Trial Outcomes & Findings for Safety, Tolerability, and Immunogenicity of Two Formulations of V114 in Healthy Adults 50 Years of Age or Older (V114-006) (NCT NCT02547649)

NCT ID: NCT02547649

Last Updated: 2019-04-16

Results Overview

The percentage of participants experiencing ≥1 AE(s) in each arm was determined. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

690 participants

Primary outcome timeframe

Up to 14 days after vaccination

Results posted on

2019-04-16

Participant Flow

Healthy, pneumococcal vaccine-naïve adults ≥50 years of age were recruited at 23 sites in the United States.

Participant milestones

Participant milestones
Measure
V114-A
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Overall Study
STARTED
231
231
228
Overall Study
Vaccinated
231
231
227
Overall Study
COMPLETED
228
226
224
Overall Study
NOT COMPLETED
3
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
V114-A
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Overall Study
Lost to Follow-up
3
1
1
Overall Study
Not vaccinated
0
0
1
Overall Study
Withdrawal by Subject
0
4
2

Baseline Characteristics

Safety, Tolerability, and Immunogenicity of Two Formulations of V114 in Healthy Adults 50 Years of Age or Older (V114-006)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Total
n=689 Participants
Total of all reporting groups
Age, Continuous
63.4 Years
STANDARD_DEVIATION 8.3 • n=5 Participants
63.4 Years
STANDARD_DEVIATION 8.3 • n=7 Participants
63.1 Years
STANDARD_DEVIATION 8.1 • n=5 Participants
63.3 Years
STANDARD_DEVIATION 8.2 • n=4 Participants
Sex: Female, Male
Female
126 Participants
n=5 Participants
126 Participants
n=7 Participants
133 Participants
n=5 Participants
385 Participants
n=4 Participants
Sex: Female, Male
Male
105 Participants
n=5 Participants
105 Participants
n=7 Participants
94 Participants
n=5 Participants
304 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 14 days after vaccination

Population: All participants who received study vaccination are included.

The percentage of participants experiencing ≥1 AE(s) in each arm was determined. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With an Adverse Event (AE)
74.9 Percentage of Participants
72.3 Percentage of Participants
67.4 Percentage of Participants

PRIMARY outcome

Timeframe: Up to 14 days after vaccination

Population: All participants who received study vaccination are included.

The percentage of participants experiencing ≥1 solicited injection-site AE(s) in each arm was determined.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With a Solicited Injection-site Adverse Event (AE)
Swelling
11.7 Percentage of Participants
16.5 Percentage of Participants
12.3 Percentage of Participants
Percentage of Participants With a Solicited Injection-site Adverse Event (AE)
Erythema
8.7 Percentage of Participants
11.3 Percentage of Participants
10.1 Percentage of Participants
Percentage of Participants With a Solicited Injection-site Adverse Event (AE)
Pain
62.3 Percentage of Participants
60.2 Percentage of Participants
52.4 Percentage of Participants

PRIMARY outcome

Timeframe: Up to 14 days after vaccination

Population: All participants who received study vaccination are included.

The percentage of participants experiencing ≥1 solicited systemic AE(s) in each arm was determined.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With a Solicited Systemic Adverse Event (AE)
Headache
12.1 Percentage of Participants
12.6 Percentage of Participants
16.7 Percentage of Participants
Percentage of Participants With a Solicited Systemic Adverse Event (AE)
Fatigue
24.2 Percentage of Participants
17.7 Percentage of Participants
22.5 Percentage of Participants
Percentage of Participants With a Solicited Systemic Adverse Event (AE)
Arthralgia
9.5 Percentage of Participants
7.4 Percentage of Participants
6.2 Percentage of Participants
Percentage of Participants With a Solicited Systemic Adverse Event (AE)
Myalgia
22.9 Percentage of Participants
18.6 Percentage of Participants
14.1 Percentage of Participants

PRIMARY outcome

Timeframe: Up to 30 days after vaccination

Population: All participants who received study vaccination are included.

The percentage of participants experiencing ≥1 SAE(s) in each arm was determined.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With a Serious Adverse Event (SAE)
0.4 Percentage of Participants
0.9 Percentage of Participants
0.0 Percentage of Participants

PRIMARY outcome

Timeframe: Up to 30 days after vaccination

Population: All participants who received study vaccination are included.

The percentage of participants experiencing ≥1 vaccine-related SAEs(s) in each arm was determined.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With Vaccine-Related Serious Adverse Event (SAE)
0.0 Percentage of Participants
0.0 Percentage of Participants
0.0 Percentage of Participants

PRIMARY outcome

Timeframe: Day 30 (one month after vaccination)

Population: All vaccinated participants with data available are included.

The OPA GMTs of each common serotype (CS) and V114-specific serotype (VS) were determined in each arm. Titer levels were determined with the multiplexed opsonophagocytic assay (MOPA).

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS1
196.79 Titers
Interval 145.49 to 266.17
144.01 Titers
Interval 106.06 to 195.54
127.19 Titers
Interval 93.19 to 173.6
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS3
104.78 Titers
Interval 83.69 to 131.18
61.41 Titers
Interval 48.99 to 76.97
33.10 Titers
Interval 25.41 to 43.12
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS4
1314.31 Titers
Interval 1050.53 to 1644.31
929.53 Titers
Interval 722.68 to 1195.57
1195.73 Titers
Interval 931.75 to 1534.49
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS5
273.79 Titers
Interval 201.52 to 372.0
269.14 Titers
Interval 197.57 to 366.63
283.83 Titers
Interval 209.93 to 383.74
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS6A
3849.02 Titers
Interval 2937.54 to 5043.31
4690.40 Titers
Interval 3688.2 to 5964.93
4932.72 Titers
Interval 3771.98 to 6450.62
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS9V
2514.21 Titers
Interval 2014.06 to 3138.57
1962.09 Titers
Interval 1558.28 to 2470.55
2112.91 Titers
Interval 1685.97 to 2647.96
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS19F
799.86 Titers
Interval 636.72 to 1004.8
1084.99 Titers
Interval 855.5 to 1376.04
810.05 Titers
Interval 640.41 to 1024.61
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS23F
1233.60 Titers
Interval 943.88 to 1612.25
2198.15 Titers
Interval 1702.57 to 2837.99
1561.04 Titers
Interval 1171.58 to 2079.96
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
VS22F
4743.78 Titers
Interval 3737.99 to 6020.21
3976.66 Titers
Interval 3141.02 to 5034.61
68.47 Titers
Interval 48.39 to 96.88
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
VS33F
12457.52 Titers
Interval 10076.61 to 15401.0
12614.22 Titers
Interval 10236.84 to 15543.72
2111.66 Titers
Interval 1681.43 to 2651.97
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS6B
4552.54 Titers
Interval 3680.12 to 5631.79
5082.56 Titers
Interval 3984.2 to 6483.72
3909.05 Titers
Interval 3005.43 to 5084.36
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS7F
2672.91 Titers
Interval 2213.6 to 3227.51
2845.64 Titers
Interval 2374.74 to 3409.92
3659.86 Titers
Interval 3036.53 to 4411.14
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS14
3496.71 Titers
Interval 2776.8 to 4403.25
2664.63 Titers
Interval 2206.92 to 3217.26
3111.50 Titers
Interval 2560.29 to 3781.38
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS18C
1896.14 Titers
Interval 1540.37 to 2334.08
2687.10 Titers
Interval 2169.85 to 3327.65
1528.79 Titers
Interval 1208.83 to 1933.45
Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
CS19A
1910.75 Titers
Interval 1587.43 to 2299.92
2477.75 Titers
Interval 2043.94 to 3003.63
2045.57 Titers
Interval 1692.29 to 2472.59

SECONDARY outcome

Timeframe: Day 30 (one month after vaccination)

Population: All vaccinated participants with data available are included.

The IgG GMCs of each common pneumococcal serotype (CS) and V114-specific pneumococcal serotype (VS) were determined for each arm. Concentrations were determined with pneumococcal electrochemiluminescence (PnECL).

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS5
3.93 µg/mL
Interval 3.08 to 5.02
3.40 µg/mL
Interval 2.66 to 4.34
3.37 µg/mL
Interval 2.66 to 4.28
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS6A
3.88 µg/mL
Interval 2.98 to 5.06
4.56 µg/mL
Interval 3.49 to 5.96
4.40 µg/mL
Interval 3.29 to 5.88
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS6B
3.58 µg/mL
Interval 2.78 to 4.63
4.71 µg/mL
Interval 3.58 to 6.2
3.63 µg/mL
Interval 2.72 to 4.85
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS7F
4.19 µg/mL
Interval 3.41 to 5.15
4.43 µg/mL
Interval 3.59 to 5.47
4.69 µg/mL
Interval 3.78 to 5.84
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS9V
4.17 µg/mL
Interval 3.39 to 5.12
3.73 µg/mL
Interval 3.04 to 4.56
3.40 µg/mL
Interval 2.74 to 4.22
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS14
10.54 µg/mL
Interval 8.36 to 13.3
6.51 µg/mL
Interval 5.23 to 8.11
7.31 µg/mL
Interval 5.79 to 9.22
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS19A
8.12 µg/mL
Interval 6.63 to 9.94
14.89 µg/mL
Interval 12.2 to 18.18
10.42 µg/mL
Interval 8.66 to 12.52
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS19F
3.96 µg/mL
Interval 3.14 to 4.98
7.17 µg/mL
Interval 5.67 to 9.05
4.65 µg/mL
Interval 3.81 to 5.68
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS23F
3.88 µg/mL
Interval 3.03 to 4.97
5.49 µg/mL
Interval 4.25 to 7.09
4.27 µg/mL
Interval 3.27 to 5.57
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
VS22F
3.05 µg/mL
Interval 2.48 to 3.75
2.75 µg/mL
Interval 2.25 to 3.36
0.25 µg/mL
Interval 0.2 to 0.3
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS1
5.04 µg/mL
Interval 4.1 to 6.19
4.00 µg/mL
Interval 3.34 to 4.79
4.15 µg/mL
Interval 3.4 to 5.07
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS3
0.94 µg/mL
Interval 0.78 to 1.12
0.61 µg/mL
Interval 0.51 to 0.72
0.48 µg/mL
Interval 0.39 to 0.58
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS4
1.30 µg/mL
Interval 1.07 to 1.58
0.96 µg/mL
Interval 0.79 to 1.16
1.39 µg/mL
Interval 1.12 to 1.73
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
CS18C
6.45 µg/mL
Interval 5.21 to 7.98
6.51 µg/mL
Interval 5.23 to 8.11
7.31 µg/mL
Interval 5.79 to 9.22
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
VS33F
10.28 µg/mL
Interval 8.33 to 12.67
7.46 µg/mL
Interval 6.01 to 9.26
0.76 µg/mL
Interval 0.6 to 0.96

SECONDARY outcome

Timeframe: Baseline and Day 30 (one month after vaccination)

Population: All vaccinated participants with data available are included.

The percentage of participants with ≥4-fold rise from baseline in OPA GMTs of each common serotype (CS) and V114-specific serotype (VS) were compared in the V114 and Prevnar® 13 arms. Estimated GMT, GMT ratio, 95% CI, and p-values were obtained from a constrained longitudinal data analysis (cLDA) model.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS1
70.9 Percentage of Participants
Interval 64.17 to 77.08
66.3 Percentage of Participants
Interval 59.31 to 72.86
61.7 Percentage of Participants
Interval 54.59 to 68.44
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS3
71.8 Percentage of Participants
Interval 65.04 to 77.87
64.2 Percentage of Participants
Interval 57.13 to 70.8
44.1 Percentage of Participants
Interval 37.01 to 51.37
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS4
84.8 Percentage of Participants
Interval 78.93 to 89.59
78.9 Percentage of Participants
Interval 72.19 to 84.61
81.6 Percentage of Participants
Interval 75.28 to 86.92
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS5
68.2 Percentage of Participants
Interval 61.17 to 74.67
70.6 Percentage of Participants
Interval 63.67 to 76.93
67.2 Percentage of Participants
Interval 60.16 to 73.66
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS6A
85.1 Percentage of Participants
Interval 79.38 to 89.7
82.9 Percentage of Participants
Interval 76.95 to 87.87
82.9 Percentage of Participants
Interval 76.95 to 87.87
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS6B
87.0 Percentage of Participants
Interval 81.31 to 91.51
87.3 Percentage of Participants
Interval 81.55 to 91.77
84.2 Percentage of Participants
Interval 78.04 to 89.12
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS7F
67.9 Percentage of Participants
Interval 60.71 to 74.54
74.3 Percentage of Participants
Interval 67.54 to 80.38
75.0 Percentage of Participants
Interval 68.18 to 81.02
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS18C
74.9 Percentage of Participants
Interval 68.1 to 80.85
73.0 Percentage of Participants
Interval 65.97 to 79.23
64.3 Percentage of Participants
Interval 56.96 to 71.22
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS19A
74.9 Percentage of Participants
Interval 68.02 to 80.91
73.0 Percentage of Participants
Interval 66.17 to 79.04
71.1 Percentage of Participants
Interval 64.19 to 77.29
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS19F
74.2 Percentage of Participants
Interval 67.59 to 80.18
72.1 Percentage of Participants
Interval 65.4 to 78.22
75.5 Percentage of Participants
Interval 68.94 to 81.29
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS22F
76.6 Percentage of Participants
Interval 69.2 to 82.94
71.1 Percentage of Participants
Interval 63.55 to 77.85
14.5 Percentage of Participants
Interval 9.55 to 20.87
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
VS33F
53.5 Percentage of Participants
Interval 46.05 to 60.79
58.8 Percentage of Participants
Interval 51.27 to 66.02
8.8 Percentage of Participants
Interval 4.99 to 14.06
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS9V
64.6 Percentage of Participants
Interval 57.46 to 71.31
59.6 Percentage of Participants
Interval 52.19 to 66.65
60.5 Percentage of Participants
Interval 53.19 to 67.53
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
CS14
61.6 Percentage of Participants
Interval 54.46 to 68.42
50.3 Percentage of Participants
Interval 43.06 to 57.44
48.3 Percentage of Participants
Interval 41.28 to 55.36
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
VS23F
76.3 Percentage of Participants
Interval 69.67 to 82.09
81.1 Percentage of Participants
Interval 74.68 to 86.45
78.9 Percentage of Participants
Interval 72.46 to 84.51

SECONDARY outcome

Timeframe: Baseline and Day 30 (one month after vaccination)

Population: All vaccinated participants with data available are included.

The percentage of participants with ≥4-fold rise from baseline in IgG GMCs of each common serotype (CS) and V114-specific serotype (VS) were compared in the V114 and Prevnar® 13 arms. Estimated GMT, GMT ratio, 95% CI, and p-values were obtained from a constrained longitudinal data analysis (cLDA) model.

Outcome measures

Outcome measures
Measure
V114-A
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 Participants
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 Participants
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS1
78.2 Percentage of Participants
Interval 72.14 to 83.55
69.8 Percentage of Participants
Interval 63.15 to 75.83
65.4 Percentage of Participants
Interval 58.63 to 71.77
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS3
58.3 Percentage of Participants
Interval 51.45 to 64.98
46.5 Percentage of Participants
Interval 39.7 to 53.42
31.3 Percentage of Participants
Interval 25.16 to 37.98
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS4
71.8 Percentage of Participants
Interval 65.25 to 77.66
63.7 Percentage of Participants
Interval 56.91 to 70.15
62.1 Percentage of Participants
Interval 55.29 to 68.67
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS5
52.3 Percentage of Participants
Interval 45.43 to 59.13
47.0 Percentage of Participants
Interval 40.16 to 53.88
48.1 Percentage of Participants
Interval 41.27 to 55.04
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS6A
73.6 Percentage of Participants
Interval 67.2 to 79.36
77.2 Percentage of Participants
Interval 71.01 to 82.64
77.1 Percentage of Participants
Interval 70.88 to 82.55
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS6B
75.5 Percentage of Participants
Interval 69.17 to 81.05
77.2 Percentage of Participants
Interval 71.01 to 82.64
66.4 Percentage of Participants
Interval 59.6 to 72.65
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS7F
69.4 Percentage of Participants
Interval 62.83 to 75.51
72.6 Percentage of Participants
Interval 66.08 to 78.41
69.6 Percentage of Participants
Interval 62.99 to 75.71
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS9V
73.1 Percentage of Participants
Interval 64.77 to 77.23
71.6 Percentage of Participants
Interval 65.1 to 77.55
65.0 Percentage of Participants
Interval 58.15 to 71.33
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS18C
71.8 Percentage of Participants
Interval 65.25 to 77.66
77.7 Percentage of Participants
Interval 71.51 to 83.06
70.6 Percentage of Participants
Interval 63.96 to 76.58
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS14
57.9 Percentage of Participants
Interval 50.98 to 64.54
48.8 Percentage of Participants
Interval 41.98 to 55.73
49.1 Percentage of Participants
Interval 42.19 to 55.97
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS19A
65.3 Percentage of Participants
Interval 58.52 to 71.61
67.9 Percentage of Participants
Interval 61.22 to 74.09
64.5 Percentage of Participants
Interval 57.67 to 70.89
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS19F
59.7 Percentage of Participants
Interval 52.85 to 66.32
71.6 Percentage of Participants
Interval 65.1 to 77.55
62.6 Percentage of Participants
Interval 55.76 to 69.12
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
CS22F
71.3 Percentage of Participants
Interval 64.77 to 77.23
71.2 Percentage of Participants
Interval 64.61 to 77.12
1.9 Percentage of Participants
Interval 0.51 to 4.72
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
VS23F
72.2 Percentage of Participants
Interval 65.74 to 78.08
77.2 Percentage of Participants
Interval 71.01 to 82.64
71.5 Percentage of Participants
Interval 64.94 to 77.44
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
VS33F
72.7 Percentage of Participants
Interval 66.23 to 78.51
65.6 Percentage of Participants
Interval 58.82 to 71.91
0.9 Percentage of Participants
Interval 0.11 to 3.34

Adverse Events

V114-A

Serious events: 1 serious events
Other events: 169 other events
Deaths: 0 deaths

V114-B

Serious events: 2 serious events
Other events: 163 other events
Deaths: 0 deaths

Prevnar 13®

Serious events: 0 serious events
Other events: 148 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
V114-A
n=231 participants at risk
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 participants at risk
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 participants at risk
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
Cardiac disorders
Acute myocardial infarction
0.00%
0/231 • Up to 30 days after vaccination
All participants who received study vaccination are included.
0.43%
1/231 • Number of events 1 • Up to 30 days after vaccination
All participants who received study vaccination are included.
0.00%
0/227 • Up to 30 days after vaccination
All participants who received study vaccination are included.
Infections and infestations
Osteomyelitis
0.43%
1/231 • Number of events 1 • Up to 30 days after vaccination
All participants who received study vaccination are included.
0.00%
0/231 • Up to 30 days after vaccination
All participants who received study vaccination are included.
0.00%
0/227 • Up to 30 days after vaccination
All participants who received study vaccination are included.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/231 • Up to 30 days after vaccination
All participants who received study vaccination are included.
0.43%
1/231 • Number of events 1 • Up to 30 days after vaccination
All participants who received study vaccination are included.
0.00%
0/227 • Up to 30 days after vaccination
All participants who received study vaccination are included.

Other adverse events

Other adverse events
Measure
V114-A
n=231 participants at risk
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1. Formulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-B
n=231 participants at risk
Participants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1. Formulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®
n=227 participants at risk
Participants receive a single 0.5 mL intramuscular injection of Prevnar 13™ on Day 1.
General disorders
Fatigue
24.2%
56/231 • Number of events 62 • Up to 30 days after vaccination
All participants who received study vaccination are included.
17.7%
41/231 • Number of events 44 • Up to 30 days after vaccination
All participants who received study vaccination are included.
22.5%
51/227 • Number of events 57 • Up to 30 days after vaccination
All participants who received study vaccination are included.
General disorders
Injection site erythema
9.5%
22/231 • Number of events 22 • Up to 30 days after vaccination
All participants who received study vaccination are included.
12.6%
29/231 • Number of events 30 • Up to 30 days after vaccination
All participants who received study vaccination are included.
10.6%
24/227 • Number of events 24 • Up to 30 days after vaccination
All participants who received study vaccination are included.
General disorders
Injection site pain
62.8%
145/231 • Number of events 159 • Up to 30 days after vaccination
All participants who received study vaccination are included.
60.6%
140/231 • Number of events 149 • Up to 30 days after vaccination
All participants who received study vaccination are included.
54.6%
124/227 • Number of events 134 • Up to 30 days after vaccination
All participants who received study vaccination are included.
General disorders
Injection site swelling
12.6%
29/231 • Number of events 29 • Up to 30 days after vaccination
All participants who received study vaccination are included.
16.5%
38/231 • Number of events 38 • Up to 30 days after vaccination
All participants who received study vaccination are included.
12.8%
29/227 • Number of events 29 • Up to 30 days after vaccination
All participants who received study vaccination are included.
Musculoskeletal and connective tissue disorders
Arthralgia
9.5%
22/231 • Number of events 22 • Up to 30 days after vaccination
All participants who received study vaccination are included.
7.4%
17/231 • Number of events 17 • Up to 30 days after vaccination
All participants who received study vaccination are included.
6.2%
14/227 • Number of events 17 • Up to 30 days after vaccination
All participants who received study vaccination are included.
Musculoskeletal and connective tissue disorders
Myalgia
22.9%
53/231 • Number of events 53 • Up to 30 days after vaccination
All participants who received study vaccination are included.
18.6%
43/231 • Number of events 45 • Up to 30 days after vaccination
All participants who received study vaccination are included.
14.1%
32/227 • Number of events 35 • Up to 30 days after vaccination
All participants who received study vaccination are included.
Nervous system disorders
Headache
12.1%
28/231 • Number of events 34 • Up to 30 days after vaccination
All participants who received study vaccination are included.
12.6%
29/231 • Number of events 35 • Up to 30 days after vaccination
All participants who received study vaccination are included.
16.7%
38/227 • Number of events 41 • Up to 30 days after vaccination
All participants who received study vaccination are included.

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The Sponsor must have the opportunity to review all proposed abstracts, manuscripts or presentations regarding this trial 45 days prior to submission for publication/presentation.
  • Publication restrictions are in place

Restriction type: OTHER