2320 Participants Needed

Pneumococcal Vaccine for Pneumonia Prevention

Recruiting at 133 trial locations
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new vaccine, PCV21, designed to prevent pneumonia in infants. The main goal is to assess the safety of this vaccine compared to an already-approved one. Healthy infants, born full-term or slightly premature but stable, and between 42 to 89 days old, may qualify for this study. Participants will receive four vaccine doses over approximately a year, alongside their regular vaccinations. As a Phase 3 trial, this is the final step before FDA approval, providing participants an opportunity to contribute to a potentially groundbreaking vaccine for infants.

Will I have to stop taking my current medications?

The trial does not specify if participants must stop taking their current medications. However, if you are on immunosuppressive therapy, long-term systemic corticosteroids, or have received certain vaccines recently, you may not be eligible to participate.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that the PCV21 vaccine is generally well-tolerated. Studies indicate that its reactions resemble those of older vaccines like PCV13. Common side effects include pain and swelling at the injection site, occurring in more than 70% of cases. These effects are typical and usually mild.

The 20vPCV vaccine, used for comparison, has already received approval and has proven safe for infants. It often causes mild reactions like pain and swelling at the injection site.

In summary, both vaccines have safety records suggesting they are well-tolerated, with most side effects being mild and temporary.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about PCV21 because it offers a potentially broader coverage against pneumococcal strains compared to existing vaccines like PCV13 and 20vPCV. Unlike these standard options, PCV21 includes additional serotypes, which could enhance its ability to prevent pneumonia caused by a wider array of bacterial strains. This expanded protection is particularly promising in combating antibiotic-resistant strains, potentially reducing the incidence of pneumonia and its associated complications.

What evidence suggests that this trial's treatments could be effective for pneumonia prevention?

Research has shown that the PCV21 vaccine, which participants in this trial may receive, might protect against more types of bacteria causing pneumonia compared to older vaccines. This could result in fewer cases of pneumonia. Studies also suggest that PCV21 is a cost-effective method for preventing more instances of the disease. Overall, early evidence supports its potential to effectively protect against pneumonia. Another group in this trial will receive the 20vPCV vaccine, serving as an active comparator.16789

Are You a Good Fit for This Trial?

This trial is for healthy infants aged approximately 2 months (42 to 89 days) at the time of inclusion. They must be deemed healthy by a medical evaluation, which includes their medical history and physical examination.

Inclusion Criteria

I am between 42 and 89 days old today.
I am considered healthy based on my recent medical exams.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 4-dose regimen of either PCV21 or 20vPCV vaccine at approximately 2, 4, 6, and 12 to 15 months of age

13 months
6 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after the last vaccine injection

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • PCV21
Trial Overview The study compares the safety of a new pneumococcal vaccine called PCV21 with an already licensed one, Prevnar 20. Infants will receive vaccines at around 2, 4, 6, and between 12 to15 months old alongside routine pediatric vaccines.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Group 1: PCV21Experimental Treatment9 Interventions
Group II: Group 2: 20vPCVActive Control9 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Sanofi

Lead Sponsor

Trials
2,246
Recruited
4,085,000+
Paul Hudson profile image

Paul Hudson

Sanofi

Chief Executive Officer since 2019

Degree in Economics from Manchester Metropolitan University

Christopher Corsico profile image

Christopher Corsico

Sanofi

Chief Medical Officer

MD from Cornell University, MPH in Chronic Disease Epidemiology from Yale University

Published Research Related to This Trial

The Heptavalent pneumococcal conjugate vaccine (PCV-7) is currently the only approved vaccine for preventing invasive pneumococcal disease in children under two years old, demonstrating good safety when given alone or with other vaccines.
PCV-7 has been shown to be safe and effective in infants with HIV and those with sickle cell disease, highlighting its broad applicability in vulnerable populations.
The safety of 7-valent pneumococcal conjugate vaccine.Ghaffar, F.[2007]
The 13-valent pneumococcal conjugate vaccine (PCV13) showed an overall vaccine effectiveness (VE) of 33.2% against pneumococcal community-acquired pneumonia (pCAP) in adults aged 65 and older, indicating some level of protection despite modest vaccine uptake.
In a subgroup of patients managed in the community, the VE was significantly higher at 88.1% against any pneumococcal strain, suggesting that PCV13 could be particularly effective in community settings, although further research is needed to confirm these findings.
Effectiveness of the 13-valent pneumococcal conjugate vaccine against adult pneumonia in Italy: a case-control study in a 2-year prospective cohort.Prato, R., Fortunato, F., Cappelli, MG., et al.[2019]
In a study involving 194 hospitalized children with influenza and 342 matched controls, the pneumococcal conjugate vaccine (PCV) significantly reduced hospitalizations by 48% during the 2009-2010 pandemic wave for fully vaccinated children under 5 years old.
However, during the 2010-2011 influenza season, the study found no significant benefit of PCV vaccination in preventing hospitalizations, indicating that the effectiveness of the vaccine may vary by season.
Benefit of conjugate pneumococcal vaccination in preventing influenza hospitalization in children: a case-control study.Domínguez, A., Castilla, J., Godoy, P., et al.[2013]

Citations

Use of 21-Valent Pneumococcal Conjugate Vaccine .. ...Adding PCV21 as an option in the current PCV recommendation is expected to prevent additional disease caused by pneumococcal serotypes unique to ...
Cost-Effectiveness Analysis of the Use of V116, a 21- ...Based on the inputs and assumptions used, the results indicated that the V116 strategy prevented 27,766 and 32,387 disease cases/deaths and ...
Cost-effectiveness analysis of 21-valent pneumococcal ...When indirect effects from PCV15 and serotype replacement were included, PCV21 was cost-effective for IC and unhoused populations, while PCV20 ...
Systematic Review of 15 Studies Focused on ...CAPVAXIVE is Merck's 21-valent pneumococcal conjugate vaccine indicated for active immunization for the prevention of invasive disease and ...
21-valent Pneumococcal Conjugate Vaccine (PCV21) Use ...On June 27, 2024, ACIP recommended the use of PCV21 as an option for adults aged ≥19 years who currently have a recommendation to receive a dose of PCV.
Use of 21-Valent Pneumococcal Conjugate Vaccine Among ...* PCV21 is approved for the prevention of invasive pneumococcal ... Safety data from four PCV21 phase III clinical trials (11,13–15) ...
Pneumococcal Vaccine SafetyPCV21 helps protect against eight new types of pneumococcal ... A closer look at the safety data. A 2004 study of VAERS data found ...
PneumococcalReactions among adults to PCV15, PCV20 and PCV21 are similar to PCV13. Common reactions to PCV15 include injection site pain (>70%), injection site swelling (> ...
Capvaxive – A 21-Valent Pneumococcal Conjugate Vaccine4 No adequate data are available on the use of PCV21 in pregnant women. No adverse developmental outcomes were observed in animal studies. ACIP ...
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