Safety, Tolerability, and Immunogenicity Study of a 24-Valent Pneumococcal Conjugate Vaccine (VAX-24) in Older Adults

NCT ID: NCT05297578

Last Updated: 2024-10-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2023-02-15

Brief Summary

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The objective of the study is to evaluate the safety and tolerability of a single injection of VAX-24 at 3 dose levels compared to Prevnar 20™ (PCV20) in adults 65 years of age and older.

Detailed Description

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The objective of the study is to evaluate the safety and tolerability of a single injection of VAX-24 at 3 dose levels (Low: 1.1 mcg; Mid: 2.2 mcg; or Mixed: 2.2/4.4 mcg) compared to Prevnar 20™ (PCV20) in adults 65 years of age and older.

Conditions

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Pneumococcal Vaccines

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) Triple (Participant, Investigator, Outcomes Assessor)

Study Groups

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VAX-24 Low Dose

Participants will receive a single dose of VAX-24 1.1 mcg administered as an intramuscular injection on Day 1.

Group Type EXPERIMENTAL

24-Valent Pneumococcal Conjugate Vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of VAX-24 will be administered into the deltoid muscle at Day 1

VAX-24 Mid Dose

Participants will receive a single dose of VAX-24 2.2 mcg administered as an intramuscular injection on Day 1.

Group Type EXPERIMENTAL

24-Valent Pneumococcal Conjugate Vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of VAX-24 will be administered into the deltoid muscle at Day 1

VAX-24 Mixed Dose

Participants will receive a single dose of VAX-24 2.2 mcg/4.4 mcg administered as an intramuscular injection on Day 1.

Group Type EXPERIMENTAL

24-Valent Pneumococcal Conjugate Vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of VAX-24 will be administered into the deltoid muscle at Day 1

PCV20

Participants will receive a single intramuscular injection of the standard dose of PCV20 on Day 1.

Group Type ACTIVE_COMPARATOR

Pneumococcal 20-valent Conjugate Vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of Prevnar 20 will be administered into the deltoid muscle at Day 1

Interventions

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24-Valent Pneumococcal Conjugate Vaccine

0.5 ml dose of VAX-24 will be administered into the deltoid muscle at Day 1

Intervention Type BIOLOGICAL

Pneumococcal 20-valent Conjugate Vaccine

0.5 ml dose of Prevnar 20 will be administered into the deltoid muscle at Day 1

Intervention Type BIOLOGICAL

Other Intervention Names

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Prevnar 20, PCV20

Eligibility Criteria

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Inclusion Criteria

* Male or female age 65 or older.
* Able and willing to complete the informed consent process.
* Available for clinical follow-up through the last study visit at 6 months after the study vaccination.
* In good general health as determined by medical history, vital signs, physical examination, and clinical judgment of the investigator. Preexisting medical conditions must be stable as defined by no change in treatment at least 6 weeks prior to study participation.
* Willing to have blood samples collected, stored indefinitely, and used for research purposes.
* Able to provide proof of identity to the satisfaction of the study staff completing the enrollment process.

Exclusion Criteria

* Previous pneumococcal disease (either confirmed or by self-reporting).
* Previous receipt of a licensed or investigational pneumococcal vaccine.
* Receipt of any investigational study product within 30 days prior to enrollment into the study, currently participating in another interventional investigational study, or having plans to receive another investigational product(s) while on study.
* Planned or actual administration of any licensed vaccine during the period starting 30 days before enrollment into the study through Day 29.
* Physical examination indicating any clinically significant medical condition.
* Body Temperature \> 38.0°C (\> 100.4°F) or acute illness within 3 days prior to study vaccination (subject may be rescheduled).
* Previous or existing diagnosis of HIV, Hepatitis B or Hepatitis C.
* History of severe allergic reaction with generalized urticaria, angioedema, or anaphylaxis.
* Bleeding disorder diagnosed by a doctor (eg, factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with intramuscular injections or blood draws.
* Any other chronic or clinically significant medical condition that, in the opinion of the investigator, would jeopardize the safety or rights of the subject or confound evaluation of the study vaccine.
* Any medical, psychiatric, or social condition that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a subject's ability to give informed consent.
* Received blood or blood product (including Immune Globulin IV) within 90 days prior to enrollment into the study.
* Received systemic corticosteroids for ≥ 14 consecutive days and has not completed treatment ≤30 days prior to enrollment into the study.
* Receiving immunosuppressive therapy.
* History of malignancy ≤5 years before enrollment, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vaxcyte, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Development

Role: STUDY_DIRECTOR

Vaxcyte, Inc.

Locations

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Accel Research Sites-Birmingham Clinical Research Unit

Birmingham, Alabama, United States

Site Status

Accel Research Sites - DeLand Clinical Research Unit

DeLand, Florida, United States

Site Status

CenExel RCA

Hollywood, Florida, United States

Site Status

Precision Clinical Research

Sunrise, Florida, United States

Site Status

Meridian Clinical Research

Savannah, Georgia, United States

Site Status

Pivotal Research Solutions

Stonecrest, Georgia, United States

Site Status

Healthcare Research Network II, LLC

Flossmoor, Illinois, United States

Site Status

AMR Newton, formerly Heartland Research Associates

Newton, Kansas, United States

Site Status

AMR Wichita West

Wichita, Kansas, United States

Site Status

AMR New Orleans

New Orleans, Louisiana, United States

Site Status

Healthcare Research Network

Hazelwood, Missouri, United States

Site Status

Meridian Clinical Research

Omaha, Nebraska, United States

Site Status

Accellacare of Rocky Mount

Rocky Mount, North Carolina, United States

Site Status

Meridian Clinical Research

Cincinnati, Ohio, United States

Site Status

Accellacare of Charleston

Mt. Pleasant, South Carolina, United States

Site Status

Coastal Carolina Research

North Charleston, South Carolina, United States

Site Status

Clinical Trials of Texas, LLC

San Antonio, Texas, United States

Site Status

CenExel JBR Clinical Research

Salt Lake City, Utah, United States

Site Status

Velocity Clinical Research, Salt Lake City

West Jordan, Utah, United States

Site Status

Charlottesville Medical Research

Charlottesville, Virginia, United States

Site Status

Countries

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United States

References

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Wassil J, Sisti M, Fairman J, Rankin B, Clark J, Bennett S, Johnson D, Migone TS, Nguyen K, Paschenko A, Sauer P, Iki S, Hanson ME, Simon JK. A phase 2, randomized, blinded, dose-finding, controlled clinical trial to evaluate the safety, tolerability, and immunogenicity of a 24-valent pneumococcal conjugate vaccine (VAX-24) in healthy adults 65 years and older. Vaccine. 2024 Nov 14;42(25):126124. doi: 10.1016/j.vaccine.2024.07.025. Epub 2024 Jul 17.

Reference Type RESULT
PMID: 39025698 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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VAX24-102

Identifier Type: -

Identifier Source: org_study_id

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