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Pneumococcal DiseasePhase 3NCT05569954

Safety and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults 50 Years of Age or Older (V116-010, STRIDE-10)

A Phase 3 study testing V116 and PPSV23 in people with Pneumococcal Disease, run by Merck Sharp & Dohme LLC at 55 sites in 11 countries.

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

This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 in pneumococcal vaccine-naïve adults 50 years of age and older. The polyvalent (23-valent) pneumococcal vaccine, PPSV23, is the active comparator. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Pneumococcal Disease
What is being tested?
V116 and PPSV23
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,484 participants
Where
55 sitesin 11 countries
Study dates
7 Nov 2022to 7 Feb 2025
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

  • 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 inclusion 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 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 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 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

55 sites in 11 countries.

55 sites in 11 countries

South Korea15 sites
  • Korea University Ansan Hospital ( Site 1801)

    Ansan-si, Kyonggi-do, 15355

  • Soon Chun Hyang University Bucheon Hospital ( Site 1812)

    Bucheon-si, Kyonggi-do, 14584

  • Dong-A University Hospital ( Site 1810)

    Busan, Pusan-Kwangyokshi, 49201

  • Kyungpook National University Chilgok Hospital-Division of Infectious Diseases ( Site 1804)

    Deagu, Taegu-Kwangyokshi, 41404

  • Chonnam National University Hospital-Infectious Diseases ( Site 1811)

    Gwangju, Kwangju-Kwangyokshi, 61469

  • Hallym University Dongtan Sacred Heart Hospital ( Site 1813)

    Hwaseong-si, Kyonggi-do, 18450

  • Chungnam national university hospital ( Site 1814)

    Junggu, Taejon-Kwangyokshi, 35015

  • The Catholic University of Korea, Eunpyeong St. Mary's Hospital ( Site 1802)

    Seoul, 03312

  • Asan Medical Center ( Site 1809)

    Seoul, 05505

  • The Catholic Univ. of Korea Seoul St. Mary's Hospital ( Site 1806)

    Seoul, 06591

  • Hallym University Kangnam Sacred Heart Hospital ( Site 1807)

    Seoul, 07441

  • Ewha Womans University Mokdong Hospital-Infectious Diseases ( Site 1805)

    Seoul, 07985

  • Korea University Guro Hospital ( Site 1800)

    Seoul, 08308

  • The Catholic University Of Korea St. Vincent's Hospital-Internal Medicine ( Site 1803)

    Suwon, Kyonggi-do, 16247

  • Wonju Severance Christian Hospital ( Site 1808)

    Wŏnju, Kang-won-do, 26426

Other trials in South Korea

Spain6 sites
  • Centre d'Atenció Primària Vallcarca - Sant Gervasi ( Site 1101)

    Barcelona, 08023

  • EAP Sardenya ( Site 1102)

    Barcelona, 08025

  • EBA CENTELLES ( Site 1100)

    Centelles, Catalonia, 08500

  • Hospital Universitario Getafe ( Site 1111)

    Getafe, Madrid, Comunidad de, 28905

  • Hospital La Princesa-Clinical Pharmacology ( Site 1115)

    Madrid, 28006

  • Fundación Oftalmologica del Mediterraneo-Vaccine Research ( Site 1118)

    Valencia, Valenciana, Comunitat, 46015

Other trials in Spain

United Kingdom6 sites
  • Layton Medical Centre ( Site 1400)

    Blackpool, Lancashire, FY3 7EN

  • Accellacare - Northamptonshire ( Site 1403)

    Corby, Northamptonshire, NN18 9EZ

  • Accellacare - Warwickshire ( Site 1404)

    Coventry, Warwickshire, CV3 4FJ

  • Barts Health NHS Trust-William Harvey Clinical Research Centre ( Site 1407)

    London, England, EC1M 6BQ

  • Royal Free Hospital-Ian Charleson Day Centre RESEARCH ( Site 1402)

    London, England, NW32QG

  • Accellacare - Yorkshire-MeDiNova Yorkshire ( Site 1405)

    Shipley, Bradford, BD18 3SA

Other trials in United Kingdom

Germany5 sites
  • Universitaetsklinikum Koeln ( Site 0900)

    Cologne, North Rhine-Westphalia, 50937

  • Medizentrum Essen Borbeck ( Site 0902)

    Essen, North Rhine-Westphalia, 45355

  • InfektioResearch ( Site 0903)

    Frankfurt am Main, Hesse, 60596

  • Universitaetsklinikum Hamburg-Eppendorf-Infektiologie ( Site 0901)

    Hamburg, 20246

  • klinikum rechts der isar der technischen universität münchen ( Site 0904)

    München, Bavaria, 81675

Other trials in Germany

Israel5 sites
  • Rambam Health Care Campus ( Site 1002)

    Haifa, 3109601

  • Hadassah Medical Center-Clinical Reaserch Unit ( Site 1004)

    Jerusalem, 9112001

  • Meir Medical Center-Infectious unit ( Site 1003)

    Kfar Saba, 4428164

  • Sheba Medical Center ( Site 1000)

    Ramat Gan, 5265601

  • Clalit Health Services - Sakhnin Community Clinic-Research Unit ( Site 1001)

    Sakhnin, 3081000

Other trials in Israel

Turkey (Türkiye)5 sites
  • ANKARA UNIVERSITY IBNI SINA HOSPITAL ( Site 1304)

    Ankara, 06230

  • Hacettepe Universite Hastaneleri-İnfection ( Site 1300)

    Ankara, 06230

  • Gazi University Health Research and Application Center Gazi Hospital-Enfeksiyon Hastalıkları ( Site

    Ankara, 06560

  • Acibadem Universitesi Atakent Hastanesi-Infectious Disease ( Site 1301)

    Istanbul, 34303

  • Sancaktepe Şehit Prof.Dr. İlhan Varank Eğitim ve Arastirma Hastanesi ( Site 1305)

    Sancaktepe, Istanbul, 34785

Other trials in Turkey (Türkiye)

Taiwan4 sites
  • Kaohsiung Medical University Chung-Ho Memorial Hospital-Infectious diseases Division, Department of

    Kaohsiung City, 807

  • National Cheng Kung University Hospital ( Site 1901)

    Tainan, 704

  • National Taiwan University Hospital ( Site 1900)

    Taipei, 100

  • Chang Gung Medical Foundation-Linkou Branch ( Site 1902)

    Taoyuan, 333

Other trials in Taiwan

Australia3 sites
  • Paratus Clinical Research Brisbane ( Site 1501)

    Albion, Queensland, 4010

  • Paratus Clinical Research Western Sydney ( Site 1500)

    Blacktown, New South Wales, 2148

  • Northern Beaches Clinical Research ( Site 1502)

    Brookvale, New South Wales, 2100

Other trials in Australia

New Zealand3 sites
  • Optimal Clinical Trials ( Site 1600)

    Auckland, 1010

  • P3 Research - Lower Hutt ( Site 1601)

    Lower Hutt, Wellington Region, 5010

  • P3 Research - Palmerston North ( Site 1602)

    Palmerston North, Manawatu-Wanganui, 4414

Other trials in New Zealand

Colombia2 sites
  • IPS Centro Científico Asistencial S.A.S ( Site 0407)

    Barranquilla, Atlántico, 80020

  • Fundacion Valle del Lili- CIC ( Site 0415)

    Cali, Valle del Cauca Department, 760032

Other trials in Colombia

Argentina1 site
  • Fundacion Estudios Clinicos ( Site 0200)

    Rosario, Santa Fe Province, S2000DEJ

Other trials in Argentina

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 50 Years of Age or Older

This is a phase 3, randomized, double-blind, active comparator-controlled study of the safety, tolerability, and immunogenicity of V116 in pneumococcal vaccine-naïve adults 50 years of age and older. The polyvalent (23-valent) pneumococcal vaccine, PPSV23, is the active comparator. In addition to studying safety/tolerability, it is hypothesized that, at 30 days postvaccination, the immunogenicity of V116 is noninferior to PPSV23 for the 12 common serotypes in V116 and PPSV23, and that V116 is superior to PPSV23 for the 9 serotypes unique to V116. It is also hypothesized that V116 is superior to PPSV23 in the percentage of participants with ≥4-fold rise from baseline in unique V116 serotypes, as measured by serotype-specific opsonophagocytic activity (OPA) geometric mean titers (GMTs).

Read the detailed description

Selected participants may be eligible for optional immunogenicity or PBMC substudies extension that will investigate the exploratory objectives.

Being tested
V116, PPSV23
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

    Sterile 0.5 mL solution in prefilled syringe containing 4 μg of each pneumococcal polysaccharide (PnPs) antigen 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B.

  • PPSV23Biological

    Also called PNEUMOVAX™23

    Sterile 0.5 mL solution in prefilled syringe containing 25 μg of each 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.

Study groups in NCT05569954
Study groupRoleWhat they receive
V116ExperimentalParticipants will receive a single intramuscular (IM) vaccination of 0.5 mL of V116 on Day 1.
Receives: Biological: V116
PPSV23Active comparatorParticipants will receive a single IM vaccination of 0.5 mL of PPSV23 on Day 1.
Receives: Biological: PPSV23

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 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 consisted of pain/tenderness, redness/erythema, and swelling. 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen \& Nurminen method.

    Measured: Up to 5 days postvaccination

  2. 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). 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen \& Nurminen method.

    Measured: Up to 5 days postvaccination

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

    An SAE is any untoward medical occurrence 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. SAEs that were reported to be at least possibly related by the investigator to study vaccination are summarized. 95% confidence intervals (CIs) for between-group differences are provided using the Miettinen \& Nurminen method.

    Measured: Up to 6 months postvaccination

  4. Serotype-Specific Opsonophagocytic (OPA) Geometric Mean Titers (GMTs) for All Serotypes in V116

    Serotype-specific OPA titers for all serotypes in V116 following vaccination were determined using multiplex opsonophagocytic assay (MOPA). Serotype-specific OPA GMTs and GMT ratios with 95% confidence intervals (CIs), and they hypothesis test (1-sided p-value), were calculated using a constrained longitudinal data analysis (cLDA) model. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

    Measured: Day 30 postvaccination

  5. Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific OPAs for Serotypes Unique to V116

    The percentage of participants with ≥4-fold rise from baseline in serotype-specific OPAs for the unique pneumococcal serotypes contained in V116 was determined. The 9 unique pneumococcal serotypes in V116 are as follows: 6A, 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

    Measured: Baseline (Day 1) and Day 30 postvaccination

Secondary outcomes (6)
  1. Percentage of Participants With ≥4-fold Rise From Baseline in Serotype-Specific Cross-Reactive OPAs

    OPA induced by serotypes 6A and 15C in V116 but cross-reactive to serotypes 6C and 15B, respectively, were measured. The percentage of participants with ≥4-fold rise from baseline in serotype-specific cross-reactive OPAs was determined. Point estimate, 95% CI, and p-value are based on the Clopper-Pearson method. Per protocol, this outcome measure was not planned or analyzed in the PPSV23 study arm.

    Measured: Baseline (Day 1) and Day 30 postvaccination

  2. Serotype-Specific Geometric Mean Fold Rise (GMFR) of OPA GMTs for All Serotypes in V116

    The GMFR from baseline in serotype-specific OPA GMTs for all serotypes in V116 was determined using MOPA. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Measured: Baseline (Day 1) and Day 30 postvaccination

  3. Serotype-Specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for All Serotypes in V116

    The GMCs for serotype-specific IgG antibodies for all serotypes in V116 were determined using pneumococcal electrochemiluminescence (PnECL). The GMC ratio estimation and 95% CI were calculated using a cLDA method. Per protocol, within-group CIs, or any other method of dispersion were not planned or calculated.

    Measured: Day 30 postvaccination

  4. Serotype-Specific GMFR of IgG GMCs for All Serotypes in V116

    The GMFR from baseline in GMCs for serotype-specific IgG antibodies for all serotypes in V116 was determined using PnECL. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Measured: Baseline (Day 1) and Day 30 postvaccination

  5. Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific OPA GMTs for All Serotypes in V116

    The percentage of participants with ≥4-fold rise from baseline in serotype-specific OPA GMTs for all serotypes in V116 was determined with MOPA. The within-group CIs were calculated based on the Clopper-Pearson method.

    Measured: Baseline (Day 1) and Day 30 postvaccination

  6. Percentage of Participants With ≥4-Fold Rise From Baseline in Serotype-Specific IgG GMCs for All Serotypes in V116

    The percentage of participants with ≥4-fold rise from baseline in serotype-specific IgG GMCs for all serotypes in V116 was determined using PnECL. The within-group CIs were calculated based on the Clopper-Pearson method.

    Measured: Baseline (Day 1) and Day 30 postvaccination

Timeline

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

  1. First posted6 Oct 2022
  2. Study start7 Nov 2022
  3. Primary completion30 Oct 2023
  4. Study completion7 Feb 2025

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, Investigator, Outcomes assessor
Enrolment
1,484 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05569954
Sponsor's protocol ID
V116-010
Other IDs
2022-503144-40-00, U1111-1286-5378, 2022-001785-35
Status last verified
Feb 2026
First submitted
4 Oct 2022
Last updated
2 Mar 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Jotterand V, Jagannath V, Diaz AA, Velez JD, Letica A, Perez SN, Clark R, Caraco Y, Degen O, Park KH, Unal S, Wittke F, Hurtado K, Churchill C, Zhang Y, Fernsler D, Li J, Buchwald UK, Platt H. A Phase 3 Randomized Trial Investigating the Safety, Tolerability, and Immunogenicity of V116, an Adult-Specific Pneumococcal Vaccine, Compared with PPSV23, in Adults >/=50 Years of Age (STRIDE-10). Vaccines (Basel). 2025 Mar 22;13(4):341. doi: 10.3390/vaccines13040341.

    PubMed 40333240

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing V116 and PPSV23 in people with Pneumococcal Disease, run by Merck Sharp & Dohme LLC at 55 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 2 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in South Korea, Spain, United Kingdom, Germany, Israel 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 31 Oct 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 postvaccination). 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 NCT05569954, 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 2 Mar 2026.

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