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Pneumococcal InfectionsPhase 3NCT04384107

Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 in Healthy Japanese Infants (V114-033)

A Phase 3 study testing V114 and PCV13 in people with Pneumococcal Infections, run by Merck Sharp & Dohme LLC at 45 sites in Japan.

Completed

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

Official record
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Trial summary

The purpose of this clinical study is to evaluate the safety and immunogenicity of a 4-dose schedule (3-dose primary series followed by a toddler dose) of V114 compared with Pneumococcal 13-valent Conjugate Vaccine (PCV13). Read more about this study

Who is it for?
Ages 2 to 6 monthsHealthy volunteers can take part
Conditions the study is for
Pneumococcal Infections
What is being tested?
V114 and PCV13
Could I receive a placebo?
No, everyone receives an active treatment
How many people
694 participants
Where
45 sitesJapan
Study dates
1 Jul 2020to 1 Dec 2021
Phase
Phase 3
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 2 to 6 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Japanese male or female

Who cannot join

  • Has a history of invasive pneumococcal disease (IPD)
  • Has a known hypersensitivity to any component of the pneumococcal conjugate vaccine (PCV), or any diphtheria toxoid containing vaccine
  • Has a known or suspected impairment of immunological function
  • Has a history of congenital or acquired immunodeficiency
  • Has or his/her mother has a documented human immunodeficiency virus (HIV) infection
  • Has or his/her mother has a documented hepatitis B surface antigen-positive test
Show all 11Show fewer
  • Has known or history of functional or anatomic asplenia
  • Has a history of autoimmune disease
  • Has a known neurologic or cognitive behavioral disorder
  • Has received a dose of any pneumococcal vaccine prior to study entry
  • Has received a blood transfusion or blood products, including immunoglobulins

Trial locations and contacts

45 sites in 1 country.

45 sites in 1 country

Japan45 sites
  • Kobayashi Pediatric Clinic ( Site 3301)

    Fujieda, Shizuoka, 426-0067

  • Fukui Aiiku Hospital ( Site 3315)

    Fukui, 910-0833

  • Fukui-ken Saiseikai Hospital ( Site 3314)

    Fukui, 918-8503

  • Shindo Children's Clinic ( Site 3325)

    Fukuoka, 814-0121

  • Kurokawa Michiko Pediatric Clinic ( Site 3319)

    Fukuoka, 815-0033

  • Shimomura Pediatrics Clinic ( Site 3320)

    Fukuoka, 819-0002

  • INAMITSU Children's Clinic ( Site 3321)

    Fukuoka, 819-0041

  • Kyoritsu Narashinodai Hospital ( Site 3332)

    Funabashi, Chiba, 274-0063

  • Kagoshima Children's Hospital ( Site 3342)

    Hioki, Kagoshima-ken, 899-2503

  • Ina Central Hospital ( Site 3346)

    Ina, Nagano, 396-8555

  • Sotobo Children's Clinic ( Site 3323)

    Isumi, Chiba, 299-4503

  • Taniguchi Hospital ( Site 3310)

    Izumisano, Osaka, 598-0043

  • Yokoyama Children's Clinic ( Site 3309)

    Kasuga, Fukuoka, 816-0801

  • Morinaga Maternity Clinic ( Site 3345)

    Kasugai, Aichi-ken, 486-0836

  • Aiwa Hospital ( Site 3336)

    Kawagoe, Saitama, 350-0001

  • Saiseikai Kawaguchi General Hospital ( Site 3304)

    Kawaguchi, Saitama, 332-8558

  • Kawasaki Municipal Hospital ( Site 3302)

    Kawasaki, Kanagawa, 210-0013

  • Nagamine Soyokaze Clinic ( Site 3348)

    Kumamoto, 862-0920

  • Chugoku Rosai Hospital ( Site 3340)

    Kure, Hiroshima, 737-0193

  • Aizawa Hospital ( Site 3313)

    Matsumoto, Nagano, 390-8510

  • Minaminagano Medical Center Shinonoi General Hospital ( Site 3344)

    Nagano, 388-8004

  • Social Medical Corporation Koujunkai Daido Clinic ( Site 3326)

    Nagoya, Aichi-ken, 457-8511

  • Saiseikai Noe Hospital ( Site 3330)

    Osaka, 536-0001

  • Kubota Children's Clinic ( Site 3334)

    Osaka, 544-0033

  • Sano Kids Clinic ( Site 3341)

    Osaka, 553-0001

  • Aizenbashi Hospital ( Site 3317)

    Osaka, 556-0005

  • Saiseikai Shiga Hospital ( Site 3349)

    Rittō, Shiga, 520-3046

  • National Hospital Organization Sagamihara National Hospital ( Site 3303)

    Sagamihara, Kanagawa, 252-0392

  • Medical corporation Waffle GunGunkids Clinic ( Site 3329)

    Sakai, Osaka, 591-8023

  • National Hospital Organization Sendai Medical Center ( Site 3311)

    Sendai, Miyagi, 983-8520

  • Japanese Red Cross Shizuoka Hospital ( Site 3322)

    Shizuoka, 420-0853

  • Shizuoka City Shimizu Hospital ( Site 3347)

    Shizuoka, 424-8636

  • Suita Municipal Hospital ( Site 3338)

    Suita, Osaka, 564-8567

  • Saiwai Kodomo Clinic ( Site 3331)

    Tachikawa, Tokyo, 190-0002

  • Takatsuki General Hospital ( Site 3318)

    Takatsuki, Osaka, 569-1192

  • Nishida Kodomo Clinic ( Site 3306)

    Tama, Tokyo, 206-0025

  • Hara Children's Clinic ( Site 3339)

    Tokorozawa, Saitama, 359-1141

  • Hosaka Children's Clinic ( Site 3307)

    Tokyo, 112-0001

  • The Fraternity Memorial Hospital ( Site 3333)

    Tokyo, 130-8587

  • Okawa Children & Family Clinic ( Site 3305)

    Tokyo, 146-0095

  • Toyama City Hospital ( Site 3328)

    Toyama, 939-8511

  • National Hospital Organization Mie Chuo Medical Center ( Site 3308)

    Tsu, Mie-ken, 514-1101

  • Tsuchiura Kyodo General Hospital ( Site 3327)

    Tsuchiura, Ibaraki, 300-0028

  • National Hospital Organization Saitama Hospital ( Site 3312)

    Wako, Saitama, 351-0102

  • JOHAS Yokohama Rosai Hospital ( Site 3343)

    Yokohama, Kanagawa, 222-0036

Other trials in Japan

About this study

Official title: A Phase 3, Multicenter, Randomized, Double-blind, Active-Comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 in Healthy Japanese Infants

The purpose of this clinical study is to evaluate the safety and immunogenicity of a 4-dose schedule (3-dose primary series followed by a toddler dose) of V114 compared with Pneumococcal 13-valent Conjugate Vaccine (PCV13). The hypotheses are that: 1) V114 is non-inferior to PCV13 for the 13 shared serotypes between V114 and PCV13 based on the response rates at 30 days following dose 3; 2) V114 is non-inferior to PCV13 for the 2 unique V114 serotypes based on the response rate of the 2 unique V114 serotypes at 30 days following dose 3; 3) V114 is non-inferior to PCV13 for the 13 shared serotypes between V114 and PCV13 based on anti-pneumococcal polysaccharide (PnPs) serotype-specific Immunoglobulin G (IgG) geometric mean concentrations (GMCs) at 30 days following dose 3.

Being tested
V114, PCV13
Medical subject headings
Pneumococcal Infections

What participants receive

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

  • V114Biological

    Also called VAXNEUVANCE™, Pneumococcal 15-Valent Conjugate Vaccine

    15-valent pneumococcal conjugate vaccine containing 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F) present in PCV13 plus 2 additional serotypes (22F, 33F) in each subcutaneous 0.5 mL single dose.

  • PCV13Biological

    Also called Prevnar 13™

    13-valent pneumococcal conjugate vaccine containing 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F) in each subcutaneous 0.5 mL single dose.

Study groups in NCT04384107
Study groupRoleWhat they receive
V114ExperimentalParticipants will receive a single 0.5 mL subcutaneous injection of V114 administered at 2 to 6 months of age, and second and third dose is administered at an interval of ≥27 days from the prior dose. The fourth dose is administered at 12 to 15 months of age.
Receives: Biological: V114
Pneumococcal 13-valent Conjugate Vaccine (PCV13)Active comparatorParticipants will receive a single 0.5 mL subcutaneous injection of PCV13 administered at 2 to 6 months of age, and second and third dose is administered at an interval of ≥27 days from the prior dose. The fourth dose is administered at 12 to 15 months of age.
Receives: Biological: PCV13

What is being measured

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

  1. Percentage of Participants With Solicited Injection-Site Adverse Events

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Following any injection with either V114 or PCV13 the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs were erythema, induration, pain, and swelling.

    Measured: Day 1 to Day 14 post any vaccination, up to a total of 13.5 months

  2. Percentage of Participants With Solicited Systemic Adverse Events

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Following any of the injections with either V114 or PCV13, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were decreased appetite, irritability, somnolence, and urticaria.

    Measured: Day 1 to Day 14 post any vaccination, up to a total of 13.5 months

  3. Percentage of Participants With Vaccine-Related Serious Adverse Events

    A serious adverse event (SAE) is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. The percentage of participants with a vaccine-related SAE following dose 1 (with either V114 or PCV13) was reported. Vaccine-related SAEs were counted starting after vaccine dose 1 through completion of study.

    Measured: ~1 month after Dose 4, up to a total of 14 months

  4. Percentage of Participants Meeting the Serotype Specific Immunoglobulin G Threshold Value of ≥0.35 μg/mL for Each Serotype in V114 After Dose 3

    The anti-pneumococcal polysaccharide (PnPs) serotype-specific immunoglobulin G (IgG) response rates (percentage of participants meeting serotype-specific IgG threshold value of ≥0.35 μg/mL of participants administered V114 versus participants administered PCV13) for the 15 serotypes contained in V114 were determined using an electrochemiluminescence assay.

    Measured: 30 Days after Dose 3, up to a total of 11 months

  5. Geometric Mean Concentration of Serotype-Specific IgG for the 13 Shared Serotypes in V114 and PCV13 After Dose 3

    The anti-PnPs serotype-specific IgG Geometric Mean Concentrations (GMCs) of participants administered V114 versus participants administered PCV13 for the 13 serotypes shared in V114 and PCV13 were determined using an electrochemiluminescence assay.

    Measured: 30 Days after Dose 3, up to a total of 11 months

Secondary outcomes (5)
  1. GMC of Serotype-Specific IgG for the 2 Unique V114 Serotypes After Dose 3

    The anti-PnPs serotype-specific IgG GMCs of participants administered V114 versus participants administered PCV13 for the 2 unique V114 serotypes was determined using an electrochemiluminescence assay.

    Measured: 30 days after Dose 3, up to a total of 11 months

  2. Percentage of Participants Meeting the Serotype Specific IgG Threshold Value of ≥0.35 μg/mL for Each Serotype in V114 After Dose 4

    The anti-PnPs serotype-specific IgG response rates (percentage of participants meeting serotype-specific IgG threshold value of ≥0.35 μg/mL of participants administered V114 versus participants administered PCV13) for the 15 serotypes contained in V114 were determined using an electrochemiluminescence assay.

    Measured: 30 Days after Dose 4, up to a total of 14 months

  3. GMC of Serotype-Specific IgG for Each Serotype in V114 After Dose 4

    The anti-PnPs serotype-specific IgG GMCs of participants administered V114 versus participants administered PCV13 for the 15 serotypes contained in V114 was determined using an electrochemiluminescence assay.

    Measured: 30 Days after Dose 4, up to a total of 14 months

  4. Geometric Mean Titer of Serotype-Specific Opsonophagocytic Activity for Each Serotype in V114 After Dose 3

    The anti-PnPs serotype-specific opsonophagocytic activity (OPA) and geometric mean titers (GMTs) of participants administered V114 versus participants administered PCV13 for the 15 serotypes contained in V114 was determined using a multiplexed opsonophagocytic assay.

    Measured: 30 Days after Dose 3, up to a total of 11 months

  5. GMT of Serotype-Specific OPA for Each Serotype in V114 After Dose 4

    The anti-PnPs serotype-specific opsonophagocytic activity (OPA) and geometric mean titers (GMTs) of participants administered V114 versus participants administered PCV13 for the 15 serotypes contained in V114 was determined using a multiplexed opsonophagocytic assay.

    Measured: 30 Days after Dose 4, up to a total of 14 months

Timeline

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

  1. First posted12 May 2020
  2. Study start1 Jul 2020
  3. Primary completion1 Dec 2021
  4. Study completion1 Dec 2021

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
694 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04384107
Sponsor's protocol ID
V114-033
Other IDs
V114-033, 205287, 2019-003644-68, 2019
Status last verified
Jul 2023
First submitted
11 May 2020
Last updated
28 Jul 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Publications

  • Suzuki H, Fujita H, Iwai K, Kuroki H, Taniyama K, Shizuya T, Kishino H, Igarashi R, Shirakawa M, Sawata M. Safety and immunogenicity of 15-valent pneumococcal conjugate vaccine in Japanese healthy infants: A phase III study (V114-033). Vaccine. 2023 Jul 31;41(34):4933-4940. doi: 10.1016/j.vaccine.2023.05.064. Epub 2023 Jun 19.

    PubMed 37344262

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing V114 and PCV13 in people with Pneumococcal Infections, run by Merck Sharp & Dohme LLC at 45 sites in Japan.

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 11 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 28 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in Japan. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 15 Nov 2022). 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?

Percentage of Participants With Solicited Injection-Site Adverse Events (time frame: Day 1 to Day 14 post any vaccination, up to a total of 13.5 months). The study lists 5 primary outcomes in all. 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 NCT04384107, which also lists 1 linked publication.

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 28 Jul 2023.

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