Safety, Tolerability, and Immunogenicity of a 24-Valent Pneumococcal Conjugate Vaccine (VAX-24) in Healthy Infants

NCT ID: NCT05844423

Last Updated: 2025-09-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

802 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-29

Study Completion Date

2025-08-25

Brief Summary

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The objective of the study is to evaluate the safety and tolerability of 4 injections of VAX-24 (at 3 dose levels) compared to PCV15 in infants at 2, 4, 6, and 12-15 months of age, in addition to receiving routine US concomitant vaccines. Stage 1 of the study will comprise 3 dose ascending cohorts. Stage 2 of the study will enroll the remainder of the sample size.

Detailed Description

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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

Participants will receive 4 doses of VAX-24 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of three dose levels.

Group Type EXPERIMENTAL

0.5 ml dose of 1.1 mcg VAX-24

Intervention Type BIOLOGICAL

24 valent pneumococcal conjugate vaccine

VAX-24 Mid

Participants will receive 4 doses of VAX-24 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of three dose levels.

Group Type EXPERIMENTAL

0.5 ml dose of 2.2 mcg VAX-24

Intervention Type BIOLOGICAL

24 valent pneumococcal conjugate vaccine

VAX-24 Mixed

Participants will receive 4 doses of VAX-24 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of three dose levels.

Group Type EXPERIMENTAL

0.5 ml dose of 2.2/4.4 mcg VAX-24

Intervention Type BIOLOGICAL

24 valent pneumococcal conjugate vaccine

PCV20

Participants will receive 4 doses of PCV20 administered as an intramuscular injection of the standard dose at 2, 4, 6, and 12-15 months of age.

Group Type ACTIVE_COMPARATOR

0.5 ml dose of PCV20

Intervention Type BIOLOGICAL

20 valent pneumococcal conjugate vaccine

Interventions

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0.5 ml dose of 1.1 mcg VAX-24

24 valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of PCV20

20 valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of 2.2 mcg VAX-24

24 valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

0.5 ml dose of 2.2/4.4 mcg VAX-24

24 valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Healthy male or female infant ≥42 days to ≤89 days (inclusive).
2. Full-term infant at least 37 weeks gestational age at birth.
3. Afebrile for ≥72 hours with a rectal temperature \<38.0°C (\<100.4°F) or axillary temperature \<37.8°C (\<100.0°F) before receipt of study vaccine.\*
4. Able to attend all scheduled visits and comply with the study procedures.
5. Subject's parent/legal guardian is able to read and understands the study procedures, alternate treatments, risks and benefits, and provides written informed consent.
6. Subject's parent/legal guardian is able to fill out an ediary of solicited AE and take daily axillary temperature and measurements of local injection site reactions for the 7 days after each study vaccination.
7. Subject's parent/legal guardian has an e-mail address and access to a computer or smartphone with internet to complete the ediary.

Exclusion Criteria

1. History of invasive pneumococcal disease (positive blood culture, positive cerebrospinal fluid culture, or other sterile site) or known history of other culture positive pneumococcal disease.
2. Previous receipt of a licensed or investigational vaccine (excluding 1 dose hepatitis B vaccine).
3. Known hypersensitivity to any vaccine.
4. Known or suspected impairment of immunological function (e.g., asplenia, HIV, primary immunodeficiency).
5. Use of any immunosuppressive therapy (Note: topical and inhaled/nebulized steroids are permitted).
6. History of failure to thrive.
7. Subject has a coagulation disorder contraindicating IM vaccination.
8. Subject or his/her mother have documented hepatitis B surface antigen-positive.
9. Has a known neurologic or cognitive behavioral disorder.
10. Has a known clinically significant congenital malformation or serious chronic disorder.
11. Receipt of a blood transfusion or blood products, including immunoglobulins.
12. Receipt of any investigational study product since birth, currently participating in another interventional investigational study, or having plans to receive another investigational product(s) while on study.
13. Any infant who cannot be adequately followed for safety according to the protocol plan.
14. Any other reason that in the opinion of the investigator may interfere with the evaluation required by the study.
Minimum Eligible Age

42 Days

Maximum Eligible Age

89 Days

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

Locations

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The Children's Clinic of Jonesboro, P.A.

Jonesboro, Arkansas, United States

Site Status

Madera Family Medical Group

Madera, California, United States

Site Status

Jedidiah Clinical Research

Tampa, Florida, United States

Site Status

Kentucky Pediatric/ Adult Research

Bardstown, Kentucky, United States

Site Status

ACC Pediatric Research

Haughton, Louisiana, United States

Site Status

Meridian Clinical Research

Hastings, Nebraska, United States

Site Status

Midwest Children's Health Research Institute

Lincoln, Nebraska, United States

Site Status

Midwest Children's Health Research Institute

Lincoln, Nebraska, United States

Site Status

Midwest Children's Health Research Institute

Lincoln, Nebraska, United States

Site Status

Midwest Children's Health Research Institute

Lincoln, Nebraska, United States

Site Status

Ohio Pediatric Research Assn.

Dayton, Ohio, United States

Site Status

UPMC Bass Wolfson Cranberry

Cranberry Township, Pennsylvania, United States

Site Status

Allegheny Health and Wellness Pavilion

Erie, Pennsylvania, United States

Site Status

UPMC Children's Community Pediatrics South Hills-Jefferson Hills

Jefferson Hills, Pennsylvania, United States

Site Status

UPMC Primary Care Center Oakland

Pittsburgh, Pennsylvania, United States

Site Status

UPMC Children's Community Pediatrics Bass Wolfson-Squirrel Hill

Pittsburgh, Pennsylvania, United States

Site Status

UPMC Children's Community Pediatrics-Castle Shannon

Pittsburgh, Pennsylvania, United States

Site Status

Palmetto Pediatrics, PA

North Charleston, South Carolina, United States

Site Status

Tribe Clinical Research at Parkside Pediatrics

Simpsonville, South Carolina, United States

Site Status

Coastal Pediatric Research

Summerville, South Carolina, United States

Site Status

Holston Medical Group

Kingsport, Tennessee, United States

Site Status

Ventavia Research Group

Burleson, Texas, United States

Site Status

Ventavia

Houston, Texas, United States

Site Status

Kool Kids Pediatrics

Houston, Texas, United States

Site Status

Pediatric Associates

Houston, Texas, United States

Site Status

Pediatric Center

Richmond, Texas, United States

Site Status

Alliance for Multispecialty Research

Layton, Utah, United States

Site Status

Alliance for Multispecialty Research

Murray, Utah, United States

Site Status

Alliance for Multispecialty Research

Provo, Utah, United States

Site Status

Alliance for Multispecialty Research

Roy, Utah, United States

Site Status

Alliance for Multispecialty Research

Syracuse, Utah, United States

Site Status

Pediatric Research of Charlottesville, LLC

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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VAX24-112

Identifier Type: -

Identifier Source: org_study_id

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