Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age

NCT ID: NCT06975878

Last Updated: 2025-12-22

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1080 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-22

Study Completion Date

2027-08-18

Brief Summary

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This study is a Phase 3, randomized, modified double-blind study which aims to measure whether PCV21 vaccine (investigational pneumococcal conjugate vaccine) is safe and can help the body to develop germ-fighting agents called "antibodies" (immunogenicity) compared with 15vPCV (Vaxneuvance, licensed pneumococcal conjugate vaccine) when they are administered with routine pediatric vaccines in infants aged from approximately 2 months (42 to 112 days).

The study duration per participant will be up to approximately 20 months. The study vaccines (either PCV21 or 15-valent pneumococcal vaccines) will be administered at approximately 2, 4, and 11 to 15 months of age or at approximately 2, 3, 4, and 11 to 15 months of age (for preterm infants). Routine pediatric vaccines will be given at the same timepoints, as per local practice / recommendations.

• There will be 5 (for full-term infants) or 6 (for preterm infants) study visits:

* Full-term infants: Visit (V)01, V02 separated from V01 by 60 days, V03 separated from V02 by 30 days, V04 at 11 months of age until 15 months of age, V05 separated from V04 by 30 days.
* Preterm infants: Visit (V)01, V02 separated from V01 by 30 days, V03 separated from V02 by 30 days, V04 separated from V03 by 30 days, V05 at 11 months of age until 15 months of age, V06 separated from V05 by 30 days.

Detailed Description

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Conditions

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Pneumococcal Immunization Healthy Volunteers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
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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Group 1: PCV21

Participants will be administered via intramuscular injection (IM) a 2-dose primary series of PCV21 at approximately 2 and 4 months of age (MoA) or a 3-dose primary series (preterm infants) at 2, 3, and 4 MoA co- administered with Hexyon. At 11 to 15 MoA, participants will receive a 3rd dose or 4th dose (for preterm infants) of PCV21 co-administered with Hexyon and M M RvaxPro; Varivax will also be co-administered unless not possible as per local practice

Group Type EXPERIMENTAL

PCV21 vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Hexyon vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

M-M-RvaxPro vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous

Varivax vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous

Group 2: 15vPCV

Participants will be administered via intramuscular injection (IM) a 2-dose primary series of 15vPCV at approximately 2 and 4 months of age (MoA) or a 3-dose primary series (preterm infants) at 2, 3, and 4 MoA co- administered with Hexyon. At 11 to 15 MoA, participants will receive a 3rd dose or 4th dose (for preterm infants) of 15vPCV co-administered with Hexyon and M M RvaxPro; Varivax will also be co-administered unless not possible as per local practice

Group Type ACTIVE_COMPARATOR

Vaxneuvance vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Hexyon vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

M-M-RvaxPro vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous

Varivax vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous

Interventions

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PCV21 vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

Vaxneuvance vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

Hexyon vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

M-M-RvaxPro vaccine

Pharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous

Intervention Type BIOLOGICAL

Varivax vaccine

Pharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous

Intervention Type BIOLOGICAL

Other Intervention Names

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515 Vaxneuvance ™ Hexyon® M-M-RVAX-PRO® Varivax®

Eligibility Criteria

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Inclusion Criteria

* Aged 42 to 112 days on the day of inclusion
* Participants who are healthy as determined by medical evaluation including medical history and physical examination
* 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

Exclusion Criteria

* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy
* History of microbiologically confirmed Streptococcus pneumoniae infection or disease
* Any contraindication to the routine pediatric vaccines being administered in the study
* History of seizure or significant stable or progressive neurological disorders such as infantile spasms, inflammatory nervous system diseases, encephalopathy, cerebral palsy
* Known systemic hypersensitivity to any of the study interventions components, or history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances
* Laboratory-confirmed or known thrombocytopenia, as reported by the parent/legally acceptable representative (LAR), 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 study intervention administration. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
* Receipt of any vaccine in the 4 weeks preceding the study intervention administration or planned receipt of any vaccine in the 4 weeks following the study intervention administration, except for oral rotavirus vaccine, which may be received anytime during the study including at study visits and for influenza vaccination or meningococcal b vaccine, which may be received at least 14 days before or 14 days after any study vaccination. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines, as applicable per local recommendations.
* Previous vaccination against S. pneumoniae
* Previous vaccination against the following antigens: diphtheria, tetanus, pertussis, Haemophilus influenzae type b, and poliovirus
* Receipt of more than 1 dose of hepatitis B vaccine
* Receipt of immune globulins, blood or blood-derived products since birth
* Participation at the time of study enrollment (or in the 6 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure

Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
Minimum Eligible Age

42 Days

Maximum Eligible Age

112 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigational Site Number : 0560004

Alken, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560001

Bruges, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560002

Edegem, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560005

Gozée, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560007

Leuven, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560003

Roeselare, , Belgium

Site Status RECRUITING

Investigational Site Number : 2030001

Jindřichův Hradec, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030009

Krnov, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030006

Pilsen, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030008

Prague, , Czechia

Site Status RECRUITING

Investigational Site Number : 2330001

Paide, , Estonia

Site Status RECRUITING

Investigational Site Number : 2330004

Tallinn, , Estonia

Site Status RECRUITING

Investigational Site Number : 2330002

Tartu, , Estonia

Site Status RECRUITING

Investigational Site Number : 2460008

Espoo, , Finland

Site Status RECRUITING

Investigational Site Number : 2460001

Helsinki, , Finland

Site Status RECRUITING

Investigational Site Number : 2460010

Helsinki, , Finland

Site Status RECRUITING

Investigational Site Number : 2460005

Järvenpää, , Finland

Site Status RECRUITING

Investigational Site Number : 2460003

Kokkola, , Finland

Site Status RECRUITING

Investigational Site Number : 2460004

Oulu, , Finland

Site Status RECRUITING

Investigational Site Number : 2460002

Seinäjoki, , Finland

Site Status RECRUITING

Investigational Site Number : 2460007

Tampere, , Finland

Site Status RECRUITING

Investigational Site Number : 2460009

Turku, , Finland

Site Status RECRUITING

Investigational Site Number : 2760005

Herxheim, , Germany

Site Status RECRUITING

Investigational Site Number : 2760006

Hürth, , Germany

Site Status RECRUITING

Investigational Site Number : 2760014

Hürth, , Germany

Site Status RECRUITING

Investigational Site Number : 2760013

Krefeld, , Germany

Site Status RECRUITING

Investigational Site Number : 2760010

Mönchengladbach, , Germany

Site Status RECRUITING

Investigational Site Number : 2760012

Mönchengladbach, , Germany

Site Status RECRUITING

Investigational Site Number : 2760008

Schönau am Königssee, , Germany

Site Status RECRUITING

Investigational Site Number : 2760003

Wolfsburg, , Germany

Site Status RECRUITING

Investigational Site Number : 3000002

Athens, , Greece

Site Status RECRUITING

Investigational Site Number : 3000006

Ioannina, , Greece

Site Status RECRUITING

Investigational Site Number : 3000005

Thessaloniki, , Greece

Site Status RECRUITING

Investigational Site Number : 3800004

Rome, Roma, Italy

Site Status RECRUITING

Investigational Site Number : 3800001

Bari, , Italy

Site Status RECRUITING

Investigational Site Number : 3800008

Foggia, , Italy

Site Status RECRUITING

Investigational Site Number : 3800010

Lecce, , Italy

Site Status RECRUITING

Investigational Site Number : 3800007

Milan, , Italy

Site Status RECRUITING

Investigational Site Number : 3800009

Parma, , Italy

Site Status RECRUITING

Investigational Site Number : 6160001

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160007

Torun, Kuyavian-Pomeranian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160009

Krakow, Lesser Poland Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160003

Trzebnica, Lower Silesian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160008

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160005

Dziekanów Leśny, Masovian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160011

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160002

Siemianowice Śląskie, Silesian Voivodeship, Poland

Site Status RECRUITING

Countries

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Bulgaria United States Belgium Czechia Estonia Finland Germany Greece Italy Poland

Central Contacts

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Trial Transparency email recommended (Toll free for US & Canada)

Role: CONTACT

Phone: 800-633-1610

Email: [email protected]

Related Links

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Other Identifiers

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2023-507600-32

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1295-6064

Identifier Type: OTHER

Identifier Source: secondary_id

PSK04

Identifier Type: -

Identifier Source: org_study_id