Safety, Tolerability, and Immunogenicity of VAX-31 in Adults ≥50 Years With Immunobridging to Adults 18-49

NCT ID: NCT07284654

Last Updated: 2025-12-16

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

4000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2027-01-31

Brief Summary

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The primary objectives of this study are to evaluate the safety, tolerability, immunologic noninferiority (for shared serotypes) and immunologic superiority (for novel serotypes) of VAX-31 compared to PCV21 and PCV20 in adults ≥50 years of age, and to bridge the immune responses induced by VAX-31 in adults 50-64 years of age to adults 18-49 years of age.

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

Study Groups

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Cohort 1 (VAX-31), participant ≥ 50 years of age

Participants will receive a single dose of VAX-31 administered via intramuscular injection at Day 1

Group Type EXPERIMENTAL

31 valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

0.5 mL of VAX-31 will be administered into the deltoid muscle

Cohort 1 (PCV21), participant ≥ 50 years of age

Participants will receive a single dose of PCV21 (Capvaxive) administered via intramuscular injection at Day 1

Group Type ACTIVE_COMPARATOR

PCV21

Intervention Type BIOLOGICAL

0.5 mL of the 21 valent pneumococcal conjugate vaccine will be administered into the deltoid muscle

Cohort 1 (PCV20), participant ≥ 50 years of age

Participants will receive a single dose of PCV20 (Prevnar 20) administered via intramuscular injection at Day 1

Group Type ACTIVE_COMPARATOR

PCV20

Intervention Type BIOLOGICAL

0.5 mL of the 20 valent pneumococcal conjugate vaccine will be administered into the deltoid muscle

Cohort 2 (VAX-31), participant 18-49 years of age

Participants will receive a single dose of VAX-31 administered via intramuscular injection at Day 1

Group Type EXPERIMENTAL

31 valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

0.5 mL of VAX-31 will be administered into the deltoid muscle

Cohort 2 (PCV20), participant 18-49 years of age

Participants will receive a single dose of PCV20 (Prevnar 20) administered via intramuscular injection at Day 1

Group Type ACTIVE_COMPARATOR

PCV20

Intervention Type BIOLOGICAL

0.5 mL of the 20 valent pneumococcal conjugate vaccine will be administered into the deltoid muscle

Interventions

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31 valent pneumococcal conjugate vaccine

0.5 mL of VAX-31 will be administered into the deltoid muscle

Intervention Type BIOLOGICAL

PCV20

0.5 mL of the 20 valent pneumococcal conjugate vaccine will be administered into the deltoid muscle

Intervention Type BIOLOGICAL

PCV21

0.5 mL of the 21 valent pneumococcal conjugate vaccine will be administered into the deltoid muscle

Intervention Type BIOLOGICAL

Other Intervention Names

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Prevnar 20 Capvaxive

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥18 years of age (inclusive) at the time of randomization into the study.
* Able and willing to complete the informed consent process.
* Available for clinical follow-up through the last study visit.
* In good general health or with stable underlying chronic condition(s), as determined by medical history, oral temperature, physical examination, and clinical judgment of the Investigator (ongoing chronic conditions must be documented as stable per Investigator).
* Willing to have blood samples collected and used for research purposes.
* Able to provide proof of identity to the satisfaction of the site personnel completing the enrollment process.
* Female participants of childbearing potential, defined as premenopausal females capable of becoming pregnant, must have a negative urine pregnancy test immediately prior to randomization and agree to use acceptable contraception. Male subjects with partners of childbearing potential must agree to practice an acceptable contraception method.
* Able to access and use a device connected to Wi-Fi or cellular network for completion of an electronic diary (eDiary).

Exclusion Criteria

* History of invasive pneumococcal disease (IPD) or pneumococcal pneumonia (either confirmed or self-reported) at any age.
* Previous receipt of any licensed or investigational pneumococcal vaccine at any age.
* Receipt of any investigational product within 30 days prior to Day 1, currently participating in another interventional investigational study, or having plans to receive another investigational product(s) while on study.
* Receipt of any live vaccine within 30 days prior to Day 1, or receipt of any non-live (including inactivated) vaccine within 14 days prior to Day 1.
* Body temperature \>38.0°C (\>100.4°F) or acute illness within 3 days prior to study vaccination (subject may be rescreened).
* Current diagnosis of human immunodeficiency virus, Hepatitis B, or Hepatitis C.
* History of severe allergic reaction with generalized urticaria, angioedema, or anaphylaxis to any previous vaccination.
* Individual who is pregnant, breastfeeding, or planning to become pregnant during study participation.
* Has a known or suspected immunocompromising condition, including, but not limited to, leukemia, lymphoma, chronic renal failure, or congenital or acquired immunodeficiency.
* Bleeding disorder diagnosed by a doctor (e.g., factor deficiency, coagulopathy, or platelet disorder requiring special precautions) resulting in clinically significant bruising or bleeding difficulties with IM injections or blood draws.
* Receipt of blood or blood product (including polyclonal intravenous immunoglobulin) within 60 days prior to enrollment into the study.
* Is currently receiving immunosuppressive or immune-modifying therapy, including systemic corticosteroids (this includes ≥3 months of prednisone equivalent from 5 to \<10 mg/day and ≥2 weeks of prednisone equivalent ≥10 mg/day).
* Received any part of a ≥14-day course of systemic corticosteroids (prednisone equivalent \>10 mg/day) within 14 days of study vaccination.
* History of malignancy ≤5 years before enrollment, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer.
* 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.
* Employee of, or first-degree relative of, any person employed by the Sponsor, the contract research organization (CRO), the Investigator, site personnel, or site.
Minimum Eligible Age

18 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

Locations

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Accel Research Site - Achieve - Birmingham - ERN

Birmingham, Alabama, United States

Site Status RECRUITING

Center for Indigenous Health - Chinle - Johns Hopkins Project

Chinle, Arizona, United States

Site Status NOT_YET_RECRUITING

Center for Indigineous Health - Whiteriver - John Hopkins Project

Whiteriver, Arizona, United States

Site Status NOT_YET_RECRUITING

Clinical Innovations Trials - Riverside - CenExel

Riverside, California, United States

Site Status RECRUITING

Research Centers of America - Hollywood - CenExel

Hollywood, Florida, United States

Site Status RECRUITING

Health Awareness - Jupiter - ERN

Jupiter, Florida, United States

Site Status RECRUITING

Suncoast Research Group LLC

Miami, Florida, United States

Site Status RECRUITING

Precision Clinical Research - Sunrise

Sunrise, Florida, United States

Site Status RECRUITING

Clinical Research Atlanta - Headlands

Stockbridge, Georgia, United States

Site Status RECRUITING

Velocity Clinical Research - Valparaiso (Buynak Clinical Research)

Valparaiso, Indiana, United States

Site Status RECRUITING

Johnson County Clin-Trials - JCCT

Lenexa, Kansas, United States

Site Status RECRUITING

Alliance for Multispecialty Research, LLC - West Wichita

Wichita, Kansas, United States

Site Status RECRUITING

DelRicht Clinical Research, LLC - New Orleans

New Orleans, Louisiana, United States

Site Status RECRUITING

Headlands Research - Detroit - Headlands

Southfield, Michigan, United States

Site Status RECRUITING

DelRicht Research, LLC - Gulfport

Gulfport, Mississippi, United States

Site Status RECRUITING

Sky Integrative Medical Center - SKYCRNG

Ridgeland, Mississippi, United States

Site Status RECRUITING

Alliance for Multispecialty Research, LLC - Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

Velocity Clinical Research

Omaha, Nebraska, United States

Site Status RECRUITING

Advanced Memory Research Institute - CenExe

Toms River, New Jersey, United States

Site Status RECRUITING

Center for Indigineous Health - Gallup - John Hopkins Project

Gallup, New Mexico, United States

Site Status NOT_YET_RECRUITING

Center for Indigineous Health - Shiprock - John Hopkins Project

Shiprock, New Mexico, United States

Site Status NOT_YET_RECRUITING

Rochester Clinical Research - ATLAS - Rochester

Rochester, New York, United States

Site Status RECRUITING

CTI Clinical Research Center

Cincinnati, Ohio, United States

Site Status RECRUITING

Lynn Institute of Norman

Norman, Oklahoma, United States

Site Status RECRUITING

DM Clinical Research - Philadelphia

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Coastal Carolina Research Center - Alcanza - HyperCore

North Charleston, South Carolina, United States

Site Status RECRUITING

Flourish Research - San Antonio

San Antonio, Texas, United States

Site Status RECRUITING

DM Clinical Research - Sugarland

Sugar Land, Texas, United States

Site Status RECRUITING

JBR Clinical Research - CenExel JBR

Salt Lake City, Utah, United States

Site Status RECRUITING

Charlottesville Medical Research Center - Alcanza - HyperCore

Charlottesville, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Clinical Development

Role: CONTACT

650-837-0111

Facility Contacts

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Justina Owens

Role: primary

205-757-8212

Starla Garcia

Role: primary

928-674-5051

Natalie Jones

Role: primary

928-338-5215

Tina Ramirez

Role: primary

951-300-4924

Laymis Alvarez

Role: primary

954-990-7649

Sara Hernandez

Role: primary

561-741-2033

Joeb I Gonzalez

Role: primary

305-631-6704

Emily Bird

Role: primary

954-915-9991

Michelle Binns

Role: primary

770-507-6867

Miranda Lee

Role: primary

219-464-8302

Melissa Pittman

Role: primary

913-825-4400

Seneca Meeks

Role: primary

316-689-6635

Morgan Couvillion

Role: primary

504-336-2667

Tianna Walker

Role: primary

248-243-1870

Amber Laque

Role: primary

228-588-8268

Monica Wiley

Role: primary

601-617-7717

Kara M Farren

Role: primary

816-943-0770

Cortney Roach

Role: primary

402-933-6500

Laure Bawiec

Role: primary

732-341-9500

Carol Tso

Role: primary

505-722-6865

Mary Thomas

Role: primary

505-368-4030

Megan Boise

Role: primary

585-288-0890

Angie Winkler

Role: primary

513-281-1362

Samantha Ting

Role: primary

405-701-2540

Ciani Perez

Role: primary

267-376-9392

Anna Wright

Role: primary

843-856-3784

LaToya Gates

Role: primary

210-949-0122

Laila Sikanderali

Role: primary

346-550-9559

Sage-Marie Fogg

Role: primary

801-261-2000

Mary E Claros

Role: primary

434-817-2442

Other Identifiers

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VAX31-103

Identifier Type: -

Identifier Source: org_study_id