A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by PNEUMOVAX™23 in Adults at Increased Risk for Pneumococcal Disease (V114-017/PNEU-DAY)

NCT ID: NCT03547167

Last Updated: 2021-01-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1515 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-16

Study Completion Date

2020-01-20

Brief Summary

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This study is designed to 1) describe the safety, tolerability, and immunogenicity of V114 and Prevnar 13™ in pneumococcal vaccine-naïve adults at increased risk for pneumococcal disease and to 2) describe the safety, tolerability, and immunogenicity of PNEUMOVAX™23 when administered 6 months after receipt of either V114 or Prevnar 13™. Increased risk for pneumococcal disease is defined as 1) an underlying medical condition, 2) behavioral habits such as smoking or alcohol use, or 3) living in a community/environment with increased risk of disease transmission.

Detailed Description

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Conditions

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Pneumococcal Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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V114

Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2)

Group Type EXPERIMENTAL

V114

Intervention Type BIOLOGICAL

15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg) and Merck Aluminum Phosphate Adjuvant (125 mcg) in each 0.5 mL dose

PNEUMOVAX™23

Intervention Type BIOLOGICAL

23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose

Prevnar 13™

Participants will receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2)

Group Type ACTIVE_COMPARATOR

Prevnar 13™

Intervention Type BIOLOGICAL

13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg), and aluminum phosphate adjuvant (125 mcg aluminum) in each 0.5 ml dose

PNEUMOVAX™23

Intervention Type BIOLOGICAL

23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose

Interventions

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V114

15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg) and Merck Aluminum Phosphate Adjuvant (125 mcg) in each 0.5 mL dose

Intervention Type BIOLOGICAL

Prevnar 13™

13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg), and aluminum phosphate adjuvant (125 mcg aluminum) in each 0.5 ml dose

Intervention Type BIOLOGICAL

PNEUMOVAX™23

23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose

Intervention Type BIOLOGICAL

Other Intervention Names

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PCV13 PPV23

Eligibility Criteria

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Inclusion Criteria

* Native American participant enrolled from any of the clinical sites of the Johns Hopkins Center for American Indian Health (CAIH) without any of the pre-specified risk conditions for pneumococcal disease listed below, OR Native American participant enrolled from any of the CAIH sites or participant from a site other than CAIH with ≥1 of the following risk conditions for pneumococcal disease:

1. Diabetes mellitus Type 1 or Type 2 and with hemoglobin A1c (HgA1c) \<10%
2. Chronic liver disease with documented history of compensated cirrhosis (Child-Pugh Score A)
3. Confirmed diagnosis of Chronic Obstructive Pulmonary Disease (COPD) with spirometric Global Initiative for Chronic Obstructive Lung Disease Stage 1 to 3
4. Confirmed diagnosis of mild or moderate persistent asthma receiving guideline directed therapy
5. Confirmed diagnosis of chronic heart disease (New York Heart Association \[NYHA\] heart failure Class 1 to 3, receiving guideline-directed oral heart failure treatment) due to reduced or preserved ejection fraction or due to non-cyanotic congenital heart disease.
6. Current smoker
* Female participant: not pregnant, not breastfeeding and 1) not of childbearing potential, or 2) of childbearing potential and agrees to practice contraception through 6 weeks after last administration of study vaccine.

Exclusion Criteria

* History of active hepatitis within the prior 3 months
* History of diabetic ketoacidosis, or \>1 episodes of severe, symptomatic hypoglycemia within the prior 3 months
* Myocardial infarction, acute coronary syndrome, transient ischemic attack, and ischemic or hemorrhagic stroke within the prior 3 months
* History of severe pulmonary hypertension or history of Eisenmenger syndrome
* History of invasive pneumococcal disease (IPD) or known history of other culture-positive pneumococcal disease within the prior 3 years
* Known hypersensitivity to any vaccine component, pneumococcal conjugate vaccine, or diphtheria toxoid-containing vaccine
* Known or suspected impairment of immunological function (including human immunodeficiency virus (HIV) infection or autoimmune disease)
* History of malignancy within the prior 5 years, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
* History of Stage 4 or 5 Chronic Kidney Disease or nephrotic syndrome
* History of alcohol withdrawal or alcohol withdrawal seizure within the prior 12 months
* History of coagulation disorder contraindicating intramuscular vaccination
* History of hospitalization within the prior 3 months
* Planned organ transplantation (heart, liver, lung, kidney, or pancreas) or other planned major surgery during the duration of this study.
* Expected survival for less than 1 year according to the investigator's judgment.
* Female participant: positive urine or serum pregnancy test
* Prior administration of any pneumococcal vaccine
* Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed within the prior 30 days
* Received systemic corticosteroids exceeding physiologic replacement doses within 14 days before study vaccination
* Receiving immunosuppressive or immunomodulatory therapy with a biological agent
* Received any licensed, non-live vaccine within 14 days before receipt of study vaccine or is scheduled to receive any licensed, non-live vaccine within 30 days following receipt of study vaccine
* Received any live vaccine within 30 days before receipt of any study vaccine or is scheduled to receive any live vaccine within 30 days following receipt of any study vaccine
* Received a blood transfusion or blood products within the prior 6 months
* Receiving chronic home oxygen therapy
* Participated in another clinical study of an investigational product within the prior 2 months
* Current user of recreational or illicit drugs or history of drug abuse or dependence
* Diabetes mellitus with HgA1c ≥10%
* Chronic liver disease with Child-Pugh Class B or C cirrhosis
* Chronic lung disease with Chronic Obstructive Pulmonary Disease (COPD) GOLD Stage 4 or severe persistent asthma
* Chronic heart disease with NYHA heart failure Class 4.
Minimum Eligible Age

18 Years

Maximum Eligible Age

49 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Chinle Comprehensive Health Care Facility ( Site 0001)

Chinle, Arizona, United States

Site Status

Fort Defiance Center for American Indian Health ( Site 0002)

Fort Defiance, Arizona, United States

Site Status

Pulmonary Associates, PA ( Site 0043)

Glendale, Arizona, United States

Site Status

Central Phoenix Medical Clinic, LLC ( Site 0031)

Phoenix, Arizona, United States

Site Status

Whiteriver Center for American Indian Health ( Site 0005)

Whiteriver, Arizona, United States

Site Status

Inland Empire Clinical Trials, LLC ( Site 0052)

Rialto, California, United States

Site Status

Top Medical Research, Inc ( Site 0033)

Cutler Bay, Florida, United States

Site Status

Indago Research & Health Center, Inc ( Site 0054)

Hialeah, Florida, United States

Site Status

Renstar Medical Research ( Site 0008)

Ocala, Florida, United States

Site Status

Triple O Research Institute, P.A. ( Site 0026)

West Palm Beach, Florida, United States

Site Status

Emory University School of Medicine at Grady Hospital ( Site 0027)

Atlanta, Georgia, United States

Site Status

Kootenai Health ( Site 0042)

Coeur d'Alene, Idaho, United States

Site Status

Evanston Premier Healthcare & Research, LLC. ( Site 0012)

Evanston, Illinois, United States

Site Status

Pharmakon Inc ( Site 0049)

Evergreen Park, Illinois, United States

Site Status

Reid Physician Associates ( Site 0055)

Richmond, Indiana, United States

Site Status

The Center for Pharmaceutical Research PC ( Site 0050)

Kansas City, Missouri, United States

Site Status

Clinical Research Consortium ( Site 0053)

Las Vegas, Nevada, United States

Site Status

Internal Medicine Associates [Bridgeton, NJ] ( Site 0015)

Bridgeton, New Jersey, United States

Site Status

Gallup Center for American Indian Health ( Site 0003)

Gallup, New Mexico, United States

Site Status

Shiprock Center for American Indian Health ( Site 0004)

Shiprock, New Mexico, United States

Site Status

Corning Center For Clinical Research ( Site 0036)

Corning, New York, United States

Site Status

Mid Hudson Medical Research ( Site 0022)

New Windsor, New York, United States

Site Status

Wake Research Associates, LLC ( Site 0016)

Raleigh, North Carolina, United States

Site Status

Lehigh Valley Health Network ( Site 0040)

Allentown, Pennsylvania, United States

Site Status

University of Pennsylvania ( Site 0030)

Philadelphia, Pennsylvania, United States

Site Status

Mountain View Clinical Research ( Site 0007)

Greer, South Carolina, United States

Site Status

Holston Medical Group ( Site 0025)

Kingsport, Tennessee, United States

Site Status

AIM Trials ( Site 0060)

Fort Worth, Texas, United States

Site Status

University of Texas Medical Branch at Galveston ( Site 0034)

Galveston, Texas, United States

Site Status

Private Practice Leadership, LLC ( Site 0051)

Houston, Texas, United States

Site Status

Texas Center For Drug Development ( Site 0041)

Houston, Texas, United States

Site Status

Texas Institute Of Cardiology ( Site 0048)

McKinney, Texas, United States

Site Status

Village Health Partners ( Site 0006)

Plano, Texas, United States

Site Status

Copperview Medical Center ( Site 0038)

South Jordan, Utah, United States

Site Status

Timber Lane Allergy & Asthma Research, LLC ( Site 0044)

South Burlington, Vermont, United States

Site Status

Pulmonary & Sleep Research ( Site 0046)

Spokane Valley, Washington, United States

Site Status

Gundersen Health System ( Site 0021)

La Crosse, Wisconsin, United States

Site Status

Marshfield Clinic ( Site 0013)

Marshfield, Wisconsin, United States

Site Status

Paratus Clinical Pty Ltd - Blacktown Clinic ( Site 0174)

Blacktown, New South Wales, Australia

Site Status

Holdsworth House Medical Practice ( Site 0170)

Sydney, New South Wales, Australia

Site Status

Core Research Group Pty limited ( Site 0175)

Brisbane, Queensland, Australia

Site Status

Emeritus Research Pty Ltd ( Site 0173)

Camberwell, Victoria, Australia

Site Status

Paratus Clinical Kanwal ( Site 0172)

Kanwal, , Australia

Site Status

Nepean Hospital ( Site 0176)

Kingswood, , Australia

Site Status

The Liver and Intestinal Research Centre (LAIR) ( Site 0302)

Vancouver, British Columbia, Canada

Site Status

GA Research Associates, Ltd/Ltee ( Site 0303)

Moncton, New Brunswick, Canada

Site Status

Colchester Research Group ( Site 0094)

Truro, Nova Scotia, Canada

Site Status

Hamilton Medical Research Group ( Site 0092)

Hamilton, Ontario, Canada

Site Status

SKDS Research Inc. ( Site 0099)

Newmarket, Ontario, Canada

Site Status

Omnispec Recherche Clinique Inc ( Site 0093)

Mirabel, Quebec, Canada

Site Status

Dynamik Research ( Site 0095)

Pointe-Claire, Quebec, Canada

Site Status

Diex Recherche Quebec Inc ( Site 0091)

Québec, Quebec, Canada

Site Status

Q & T Research Sherbrooke Inc. ( Site 0097)

Sherbrooke, Quebec, Canada

Site Status

Clinica Arauco Salud ( Site 0100)

Santiago, RM, Chile

Site Status

Centro de Investigacion Clinica UC CICUC ( Site 0104)

Santiago, , Chile

Site Status

CECIM ( Site 0101)

Santiago, , Chile

Site Status

CESFAM Esmeralda ( Site 0102)

Santiago, , Chile

Site Status

Hospital Dr. Hernan Henriquez Aravena ( Site 0105)

Temuco, , Chile

Site Status

Southern Clinical Trials - Waitemata ( Site 0183)

Auckland, , New Zealand

Site Status

Auckland Clinical Studies Limited ( Site 0189)

Auckland, , New Zealand

Site Status

Optimal Clinical Trials ( Site 0182)

Auckland, , New Zealand

Site Status

Christchurch Heart Institute ( Site 0280)

Christchurch, , New Zealand

Site Status

Southern Clinical Trials Ltd ( Site 0180)

Christchurch, , New Zealand

Site Status

Lakeland Clinical Trials ( Site 0181)

Rotorua, , New Zealand

Site Status

Bay of Plenty Clinical School ( Site 0186)

Tauranga, , New Zealand

Site Status

P3 Research Ltd - Wellington ( Site 0184)

Wellington, , New Zealand

Site Status

WSOZ im.T.Browicza w Bydgoszczy ( Site 0317)

Bydgoszcz, , Poland

Site Status

Centrum Medyczne Pratia Bydgoszcz ( Site 0139)

Bydgoszcz, , Poland

Site Status

Synexus Polska Sp. z o.o. ( Site 0238)

Gdansk, , Poland

Site Status

Specjalistyczny osrodek .All-Med. Grazyna Pulka ( Site 0233)

Krakow, , Poland

Site Status

ID Clinic ( Site 0235)

Mysłowice, , Poland

Site Status

Centrum Medyczne Ogrodowa Sp. Z o.o. ( Site 0319)

Skierniewice, , Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej ( Site 0314)

Sopot, , Poland

Site Status

Wroclawskie Centrum Zdrowia SP ZOZ ( Site 0236)

Wroclaw, , Poland

Site Status

Synexus Polska Sp. z o.o. oddział we Wrocławiu ( Site 0234)

Wroclaw, , Poland

Site Status

Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 0249)

Kazan', , Russia

Site Status

Saratov State Medical University n.a. V.I.Razumovskiy ( Site 0144)

Saratov, , Russia

Site Status

Smolensk State Medical University ( Site 0246)

Smolensk, , Russia

Site Status

Countries

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United States Australia Canada Chile New Zealand Poland Russia

References

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Hammitt LL, Quinn D, Janczewska E, Pasquel FJ, Tytus R, Rajender Reddy K, Abarca K, Khaertynova IM, Dagan R, McCauley J, Cheon K, Pedley A, Sterling T, Tamms G, Musey L, Buchwald UK. Immunogenicity, Safety, and Tolerability of V114, a 15-Valent Pneumococcal Conjugate Vaccine, in Immunocompetent Adults Aged 18-49 Years With or Without Risk Factors for Pneumococcal Disease: A Randomized Phase 3 Trial (PNEU-DAY). Open Forum Infect Dis. 2021 Dec 18;9(3):ofab605. doi: 10.1093/ofid/ofab605. eCollection 2022 Mar.

Reference Type DERIVED
PMID: 35146039 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2017-004915-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

V114-017

Identifier Type: OTHER

Identifier Source: secondary_id

V114-017

Identifier Type: -

Identifier Source: org_study_id

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