Study of the Safety and Immunogenicity of Catch-up Vaccination With a 21-valent Pneumococcal Conjugate Vaccine (PCV21) in Healthy Infants, Toddlers, Children, and Adolescents

NCT ID: NCT06838000

Last Updated: 2025-10-06

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1268 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-28

Study Completion Date

2026-12-01

Brief Summary

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The purpose of this study is to evaluate the safety and immunogenicity of PCV21 versus 20vPCV ( 20-valent pneumococcal conjugate vaccine, Prevnar 20) for catch-up vaccination in infants (7 to 11 MoA-Months of age), toddlers (12 to 23 MoA), and children/adolescents (2 to 5 YoA and 6 to 17 YoA-years of age).

Detailed Description

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The duration of each participation will be approximately 9 to 11 months for each infant participant, 8 to 9 months for each toddler participant, and 6 months for each child/adolescent participant.

Conditions

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Pneumococcal Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Control-Method: Active Controlled
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
Modified double-blind:

* Blinding for vaccine group assignment: participants and participant's parent(s) / legally acceptable representative(s) (LARs), outcome assessors, Investigators, laboratory personnel, and Sponsor study staff
* No blinding for vaccine group assignment: those preparing and administering the study interventions

Study Groups

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Infants (7 to 11 MoA)

Participants will receive 3 intramuscular injections of pneumococcal vaccine with an interval of:

* 4 to 8 weeks (28 to 56 days) between the 1st dose and the 2nd dose
* 8 to 12 weeks (56 to 84 days) between the 2nd dose and the 3rd dose AND age ≥ 12 MoA at 3rd dose

Group Type EXPERIMENTAL

PCV21

Intervention Type BIOLOGICAL

Investigational pneumococcal conjugate vaccine

20vPCV

Intervention Type BIOLOGICAL

20-valent pneumococcal conjugate vaccine

Toddlers (12 to 23 MoA)

Participants will receive 2 intramuscular injections of the pneumococcal vaccine with an interval of 8 to 12 weeks (56 to 84 days) between doses

Group Type EXPERIMENTAL

PCV21

Intervention Type BIOLOGICAL

Investigational pneumococcal conjugate vaccine

20vPCV

Intervention Type BIOLOGICAL

20-valent pneumococcal conjugate vaccine

Children/adolescent (2 to 5 and 6 to 17 YoA)

Participants will receive 1 intramuscular injection of the pneumococcal vaccine

Group Type EXPERIMENTAL

PCV21

Intervention Type BIOLOGICAL

Investigational pneumococcal conjugate vaccine

20vPCV

Intervention Type BIOLOGICAL

20-valent pneumococcal conjugate vaccine

Interventions

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PCV21

Investigational pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

20vPCV

20-valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

AGE

* Aged 7 months to 17 years on the day of inclusion

TYPE OF PARTICIPANT AND DISEASE CHARACTERISTICS

* Participants who are healthy as determined by medical evaluation including medical history and physical examination

For infants (7 to 11 MoA) and toddlers (12 to 23 MoA) only

* Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or born after a gestation period above 28 (\> 28 weeks) through 36 weeks with a birth weight ≥ 1.5 kg, and in both cases medically stable as assessed by the investigator

SEX, CONTRACEPTIVE/BARRIER METHOD AND PREGNANCY TESTING REQUIREMENTS For adolescents (6 to 17 YoA) only

* A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:
* Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be pre-menarche or surgically sterile. OR
* Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to the study vaccine administration until at least 4 weeks after the study vaccine administration. A female participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 25 hours of before the first dose of study vaccine.

INFORMED CONSENT

* Assent form has been signed and dated by the participant (based on local regulations), and if applicable, and informed consent form has been signed and dated by the parent(s) or another legally acceptable representative (LAR) and by an independent witness, if required by local regulations

OTHER INCLUSIONS

* Participant and parent(s) / LAR(s) are able to attend all scheduled visits and to comply with all study procedures

Exclusion Criteria

MEDICAL CONDITIONS

* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy
* History of microbiologically confirmed S. pneumoniae infection or disease
* History of seizure or significant stable or progressive neurological disorders such as inflammatory nervous system diseases, encephalopathy, and cerebral palsy
* Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a product containing any of the same substances
* Laboratory-confirmed thrombocytopenia, or known thrombocytopenia, as reported by the parent(s) / LAR(s), contraindicating intramuscular (IM) injection
* Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM injection
* Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
* Moderate or severe acute illness/infection (according to investigator judgment) or febrile illness (temperature ≥ 38.0°C \[≥ 100.4°F\]) on the day of vaccine administration.

For infants (7 to 11 MoA) and toddlers (12 to 23 MoA) only

* Previous vaccination against S. pneumonia

For children (2 to 5 YoA) and adolescents (6 to 17 YoA) only

* Previous vaccination with pneumococcal polysaccharide vaccine

For adolescents (6 to 17 YoA) only

* Alcohol, prescription drug, or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion

PRIOR/CONCOMITANT THERAPY

* Receipt of any vaccine in the 4 weeks preceding the vaccine administration or planned receipt of any vaccine in the 4 weeks following the vaccine administration, except for US licensed influenza vaccination, which may be received at least 2 weeks before or 2 weeks after any study vaccination. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines, as applicable per local recommendations
* Receipt of immune globulins, blood or blood-derived products in the past 3 months

For children (2 to 5 YoA) and adolescents (6 to 17 YoA) only

* Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw

PRIOR/CONCURRENT CLINICAL STUDY EXPERIENCE

* Participation at the time of study enrollment (or in the 6 weeks preceding the first vaccine administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure

OTHER EXCLUSIONS For adolescents (6 to 17 YoA) only

* Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
* Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial
Minimum Eligible Age

7 Months

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations Study Director

Role: STUDY_DIRECTOR

Sanofi

Locations

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Site # 8400008

Paramount, California, United States

Site Status

Site # 8400024

Doral, Florida, United States

Site Status

Site # 8400007

Hialeah, Florida, United States

Site Status

Site # 8400014

Melbourne, Florida, United States

Site Status

Site # 8400009

Miami, Florida, United States

Site Status

Site # 8400016

Miami, Florida, United States

Site Status

Site # 8400021

Fayetteville, Georgia, United States

Site Status

Site # 8400004

Union City, Georgia, United States

Site Status

Site # 8400003

Sioux City, Iowa, United States

Site Status

Site # 8400023

Erlanger, Kentucky, United States

Site Status

Site # 8400018

Biloxi, Mississippi, United States

Site Status

Site # 8400012

Ridgeland, Mississippi, United States

Site Status

Site # 8400002

Omaha, Nebraska, United States

Site Status

Site #8400010

Binghamton, New York, United States

Site Status

Site # 8400025

Rochester, New York, United States

Site Status

Site # 8400001

Houston, Texas, United States

Site Status

Site # 8400017

Stephenville, Texas, United States

Site Status

Site # 2330006

Tallinn, Harju, Estonia

Site Status

Site # 2330007

Tallinn, Harju, Estonia

Site Status

Site # 2330002

Tallinn, Harju, Estonia

Site Status

Site # 2330003

Tallinn, Harju, Estonia

Site Status

Site # 2330001

Paide, Järvamaa, Estonia

Site Status

Site # 2330005

Tartu, Tartu, Estonia

Site Status

Site # 2330004

Tartu, , Estonia

Site Status

Site # 6160009

Lodz, Lodskie, Poland

Site Status

Site # 6160007

Warsaw, Masovian Voivodeship, Poland

Site Status

Site # 6160003

Częstochowa, Silesian Voivodeship, Poland

Site Status

Site # 6160002

Bydgoszcz, , Poland

Site Status

Site # 6160004

Bydgoszcz, , Poland

Site Status

Site # 6160006

Kłodzko, , Poland

Site Status

Site # 6160001

Torun, , Poland

Site Status

Site # 7640002

Hat Yai, Changwat Songkhla, Thailand

Site Status

Site # 7640003

Mueang Nonthaburi, Chiang Mai, Thailand

Site Status

Site # 7640008

Bangkok, , Thailand

Site Status

Site # 7640006

Bangkok, , Thailand

Site Status

Site # 7640007

Bangkok, , Thailand

Site Status

Site # 7640004

Chiang Mai, , Thailand

Site Status

Site # 7640001

Pathum Thani, , Thailand

Site Status

Countries

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United States Estonia Poland Thailand

Related Links

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Other Identifiers

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U1111-1294-7860

Identifier Type: OTHER

Identifier Source: secondary_id

2024-512271-13

Identifier Type: OTHER

Identifier Source: secondary_id

PSK00010

Identifier Type: -

Identifier Source: org_study_id

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