A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by PNEUMOVAX™23 in Adults at Increased Risk for Pneumococcal Disease (V114-017/PNEU-DAY)

Sponsor
Merck Sharp & Dohme LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT03547167
Collaborator
(none)
1,515
78
2
18.2
19.4
1.1

Study Details

Study Description

Brief Summary

This study is designed to 1) describe the safety, tolerability, and immunogenicity of V114 and Prevnar 13™ in pneumococcal vaccine-naïve adults at increased risk for pneumococcal disease and to 2) describe the safety, tolerability, and immunogenicity of PNEUMOVAX™23 when administered 6 months after receipt of either V114 or Prevnar 13™. Increased risk for pneumococcal disease is defined as 1) an underlying medical condition, 2) behavioral habits such as smoking or alcohol use, or 3) living in a community/environment with increased risk of disease transmission.

Condition or Disease Intervention/Treatment Phase
  • Biological: V114
  • Biological: Prevnar 13™
  • Biological: PNEUMOVAX™23
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1515 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Prevention
Official Title:
A Phase 3, Multicenter, Randomized, Double-blind, Active Comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by Administration of PNEUMOVAX™23 Six Months Later in Immunocompetent Adults Between 18 and 49 Years of Age at Increased Risk for Pneumococcal Disease (PNEU - DAY)
Actual Study Start Date :
Jul 16, 2018
Actual Primary Completion Date :
Jan 20, 2020
Actual Study Completion Date :
Jan 20, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: V114

Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2)

Biological: V114
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F (2 mcg each), serotype 6B (4 mcg) and Merck Aluminum Phosphate Adjuvant (125 mcg) in each 0.5 mL dose

Biological: PNEUMOVAX™23
23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose
Other Names:
  • PPV23
  • Active Comparator: Prevnar 13™

    Participants will receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2)

    Biological: Prevnar 13™
    13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg), and aluminum phosphate adjuvant (125 mcg aluminum) in each 0.5 ml dose
    Other Names:
  • PCV13
  • Biological: PNEUMOVAX™23
    23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose
    Other Names:
  • PPV23
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Solicited Injection-site Adverse Events Following V114 or Prevnar 13™ [Up to 5 days after Vaccination 1]

      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 Vaccination 1 with either V114 or Prevnar 13™, the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, swelling, and tenderness/pain. Estimated confidence intervals (CIs) are calculated based on the exact binomial method proposed by Clopper and Pearson.

    2. Percentage of Participants With Solicited Systemic Adverse Events Following V114 or Prevnar 13™ [Up to 14 days after Vaccination 1]

      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 vaccination with V114 or Prevnar 13™, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.

    3. Percentage of Participants With a Vaccine-related Serious Adverse Event Following V114 or Prevnar 13™ [Up to Month 6 (before Vaccination 2)]

      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. Relatedness of an SAE to the study vaccine was determined by the investigator. Following vaccination with V114 or Prevnar 13™, the percentage of serious adverse events of V114 compared with Prevnar 13™ was assessed. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.

    4. Geometric Mean Titer of Serotype-specific Opsonophagocytic Activity Day 30 Following V114 or Prevnar 13™ [Day 30]

      The geometric mean titer (GMT) of serotype-specific opsonophagocytic activity (OPA) for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplex opsonophagocytic assay. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Secondary Outcome Measures

    1. Percentage of Participants With Solicited Injection-site Adverse Events Following PNEUMOVAX™23 [Up to 5 days after Vaccination 2 (Month 6)]

      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 Vaccination 2 with PNEUMOVAX™23, the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, swelling, and tenderness/pain. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson and are provided in accordance with the statistical analysis plan.

    2. Percentage of Participants With Solicited Systemic Adverse Events Following PNEUMOVAX™23 [Up to 14 days after Vaccination 2 (Month 6)]

      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 Vaccination 2 with PNEUMOVAX™23, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.

    3. Percentage of Participants With a Vaccine-related Serious Adverse Event Following PNEUMOVAX™23 [From Month 6 (before Vaccination 2) to Month 7]

      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. Relatedness of an SAE to the study vaccine was determined by the investigator. Following vaccination with PNEUMOVAX™23, the percentage of serious adverse events of V114 compared with Prevnar 13™ was assessed. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.

    4. Geometric Mean Concentration of Serotype-specific Immunoglobulin G at Day 30 [Day 30]

      The geometric mean concentration (GMC) of serotype-specific immunoglobulin G (IgG) for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    5. Geometric Mean Fold Rise in Serotype-specific OPA Day 1 to Day 30 [Day 1 (Baseline) and Day 30]

      Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplex Opsonophagocytic Assay. Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.

    6. GMFR in Serotype-specific IgG Day 1 to Day 30 [Day 1 (Baseline) and Day 30]

      IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. GMFR is the geometric mean of fold rise from baseline to postvaccination.

    7. Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Day 1 to Day 30 [Day 1 (Baseline) and Day 30]

      Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.

    8. Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Day 1 to Day 30 [Day 1 (Baseline) and Day 30]

      IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.

    9. Geometric Mean Titer of Serotype-specific OPA at Month 7 [Month 7]

      The geometric mean titer (GMT) of serotype-specific OPA for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplex opsonophagocytic assay. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    10. Geometric Mean Concentration of Serotype-specific IgG at Month 7 [Month 7]

      The geometric mean concentration (GMC) of serotype-specific immunoglobulin G (IgG) for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.

    11. GMFR in Serotype-specific OPA Day 1 to Month 7 [Day 1 (Baseline) and Month 7]

      Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.

    12. GMFR in Serotype-specific IgG Day 1 to Month 7 [Day 1 (Baseline) and Month 7]

      IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. GMFR is the geometric mean of fold rise from baseline to postvaccination.

    13. Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Day 1 to Month 7 [Day 1 (Baseline) and Month 7]

      Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.

    14. Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Day 1 to Month 7 [Day 1 (Baseline) and Month 7]

      IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.

    15. GMFR in Serotype-specific OPA Month 6 to Month 7 [Month 6 (Baseline before Vaccination 2) and Month 7]

      Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using the Multiplexed Opsonophagocytic Assay. Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.

    16. GMFR in Serotype-specific IgG Month 6 to Month 7 [Month 6 (Baseline before Vaccination 2) and Month 7]

      IgG for the serotypes contained in Prevnar 13™ and V114 and (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. GMFR is the geometric mean of fold rise from baseline to postvaccination.

    17. Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Month 6 to Month 7 [Month 6 (Baseline before Vaccination 2) and Month 7]

      Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.

    18. Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Month 6 to Month 7 [Month 6 (Baseline before Vaccination 2) and Month 7]

      IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 49 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Native American participant enrolled from any of the clinical sites of the Johns Hopkins Center for American Indian Health (CAIH) without any of the pre-specified risk conditions for pneumococcal disease listed below, OR Native American participant enrolled from any of the CAIH sites or participant from a site other than CAIH with ≥1 of the following risk conditions for pneumococcal disease:
    1. Diabetes mellitus Type 1 or Type 2 and with hemoglobin A1c (HgA1c) <10%

    2. Chronic liver disease with documented history of compensated cirrhosis (Child-Pugh Score A)

    3. Confirmed diagnosis of Chronic Obstructive Pulmonary Disease (COPD) with spirometric Global Initiative for Chronic Obstructive Lung Disease Stage 1 to 3

    4. Confirmed diagnosis of mild or moderate persistent asthma receiving guideline directed therapy

    5. Confirmed diagnosis of chronic heart disease (New York Heart Association [NYHA] heart failure Class 1 to 3, receiving guideline-directed oral heart failure treatment) due to reduced or preserved ejection fraction or due to non-cyanotic congenital heart disease.

    6. Current smoker

    • Female participant: not pregnant, not breastfeeding and 1) not of childbearing potential, or 2) of childbearing potential and agrees to practice contraception through 6 weeks after last administration of study vaccine.
    Exclusion Criteria:
    • History of active hepatitis within the prior 3 months

    • History of diabetic ketoacidosis, or >1 episodes of severe, symptomatic hypoglycemia within the prior 3 months

    • Myocardial infarction, acute coronary syndrome, transient ischemic attack, and ischemic or hemorrhagic stroke within the prior 3 months

    • History of severe pulmonary hypertension or history of Eisenmenger syndrome

    • History of invasive pneumococcal disease (IPD) or known history of other culture-positive pneumococcal disease within the prior 3 years

    • Known hypersensitivity to any vaccine component, pneumococcal conjugate vaccine, or diphtheria toxoid-containing vaccine

    • Known or suspected impairment of immunological function (including human immunodeficiency virus (HIV) infection or autoimmune disease)

    • History of malignancy within the prior 5 years, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer

    • History of Stage 4 or 5 Chronic Kidney Disease or nephrotic syndrome

    • History of alcohol withdrawal or alcohol withdrawal seizure within the prior 12 months

    • History of coagulation disorder contraindicating intramuscular vaccination

    • History of hospitalization within the prior 3 months

    • Planned organ transplantation (heart, liver, lung, kidney, or pancreas) or other planned major surgery during the duration of this study.

    • Expected survival for less than 1 year according to the investigator's judgment.

    • Female participant: positive urine or serum pregnancy test

    • Prior administration of any pneumococcal vaccine

    • Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed within the prior 30 days

    • Received systemic corticosteroids exceeding physiologic replacement doses within 14 days before study vaccination

    • Receiving immunosuppressive or immunomodulatory therapy with a biological agent

    • Received any licensed, non-live vaccine within 14 days before receipt of study vaccine or is scheduled to receive any licensed, non-live vaccine within 30 days following receipt of study vaccine

    • Received any live vaccine within 30 days before receipt of any study vaccine or is scheduled to receive any live vaccine within 30 days following receipt of any study vaccine

    • Received a blood transfusion or blood products within the prior 6 months

    • Receiving chronic home oxygen therapy

    • Participated in another clinical study of an investigational product within the prior 2 months

    • Current user of recreational or illicit drugs or history of drug abuse or dependence

    • Diabetes mellitus with HgA1c ≥10%

    • Chronic liver disease with Child-Pugh Class B or C cirrhosis

    • Chronic lung disease with Chronic Obstructive Pulmonary Disease (COPD) GOLD Stage 4 or severe persistent asthma

    • Chronic heart disease with NYHA heart failure Class 4.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Chinle Comprehensive Health Care Facility ( Site 0001) Chinle Arizona United States 86503
    2 Fort Defiance Center for American Indian Health ( Site 0002) Fort Defiance Arizona United States 86504
    3 Pulmonary Associates, PA ( Site 0043) Glendale Arizona United States 85306
    4 Central Phoenix Medical Clinic, LLC ( Site 0031) Phoenix Arizona United States 85020
    5 Whiteriver Center for American Indian Health ( Site 0005) Whiteriver Arizona United States 85941
    6 Inland Empire Clinical Trials, LLC ( Site 0052) Rialto California United States 92377
    7 Top Medical Research, Inc ( Site 0033) Cutler Bay Florida United States 33189
    8 Indago Research & Health Center, Inc ( Site 0054) Hialeah Florida United States 33012
    9 Renstar Medical Research ( Site 0008) Ocala Florida United States 34471
    10 Triple O Research Institute, P.A. ( Site 0026) West Palm Beach Florida United States 33407
    11 Emory University School of Medicine at Grady Hospital ( Site 0027) Atlanta Georgia United States 30303
    12 Kootenai Health ( Site 0042) Coeur d'Alene Idaho United States 83814
    13 Evanston Premier Healthcare & Research, LLC. ( Site 0012) Evanston Illinois United States 60201
    14 Pharmakon Inc ( Site 0049) Evergreen Park Illinois United States 60805
    15 Reid Physician Associates ( Site 0055) Richmond Indiana United States 47374
    16 The Center for Pharmaceutical Research PC ( Site 0050) Kansas City Missouri United States 64114
    17 Clinical Research Consortium ( Site 0053) Las Vegas Nevada United States 89119
    18 Internal Medicine Associates [Bridgeton, NJ] ( Site 0015) Bridgeton New Jersey United States 08302
    19 Gallup Center for American Indian Health ( Site 0003) Gallup New Mexico United States 87301
    20 Shiprock Center for American Indian Health ( Site 0004) Shiprock New Mexico United States 87420
    21 Corning Center For Clinical Research ( Site 0036) Corning New York United States 14830
    22 Mid Hudson Medical Research ( Site 0022) New Windsor New York United States 12553
    23 Wake Research Associates, LLC ( Site 0016) Raleigh North Carolina United States 27612
    24 Lehigh Valley Health Network ( Site 0040) Allentown Pennsylvania United States 18102
    25 University of Pennsylvania ( Site 0030) Philadelphia Pennsylvania United States 19104
    26 Mountain View Clinical Research ( Site 0007) Greer South Carolina United States 29651
    27 Holston Medical Group ( Site 0025) Kingsport Tennessee United States 37660
    28 AIM Trials ( Site 0060) Fort Worth Texas United States 76104
    29 University of Texas Medical Branch at Galveston ( Site 0034) Galveston Texas United States 77555-1115
    30 Private Practice Leadership, LLC ( Site 0051) Houston Texas United States 77094
    31 Texas Center For Drug Development ( Site 0041) Houston Texas United States 77801
    32 Texas Institute Of Cardiology ( Site 0048) McKinney Texas United States 75071
    33 Village Health Partners ( Site 0006) Plano Texas United States 75024
    34 Copperview Medical Center ( Site 0038) South Jordan Utah United States 84095
    35 Timber Lane Allergy & Asthma Research, LLC ( Site 0044) South Burlington Vermont United States 05403
    36 Pulmonary & Sleep Research ( Site 0046) Spokane Valley Washington United States 99216
    37 Gundersen Health System ( Site 0021) La Crosse Wisconsin United States 54601
    38 Marshfield Clinic ( Site 0013) Marshfield Wisconsin United States 54449
    39 Paratus Clinical Pty Ltd - Blacktown Clinic ( Site 0174) Blacktown New South Wales Australia 2148
    40 Holdsworth House Medical Practice ( Site 0170) Sydney New South Wales Australia 2010
    41 Core Research Group Pty limited ( Site 0175) Brisbane Queensland Australia 4064
    42 Emeritus Research Pty Ltd ( Site 0173) Camberwell Victoria Australia 3124
    43 Paratus Clinical Kanwal ( Site 0172) Kanwal Australia 2259
    44 Nepean Hospital ( Site 0176) Kingswood Australia 2747
    45 The Liver and Intestinal Research Centre (LAIR) ( Site 0302) Vancouver British Columbia Canada V5Z 1H2
    46 GA Research Associates, Ltd/Ltee ( Site 0303) Moncton New Brunswick Canada E1G 1A7
    47 Colchester Research Group ( Site 0094) Truro Nova Scotia Canada B2N 1L2
    48 Hamilton Medical Research Group ( Site 0092) Hamilton Ontario Canada L8M 1K7
    49 SKDS Research Inc. ( Site 0099) Newmarket Ontario Canada L3Y 5G8
    50 Omnispec Recherche Clinique Inc ( Site 0093) Mirabel Quebec Canada J7J 2K8
    51 Dynamik Research ( Site 0095) Pointe-Claire Quebec Canada H9R 3J1
    52 Q & T Research Sherbrooke Inc. ( Site 0097) Sherbrooke Quebec Canada J1J 2G2
    53 Diex Recherche Quebec Inc ( Site 0091) Quebec Canada G1N 4V3
    54 Clinica Arauco Salud ( Site 0100) Santiago RM Chile 7560994
    55 Centro de Investigacion Clinica UC CICUC ( Site 0104) Santiago Chile 8330034
    56 CECIM ( Site 0101) Santiago Chile 8330336
    57 CESFAM Esmeralda ( Site 0102) Santiago Chile 9351603
    58 Hospital Dr. Hernan Henriquez Aravena ( Site 0105) Temuco Chile 4781151
    59 Southern Clinical Trials - Waitemata ( Site 0183) Auckland New Zealand 0626
    60 Auckland Clinical Studies Limited ( Site 0189) Auckland New Zealand 1010
    61 Optimal Clinical Trials ( Site 0182) Auckland New Zealand 1010
    62 Christchurch Heart Institute ( Site 0280) Christchurch New Zealand 8011
    63 Southern Clinical Trials Ltd ( Site 0180) Christchurch New Zealand 8013
    64 Lakeland Clinical Trials ( Site 0181) Rotorua New Zealand 3010
    65 Bay of Plenty Clinical School ( Site 0186) Tauranga New Zealand 3143
    66 P3 Research Ltd - Wellington ( Site 0184) Wellington New Zealand 6021
    67 WSOZ im.T.Browicza w Bydgoszczy ( Site 0317) Bydgoszcz Poland 85-030
    68 Centrum Medyczne Pratia Bydgoszcz ( Site 0139) Bydgoszcz Poland 85-796
    69 Synexus Polska Sp. z o.o. ( Site 0238) Gdansk Poland 80-382
    70 Specjalistyczny osrodek .All-Med. Grazyna Pulka ( Site 0233) Krakow Poland 30-033
    71 ID Clinic ( Site 0235) Myslowice Poland 41-400
    72 Centrum Medyczne Ogrodowa Sp. Z o.o. ( Site 0319) Skierniewice Poland 96-100
    73 Niepubliczny Zaklad Opieki Zdrowotnej ( Site 0314) Sopot Poland 81-717
    74 Wroclawskie Centrum Zdrowia SP ZOZ ( Site 0236) Wroclaw Poland 50-136
    75 Synexus Polska Sp. z o.o. oddział we Wrocławiu ( Site 0234) Wroclaw Poland 50-381
    76 Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 0249) Kazan Russian Federation 420140
    77 Saratov State Medical University n.a. V.I.Razumovskiy ( Site 0144) Saratov Russian Federation 410054
    78 Smolensk State Medical University ( Site 0246) Smolensk Russian Federation 214019

    Sponsors and Collaborators

    • Merck Sharp & Dohme LLC

    Investigators

    • Study Director: Medical Director, Merck Sharp & Dohme LLC

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Merck Sharp & Dohme LLC
    ClinicalTrials.gov Identifier:
    NCT03547167
    Other Study ID Numbers:
    • V114-017
    • 2017-004915-38
    • V114-017
    First Posted:
    Jun 6, 2018
    Last Update Posted:
    Jan 15, 2021
    Last Verified:
    Dec 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants were to receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants were to receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Period Title: Overall Study
    STARTED 1135 380
    Vaccination 1 - (V114 or Prevnar 13™, Day 1) 1133 379
    Vaccination 2 - (PNEUMOVAX™23, Month 6) 1035 346
    COMPLETED 1038 350
    NOT COMPLETED 97 30

    Baseline Characteristics

    Arm/Group Title V114 Prevnar 13™ Total
    Arm/Group Description Participants were to receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants were to receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Total of all reporting groups
    Overall Participants 1135 380 1515
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    35.9
    (8.9)
    35.8
    (8.9)
    35.8
    (8.9)
    Sex: Female, Male (Count of Participants)
    Female
    581
    51.2%
    201
    52.9%
    782
    51.6%
    Male
    554
    48.8%
    179
    47.1%
    733
    48.4%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    135
    11.9%
    39
    10.3%
    174
    11.5%
    Not Hispanic or Latino
    984
    86.7%
    338
    88.9%
    1322
    87.3%
    Unknown or Not Reported
    16
    1.4%
    3
    0.8%
    19
    1.3%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    445
    39.2%
    148
    38.9%
    593
    39.1%
    Asian
    15
    1.3%
    8
    2.1%
    23
    1.5%
    Native Hawaiian or Other Pacific Islander
    33
    2.9%
    11
    2.9%
    44
    2.9%
    Black or African American
    43
    3.8%
    18
    4.7%
    61
    4%
    White
    582
    51.3%
    192
    50.5%
    774
    51.1%
    More than one race
    17
    1.5%
    3
    0.8%
    20
    1.3%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Solicited Injection-site Adverse Events Following V114 or Prevnar 13™
    Description 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 Vaccination 1 with either V114 or Prevnar 13™, the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, swelling, and tenderness/pain. Estimated confidence intervals (CIs) are calculated based on the exact binomial method proposed by Clopper and Pearson.
    Time Frame Up to 5 days after Vaccination 1

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1134 378
    Injection site redness/erythema
    15.1
    1.3%
    14.0
    3.7%
    Injection site tenderness/pain
    75.8
    6.7%
    68.8
    18.1%
    Injection site swelling
    21.7
    1.9%
    22.2
    5.8%
    2. Primary Outcome
    Title Percentage of Participants With Solicited Systemic Adverse Events Following V114 or Prevnar 13™
    Description 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 vaccination with V114 or Prevnar 13™, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.
    Time Frame Up to 14 days after Vaccination 1

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1134 378
    Joint pain/arthralgia
    12.7
    1.1%
    11.6
    3.1%
    Tiredness/fatigue
    34.3
    3%
    36.8
    9.7%
    Headache
    26.5
    2.3%
    24.9
    6.6%
    Muscle pain/myalgia
    28.8
    2.5%
    25.5
    6.7%
    3. Primary Outcome
    Title Percentage of Participants With a Vaccine-related Serious Adverse Event Following V114 or Prevnar 13™
    Description 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. Relatedness of an SAE to the study vaccine was determined by the investigator. Following vaccination with V114 or Prevnar 13™, the percentage of serious adverse events of V114 compared with Prevnar 13™ was assessed. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.
    Time Frame Up to Month 6 (before Vaccination 2)

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1134 378
    Number (95% Confidence Interval) [Percentage of Participants]
    0.0
    0%
    0.0
    0%
    4. Primary Outcome
    Title Geometric Mean Titer of Serotype-specific Opsonophagocytic Activity Day 30 Following V114 or Prevnar 13™
    Description The geometric mean titer (GMT) of serotype-specific opsonophagocytic activity (OPA) for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplex opsonophagocytic assay. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.
    Time Frame Day 30

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    268.6
    267.2
    Serotype 3 (Shared)
    199.3
    150.6
    Serotype 4 (Shared)
    1416.0
    2576.1
    Serotype 5 (Shared)
    564.8
    731.1
    Serotype 6A (Shared)
    12928.8
    11282.4
    Serotype 6B (Shared)
    10336.9
    6995.7
    Serotype 7F (Shared)
    5756.4
    7588.9
    Serotype 9V (Shared)
    3355.1
    3983.7
    Serotype 14 (Shared)
    5228.9
    5889.8
    Serotype 18C (Shared)
    5709.0
    3063.2
    Serotype 19A (Shared)
    5369.9
    5888.0
    Serotype 19F (Shared)
    3266.3
    3272.7
    Serotype 23F (Shared)
    4853.5
    3887.3
    Serotype 22F (Unique to V114)
    3926.5
    291.6
    Serotype 33F (Unique to V114)
    11627.8
    2180.6
    5. Secondary Outcome
    Title Percentage of Participants With Solicited Injection-site Adverse Events Following PNEUMOVAX™23
    Description 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 Vaccination 2 with PNEUMOVAX™23, the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were redness/erythema, swelling, and tenderness/pain. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson and are provided in accordance with the statistical analysis plan.
    Time Frame Up to 5 days after Vaccination 2 (Month 6)

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1036 345
    Injection site redness/erythema
    22.6
    2%
    25.5
    6.7%
    Injection site tenderness/pain
    68.8
    6.1%
    67.0
    17.6%
    Injection site swelling
    29.4
    2.6%
    32.2
    8.5%
    6. Secondary Outcome
    Title Percentage of Participants With Solicited Systemic Adverse Events Following PNEUMOVAX™23
    Description 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 Vaccination 2 with PNEUMOVAX™23, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.
    Time Frame Up to 14 days after Vaccination 2 (Month 6)

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1036 345
    Joint pain/arthralgia
    12.0
    1.1%
    11.0
    2.9%
    Tiredness/fatigue
    30.1
    2.7%
    30.7
    8.1%
    Headache
    21.2
    1.9%
    21.2
    5.6%
    Muscle pain/myalgia
    24.1
    2.1%
    25.5
    6.7%
    7. Secondary Outcome
    Title Percentage of Participants With a Vaccine-related Serious Adverse Event Following PNEUMOVAX™23
    Description 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. Relatedness of an SAE to the study vaccine was determined by the investigator. Following vaccination with PNEUMOVAX™23, the percentage of serious adverse events of V114 compared with Prevnar 13™ was assessed. Estimated CIs are calculated based on the exact binomial method proposed by Clopper and Pearson.
    Time Frame From Month 6 (before Vaccination 2) to Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1036 345
    Number (95% Confidence Interval) [Percentage of Participants]
    0.0
    0%
    0.3
    0.1%
    8. Secondary Outcome
    Title Geometric Mean Concentration of Serotype-specific Immunoglobulin G at Day 30
    Description The geometric mean concentration (GMC) of serotype-specific immunoglobulin G (IgG) for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.
    Time Frame Day 30

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    3.56
    4.59
    Serotype 3 (Shared)
    0.77
    0.63
    Serotype 4 (Shared)
    1.53
    2.71
    Serotype 5 (Shared)
    3.43
    4.48
    Serotype 6A (Shared)
    11.84
    10.87
    Serotype 6B (Shared)
    17.90
    11.36
    Serotype 7F (Shared)
    5.18
    6.88
    Serotype 9V (Shared)
    4.44
    5.31
    Serotype 14 (Shared)
    15.91
    17.35
    Serotype 18C (Shared)
    14.57
    9.32
    Serotype 19A (Shared)
    19.41
    21.79
    Serotype 19F (Shared)
    13.98
    13.35
    Serotype 23F (Shared)
    13.57
    10.98
    Serotype 22F (Unique to V114)
    6.22
    0.52
    Serotype 33F (Unique to V114)
    7.79
    0.88
    9. Secondary Outcome
    Title Geometric Mean Fold Rise in Serotype-specific OPA Day 1 to Day 30
    Description Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplex Opsonophagocytic Assay. Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Day 30

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    22.8
    21.9
    Serotype 3 (Shared)
    5.8
    4.8
    Serotype 4 (Shared)
    17.9
    33.4
    Serotype 5 (Shared)
    17.3
    21.1
    Serotype 6A (Shared)
    21.7
    21.4
    Serotype 6B (Shared)
    32.2
    25.0
    Serotype 7F (Shared)
    7.3
    10.0
    Serotype 9V (Shared)
    4.9
    5.7
    Serotype 14 (Shared)
    8.2
    8.7
    Serotype 18C (Shared)
    20.4
    11.7
    Serotype 19A (Shared)
    12.5
    13.6
    Serotype 19F (Shared)
    7.5
    7.4
    Serotype 23F (Shared)
    22.5
    17.8
    Serotype 22F (Unique to V114)
    13.9
    1.3
    Serotype 33F (Unique to V114)
    5.4
    1.0
    10. Secondary Outcome
    Title GMFR in Serotype-specific IgG Day 1 to Day 30
    Description IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. GMFR is the geometric mean of fold rise from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Day 30

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    12.2
    15.7
    Serotype 3 (Shared)
    4.1
    3.6
    Serotype 4 (Shared)
    8.0
    16.2
    Serotype 5 (Shared)
    4.3
    5.2
    Serotype 6A (Shared)
    35.5
    31.3
    Serotype 6B (Shared)
    40.5
    28.0
    Serotype 7F (Shared)
    12.2
    16.9
    Serotype 9V (Shared)
    10.6
    12.8
    Serotype 14 (Shared)
    11.3
    11.5
    Serotype 18C (Shared)
    30.5
    20.0
    Serotype 19A (Shared)
    11.1
    14.0
    Serotype 19F (Shared)
    14.4
    15.3
    Serotype 23F (Shared)
    26.5
    22.0
    Serotype 22F (Unique to V114)
    11.4
    1.0
    Serotype 33F (Unique to V114)
    8.3
    1.0
    11. Secondary Outcome
    Title Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Day 1 to Day 30
    Description Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Day 30

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    83.9
    7.4%
    81.4
    21.4%
    Serotype 3 (Shared)
    62.2
    5.5%
    56.8
    14.9%
    Serotype 4 (Shared)
    79.0
    7%
    87.8
    23.1%
    Serotype 5 (Shared)
    83.4
    7.3%
    84.9
    22.3%
    Serotype 6A (Shared)
    87.5
    7.7%
    85.2
    22.4%
    Serotype 6B (Shared)
    84.7
    7.5%
    83.8
    22.1%
    Serotype 7F (Shared)
    56.8
    5%
    64.5
    17%
    Serotype 9V (Shared)
    51.5
    4.5%
    55.4
    14.6%
    Serotype 14 (Shared)
    59.8
    5.3%
    60.4
    15.9%
    Serotype 18C (Shared)
    84.5
    7.4%
    75.8
    19.9%
    Serotype 19A (Shared)
    72.1
    6.4%
    75.2
    19.8%
    Serotype 19F (Shared)
    64.3
    5.7%
    65.7
    17.3%
    Serotype 23F (Shared)
    78.7
    6.9%
    77.7
    20.4%
    Serotype 22F (Unique to V114)
    58.9
    5.2%
    15.5
    4.1%
    Serotype 33F (Unique to V114)
    52.9
    4.7%
    3.1
    0.8%
    12. Secondary Outcome
    Title Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Day 1 to Day 30
    Description IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Day 30

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    81.2
    7.2%
    86.4
    22.7%
    Serotype 3 (Shared)
    44.8
    3.9%
    41.1
    10.8%
    Serotype 4 (Shared)
    70.1
    6.2%
    86.1
    22.7%
    Serotype 5 (Shared)
    44.1
    3.9%
    50.4
    13.3%
    Serotype 6A (Shared)
    93.3
    8.2%
    88.2
    23.2%
    Serotype 6B (Shared)
    93.4
    8.2%
    90.5
    23.8%
    Serotype 7F (Shared)
    79.3
    7%
    86.4
    22.7%
    Serotype 9V (Shared)
    76.5
    6.7%
    84.0
    22.1%
    Serotype 14 (Shared)
    70.8
    6.2%
    68.6
    18.1%
    Serotype 18C (Shared)
    91.1
    8%
    87.3
    23%
    Serotype 19A (Shared)
    75.3
    6.6%
    82.0
    21.6%
    Serotype 19F (Shared)
    80.0
    7%
    80.8
    21.3%
    Serotype 23F (Shared)
    89.2
    7.9%
    87.6
    23.1%
    Serotype 22F (Unique to V114)
    73.1
    6.4%
    1.5
    0.4%
    Serotype 33F (Unique to V114)
    70.0
    6.2%
    0.3
    0.1%
    13. Secondary Outcome
    Title Geometric Mean Titer of Serotype-specific OPA at Month 7
    Description The geometric mean titer (GMT) of serotype-specific OPA for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a multiplex opsonophagocytic assay. The within-group 95% CIs are obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution.
    Time Frame Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    266.6
    214.4
    Serotype 3 (Shared)
    211.0
    208.0
    Serotype 4 (Shared)
    1734.5
    1980.6
    Serotype 5 (Shared)
    595.1
    626.7
    Serotype 6A (Shared)
    5810.3
    5739.9
    Serotype 6B (Shared)
    5215.2
    4412.4
    Serotype 7F (Shared)
    6070.5
    6223.9
    Serotype 9V (Shared)
    3133.1
    3364.1
    Serotype 14 (Shared)
    5644.9
    5317.6
    Serotype 18C (Shared)
    3260.6
    2294.4
    Serotype 19A (Shared)
    4336.2
    4286.4
    Serotype 19F (Shared)
    3198.6
    3085.4
    Serotype 23F (Shared)
    3057.3
    2896.0
    Serotype 22F (Unique to V114)
    3624.0
    4060.2
    Serotype 33F (Unique to V114)
    11356.6
    16053.2
    14. Secondary Outcome
    Title Geometric Mean Concentration of Serotype-specific IgG at Month 7
    Description The geometric mean concentration (GMC) of serotype-specific immunoglobulin G (IgG) for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay.
    Time Frame Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    2.91
    3.42
    Serotype 3 (Shared)
    0.66
    0.68
    Serotype 4 (Shared)
    1.33
    1.77
    Serotype 5 (Shared)
    3.45
    3.92
    Serotype 6A (Shared)
    4.25
    4.88
    Serotype 6B (Shared)
    6.79
    6.04
    Serotype 7F (Shared)
    3.46
    4.07
    Serotype 9V (Shared)
    3.18
    3.61
    Serotype 14 (Shared)
    14.28
    14.59
    Serotype 18C (Shared)
    5.50
    4.24
    Serotype 19A (Shared)
    11.26
    12.04
    Serotype 19F (Shared)
    9.07
    8.81
    Serotype 23F (Shared)
    5.42
    4.96
    Serotype 22F (Unique to V114)
    4.85
    4.76
    Serotype 33F (Unique to V114)
    5.98
    8.66
    15. Secondary Outcome
    Title GMFR in Serotype-specific OPA Day 1 to Month 7
    Description Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    22.6
    17.4
    Serotype 3 (Shared)
    6.1
    6.4
    Serotype 4 (Shared)
    21.6
    25.6
    Serotype 5 (Shared)
    17.8
    18.3
    Serotype 6A (Shared)
    9.6
    11.0
    Serotype 6B (Shared)
    16.6
    15.7
    Serotype 7F (Shared)
    7.7
    8.2
    Serotype 9V (Shared)
    4.5
    4.9
    Serotype 14 (Shared)
    9.2
    8.0
    Serotype 18C (Shared)
    11.1
    9.1
    Serotype 19A (Shared)
    9.6
    9.7
    Serotype 19F (Shared)
    6.9
    7.1
    Serotype 23F (Shared)
    14.0
    12.6
    Serotype 22F (Unique to V114)
    12.1
    16.6
    Serotype 33F (Unique to V114)
    5.1
    6.6
    16. Secondary Outcome
    Title GMFR in Serotype-specific IgG Day 1 to Month 7
    Description IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. GMFR is the geometric mean of fold rise from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    10.1
    11.4
    Serotype 3 (Shared)
    3.5
    3.8
    Serotype 4 (Shared)
    7.1
    10.7
    Serotype 5 (Shared)
    4.3
    4.6
    Serotype 6A (Shared)
    12.3
    13.9
    Serotype 6B (Shared)
    15.3
    14.9
    Serotype 7F (Shared)
    8.7
    10.1
    Serotype 9V (Shared)
    7.6
    8.5
    Serotype 14 (Shared)
    10.3
    10.0
    Serotype 18C (Shared)
    11.5
    9.3
    Serotype 19A (Shared)
    6.4
    7.5
    Serotype 19F (Shared)
    9.0
    9.8
    Serotype 23F (Shared)
    10.8
    10.3
    Serotype 22F (Unique to V114)
    8.9
    8.9
    Serotype 33F (Unique to V114)
    6.4
    9.6
    17. Secondary Outcome
    Title Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Day 1 to Month 7
    Description Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    87.7
    7.7%
    83.7
    22%
    Serotype 3 (Shared)
    66.5
    5.9%
    66.7
    17.6%
    Serotype 4 (Shared)
    84.3
    7.4%
    86.4
    22.7%
    Serotype 5 (Shared)
    86.8
    7.6%
    87.1
    22.9%
    Serotype 6A (Shared)
    73.5
    6.5%
    80.2
    21.1%
    Serotype 6B (Shared)
    75.8
    6.7%
    74.4
    19.6%
    Serotype 7F (Shared)
    59.8
    5.3%
    60.2
    15.8%
    Serotype 9V (Shared)
    50.5
    4.4%
    52.4
    13.8%
    Serotype 14 (Shared)
    64.9
    5.7%
    58.9
    15.5%
    Serotype 18C (Shared)
    77.5
    6.8%
    76.2
    20.1%
    Serotype 19A (Shared)
    68.2
    6%
    70.5
    18.6%
    Serotype 19F (Shared)
    61.0
    5.4%
    62.9
    16.6%
    Serotype 23F (Shared)
    73.5
    6.5%
    71.9
    18.9%
    Serotype 22F (Unique to V114)
    59.0
    5.2%
    65.4
    17.2%
    Serotype 33F (Unique to V114)
    53.3
    4.7%
    60.8
    16%
    18. Secondary Outcome
    Title Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Day 1 to Month 7
    Description IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
    Time Frame Day 1 (Baseline) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    81.4
    7.2%
    83.6
    22%
    Serotype 3 (Shared)
    40.7
    3.6%
    46.1
    12.1%
    Serotype 4 (Shared)
    71.2
    6.3%
    82.0
    21.6%
    Serotype 5 (Shared)
    48.7
    4.3%
    51.8
    13.6%
    Serotype 6A (Shared)
    81.6
    7.2%
    81.8
    21.5%
    Serotype 6B (Shared)
    86.4
    7.6%
    85.4
    22.5%
    Serotype 7F (Shared)
    77.4
    6.8%
    84.3
    22.2%
    Serotype 9V (Shared)
    71.8
    6.3%
    77.1
    20.3%
    Serotype 14 (Shared)
    76.7
    6.8%
    70.7
    18.6%
    Serotype 18C (Shared)
    82.7
    7.3%
    80.4
    21.2%
    Serotype 19A (Shared)
    65.8
    5.8%
    74.6
    19.6%
    Serotype 19F (Shared)
    74.5
    6.6%
    78.9
    20.8%
    Serotype 23F (Shared)
    77.8
    6.9%
    78.1
    20.6%
    Serotype 22F (Unique to V114)
    68.8
    6.1%
    65.7
    17.3%
    Serotype 33F (Unique to V114)
    68.2
    6%
    75.7
    19.9%
    19. Secondary Outcome
    Title GMFR in Serotype-specific OPA Month 6 to Month 7
    Description Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using the Multiplexed Opsonophagocytic Assay. Geometric mean fold rise (GMFR) is the geometric mean of fold rise from baseline to postvaccination.
    Time Frame Month 6 (Baseline before Vaccination 2) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    3.2
    2.0
    Serotype 3 (Shared)
    2.0
    2.4
    Serotype 4 (Shared)
    2.7
    1.7
    Serotype 5 (Shared)
    2.7
    2.1
    Serotype 6A (Shared)
    1.0
    1.1
    Serotype 6B (Shared)
    1.1
    1.2
    Serotype 7F (Shared)
    1.9
    1.4
    Serotype 9V (Shared)
    1.6
    1.5
    Serotype 14 (Shared)
    2.0
    1.5
    Serotype 18C (Shared)
    1.3
    1.6
    Serotype 19A (Shared)
    1.7
    1.5
    Serotype 19F (Shared)
    1.9
    1.6
    Serotype 23F (Shared)
    1.3
    1.4
    Serotype 22F (Unique to V114)
    1.8
    9.6
    Serotype 33F (Unique to V114)
    1.6
    6.5
    20. Secondary Outcome
    Title GMFR in Serotype-specific IgG Month 6 to Month 7
    Description IgG for the serotypes contained in Prevnar 13™ and V114 and (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. GMFR is the geometric mean of fold rise from baseline to postvaccination.
    Time Frame Month 6 (Baseline before Vaccination 2) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    2.1
    1.5
    Serotype 3 (Shared)
    1.7
    2.0
    Serotype 4 (Shared)
    2.0
    1.6
    Serotype 5 (Shared)
    1.9
    1.5
    Serotype 6A (Shared)
    1.0
    1.0
    Serotype 6B (Shared)
    1.1
    1.2
    Serotype 7F (Shared)
    1.7
    1.4
    Serotype 9V (Shared)
    1.5
    1.4
    Serotype 14 (Shared)
    1.7
    1.4
    Serotype 18C (Shared)
    1.1
    1.1
    Serotype 19A (Shared)
    1.4
    1.4
    Serotype 19F (Shared)
    1.6
    1.6
    Serotype 23F (Shared)
    1.1
    1.2
    Serotype 22F (Unique to V114)
    1.8
    8.8
    Serotype 33F (Unique to V114)
    1.6
    9.9
    21. Secondary Outcome
    Title Percentage of Participants With ≥4-Fold Rise in Serotype-specific OPA Month 6 to Month 7
    Description Activity for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using a Multiplexed Opsonophagocytic Assay. The percentage of participants who had ≥4-fold rise in OPA titers were calculated from baseline to postvaccination.
    Time Frame Month 6 (Baseline before Vaccination 2) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    40.2
    3.5%
    21.4
    5.6%
    Serotype 3 (Shared)
    19.2
    1.7%
    25.5
    6.7%
    Serotype 4 (Shared)
    30.8
    2.7%
    14.9
    3.9%
    Serotype 5 (Shared)
    32.5
    2.9%
    23.0
    6.1%
    Serotype 6A (Shared)
    3.9
    0.3%
    5.9
    1.6%
    Serotype 6B (Shared)
    4.6
    0.4%
    6.4
    1.7%
    Serotype 7F (Shared)
    14.6
    1.3%
    7.5
    2%
    Serotype 9V (Shared)
    11.9
    1%
    10.4
    2.7%
    Serotype 14 (Shared)
    17.8
    1.6%
    8.6
    2.3%
    Serotype 18C (Shared)
    5.4
    0.5%
    14.3
    3.8%
    Serotype 19A (Shared)
    15.9
    1.4%
    12.1
    3.2%
    Serotype 19F (Shared)
    17.7
    1.6%
    12.9
    3.4%
    Serotype 23F (Shared)
    9.2
    0.8%
    11.4
    3%
    Serotype 22F (Unique to V114)
    16.7
    1.5%
    52.6
    13.8%
    Serotype 33F (Unique to V114)
    15.8
    1.4%
    62.6
    16.5%
    22. Secondary Outcome
    Title Percentage of Participants With ≥4-Fold Rise in Serotype-specific IgG Month 6 to Month 7
    Description IgG for the serotypes contained in Prevnar 13™ and V114 (13 serotypes shared with Prevnar 13™ and 2 serotypes unique to V114) was determined using an electrochemiluminescence assay. The percentage of participants who had ≥ 4-fold rise in IgG concentration are calculated from baseline to postvaccination.
    Time Frame Month 6 (Baseline before Vaccination 2) and Month 7

    Outcome Measure Data

    Analysis Population Description
    The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of the immunogenicity analyses and had sufficient data to perform the analyses.
    Arm/Group Title V114 Prevnar 13™
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    Measure Participants 1133 379
    Serotype 1 (Shared)
    16.4
    1.4%
    8.2
    2.2%
    Serotype 3 (Shared)
    6.3
    0.6%
    13.8
    3.6%
    Serotype 4 (Shared)
    15.2
    1.3%
    7.5
    2%
    Serotype 5 (Shared)
    12.1
    1.1%
    5.7
    1.5%
    Serotype 6A (Shared)
    0.6
    0.1%
    1.1
    0.3%
    Serotype 6B (Shared)
    0.7
    0.1%
    2.8
    0.7%
    Serotype 7F (Shared)
    8.4
    0.7%
    4.3
    1.1%
    Serotype 9V (Shared)
    6.3
    0.6%
    3.9
    1%
    Serotype 14 (Shared)
    9.8
    0.9%
    3.9
    1%
    Serotype 18C (Shared)
    0.6
    0.1%
    0.7
    0.2%
    Serotype 19A (Shared)
    3.4
    0.3%
    4.3
    1.1%
    Serotype 19F (Shared)
    8.1
    0.7%
    6.4
    1.7%
    Serotype 23F (Shared)
    0.5
    0%
    1.1
    0.3%
    Serotype 22F (Unique to V114)
    10.2
    0.9%
    64.9
    17.1%
    Serotype 33F (Unique to V114)
    7.5
    0.7%
    75.9
    20%

    Adverse Events

    Time Frame Non-serious adverse events: Up to 14 days after each vaccination; Serious adverse events and all-cause mortality: Up to Month 7 (Up to 44 days after vaccination 2).
    Adverse Event Reporting Description The analysis population included all randomized participants who received the relevant study vaccination for the timepoint of interest and were included in the intervention group according to the intervention they received. One participant in the Prevnar 13™ group incorrectly received V114 and was included in the V114 group for safety analyses.
    Arm/Group Title V114 Prevnar 13™ V114 (Post-PNEUMOVAX™23) Prevnar 13™ (Post-PNEUMOVAX™23)
    Arm/Group Description Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and were to receive a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2). Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2).
    All Cause Mortality
    V114 Prevnar 13™ V114 (Post-PNEUMOVAX™23) Prevnar 13™ (Post-PNEUMOVAX™23)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 4/1134 (0.4%) 2/378 (0.5%) 0/1036 (0%) 0/345 (0%)
    Serious Adverse Events
    V114 Prevnar 13™ V114 (Post-PNEUMOVAX™23) Prevnar 13™ (Post-PNEUMOVAX™23)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 49/1134 (4.3%) 12/378 (3.2%) 3/1036 (0.3%) 3/345 (0.9%)
    Cardiac disorders
    Angina unstable 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Cardiac failure 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Cardiovascular insufficiency 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Congestive cardiomyopathy 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Pulseless electrical activity 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Acute left ventricular failure 0/1134 (0%) 0 0/378 (0%) 0 1/1036 (0.1%) 1 0/345 (0%) 0
    Cardiac Arrest 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Endocrine disorders
    Diabetes insipidus 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Goitre 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Gastrointestinal disorders
    Ascites 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Gastric ulcer haemorrhage 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Gastric ulcer perforation 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Inguinal hernia 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Large intestine perforation 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Obstructive pancreatitis 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Pancreatitis acute 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    General disorders
    Chest pain 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 1/345 (0.3%) 1
    Non-cardiac chest pain 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Hepatobiliary disorders
    Bile duct stone 1/1134 (0.1%) 1 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Cholecystitis 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Cholecystitis acute 2/1134 (0.2%) 2 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Cholelithiasis 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Immune system disorders
    Anaphylactic reaction 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Infections and infestations
    Diverticulitis 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Gastroenteritis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Groin abscess 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Haematoma infection 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Influenza 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Localised infection 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Meningitis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Periorbital cellulitis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Perirectal abscess 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Peritonsillitis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Pharyngitis streptococcal 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Pneumonia 1/1134 (0.1%) 1 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Postoperative wound infection 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Pyelonephritis 2/1134 (0.2%) 2 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Sepsis 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Injury, poisoning and procedural complications
    Clavicle fracture 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Eyelid injury 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Facial bones fracture 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Hand fracture 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Multiple injuries 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Skin laceration 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Tibia fracture 1/1134 (0.1%) 2 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Craniocerebral injury 0/1134 (0%) 0 0/378 (0%) 0 0/1036 (0%) 0 1/345 (0.3%) 1
    Metabolism and nutrition disorders
    Hypoglycaemia 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Musculoskeletal and connective tissue disorders
    Rheumatoid arthritis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Colon cancer 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Endometrial cancer 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Gastrointestinal neoplasm 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Uterine leiomyoma 2/1134 (0.2%) 2 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Nervous system disorders
    Cerebrovascular accident 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Haemorrhagic stroke 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Hepatic encephalopathy 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    IIIrd nerve paralysis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Migraine 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Subarachnoid haemorrhage 3/1134 (0.3%) 3 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Generalised tonic-clonic seizure 0/1134 (0%) 0 0/378 (0%) 0 0/1036 (0%) 0 1/345 (0.3%) 1
    Syncope 0/1134 (0%) 0 0/378 (0%) 0 1/1036 (0.1%) 1 0/345 (0%) 0
    Psychiatric disorders
    Alcohol withdrawal syndrome 1/1134 (0.1%) 1 0/378 (0%) 0 1/1036 (0.1%) 1 0/345 (0%) 0
    Completed suicide 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Drug dependence 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Suicidal ideation 0/1134 (0%) 0 1/378 (0.3%) 1 0/1036 (0%) 0 0/345 (0%) 0
    Suicide attempt 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Renal and urinary disorders
    Acute kidney injury 2/1134 (0.2%) 2 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Nephrolithiasis 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Nephrotic syndrome 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Reproductive system and breast disorders
    Pelvic pain 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Asthma 2/1134 (0.2%) 2 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Pleuritic pain 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Pneumonia aspiration 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Pulmonary embolism 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Social circumstances
    Physical assault 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Vascular disorders
    Hypertensive urgency 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Hypotension 1/1134 (0.1%) 1 0/378 (0%) 0 0/1036 (0%) 0 0/345 (0%) 0
    Other (Not Including Serious) Adverse Events
    V114 Prevnar 13™ V114 (Post-PNEUMOVAX™23) Prevnar 13™ (Post-PNEUMOVAX™23)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 934/1134 (82.4%) 298/378 (78.8%) 771/1036 (74.4%) 258/345 (74.8%)
    General disorders
    Fatigue 389/1134 (34.3%) 510 139/378 (36.8%) 186 312/1036 (30.1%) 366 106/345 (30.7%) 139
    Injection site erythema 174/1134 (15.3%) 180 56/378 (14.8%) 57 235/1036 (22.7%) 237 88/345 (25.5%) 91
    Injection site pain 865/1134 (76.3%) 931 260/378 (68.8%) 292 714/1036 (68.9%) 762 231/345 (67%) 252
    Injection site swelling 251/1134 (22.1%) 257 84/378 (22.2%) 84 305/1036 (29.4%) 307 113/345 (32.8%) 113
    Musculoskeletal and connective tissue disorders
    Arthralgia 144/1134 (12.7%) 180 44/378 (11.6%) 63 124/1036 (12%) 130 38/345 (11%) 47
    Myalgia 327/1134 (28.8%) 377 100/378 (26.5%) 113 250/1036 (24.1%) 260 88/345 (25.5%) 99
    Nervous system disorders
    Headache 300/1134 (26.5%) 425 94/378 (24.9%) 122 220/1036 (21.2%) 274 73/345 (21.2%) 93

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    If publication activity is not directed by the Sponsor, the investigator agrees to submit all manuscripts or abstracts to the Sponsor before submission. This allows the Sponsor to protect proprietary information and to provide comments. Authorship will be determined by mutual agreement and in line with International Committee of Medical Journal Editors authorship requirements.

    Results Point of Contact

    Name/Title Senior Vice President, Global Clinical Development
    Organization Merck Sharp & Dohme Corp.
    Phone 1-800-672-6372
    Email ClinicalTrialsDisclosure@merck.com
    Responsible Party:
    Merck Sharp & Dohme LLC
    ClinicalTrials.gov Identifier:
    NCT03547167
    Other Study ID Numbers:
    • V114-017
    • 2017-004915-38
    • V114-017
    First Posted:
    Jun 6, 2018
    Last Update Posted:
    Jan 15, 2021
    Last Verified:
    Dec 1, 2020