Pneumococcal InfectionPhase 3NCT05425732
Safety and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults (V116-003, STRIDE-3)
A Phase 3 study testing V116 and PCV20 in people with Pneumococcal Infection, run by Merck Sharp & Dohme LLC at 112 sites in 11 countries.
Trial summary
This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 compared to PCV20 (pneumococcal 20-valent conjugate vaccine ([Prevnar 20™ / APEXXNAR™]) in pneumococcal vaccine-naïve adults. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Pneumococcal Infection
- What is being tested?
- V116 and PCV20
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,663 participants
- Where
- 112 sitesin 11 countries
- Study dates
- 13 Jul 2022to 18 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- For females, is not pregnant or breastfeeding and is either not a woman of childbearing potential (WOCBP) or is a WOCBP and uses acceptable contraception/abstinence; and has medical, menstrual, and recent sexual activity history reviewed by the investigator to decrease the chance of an early undetected pregnancy.
Who cannot join
- Has a history of invasive pneumococcal disease (IPD) [positive blood culture, positive cerebrospinal fluid culture, or positive culture at another sterile site] or known history of other culture-positive pneumococcal disease within 3 years of Visit 1 (Day 1)
- Has a known hypersensitivity to any component of V116 or PCV20, 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 IM vaccination
- Had a recent febrile illness (defined as oral or tympanic temperature ≥100.4°F [≥38.0°C] or axillary or temporal temperature ≥99.4°F [≥37.4°C]) or received antibiotic therapy for any acute illness occurring <72 hours before receipt of study vaccine
- Has a known malignancy that is progressing or has required active treatment <3 years before enrollment
Show all 12Show fewer
- Received prior administration (prior to age of 5 is acceptable) of any pneumococcal vaccine or is expected to receive any pneumococcal vaccine during the study outside the protocol
- Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed intervention ≥14 days before receipt of study vaccine
- 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
- Received any nonlive vaccine ≤14 days before receipt of study vaccine or is scheduled to receive any nonlive vaccine ≤30 days after receipt of study vaccine (inactivated influenza and SARS-CoV2 vaccines may be acceptable)
- 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
- 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 postvaccination blood draw is complete
Trial locations and contacts
112 sites in 11 countries.
112 sites in 11 countries
United States60 sites
JEM Research Institute ( Site 0072)
Atlantis, Florida, 33462
Lynn Institute of Denver ( Site 0012)
Aurora, Colorado, 80012
Tekton Research, Inc. ( Site 0053)
Austin, Texas, 78745
Central Research Associates ( Site 0067)
Birmingham, Alabama, 35205
Charlottesville Medical Research ( Site 0034)
Charlottesville, Virginia, 22911
Aventiv Research Inc ( Site 0044)
Columbus, Ohio, 43213
Alliance for Multispecialty Research, LLC ( Site 0015)
Coral Gables, Florida, 33134
WR-Global Medical Research, LLC ( Site 0065)
Dallas, Texas, 75224
Hillcrest Medical Research ( Site 0049)
DeLand, Florida, 32720
Skyline Medical Center/CCT Research ( Site 0028)
Elkhorn, Nebraska, 68022
Southland Clinical Research Center-Research ( Site 0054)
Fountain Valley, California, 92708
Methodist Physicians Clinic/CCT Research ( Site 0058)
Fremont, Nebraska, 68025
Lenzmeier Family Medicine/CCT Research ( Site 0006)
Glendale, Arizona, 85308
Velocity Clinical Research, Greenville ( Site 0043)
Greenville, South Carolina, 29615
Olympus Family Medicine/CCT Research ( Site 0074)
Holladay, Utah, 84117
Smith Allergy & Asthma Specialists-Corning Center for Clinical Research ( Site 0032)
Horseheads, New York, 14845
Elixir Research Group - W Houston ( Site 0068)
Houston, Texas, 77077
Clinical Research Prime ( Site 0010)
Idaho Falls, Idaho, 83404
East Coast Institute for Research, LLC ( Site 0070)
Jacksonville, Florida, 32204
Alliance for Multispecialty Research, LLC ( Site 0026)
Kansas City, Missouri, 64114
Sunwise Clinical Research ( Site 0024)
Lafayette, California, 94549
East Coast Institute for Research ( Site 0071)
Lake City, Florida, 32055
Chemidox Clinical Trials ( Site 0048)
Lancaster, California, 93534
Healor Primary Care / CCT Research ( Site 0056)
Las Vegas, Nevada, 89102
Excel Clinical Research, LLC ( Site 0077)
Las Vegas, Nevada, 89109
Santa Rosa Medical Centers of Nevada / CCT Research ( Site 0029)
Las Vegas, Nevada, 89119
Epic Clinical Research ( Site 0082)
Lewisville, Texas, 75067
Baptist Health Center For Clinical Research ( Site 0019)
Little Rock, Arkansas, 72205
DCOL Center for Clinical Research ( Site 0051)
Longview, Texas, 75605
Advanced Medical Research ( Site 0002)
Maumee, Ohio, 43537
Solaris Clinical Research ( Site 0008)
Meridian, Idaho, 83646
Desert Clinical Research/ CCT Research ( Site 0040)
Mesa, Arizona, 85213
L&C Professional Medical Research Institute ( Site 0025)
Miami, Florida, 33144
Advanced Medical Research Institute ( Site 0014)
Miami, Florida, 33174
Trial Management Associates ( Site 0089)
Myrtle Beach, South Carolina, 29572
Health Research of Hampton Roads, Inc. ( Site 0004)
Newport News, Virginia, 23606
Meridian Clinical Research, LLC ( Site 0045)
Norfolk, Nebraska, 68701
Lynn Institute of Norman ( Site 0001)
Norman, Oklahoma, 73072
South Ogden Family Medicine/ CCT Research ( Site 0022)
Ogden, Utah, 84405
Lynn Health Science Institute ( Site 0005)
Oklahoma City, Oklahoma, 73112
Headlands Research Orlando ( Site 0031)
Orlando, Florida, 32819
Foothills Research Center/ CCT Research ( Site 0021)
Phoenix, Arizona, 85044
Research Your Health ( Site 0042)
Plano, Texas, 75093
Summit Headlands ( Site 0047)
Portland, Oregon, 97210
Paradigm Clinical Research Centers, Inc ( Site 0018)
Redding, California, 96001
Peninsula Research Associates ( Site 0079)
Rolling Hills Estates, California, 90274
IMA Clinical Research San Antonio ( Site 0009)
San Antonio, Texas, 78229
VIP Trials ( Site 0086)
San Antonio, Texas, 78230
Acclaim Clinical Research ( Site 0083)
San Diego, California, 92120
Millennium Clinical Trials ( Site 0013)
Simi Valley, California, 93065
MultiCare Rockwood Cheney Clinic ( Site 0037)
Spokane, Washington, 99204
Genesis Clinical Research, LLC ( Site 0016)
Tampa, Florida, 33603
Clinical Research Trials of Florida ( Site 0007)
Tampa, Florida, 33607
Fiel Family and Sports Medicine, PC/CCT Research ( Site 0003)
Tempe, Arizona, 85283
Dynamed Clinical Research, LP d/b/a DM Clinical Research-DM Clinical Research ( Site 0036)
Tomball, Texas, 77375
Arcturus Healthcare , PLC, Troy Internal Medicine Research Division ( Site 0038)
Troy, Michigan, 48098
Lynn Institute of Tulsa ( Site 0084)
Tulsa, Oklahoma, 74135
Versailles Family Medicine / CCT Research ( Site 0063)
Versailles, Kentucky, 40383
Palm Beach Research Center ( Site 0060)
West Palm Beach, Florida, 33409
Paradigm Clinical Research Centers, Inc ( Site 0027)
Wheat Ridge, Colorado, 80033
South Korea12 sites
Korea University Ansan Hospital ( Site 3201)
Ansan-si, Kyonggi-do, 15355
Kyungpook National University Chilgok Hospital-Division of Infectious Diseases ( Site 3207)
Deagu, Taegu-Kwangyokshi, 41404
Gachon University Gil Medical Center ( Site 3205)
Namdong-gu, Incheon, 21565
The Catholic University of Korea, Eunpyeong St. Mary's Hospital ( Site 3202)
Seoul, 03312
Severance Hospital, Yonsei University Health System-Division of Infectious Diseases ( Site 3210)
Seoul, 03722
Samsung Medical Center ( Site 3211)
Seoul, 06351
The Catholic Univ. of Korea Seoul St. Mary's Hospital ( Site 3203)
Seoul, 06591
Hallym University Kangnam Sacred Heart Hospital-Internal Medicine ( Site 3204)
Seoul, 07441
Ewha Womans University Mokdong Hospital-Infectious Diseases ( Site 3208)
Seoul
Korea University Guro Hospital ( Site 3200)
Seoul
The Catholic University Of Korea St. Vincent's Hospital-Internal Medicine ( Site 3206)
Suwon, Kyonggi-do, 16247
Ajou University Hospital-Department of Infectious Diseases ( Site 3209)
Suwon, Kyonggi-do, 16499
Germany6 sites
Novopraxis Berlin GbR ( Site 1201)
Berlin, 10117
Universitaetsklinikum Koeln ( Site 1206)
Cologne, North Rhine-Westphalia, 50937
Medizentrum Essen Borbeck ( Site 1200)
Essen, North Rhine-Westphalia, 45355
InfektioResearch ( Site 1203)
Frankfurt am Main, Hesse, 60596
Universitaetsklinikum Hamburg-Eppendorf-Infektiologie ( Site 1202)
Hamburg, 20246
Hamburger Institut fuer Therapieforschung GmbH ( Site 1204)
Hamburg, 20354
Australia5 sites
Emeritus Research ( Site 3004)
Botany, New South Wales, 2019
Paratus Clinical Research Canberra ( Site 3000)
Bruce, Australian Capital Territory, 2617
Emeritus Research ( Site 3003)
Camberwell, Victoria, 3124
Paratus Clinical Research Central Coast ( Site 3001)
Kanwal, New South Wales, 2259
Westmead Hospital ( Site 3005)
Westmead, New South Wales, 2145
New Zealand5 sites
Southern Clinical Trials Waitemata Ltd ( Site 3105)
Auckland, 0626
Southern Clinical Trials Ltd ( Site 3104)
Christchurch, Canterbury, 8013
Lakeland Clinical Trials ( Site 3102)
Rotorua, Bay of Plenty, 3010
P3 Research - Tauranga ( Site 3100)
Tauranga, Bay of Plenty, 3110
P3 Research - Wellington ( Site 3101)
Wellington, 6021
Puerto Rico5 sites
Cooperativa De Facultad Medica Sanacoop-Instituto Sanacoop ( Site 0601)
Bayamón, 00961
San Juan Bautista School of Medicine - Clinical Research Unit ( Site 0606)
Caguas, 00725
Clinical Research Investigator Group ( Site 0611)
Canovanas, 00729
Ponce School Of Medicine Caimed Center ( Site 0602)
Ponce, 00716
Clinical Research Puerto Rico ( Site 0600)
San Juan, 00909
Sweden5 sites
ProbarE ( Site 1400)
Lund, Skåne County, 222 22
CTC Karolinska ( Site 1405)
Solna, Stockholm County, 171 64
ProbarE i Stockholm AB ( Site 1401)
Stockholm, Stockholm County, 113 29
Studieenheten Akademiskt Specialistcentrum ( Site 1403)
Stockholm, Stockholm County, 113 61
CTC MTC ( Site 1404)
Uppsala, Uppsala County, 752 37
Chile4 sites
Universidad San Sebastian - Providencia ( Site 0514)
Providencia, Region M. de Santiago, 7500000
Espacio Eme ( Site 0509)
Santiago, Region M. de Santiago, 7770086
Centro de Investigacion Clinicadela Universidad Catolica ( Site 0503)
Santiago, Region M. de Santiago, 8330034
Hospital hernan henriquez aravena de temuco-Unidad de Investigación Clínica ( Site 0504)
Temuco, Araucania, 4781151
Taiwan4 sites
National Cheng Kung University Hospital ( Site 3301)
Tainan, 704
National Taiwan University Hospital ( Site 3300)
Taipei, 10002
Taipei Medical University Hospital ( Site 3302)
Taipei, 110
Chang Gung Medical Foundation-Linkou Branch ( Site 3303)
Taoyuan, 333
Turkey (Türkiye)4 sites
Sakarya Training and Research Hospital ( Site 2205)
Adapazarı, Sakarya, 54100
Hacettepe Universite Hastaneleri ( Site 2204)
Ankara, 06230
Ankara City Hospital ( Site 2200)
Ankara, 06800
Acibadem Universitesi Atakent Hastanesi-Infectious Disease ( Site 2201)
Istanbul, 34303
Belgium2 sites
Anima Diepenbeek ( Site 1003)
Diepenbeek, Limburg, 3590
Private Practice - Dr. Martinot Jean-Benoit ( Site 1001)
Erpent, Namur, 5101
About this study
Official title: A Phase 3, Randomized, Double-blind, Active Comparator-controlled Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults
This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 compared to PCV20 (pneumococcal 20-valent conjugate vaccine ([Prevnar 20™ / APEXXNAR™]) in pneumococcal vaccine-naïve adults. It is hypothesized that V116 is noninferior to PCV20 for the common serotypes and superior to PCV20 for the unique serotypes as assessed by serotype specific opsonophagocytic activity (OPA) 30 days postvaccination. It is also hypothesized that V116 in participants 18 to 49 years of age immunobridges to V116 in participants 50 to 64 years of age as assessed by serotype specific OPA geometric mean titers (GMTs) 30 days postvaccination for all 21 serotypes in V116. Participants ≥50 years of age will be enrolled in Cohort 1, and participants 18 to 49 years of age will be enrolled in Cohort 2.
- Conditions
- Pneumococcal Infection
- Being tested
- V116, PCV20
- Medical subject headings
- Pneumococcal Infections
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
0.5 mL injection solution in prefilled syringe containing 4 μg of each PnPs antigen (3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B) given by intramuscular (IM) injection.
PCV20Biological
Also called Prevnar 20™, APEXXNAR™
0.5 mL injection suspension in prefilled syringe containing 2.2 μg of each PnPs antigen (1, 3, 4, 5, 6A, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F) and 4.4 μg of PnPs antigen 6B.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 V116 | Experimental | Pneumococcal vaccine-naïve adult participants (≥50 years of age) receive a single dose of V116 on Day 1. Receives: Biological: V116 |
| Cohort 1 PCV20 | Active comparator | Pneumococcal vaccine-naïve adult participants (≥50 years of age) receive a single dose of PCV20 on Day 1. Receives: Biological: PCV20 |
| Cohort 2 V116 | Experimental | Pneumococcal vaccine-naïve adult participants (18 to 49 years of age) receive a single dose of V116 on Day 1. Receives: Biological: V116 |
| Cohort 2 PCV20 | Active comparator | Pneumococcal vaccine-naïve adult participants (18 to 49 years of age) receive a single dose of PCV20 on Day 1. Receives: Biological: PCV20 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Solicited Injection-site Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited injection-site AEs consist of the following: pain/tenderness, redness/erythema, and swelling.
Measured: Up to 5 days post-vaccination
Percentage of Participants With Solicited Systemic AEs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs consist of the following: fatigue (tiredness), headache, myalgia (muscle aches), and pyrexia (maximum temperature ≥ 100.4 °F/38.0 °C)
Measured: Up to 5 days post-vaccination
Percentage of Participants With Vaccine-related Serious AE (SAE)
A vaccine-related SAE is any untoward medical consequence that 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 an other important medical event, which is determined by the investigator to be related to the vaccine.
Measured: Up to 194 days post-vaccination
Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20
The serotype specific OPA GMTs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using the multiplex opsonophagocytic assay (MOPA). GMT values were estimated from a constrained longitudinal data analysis; (cLDA) model. Per protocol, within group, confidence intervals (CIs) or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Day 30 post-vaccination
Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116
The percentage of participants with ≥4-fold rise from baseline in serotype specific OPAs for the 11 unique pneumococcal serotypes contained in V116. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Baseline and Day 30 post-vaccination
Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116
The serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA. GMT values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.
Measured: Day 30 post-vaccination
Secondary outcomes (7)
Percentage of Participants From Cohort 1 V116 With ≥4-fold Change in OPA Responses for Cross Reactive Pneumococcal Serotypes
The percentage of participants with ≥4-fold rise from baseline was determined for Cohort 1 V116 serotypes 6C and 15B, two serotypes which cross react with PCV20. Point estimate and 95% CI are based on the Clopper-Pearson method. A conclusion of acceptability is based on the lower bound of the 95% CI of the percentages of participants with a ≥4-fold rise from baseline being > 50 percentage points (one-sided p-value < 0.025). Per protocol, participants treated with PCV20, and V116 Cohort 2 were not analyzed in this outcome measure.
Measured: Baseline and Day 30 post-vaccination
Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 2
The serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA for serotypes 6C and 15B which cross react with PCV20. GMT values were estimated from a LDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.
Measured: Day 30 post-vaccination
Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20
The serotype specific IgG GMCs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using pneumococcal electrochemiluminescence (PnECL). GMC values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Day 30 post-vaccination
Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
The geometric mean fold rise (GMFR) from baseline in serotype specific OPA GMTs for cohort 1 was determined using MOPA. The within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Baseline and Day 30 post-vaccination
Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
The GMFR from baseline in serotype specific IgG antibody GMCs for cohort 1 was determined using PnECL. The within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Baseline and Day 30 post-vaccination
Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
Percentage of participants with ≥4-fold rise from baseline in serotype specific IgG antibody GMCs for cohort 1 was determined using PnECL. The within-group 95% CIs were based on the exact binomial method proposed by Clopper and Pearson. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Baseline and Day 30 post-vaccination
Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
Percentage of participants with ≥4-fold rise from baseline in OPA GMTs in Cohort 1 was determined using MOPA. The within-group 95% CIs were based on the exact binomial method proposed by Clopper and Pearson. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Measured: Baseline and Day 30 post-vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jun 2022
- Study start13 Jul 2022
- Primary completion18 May 2023
- Study completion18 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pneumococcal InfectionStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 2,663 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05425732
- Sponsor's protocol ID
- V116-003
- Other IDs
- V116-003, 2022-000258-27
- Status last verified
- Oct 2024
- First submitted
- 15 Jun 2022
- Last updated
- 26 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
Publications
Platt HL, Bruno C, Buntinx E, Pelayo E, Garcia-Huidobro D, Barranco-Santana EA, Sjoberg F, Song JY, Grijalva CG, Orenstein WA, Morgan L, Fernsler D, Xu W, Waleed M, Li J, Buchwald UK; STRIDE-3 Study Group. Safety, tolerability, and immunogenicity of an adult pneumococcal conjugate vaccine, V116 (STRIDE-3): a randomised, double-blind, active comparator controlled, international phase 3 trial. Lancet Infect Dis. 2024 Oct;24(10):1141-1150. doi: 10.1016/S1473-3099(24)00344-X. Epub 2024 Jul 1.
PubMed 38964361
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Active Comparator-controlled Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults
- ClinicalTrials.gov ID
- NCT05425732
- Acronym / sponsor ID
- V116-003
- Conditions
- Pneumococcal Infection
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,663 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 13 Jul 2022 (actual)
- Primary completion
- 18 May 2023 (actual)
- Study completion
- 18 May 2023 (actual)
- First posted
- 21 Jun 2022 (actual)
- Results
- Posted 10 Jun 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 compared to PCV20 (pneumococcal 20-valent conjugate vaccine ([Prevnar 20™ / APEXXNAR™]) in pneumococcal vaccine-naïve adults. It is hypothesized that V116 is noninferior to PCV20 for the common serotypes and superior to PCV20 for the unique serotypes as assessed by serotype specific opsonophagocytic activity (OPA) 30 days postvaccination. It is also hypothesized that V116 in participants 18 to 49 years of age immunobridges to V116 in participants 50 to 64 years of age as assessed by serotype specific OPA geometric mean titers (GMTs) 30 days postvaccination for all 21 serotypes in V116. Participants ≥50 years of age will be enrolled in Cohort 1, and participants 18 to 49 years of age will be enrolled in Cohort 2.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort 1 V116 | Experimental | Biological: V116Pneumococcal vaccine-naïve adult participants (≥50 years of age) receive a single dose of V116 on Day 1. |
| Cohort 1 PCV20 | Active comparator | Biological: PCV20Pneumococcal vaccine-naïve adult participants (≥50 years of age) receive a single dose of PCV20 on Day 1. |
| Cohort 2 V116 | Experimental | Biological: V116Pneumococcal vaccine-naïve adult participants (18 to 49 years of age) receive a single dose of V116 on Day 1. |
| Cohort 2 PCV20 | Active comparator | Biological: PCV20Pneumococcal vaccine-naïve adult participants (18 to 49 years of age) receive a single dose of PCV20 on Day 1. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- For females, is not pregnant or breastfeeding and is either not a woman of childbearing potential (WOCBP) or is a WOCBP and uses acceptable contraception/abstinence; and has medical, menstrual, and recent sexual activity history reviewed by the investigator to decrease the chance of an early undetected pregnancy.
Key exclusion criteria (12 listed)
- Has a history of invasive pneumococcal disease (IPD) [positive blood culture, positive cerebrospinal fluid culture, or positive culture at another sterile site] or known history of other culture-positive pneumococcal disease within 3 years of Visit 1 (Day 1)
- Has a known hypersensitivity to any component of V116 or PCV20, 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 IM vaccination
- Had a recent febrile illness (defined as oral or tympanic temperature ≥100.4°F [≥38.0°C] or axillary or temporal temperature ≥99.4°F [≥37.4°C]) or received antibiotic therapy for any acute illness occurring <72 hours before receipt of study vaccine
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| V116Also: Pneumococcal 21-valent Conjugate Vaccine0.5 mL injection solution in prefilled syringe containing 4 μg of each PnPs antigen (3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B) given by intramuscular (IM) injection. | Biological | Cohort 1 V116, Cohort 2 V116 |
| PCV20Also: Prevnar 20™, APEXXNAR™0.5 mL injection suspension in prefilled syringe containing 2.2 μg of each PnPs antigen (1, 3, 4, 5, 6A, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F) and 4.4 μg of PnPs antigen 6B. | Biological | Cohort 1 PCV20, Cohort 2 PCV20 |
Primary outcome
Percentage of Participants With Solicited Injection-site Adverse Events (AEs)
Time frame: Up to 5 days post-vaccination
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited injection-site AEs consist of the following: pain/tenderness, redness/erythema, and swelling.
Percentage of Participants With Solicited Systemic AEs
Time frame: Up to 5 days post-vaccination
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs consist of the following: fatigue (tiredness), headache, myalgia (muscle aches), and pyrexia (maximum temperature ≥ 100.4 °F/38.0 °C)
Percentage of Participants With Vaccine-related Serious AE (SAE)
Time frame: Up to 194 days post-vaccination
A vaccine-related SAE is any untoward medical consequence that 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 an other important medical event, which is determined by the investigator to be related to the vaccine.
Serotype Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20
Time frame: Day 30 post-vaccination
The serotype specific OPA GMTs for the pneumococcal serotypes in cohort 1 of V116 and PCV20 only were determined using the multiplex opsonophagocytic assay (MOPA). GMT values were estimated from a constrained longitudinal data analysis; (cLDA) model. Per protocol, within group, confidence intervals (CIs) or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Percentage of Participants With ≥4-fold Change From Baseline in Serotype Specific OPA Responses in Cohort 1 Only for the 11 Unique Pneumococcal Serotypes Contained in V116
Time frame: Baseline and Day 30 post-vaccination
The percentage of participants with ≥4-fold rise from baseline in serotype specific OPAs for the 11 unique pneumococcal serotypes contained in V116. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, Cohort 2 were not analyzed in this outcome measure.
Serotype Specific OPA GMTs in Participants 18-49 Years and Participants 50-64 Years for the Pneumococcal Serotypes Contained in V116
Time frame: Day 30 post-vaccination
The serotype specific OPA GMTs for the pneumococcal serotypes in participants 18-49 years and participants 50-64 years treated with V116 only were determined using the MOPA. GMT values were estimated from a cLDA model. Per protocol, within group CIs or any other measures of dispersion were not planned or determined. The 10 common pneumococcal serotypes in both V116 and PCV20 were as follows: 3, 6A, 7F, 8, 10A, 11A, 12F, 19A, 22F, and 33F. The 11 unique pneumococcal serotypes in V116 were as follows: 9N, 15A, 15C, 16F, 17F, 20A, 23A, 23B, 24F, 31, and 35B. Per protocol, participants treated with PCV20 were not analyzed in this outcome measure.
7 secondary outcomes
Percentage of Participants From Cohort 1 V116 With ≥4-fold Change in OPA Responses for Cross Reactive Pneumococcal Serotypes
Time frame: Baseline and Day 30 post-vaccination
Serotype Specific OPA GMTs for Cross Reactive Pneumococcal Serotypes in Adults 50 to 64 Years of Age From Cohort 1 and Adults 18 to 49 Years of Age From Cohort 2
Time frame: Day 30 post-vaccination
Serotype Specific Immunoglobulin (IgG) Geometric Mean Concentrations (GMCs) in Cohort 1 Only, for the Pneumococcal Serotypes Contained in V116 and PCV20
Time frame: Day 30 post-vaccination
Geometric Mean Fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
Time frame: Baseline and Day 30 post-vaccination
Geometric Mean Fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
Time frame: Baseline and Day 30 post-vaccination
Percentage of Participants With ≥4-fold Change From Baseline in IgG Antibody GMCs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
Time frame: Baseline and Day 30 post-vaccination
Percentage of Participants With ≥4-fold Change From Baseline in OPA GMTs in Cohort 1 for the Pneumococcal Serotypes Contained in V116 and PCV20
Time frame: Baseline and Day 30 post-vaccination
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 38964361Platt HL, Bruno C, Buntinx E, Pelayo E, Garcia-Huidobro D, Barranco-Santana EA, Sjoberg F, Song JY, Grijalva CG, Orenstein WA, Morgan L, Fernsler D, Xu W, Waleed M, Li J, Buchwald UK; STRIDE-3 Study Group. Safety, tolerability, and immunogenicity of an adult pneumococcal conjugate vaccine, V116 (STRIDE-3): a randomised, double-blind, active comparator controlled, international phase 3 trial. Lancet Infect Dis. 2024 Oct;24(10):1141-1150. doi: 10.1016/S1473-3099(24)00344-X. Epub 2024 Jul 1.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
112 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing V116 and PCV20 in people with Pneumococcal Infection, run by Merck Sharp & Dohme LLC at 112 sites in 11 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 12 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 112 sites in United States, South Korea, Germany, Australia, New Zealand and 6 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 10 Jun 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 6 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 NCT05425732, 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.