8b1b.md) Primary condition

### Targets (9)

- [MTOR](https://trialight.com/data/target/mtor-b7a8666b-fb4c-536c-9a22-e9676e041efb.md)
- [PIK3CA](https://trialight.com/data/target/pik3ca-02cdda4d-e060-5df2-a713-4b081b6bb7bc.md)
- [PIK3CB](https://trialight.com/data/target/pik3cb-97c45181-3c9e-530e-8a15-5b652b9b6958.md)
- [PIK3CD](https://trialight.com/data/target/pik3cd-aa1d8478-0790-59e6-92da-df04eb62d806.md)
- [PIK3CG](https://trialight.com/data/target/pik3cg-cf34f1e3-ab4a-550a-9e84-6fb39401d9c1.md)
- [PIK3R1](https://trialight.com/data/target/pik3r1-75490e88-a83a-5c97-9c49-82b67f3d873f.md)
- [PIK3R2](https://trialight.com/data/target/pik3r2-c5a9439c-0e76-5ccf-b39e-f3c8a19e8bfc.md)
- [PIK3R3](https://trialight.com/data/target/pik3r3-95f9f6b6-7509-5622-a188-d884a2500d0c.md)
- [PIK3R5](https://trialight.com/data/target/pik3r5-e2261b65-f6ce-59f8-8444-c6cf72c5cbac.md)

---

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