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Pneumonia, PneumococcalPhase 3NCT05420961

A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-experienced Adults (V116-006, STRIDE-6)

A Phase 3 study testing V116, PCV15 and PPSV23 in people with Pneumonia, Pneumococcal, run by Merck Sharp & Dohme LLC at 51 sites in 9 countries.

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

This a study of V116 in adults ≥50 years of age who previously received a pneumococcal vaccination ≥1 year before enrollment. The primary objectives of this study are to evaluate the safety, tolerability, and immunogenicity of V116. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Pneumonia, Pneumococcal
What is being tested?
V116, PCV15 and PPSV23
Could I receive a placebo?
No, everyone receives an active treatment
How many people
717 participants
Where
51 sitesin 9 countries
Study dates
12 Jul 2022to 16 May 2023
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 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Has received pneumococcal vaccine >= 1 year before enrollment (PCV13, PCV15, PCV20, PPSV23, PCV13+PPSV23, PPSV23+PCV13, or PCV15+PPSV23).

Who cannot join

  • Has a history of invasive pneumococcal disease (IPD).
  • Has a known hypersensitivity to any component of V116, PCV15, PCV20, or PPSV23, including diphtheria toxoid.
  • Has a known or suspected impairment of immunological function including, but not limited to, a history of congenital or acquired immunodeficiency, documented human immunodeficiency virus (HIV) infection, functional or anatomic asplenia, or history of autoimmune disease.
  • Has a coagulation disorder contraindicating intramuscular vaccination.
  • Has a known malignancy that is progressing or has required active treatment.
  • Has received PPSV23 followed by either PCV15 or PCV20.
Show all 11Show fewer
  • Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day).
  • Is currently receiving immunosuppressive therapy, including chemotherapeutic agents or other immunotherapies/immunomodulators used to treat cancer or other conditions, and interventions associated with organ or bone marrow transplantation, or autoimmune disease.
  • Has received any non-live vaccine ≤14 days before receipt of study vaccine or is scheduled to receive any non-live vaccine ≤30 days after receipt of any study vaccine.
  • Has received any live virus vaccine ≤30 days before receipt of study vaccine or is scheduled to receive any live virus vaccine ≤30 days after receipt of study vaccine.
  • Has received a blood transfusion or blood products, including immunoglobulin ≤6 months before receipt of study vaccine or is scheduled to receive a blood transfusion or blood product until the Day 30 post-vaccination blood draw is complete.

Trial locations and contacts

51 sites in 9 countries.

51 sites in 9 countries

United States15 sites
  • Central Research Associates ( Site 0024)

    Birmingham, Alabama, 35205

  • Alliance for Multispecialty Research, LLC ( Site 0020)

    Coral Gables, Florida, 33134

  • Centennial Medical Group ( Site 0002)

    Elkridge, Maryland, 21075

  • Southland Clinical Research Center ( Site 0026)

    Fountain Valley, California, 92708

  • University of Texas Medical Branch-Sealy Institute for Vaccine Sciences Clinical Trials Program ( Si

    Galveston, Texas, 77555

  • Lenzmeier Family Medicine/CCT Research ( Site 0008)

    Glendale, Arizona, 85308

  • Indago Research & Health Center, Inc ( Site 0005)

    Hialeah, Florida, 33012

  • Advanced Medical Research ( Site 0001)

    Maumee, Ohio, 43537

  • Solaris Clinical Research ( Site 0025)

    Meridian, Idaho, 83646

  • Advanced Medical Research Institute ( Site 0018)

    Miami, Florida, 33174

  • Health Research of Hampton Roads, Inc. ( Site 0003)

    Newport News, Virginia, 23606

  • Meridian Clinical Research, LLC ( Site 0009)

    Norfolk, Nebraska, 68701

  • Fiel Family and Sports Medicine, PC/CCT Research ( Site 0006)

    Tempe, Arizona, 85283

  • Arcturus Healthcare , PLC, Troy Internal Medicine Research Division ( Site 0016)

    Troy, Michigan, 48098

  • Diablo Clinical Research, Inc. ( Site 0019)

    Walnut Creek, California, 94598

Other trials in United States

Israel7 sites
  • Rambam Health Care Campus ( Site 0303)

    Haifa, 3109601

  • Maccabi Health Services - Holon ( Site 0305)

    Holon

  • Maccabi Healthcare Services ( Site 0306)

    Jerusalem, 71713

  • Hadassah Medical Center-Clinical Reaserch Unit ( Site 0300)

    Jerusalem, 9112001

  • Meir Medical Center ( Site 0301)

    Kfar Saba, 4428164

  • Sheba Medical Center-Early Phase Clinical Trials Unit ( Site 0304)

    Ramat Gan, 5265601

  • Clalit Health Services - Sakhnin Community Clinic-Research Unit ( Site 0302)

    Sakhnin, 3081000

Other trials in Israel

South Korea6 sites
  • Korea University Ansan Hospital ( Site 0751)

    Ansan-si, Kyonggi-do, 15355

  • Gachon University Gil Medical Center ( Site 0755)

    Namdong-gu, Incheon, 21565

  • The Catholic University of Korea, Eunpyeong St. Mary's Hospital ( Site 0752)

    Seoul, 03312

  • The Catholic Univ. of Korea Seoul St. Mary's Hospital ( Site 0753)

    Seoul, 06591

  • Hallym University Kangnam Sacred Heart Hospital-Internal Medicine ( Site 0754)

    Seoul, 07441

  • Korea University Guro Hospital ( Site 0750)

    Seoul

Other trials in South Korea

Spain6 sites
  • HOSPITAL CLÍNIC DE BARCELONA-Medicina Preventiva i Epidemiologia ( Site 0503)

    Barcelona, Catalonia, 08036

  • Hospital Internacional Xanit ( Site 0520)

    Benalmádena, Malaga, 29630

  • EBA CENTELLES ( Site 0500)

    Centelles, Catalonia, 08500

  • Hospital Universitari de Bellvitge ( Site 0505)

    L'Hospitalet de Llobregat, Catalonia, 08907

  • Hospital La Princesa ( Site 0515)

    Madrid, 28006

  • HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID-Respiratory ( Site 0508)

    Pozuelo de Alarcón, Madrid, 28223

Other trials in Spain

Canada5 sites
  • Hamilton Medical Research Group ( Site 0114)

    Hamilton, Ontario, L8M 1K7

  • Milestone Research Inc. ( Site 0104)

    London, Ontario, N5W 6A2

  • Manna Research Mirabel ( Site 0109)

    Mirabel, Quebec, J7J 2K8

  • CHU de Québec-Université Laval-Équipe de recherche en vaccination ( Site 0120)

    Québec, Quebec, G1E 7G9

  • Diex Recherche Sherbrooke Inc. ( Site 0101)

    Sherbrooke, Quebec, J1L 0H8

Other trials in Canada

France4 sites
  • CHRU de Brest ( Site 0200)

    Brest, Finistere, 29609

  • Hopitaux Universitaires Paris Centre-Hopital Cochin ( Site 0203)

    Paris, 75679

  • CHU Bordeaux Haut-Leveque ( Site 0202)

    Pessac, Aquitaine, 33600

  • centre hospitalier lyon sud ( Site 0204)

    Pierre-Bénite, Rhone, 69310

Other trials in France

Italy4 sites
  • Azienda Ospedaliero Universitaria Policlinico Riuniti di Foggia ( Site 0405)

    Foggia, 71100

  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico ( Site 0400)

    Milan, Lombardy, 20122

  • Ospedale San Raffaele ( Site 0403)

    Milan, Lombardy, 20132

  • A.O.U. Policlinico Paolo Giaccone ( Site 0402)

    Palermo, Sicily, 90127

Other trials in Italy

Japan2 sites
  • PS Clinic ( Site 0700)

    Fukuoka, 812-0025

  • Nishikumamoto Hospital ( Site 0701)

    Kumamoto, 861-4157

Other trials in Japan

Taiwan2 sites
  • National Cheng Kung University Hospital ( Site 0801)

    Tainan, 704

  • National Taiwan University Hospital ( Site 0800)

    Taipei, 100

Other trials in Taiwan

About this study

Official title: A Phase 3 Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-Experienced Adults 50 Years of Age or Older

This a study of V116 in adults ≥50 years of age who previously received a pneumococcal vaccination ≥1 year before enrollment. The primary objectives of this study are to evaluate the safety, tolerability, and immunogenicity of V116.

Read the detailed description

Participants will be randomized to 1 of 3 cohorts depending upon prior vaccinations. Prior vaccinations by cohort include: PPSV23 (pneumococcal vaccine, polyvalent [23-valent], PNEUMOVAX™23) for Cohort 1; PCV13 (pneumococcal 13-valent conjugate vaccine; PREVNAR 13™) for Cohort 2; PCV15 (pneumococcal 15-valent conjugate vaccine; VAXNEUVANCE™), PCV20 (pneumococcal 20-valent conjugate vaccine; PREVNAR 20™), PCV13+PPSV23, PCV15+PPSV23, or PPSV23+PCV13 for Cohort 3.

Being tested
V116, PCV15, PPSV23
Medical subject headings
Pneumonia, Pneumococcal

What participants receive

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

  • V116Biological

    Also called Pneumococcal 21-valent Conjugate Vaccine

    Pneumococcal 21-valent conjugate vaccine with 4 μg of each of the pneumococcal polysaccharides (PnPs) antigen: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B in each 0.5 mL sterile solution

  • PCV15Biological

    Also called VAXNEUVANCE™

    Pneumococcal 15-valent conjugate vaccine with 2 μg of each of the PnPs antigen: 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F, and 4 μg of 6B in each 0.5 mL sterile suspension

  • PPSV23Biological

    Also called PNEUMOVAX™23

    Pneumococcal 23-valent vaccine with 25 μg of each of the PnPs antigen: 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, and 33F in each 0.5 mL sterile solution

Study groups in NCT05420961
Study groupRoleWhat they receive
Cohort 1: V116ExperimentalParticipants will receive a single 0.5 mL intramuscular (IM) injection of V116 on Day 1. Participants in this arm received PPSV23 prior to the enrollment.
Receives: Biological: V116
Cohort 1: PCV15Active comparatorParticipants will receive a single 0.5 mL IM injection of PCV15 on Day 1. Participants in this arm received PPSV23 prior to the enrollment.
Receives: Biological: PCV15
Cohort 2: V116ExperimentalParticipants will receive a single 0.5 mL IM injection of V116 on Day 1. Participants in this arm received PCV13 prior to the enrollment.
Receives: Biological: V116
Cohort 2: PPSV23Active comparatorParticipants will receive a single 0.5 mL IM injection of PPSV23 on Day 1. Participants in this arm received PCV13 prior to the enrollment.
Receives: Biological: PPSV23
Cohort 3: V116ExperimentalParticipants will receive a single 0.5 mL IM injection of V116 on Day 1. Participants in this arm received PCV15, PCV20, PCV13+PPSV23, PCV15+PPSV23, or PPSV23+PCV13 prior to the enrollment.
Receives: Biological: V116

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 (AEs)

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following any injection with either V116, PCV15, or PPSV23 the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were erythema, pain, and swelling.

    Measured: Up to 5 days post-vaccination

  2. Percentage of Participants With Solicited Systemic AEs

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following any of the injections with either V116, PCV15, or PPSV23, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were fatigue, headache, myalgia, and pyrexia.

    Measured: Up to 5 days post-vaccination

  3. Percentage of Participants With Vaccine-related Serious Adverse Events (SAEs)

    A serious adverse event (SAE) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is another important medical event. The percentage of participants with one or more SAE that were assessed by the investigator to be at least possibly related to the study vaccination are presented.

    Measured: Up to ~180 days

  4. Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA)

    OPA for the serotypes contained in V116 were determined using a multiplex opsonophagocytic assay (MOPA). GMT is defined as geometric mean titer (1/dil). Serotype-specific OPA GMTs with 95% confidence intervals are presented.

    Measured: 30 Days post-vaccination

Secondary outcomes (5)
  1. Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG)

    The geometric mean concentration (GMC) of serotype-specific immunoglobulin G (IgG) for the serotypes contained in V116 was determined using a pneumococcal electrochemiluminescence (PnECL) assay. Serotype-specific pneumococcal IgG GMCs with 95% confidence intervals are presented.

    Measured: 30 Days post-vaccination

  2. Geometric Mean Fold Rise in Serotype-specific Opsonophagocytic Activity (OPA)

    Activity for the serotypes contained in V116 was determined using a multiplex opsonophagocytic assay (MOPA). Geometric mean fold rise (GMFR) is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline. The GMFRs in OPA responses from baseline to 30 days post-vaccination with 95% confidence intervals are presented.

    Measured: Day 1 (Baseline) and 30 days post-vaccination

  3. Percentage of Participants Who Achieve a ≥4-fold Increase in Serotype-specific OPA Responses

    Activity for the serotypes contained in V116 was determined using a MOPA. The percentage of participants with a ≥4-fold rise from baseline to at 30 days post-vaccination for OPA responses with 95% confidence intervals are presented.

    Measured: Day 1 (Baseline) and 30 days post-vaccination

  4. Geometric Mean Fold Rise of Serotype-specific IgG

    Activity for the serotypes contained in V116 was determined using a PnECL assay. Geometric mean fold rise (GMFR) is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline. The GMFRs IgG responses from baseline to 30 days post-vaccination with 95% confidence intervals are presented.

    Measured: Day 1 (Baseline) and 30 days post-vaccination

  5. Percentage of Participants Who Achieve a ≥4-fold Increase in Serotype-specific IgG Response

    Activity for the serotypes contained in V116 was determined using a PnECL assay. The percentage of participants with a ≥4-fold rise from baseline to at 30 days post-vaccination for IgG responses with 95% confidence intervals are presented.

    Measured: Day 1 (Baseline) and 30 days post-vaccination

Timeline

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

  1. First posted16 Jun 2022
  2. Study start12 Jul 2022
  3. Primary completion16 May 2023
  4. Study completion16 May 2023

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
Double blind
Who is masked
Participant, Investigator
Enrolment
717 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05420961
Sponsor's protocol ID
V116-006
Other IDs
jRCT2071220025, 2021-006679-41
Status last verified
Oct 2024
First submitted
13 Jun 2022
Last updated
26 Oct 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Publications

  • Scott P, Haranaka M, Choi JH, Stacey H, Dionne M, Greenberg D, Grijalva CG, Orenstein WA, Fernsler D, Gallagher N, Zeng T, Li J, Platt HL; STRIDE-6 Study Group. A Phase 3 Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-Experienced Adults 50 Years of Age or Older (STRIDE-6). Clin Infect Dis. 2024 Dec 17;79(6):1366-1374. doi: 10.1093/cid/ciae383.

    PubMed 39082735

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing V116, PCV15 and PPSV23 in people with Pneumonia, Pneumococcal, run by Merck Sharp & Dohme LLC at 51 sites in 9 countries.

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 26 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Israel, South Korea, Spain, Canada and 4 more countries. 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 1 May 2024). 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 (AEs) (time frame: Up to 5 days post-vaccination). The study lists 4 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 NCT05420961, 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 26 Oct 2024.

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