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Pneumonia, PneumococcalPhase 4CAPITANCT00744263

Study Evaluating the Effiacy of a 13-Valent Pneumococcal Conjugate Vaccine (13vPnC) in Adults

A Phase 4 study testing VACCINE: 13-valent pneumococcal conjugate vaccine in people with Pneumonia, Pneumococcal and Pneumococcal Infections, run by Pfizer at 159 sites in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to assess the efficacy of 13-valent pneumococcal conjugate vaccine in the prevention of the first episode of vaccine-type pneumococcal community-acquired pneumonia in adults. Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
What is being tested?
VACCINE: 13-valent pneumococcal conjugate vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
84,496 participants
Where
159 sitesNetherlands
Study dates
Sep 2008to Oct 2013
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Male or female adults aged 65 years or older on the day of vaccination and able to fulfill study requirements.

Who cannot join

  • Previous vaccination with any licensed or experimental pneumococcal vaccine
  • Residence in a nursing home, long-term care facility, or similar facility
  • Known hypersensitivity to vaccination
  • Immune deficiency or suppression

Trial locations and contacts

159 sites in 1 country.

159 sites in 1 country

Netherlands159 sites
  • Pfizer Investigational Site

    Abbekerk, 1657 AH

  • Pfizer Investigational Site

    Alkmaar, 1815 JD

  • Pfizer Investigational Site

    Alkmaar, 1825 PV

  • Pfizer Investigational Site

    Almelo, 7609 PP

  • Pfizer Investigational Site

    Almere Stad, 1315 RA

  • Pfizer Investigational Site

    Almere Stad, 1355 EA

  • Pfizer Investigational Site

    Alphen aan den Rijn, 2402 EP

  • Pfizer Investigational Site

    Amersfoort, 3813 TZ

  • Pfizer Investigational Site

    Amersfoort, 3821 AR

  • Pfizer Investigational Site

    Amstelveen, 1186 AM

  • Pfizer Investigational Site

    Amstelveen, 1186 DA

  • Pfizer Investigational Site

    Amsterdam, 1043 GR

  • Pfizer Investigational Site

    Amsterdam, 1061 AE

  • Pfizer Investigational Site

    Amsterdam, 1066 EC

  • Pfizer Investigational Site

    Amsterdam, 1081 HV

  • Pfizer Investigational Site

    Amsterdam, 1091 AC

  • Pfizer Investigational Site

    Amsterdam, 1098 NJ

  • Pfizer Investigational Site

    Amsterdam, 1105 AZ

  • Pfizer Investigational Site

    Apeldoorn, 7333 NS

  • Pfizer Investigational Site

    Apeldoorn, 7334 DZ

  • Pfizer Investigational Site

    Apeldoorn, 7336 BA

  • Pfizer Investigational Site

    Arnhem, 6815 AD

  • Pfizer Investigational Site

    Arnhem, 6842 CT

  • Pfizer Investigational Site

    Assen, 9401 RK

  • Pfizer Investigational Site

    Assen, 9406 GT

  • Pfizer Investigational Site

    Baarle-Nassau, 5111 BX

  • Pfizer Investigational Site

    Baarn, 3743 CM

  • Pfizer Investigational Site

    Bedum, 9781 JG

  • Pfizer Investigational Site

    Bennebroek, 2121 AJ

  • Pfizer Investigational Site

    Bergen op Zoom, 4611 RD

  • Pfizer Investigational Site

    Bergen op Zoom, 4624 VT

  • Pfizer Investigational Site

    Berkel-Enschot, 5056 PP

  • Pfizer Investigational Site

    Berkhout, 1647 ME

  • Pfizer Investigational Site

    Bilthoven, 3723 BM

  • Pfizer Investigational Site

    Blaricum, 1261 AN

  • Pfizer Investigational Site

    Breda, 4811 VC

  • Pfizer Investigational Site

    Breda, 4818 CK

  • Pfizer Investigational Site

    Breda, 4835 ND

  • Pfizer Investigational Site

    Brunssum, 6444 AT

  • Pfizer Investigational Site

    Deventer, 7416 SE

  • Pfizer Investigational Site

    Deventer, 7418 EV

  • Pfizer Investigational Site

    Dongen, 5104 JK

  • Pfizer Investigational Site

    Eelde, 9761 AB

  • Pfizer Investigational Site

    Eindhoven, 5600 HK

  • Pfizer Investigational Site

    Eindhoven, 5611 ZB

  • Pfizer Investigational Site

    Eindhoven, 5616 BA

  • Pfizer Investigational Site

    Eindhoven, 5623 EJ

  • Pfizer Investigational Site

    Eindhoven, 5631 BM

  • Pfizer Investigational Site

    Emmen, 7811 HN

  • Pfizer Investigational Site

    Emmen, 7824 AA

  • Pfizer Investigational Site

    Enschede, 7513 ER

  • Pfizer Investigational Site

    Enschede, 7521 AG

  • Pfizer Investigational Site

    Epe, 8162 BD

  • Pfizer Investigational Site

    Ettenleur, 4876 AS

  • Pfizer Investigational Site

    Fijnaart, 4793 CB

  • Pfizer Investigational Site

    Geldrop, 5664 EH

  • Pfizer Investigational Site

    Geldrop, 5664 EP

  • Pfizer Investigational Site

    Geldrop, 5664 HV

  • Pfizer Investigational Site

    Goirle, 5051 RJ

  • Pfizer Investigational Site

    Gouda, 2803 AH

  • Pfizer Investigational Site

    Gouda, 2803 PL

  • Pfizer Investigational Site

    Groningen, 9713 EC

  • Pfizer Investigational Site

    Groningen, 9713 GZ

  • Pfizer Investigational Site

    Groningen, 9728 NT

  • Pfizer Investigational Site

    Groningen, 9733 CA

  • Pfizer Investigational Site

    Grootebroek, 1613 SJ

  • Pfizer Investigational Site

    Haarlem, 2035 RC

  • Pfizer Investigational Site

    Haarlem, 2035 RJ

  • Pfizer Investigational Site

    Haren, 9751 ND

  • Pfizer Investigational Site

    Harmelen, 3481 EN

  • Pfizer Investigational Site

    Heerhugowaard, 1701 GB

  • Pfizer Investigational Site

    Heerlen, 6412 CD

  • Pfizer Investigational Site

    Heerlen, 6419 PC

  • Pfizer Investigational Site

    Heiloo

  • Pfizer Investigational Site

    Helmond, 5707 HA

  • Pfizer Investigational Site

    Hengelo, 7555 BB

  • Pfizer Investigational Site

    Hengelo, 7555 DL

  • Pfizer Investigational Site

    Hilvarenbeek, 5081JV

  • Pfizer Investigational Site

    Hilversum, 1213 XZ

  • Pfizer Investigational Site

    Hilversum, 1217 GP

  • Pfizer Investigational Site

    Hoofddorp, 2134 TM

  • Pfizer Investigational Site

    Hoogezand, 9601 KE�

  • Pfizer Investigational Site

    Hoorn, 1624 NP

  • Pfizer Investigational Site

    Hoorn, 1628 LZ

  • Pfizer Investigational Site

    Hoorn, 1642 NP

  • Pfizer Investigational Site

    Houten, 3995 AA

  • Pfizer Investigational Site

    Kampen, 8266 AB

  • Pfizer Investigational Site

    Katwijk, 2223 BM

  • Pfizer Investigational Site

    Kerkrade, 6461 AL

  • Pfizer Investigational Site

    Leek, 9351 KP

  • Pfizer Investigational Site

    Leeuwarden, 8915 AC

  • Pfizer Investigational Site

    Leeuwarden, 8934 AD

  • Pfizer Investigational Site

    Leiden, 2316 XC

  • Pfizer Investigational Site

    Leiden, 2333 ZA

  • Pfizer Investigational Site

    Leiden, 2334 CK

  • Pfizer Investigational Site

    Leiderdorp, 2353 GA

  • Pfizer Investigational Site

    Maarssen, 3603 BM

  • Pfizer Investigational Site

    Maastricht, 6227 BZ

  • Pfizer Investigational Site

    Maastricht, 6229 HX

  • Pfizer Investigational Site

    Medemblik, 1671 CS

  • Pfizer Investigational Site

    Nieuwegein, 3435 CM

  • Pfizer Investigational Site

    Nieuwegein, 3439 ML

  • Pfizer Investigational Site

    Nijmegen, 6525 GA

  • Pfizer Investigational Site

    Nijmegen, 6532 SZ

  • Pfizer Investigational Site

    Nijmegen, 6546 BC

  • Pfizer Investigational Site

    Noordwijk, 2202 NS

  • Pfizer Investigational Site

    Oldenzaal, 7573 AM

  • Pfizer Investigational Site

    Oosterhout, 4907 AB

  • Pfizer Investigational Site

    Peize, 9321 CK

  • Pfizer Investigational Site

    Rheden, 6991 DV

  • Pfizer Investigational Site

    Riel, 5133 AM

  • Pfizer Investigational Site

    Rijsbergen, 4891 XL

  • Pfizer Investigational Site

    Rijssen, 7461DA

  • Pfizer Investigational Site

    Roden, 9301 JL

  • Pfizer Investigational Site

    Roermond, 6042EH

  • Pfizer Investigational Site

    Roermond, 6043 CV

  • Pfizer Investigational Site

    Roermond, 6043 WD

  • Pfizer Investigational Site

    Roosendaal, 4700 AZ

  • Pfizer Investigational Site

    Roosendaal, 4708 HK

  • Pfizer Investigational Site

    Schoorl, 1871 EE

  • Pfizer Investigational Site

    Simpelveld, 6369 AG

  • Pfizer Investigational Site

    Sittard, 6131 KJ

  • Pfizer Investigational Site

    Sittard, 6162 BG

  • Pfizer Investigational Site

    Sleen, 7841 CE

  • Pfizer Investigational Site

    Soest, 3762 BN

  • Pfizer Investigational Site

    Son, 5691 AR

  • Pfizer Investigational Site

    Spaubeek, 6176 BE

  • Pfizer Investigational Site

    Steenbergen, 4651 RN

  • Pfizer Investigational Site

    Tiel, 4002 WP

  • Pfizer Investigational Site

    Tilburg, North Brabant, 5022 JB

  • Pfizer Investigational Site

    Tilburg, 5022 GC

  • Pfizer Investigational Site

    Tilburg, 5022 JB

  • Pfizer Investigational Site

    Tilburg, 5042 AD

  • Pfizer Investigational Site

    Uithoorn, 1422 LE

  • Pfizer Investigational Site

    Urmond, 6129 EL

  • Pfizer Investigational Site

    Utrecht, 3508 GA

  • Pfizer Investigational Site

    Utrecht, 3524 SJ

  • Pfizer Investigational Site

    Utrecht, 3525 AL

  • Pfizer Investigational Site

    Utrecht, 3527 CE

  • Pfizer Investigational Site

    Utrecht, 3565 CE

  • Pfizer Investigational Site

    Utrecht, 3582 KE

  • Pfizer Investigational Site

    Veldhoven, 5500 AA

  • Pfizer Investigational Site

    Veldhoven, 5503 VV

  • Pfizer Investigational Site

    Veldhoven, 5504 DB

  • Pfizer Investigational Site

    Velp, 6883 AW

  • Pfizer Investigational Site

    Venlo, 5911HH

  • Pfizer Investigational Site

    Venlo, 5912 BL

  • Pfizer Investigational Site

    Waalwijk, 5141 BM

  • Pfizer Investigational Site

    Warmenhuizen, 1749 AK

  • Pfizer Investigational Site

    Weert, 3001 BE

  • Pfizer Investigational Site

    Woerden, 3447 GN

  • Pfizer Investigational Site

    Zeist, 3703 CD

  • Pfizer Investigational Site

    Zeist, 3707 HL

  • Pfizer Investigational Site

    Zeist, 3707 HX

  • Pfizer Investigational Site

    Zevenaar, 6903 ZN

  • Pfizer Investigational Site

    Zutphen, 7201 NC

  • Pfizer Investigational Site

    Zutphen, 7207 BA

  • Pfizer Investigational Site

    Zwolle, 8025 AB

  • Pfizer Investigational Site

    Zwolle, 8025 BT

Other trials in Netherlands

About this study

Official title: A Phase 4, Randomized, Placebo-Controlled Clinical Trial of 13-valent Pneumococcal Conjugate Vaccine Efficacy in Prevention of Vaccine-Serotype Pneumococcal Community-Acquired Pneumonia and Invasive Pneumococcal Disease

The purpose of this study is to assess the efficacy of 13-valent pneumococcal conjugate vaccine in the prevention of the first episode of vaccine-type pneumococcal community-acquired pneumonia in adults.

Being tested
VACCINE: placebo, VACCINE: 13-valent pneumococcal conjugate vaccine
Medical subject headings
Pneumonia, Pneumococcal, Pneumococcal Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VACCINE: placeboBiological

    0.5 mL, single intra-muscular injection

  • VACCINE: 13-valent pneumococcal conjugate vaccineBiological

    Also called 13vPnC

    0.5 mL, single intra-muscular injection

Study groups in NCT00744263
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Biological: VACCINE: placebo
13-valent pneumococcal conjugate vaccineExperimentalNot described
Receives: Biological: VACCINE: 13-valent pneumococcal conjugate vaccine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With First Episode of Confirmed Vaccine-type Community-acquired Pneumonia (VT-CAP)

    CAP was defined based on clinical and radiological criteria. Microbiological criteria differentiate different categories of CAP. Clinical criteria: presence of 2 or more criteria from following: cough, production of purulent sputum/change in sputum character, temperature greater than (>) 38.0 degrees Celsius (C) or less than (<) 36.1 degrees C, auscultatory findings consistent with pneumonia including rales and/or evidence of pulmonary consolidation, leukocytosis (>10*10^9 white blood cells/liter or >15 percent (%) bands), C-reactive protein level >3 times upper limit of normal, hypoxemia with partial oxygen pressure <60 millimeter of mercury (mmHg). Radiological criteria: pneumonia confirmation by adjudication committee via lateral, posterior-anterior chest x-ray or anterior-posterior chest x-ray. Microbiological criteria: VT Streptococcus pneumonia culture from blood, pleural fluid or other sterile site and/or positive VT serotype-specific urinary antigen detection (SSUAD).

    Measured: Baseline up to occurrence of first episode of VT-CAP, death, withdrawal of consent, loss to follow-up, participant request or end of case acquisition defined as accumulation of 130 VT cases (mean follow-up was 3.97 years)

Secondary outcomes (2)
  1. Number of Participants With First Episode of Nonbacteremic/Noninvasive (NB/NI) Vaccine-type Community-acquired Pneumonia (VT-CAP)

    CAP was defined based on clinical and radiological criteria. Microbiological criteria differentiate different categories of CAP. Clinical criteria: presence of 2 or more criteria from following: cough, production of purulent sputum/change in sputum character, temperature >38.0 degrees C or <36.1 degrees C, auscultatory findings consistent with pneumonia including rales and/or evidence of pulmonary consolidation, leukocytosis (>10*10^9 white blood cells/liter or >15% bands), C-reactive protein level >3 times upper limit of normal, hypoxemia with partial oxygen pressure <60 mmHg. Radiological criteria: pneumonia confirmation by adjudication committee via lateral, posterior-anterior chest x-ray or anterior-posterior chest x-ray. Microbiological criteria: Confirmed VT pneumococcal CAP (by SSUAD) where a blood culture result was available and was negative and for which any other sterile culture results were negative for Streptococcus pneumoniae.

    Measured: Baseline up to occurrence of first episode of NB/NI VT-CAP, death, withdrawal of consent, loss to follow-up, participant request or end of case acquisition defined as accumulation of 130 VT cases (mean follow-up was 3.97 years)

  2. Number of Participants With First Episodes of Vaccine-type Invasive Pneumococcal Disease (VT-IPD) Cases

    VT-IPD was defined as the presence of Streptococcus pneumoniae in a sterile site (blood, cerebrospinal fluid, pleural fluid, peritoneal fluid, pericardial fluid, surgical aspirate, bone, or joint fluid).

    Measured: Baseline up to occurrence of first episode of VT-IPD, death, withdrawal of consent, loss to follow-up, participant request or end of case acquisition defined as accumulation of 130 VT cases (mean follow-up was 3.97 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Aug 2008 (estimated)
  2. Study startSep 2008
  3. Primary completionOct 2013
  4. Study completionOct 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
84,496 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00744263
Sponsor's protocol ID
6115A1-3006
Other IDs
B1851025
Acronym
CAPITA
Status last verified
Oct 2014
First submitted
27 Aug 2008
Last updated
6 Oct 2014
Data monitoring committee
Yes

Publications

  • Suaya JA, Jiang Q, Scott DA, Gruber WC, Webber C, Schmoele-Thoma B, Hall-Murray CK, Jodar L, Isturiz RE. Post hoc analysis of the efficacy of the 13-valent pneumococcal conjugate vaccine against vaccine-type community-acquired pneumonia in at-risk older adults. Vaccine. 2018 Mar 7;36(11):1477-1483. doi: 10.1016/j.vaccine.2018.01.049. Epub 2018 Feb 9.

    PubMed 29429807
  • van Deursen AMM, van Houten MA, Webber C, Patton M, Scott DA, Patterson S, Sidhu M, Drews W, Gruber WC, Emini EA, Grobbee DE, Bonten MJM, Sanders EAM. Immunogenicity of the 13-Valent Pneumococcal Conjugate Vaccine in Older Adults With and Without Comorbidities in the Community-Acquired Pneumonia Immunization Trial in Adults (CAPiTA). Clin Infect Dis. 2017 Sep 1;65(5):787-795. doi: 10.1093/cid/cix419.

    PubMed 29017280
  • Huijts SM, van Werkhoven CH, Bolkenbaas M, Grobbee DE, Bonten MJM. Post-hoc analysis of a randomized controlled trial: Diabetes mellitus modifies the efficacy of the 13-valent pneumococcal conjugate vaccine in elderly. Vaccine. 2017 Aug 3;35(34):4444-4449. doi: 10.1016/j.vaccine.2017.01.071. Epub 2017 Apr 12.

    PubMed 28410813
  • Webber C, Patton M, Patterson S, Schmoele-Thoma B, Huijts SM, Bonten MJ; CAPiTA Study Group. Exploratory efficacy endpoints in the Community-Acquired Pneumonia Immunization Trial in Adults (CAPiTA). Vaccine. 2017 Mar 1;35(9):1266-1272. doi: 10.1016/j.vaccine.2017.01.032. Epub 2017 Feb 4.

    PubMed 28173960
  • Bonten MJ, Huijts SM, Bolkenbaas M, Webber C, Patterson S, Gault S, van Werkhoven CH, van Deursen AM, Sanders EA, Verheij TJ, Patton M, McDonough A, Moradoghli-Haftvani A, Smith H, Mellelieu T, Pride MW, Crowther G, Schmoele-Thoma B, Scott DA, Jansen KU, Lobatto R, Oosterman B, Visser N, Caspers E, Smorenburg A, Emini EA, Gruber WC, Grobbee DE. Polysaccharide conjugate vaccine against pneumococcal pneumonia in adults. N Engl J Med. 2015 Mar 19;372(12):1114-25. doi: 10.1056/NEJMoa1408544.

    PubMed 25785969

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing VACCINE: 13-valent pneumococcal conjugate vaccine in people with Pneumonia, Pneumococcal and Pneumococcal Infections, run by Pfizer at 159 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 159 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Oct 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With First Episode of Confirmed Vaccine-type Community-acquired Pneumonia (VT-CAP) (time frame: Baseline up to occurrence of first episode of VT-CAP, death, withdrawal of consent, loss to follow-up, participant request or end of case acquisition defined as accumulation of 130 VT cases (mean follow-up was 3.97 years)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00744263, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2014.

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