Study Evaluating 13-Valent Pneumococcal Conjugate Vaccine in Healthy Infants in Mexico

Sponsor
Wyeth is now a wholly owned subsidiary of Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00708682
Collaborator
(none)
225
9
1
22
25
1.1

Study Details

Study Description

Brief Summary

The purpose of this study will be to evaluate safety, tolerability and immunogenicity of 13-valent pneumococcal vaccine in healthy infants given with routine pediatric vaccinations in Mexico.

Condition or Disease Intervention/Treatment Phase
  • Biological: 13-valent pneumococcal conjugate vaccine
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
225 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
A Phase 3, Open Label, Single Arm Trial Evaluating the Safety, Tolerability, and Immunogenicity of 13-Valent Pneumococcal Conjugate Vaccine in Healthy Infants Given With Routine Pediatric Vaccinations in Mexico
Study Start Date :
Jul 1, 2008
Actual Primary Completion Date :
May 1, 2010
Actual Study Completion Date :
May 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: A

Biological: 13-valent pneumococcal conjugate vaccine

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants Achieving Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody Level Greater Than or Equal to (≥) 0.35 Micrograms Per Milliliter (Mcg/mL), 1 Month After the Infant Series [1 month after the infant series (7 months of age)]

    Percentage of participants achieving predefined antibody threshold ≥0.35mcg/mL, along with the corresponding 95 percent confidence interval (95% CI) for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. Exact 2-sided CI based on the observed proportion of participants.

Secondary Outcome Measures

  1. Percentage of Participants Achieving Serotype-specific Pneumococcal IgG Antibody Level ≥0.35mcg/mL, 1 Month After Dose 2 of the Infant Series [1 month after dose 2 of the infant series (5 months of age)]

    Percentage of participants achieving predefined antibody threshold ≥0.35mcg/mL, along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. Exact 2-sided CI based on the observed proportion of participants.

  2. Percentage of Participants Achieving Serotype-specific Pneumococcal IgG Antibody Concentration ≥0.35mcg/mL, 1 Month After the Toddler Dose [1 month after the toddler dose (13 months of age)]

    Percentage of participants achieving predefined antibody threshold ≥0.35mcg/mL, along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. Exact 2-sided CI based on the observed proportion of participants.

Other Outcome Measures

  1. Geometric Mean Concentration (GMC) for Serotype-specific Pneumococcal IgG Antibody After Dose 2 of the Infant Series [Dose 2 of infant series (4 months of age)]

    Antibody GMC for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. GMC (13vPnC) and corresponding 2-sided 95% CIs were evaluated. GMCs were calculated using all participants with available data for the specified blood draw.

  2. GMC for Serotype-specific Pneumococcal IgG Antibody After Dose 3 of the Infant Series [Dose 3 of infant series (6 months of age)]

    Antibody GMC for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 7vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. GMC (13vPnC) and corresponding 2-sided 95% CIs were evaluated. GMCs were calculated using all participants with available data for the specified blood draw.

  3. GMC for Serotype-specific Pneumococcal IgG Antibody After the Toddler Dose [Toddler Dose (12 months of age)]

    Antibody GMC for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 7vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. GMC (13vPnC) and corresponding 2-sided 95% CIs were evaluated. GMCs were calculated using all participants with available data after the toddler dose and after the third dose of the infant series.

  4. Percentage of Participants Reporting Pre-specified Local Reactions: Infant Series Dose 1 (2 Months of Age) [Within 4 days after dose 1 of Infant Series (2 months of age)]

    Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 centimeters [cm] to 2.0cm); Moderate (2.5 to 7.0cm); Severe (greater than [>] 7.0cm). Participants may be represented in more than 1 category.

  5. Percentage of Participants Reporting Pre-specified Local Reactions: Infant Series Dose 2 (4 Months of Age) [Within 4 days after dose 2 of Infant Series (4 months of age)]

    Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 to 2.0cm); Moderate (2.5 to 7.0cm); Severe (>7.0cm). Participants may be represented in more than 1 category.

  6. Percentage of Participants Reporting Pre-specified Local Reactions: Infant Series Dose 3 (6 Months of Age) [Within 4 days after dose 3 (6 months of age)]

    Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 to 2.0cm); Moderate (2.5 to 7.0cm); Severe (>7.0cm). Participants may be represented in more than 1 category.

  7. Percentage of Participants Reporting Pre-specified Local Reactions: Toddler Dose (12 Months of Age) [Within 4 days after toddler dose (12 months of age)]

    Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 to 2.0cm); Moderate (2.5 to 7.0cm); Severe (>7.0cm). Participants may be represented in more than 1 category.

  8. Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 1 (2 Months of Age) [Within 4 days after dose 1 of Infant Series (2 months of age)]

    Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.

  9. Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 2 (4 Months of Age) [Within 4 days after dose 2 of Infant Series (4 months of age)]

    Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.

  10. Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 3 (6 Months of Age) [Within 4 days after dose 3 of Infant Series (6 months of age)]

    Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.

  11. Percentage of Participants Reporting Pre-Specified Systemic Events: Toddler Dose (12 Months of Age) [Within 4 days after toddler dose (12 months of age)]

    Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.

Eligibility Criteria

Criteria

Ages Eligible for Study:
42 Days to 98 Days
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Healthy 2 month infants, available for entire study period and parent/legal guardian reachable by telephone

  • Able to complete three blood draws during study

  • At least 3.5 kg at enrollment

Exclusion Criteria:
  • Previous vaccination (except Hepatitis, BCG), contraindication or allergic reaction to vaccines

  • Immune deficiency, bleeding disorder or significant chronic medical condition

Contacts and Locations

Locations

Site City State Country Postal Code
1 Guadalajara Jalisco Mexico 44080
2 Morelia Michoacan Mexico 58070
3 Cuernavaca Morelos Mexico 62508
4 Monterrey Nuevo Leon Mexico 64460
5 Merida Yucatan Mexico 9700
6 Distrio Federal Mexico 14080
7 Distrio Federal Mexico 4530
8 Oaxaca Mexico 71220
9 Puebla Mexico 72190

Sponsors and Collaborators

  • Wyeth is now a wholly owned subsidiary of Pfizer

Investigators

  • Study Director: Medical Monitor, Wyeth is now a wholly owned subsidiary of Pfizer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Wyeth is now a wholly owned subsidiary of Pfizer
ClinicalTrials.gov Identifier:
NCT00708682
Other Study ID Numbers:
  • 6096A1-3009
First Posted:
Jul 2, 2008
Last Update Posted:
Oct 25, 2011
Last Verified:
Oct 1, 2011
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Period Title: Infant Series
STARTED 225
Vaccinated Dose 1 223
Vaccinated Dose 2 214
Vaccinated Dose 3 194
COMPLETED 192
NOT COMPLETED 33
Period Title: Infant Series
STARTED 192
COMPLETED 191
NOT COMPLETED 1
Period Title: Infant Series
STARTED 191
COMPLETED 183
NOT COMPLETED 8

Baseline Characteristics

Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Overall Participants 225
Age (months) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [months]
2.1
(0.5)
Sex: Female, Male (Count of Participants)
Female
109
48.4%
Male
116
51.6%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants Achieving Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody Level Greater Than or Equal to (≥) 0.35 Micrograms Per Milliliter (Mcg/mL), 1 Month After the Infant Series
Description Percentage of participants achieving predefined antibody threshold ≥0.35mcg/mL, along with the corresponding 95 percent confidence interval (95% CI) for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. Exact 2-sided CI based on the observed proportion of participants.
Time Frame 1 month after the infant series (7 months of age)

Outcome Measure Data

Analysis Population Description
Evaluable 3-Dose Infant Immunogenicity population: eligible participants who received treatments as assigned at all 3 doses, blood drawn within specified timeframes, at least 1 valid and determinate assay result for proposed analysis, and no major protocol violations.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 171
Common serotypes - serotype 4
100.0
44.4%
Common serotypes - serotype 6B
97.7
43.4%
Common serotypes - serotype 9V
98.2
43.6%
Common serotypes - serotype 14
98.8
43.9%
Common serotypes - serotype 18C
98.8
43.9%
Common serotypes - serotype 19F
98.2
43.6%
Common serotypes - serotype 23F
92.9
41.3%
Additional serotypes - serotype 1
99.4
44.2%
Additional serotypes - serotype 3
94.1
41.8%
Additional serotypes - serotype 5
98.2
43.6%
Additional serotypes - serotype 6A
98.8
43.9%
Additional serotypes - serotype 7F
98.8
43.9%
Additional serotypes - serotype 19A
99.4
44.2%
2. Secondary Outcome
Title Percentage of Participants Achieving Serotype-specific Pneumococcal IgG Antibody Level ≥0.35mcg/mL, 1 Month After Dose 2 of the Infant Series
Description Percentage of participants achieving predefined antibody threshold ≥0.35mcg/mL, along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. Exact 2-sided CI based on the observed proportion of participants.
Time Frame 1 month after dose 2 of the infant series (5 months of age)

Outcome Measure Data

Analysis Population Description
Evaluable 2-Dose Infant Immunogenicity population: eligible participants who received treatments as assigned at dose 1 and dose 2, blood drawn within specified timeframes, at least 1 valid and determinate assay result for proposed analysis, and no major protocol violations.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 195
Common serotypes - serotype 4
100.0
44.4%
Common serotypes - serotype 6B
80.9
36%
Common serotypes - serotype 9V
95.9
42.6%
Common serotypes - serotype 14
99.0
44%
Common serotypes - serotype 18C
93.3
41.5%
Common serotypes - serotype 19F
98.5
43.8%
Common serotypes - serotype 23F
77.9
34.6%
Additional serotypes - serotype 1
98.5
43.8%
Additional serotypes - serotype 3
96.4
42.8%
Additional serotypes - serotype 5
97.4
43.3%
Additional serotypes - serotype 6A
94.9
42.2%
Additional serotypes - serotype 7F
99.0
44%
Additional serotypes - serotype 19A
99.5
44.2%
3. Secondary Outcome
Title Percentage of Participants Achieving Serotype-specific Pneumococcal IgG Antibody Concentration ≥0.35mcg/mL, 1 Month After the Toddler Dose
Description Percentage of participants achieving predefined antibody threshold ≥0.35mcg/mL, along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. Exact 2-sided CI based on the observed proportion of participants.
Time Frame 1 month after the toddler dose (13 months of age)

Outcome Measure Data

Analysis Population Description
Evaluable Toddler Immunogenicity population: eligible participants who received treatments as assigned at all 3 doses of the infant series and at the toddler dose, blood drawn within specified timeframes, at least 1 valid and determinate assay result for proposed analysis, and no major protocol violations.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 155
Common serotypes - serotype 4
100.0
44.4%
Common serotypes - serotype 6B
99.4
44.2%
Common serotypes - serotype 9V
100.0
44.4%
Common serotypes - serotype 14
100.0
44.4%
Common serotypes - serotype 18C
100.0
44.4%
Common serotypes - serotype 19F
100.0
44.4%
Common serotypes - serotype 23F
99.4
44.2%
Additional serotypes - serotype 1
100.0
44.4%
Additional serotypes - serotype 3
96.7
43%
Additional serotypes - serotype 5
100.0
44.4%
Additional serotypes - serotype 6A
100.0
44.4%
Additional serotypes - serotype 7F
100.0
44.4%
Additional serotypes - serotype 19A
100.0
44.4%
4. Other Pre-specified Outcome
Title Geometric Mean Concentration (GMC) for Serotype-specific Pneumococcal IgG Antibody After Dose 2 of the Infant Series
Description Antibody GMC for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. GMC (13vPnC) and corresponding 2-sided 95% CIs were evaluated. GMCs were calculated using all participants with available data for the specified blood draw.
Time Frame Dose 2 of infant series (4 months of age)

Outcome Measure Data

Analysis Population Description
Evaluable 2-Dose Infant Immunogenicity population
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 195
Common serotypes - serotype 4
3.54
Common serotypes - serotype 6B
0.84
Common serotypes - serotype 9V
1.82
Common serotypes - serotype 14
5.54
Common serotypes - serotype 18C
1.80
Common serotypes - serotype 19F
4.14
Common serotypes - serotype 23F
0.84
Additional serotypes - serotype 1
3.41
Additional serotypes - serotype 3
1.11
Additional serotypes - serotype 5
1.89
Additional serotypes - serotype 6A
1.86
Additional serotypes - serotype 7F
2.98
Additional serotypes - serotype 19A
3.52
5. Other Pre-specified Outcome
Title GMC for Serotype-specific Pneumococcal IgG Antibody After Dose 3 of the Infant Series
Description Antibody GMC for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 7vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. GMC (13vPnC) and corresponding 2-sided 95% CIs were evaluated. GMCs were calculated using all participants with available data for the specified blood draw.
Time Frame Dose 3 of infant series (6 months of age)

Outcome Measure Data

Analysis Population Description
Evaluable 3-Dose Infant Immunogenicity population
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 171
Common serotypes - serotype 4
3.48
Common serotypes - serotype 6B
5.02
Common serotypes - serotype 9V
2.34
Common serotypes - serotype 14
9.35
Common serotypes - serotype 18C
2.50
Common serotypes - serotype 19F
3.75
Common serotypes - serotype 23F
1.83
Additional serotypes - serotype 1
4.23
Additional serotypes - serotype 3
1.17
Additional serotypes - serotype 5
3.11
Additional serotypes - serotype 6A
4.08
Additional serotypes - serotype 7F
3.71
Additional serotypes - serotype 19A
4.19
6. Other Pre-specified Outcome
Title GMC for Serotype-specific Pneumococcal IgG Antibody After the Toddler Dose
Description Antibody GMC for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 7vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented. GMC (13vPnC) and corresponding 2-sided 95% CIs were evaluated. GMCs were calculated using all participants with available data after the toddler dose and after the third dose of the infant series.
Time Frame Toddler Dose (12 months of age)

Outcome Measure Data

Analysis Population Description
Evaluable Toddler Immunogenicity population subset where the number of participants analyzed (N) equals (=) those who had a valid and determinate assay result for antibody GMC at both the infant dose 3 and toddler dose.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 137
Common serotypes - serotype 4
5.10
Common serotypes - serotype 6B
15.41
Common serotypes - serotype 9V
3.76
Common serotypes - serotype 14
10.62
Common serotypes - serotype 18C
3.93
Common serotypes - serotype 19F
11.33
Common serotypes - serotype 23F
5.70
Additional serotypes - serotype 1
5.86
Additional serotypes - serotype 3
1.62
Additional serotypes - serotype 5
4.75
Additional serotypes - serotype 6A
11.64
Additional serotypes - serotype 7F
5.81
Additional serotypes - serotype 19A
8.95
7. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-specified Local Reactions: Infant Series Dose 1 (2 Months of Age)
Description Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 centimeters [cm] to 2.0cm); Moderate (2.5 to 7.0cm); Severe (greater than [>] 7.0cm). Participants may be represented in more than 1 category.
Time Frame Within 4 days after dose 1 of Infant Series (2 months of age)

Outcome Measure Data

Analysis Population Description
Safety population: All participants who received at least 1 dose of the study vaccine; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any local reaction.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 214
Tenderness: Any
63.5
28.2%
Tenderness: Significant
12.4
5.5%
Swelling: Any
31.2
13.9%
Swelling: Mild
25.1
11.2%
Swelling: Moderate
11.9
5.3%
Swelling: Severe
0
0%
Redness: Any
33.8
15%
Redness: Mild
27.9
12.4%
Redness: Moderate
10.6
4.7%
Redness: Severe
0
0%
8. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-specified Local Reactions: Infant Series Dose 2 (4 Months of Age)
Description Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 to 2.0cm); Moderate (2.5 to 7.0cm); Severe (>7.0cm). Participants may be represented in more than 1 category.
Time Frame Within 4 days after dose 2 of Infant Series (4 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any local reaction.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 196
Tenderness: Any
69.4
30.8%
Tenderness: Significant
12.6
5.6%
Swelling: Any
29.9
13.3%
Swelling: Mild
20.0
8.9%
Swelling: Moderate
13.3
5.9%
Swelling: Severe
0
0%
Redness: Any
28.9
12.8%
Redness: Mild
19.5
8.7%
Redness: Moderate
12.3
5.5%
Redness: Severe
0
0%
9. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-specified Local Reactions: Infant Series Dose 3 (6 Months of Age)
Description Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 to 2.0cm); Moderate (2.5 to 7.0cm); Severe (>7.0cm). Participants may be represented in more than 1 category.
Time Frame Within 4 days after dose 3 (6 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any local reaction.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 168
Tenderness: Any
61.3
27.2%
Tenderness: Significant
15.4
6.8%
Swelling: Any
29.4
13.1%
Swelling: Mild
19.0
8.4%
Swelling: Moderate
14.6
6.5%
Swelling: Severe
0
0%
Redness: Any
31.8
14.1%
Redness: Mild
20.9
9.3%
Redness: Moderate
13.9
6.2%
Redness: Severe
0
0%
10. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-specified Local Reactions: Toddler Dose (12 Months of Age)
Description Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Swelling and redness were scaled as Any (swelling or redness present); Mild (0.5 to 2.0cm); Moderate (2.5 to 7.0cm); Severe (>7.0cm). Participants may be represented in more than 1 category.
Time Frame Within 4 days after toddler dose (12 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any local reaction.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 154
Tenderness: Any
43.7
19.4%
Tenderness: Significant
3.8
1.7%
Swelling: Any
21.3
9.5%
Swelling: Mild
8.1
3.6%
Swelling: Moderate
15.8
7%
Swelling: Severe
0
0%
Redness: Any
22.0
9.8%
Redness: Mild
8.8
3.9%
Redness: Moderate
15.7
7%
Redness: Severe
0
0%
11. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 1 (2 Months of Age)
Description Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.
Time Frame Within 4 days after dose 1 of Infant Series (2 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any systemic event.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 217
Fever ≥38 degrees C but ≤39 degrees C
7.0
3.1%
Fever >39 degrees C but ≤40 degrees C
0
0%
Fever >40 degrees C
0
0%
Decreased appetite
31.0
13.8%
Irritability
69.8
31%
Increased sleep
37.2
16.5%
Decreased sleep
32.8
14.6%
12. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 2 (4 Months of Age)
Description Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.
Time Frame Within 4 days after dose 2 of Infant Series (4 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any systemic event.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 198
Fever ≥38 degrees C but ≤39 degrees C
18.5
8.2%
Fever >39 degrees C but ≤40 degrees C
0.6
0.3%
Fever >40 degrees C
0
0%
Decreased appetite
29.3
13%
Irritability
62.2
27.6%
Increased sleep
24.5
10.9%
Decreased sleep
35.1
15.6%
13. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 3 (6 Months of Age)
Description Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.
Time Frame Within 4 days after dose 3 of Infant Series (6 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any systemic event.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 172
Fever ≥38 degrees C but ≤39 degrees C
18.3
8.1%
Fever >39 degrees C but ≤40 degrees C
2.2
1%
Fever >40 degrees C
0
0%
Decreased appetite
25.7
11.4%
Irritability
63.2
28.1%
Increased sleep
22.9
10.2%
Decreased sleep
37.3
16.6%
14. Other Pre-specified Outcome
Title Percentage of Participants Reporting Pre-Specified Systemic Events: Toddler Dose (12 Months of Age)
Description Systemic events (any fever ≥ 38 degrees Celsius [C], decreased appetite, irritability, increased sleep, and decreased sleep) were reported using an electronic diary. Participants may be represented in more than 1 category.
Time Frame Within 4 days after toddler dose (12 months of age)

Outcome Measure Data

Analysis Population Description
Safety population; Number of participants analyzed (N) = those reporting yes for at least 1 day or no for all days for any systemic event.
Arm/Group Title 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 milliliter (mL) dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series) and 12 months of age (toddler dose)
Measure Participants 162
Fever ≥38 degrees C but ≤39 degrees C
23.0
10.2%
Fever >39 degrees C but ≤40 degrees C
0
0%
Fever >40 degrees C
0
0%
Decreased appetite
33.8
15%
Irritability
46.7
20.8%
Increased sleep
17.9
8%
Decreased sleep
22.0
9.8%

Adverse Events

Time Frame Baseline through 1 Month after last study vaccination (13 Months). Local reactions and systemic events assessed within 4 days of dose: Infant Series Dose 1=2 months of age; Dose 2=4 months of age; Dose 3=6 months of age; Toddler Dose=12 months of age.
Adverse Event Reporting Description The same event may appear as both an AE and a serious adverse event (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Arm/Group Title Infant Series 13vPnC After the Infant Series 13vPnC Toddler Dose 13vPnC
Arm/Group Description 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5mL dose administered intramuscularly (IM) at 2, 4, and 6 months of age (infant series). Other Adverse Events (AEs) (non-serious events): the number affected (n) for non-systematic (non-solicited) Other Adverse Events n=79; systematic (solicited) Any Local Reaction n=154, 139, and 112 for Dose 1, 2,and 3 of infant series, respectively; systematic (solicited) Any Systemic Event n=182, 144, and 126 for Dose 1, 2,and 3 of infant series, respectively. 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 mL dose administered IM at 2, 4, and 6 months of age (infant series); assessment 1 month after the infant series (7 months of age). 13-valent pneumococcal conjugate vaccine (13vPnC) 0.5 mL dose administered IM at 12 months of age (toddler dose). Other AEs (non-serious events): the number affected (n) for non-systematic (non-solicited) Other AEs n=50; systematic (solicited) Any Local Reaction n=73; systematic (solicited) Any Systemic Event n=96.
All Cause Mortality
Infant Series 13vPnC After the Infant Series 13vPnC Toddler Dose 13vPnC
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Infant Series 13vPnC After the Infant Series 13vPnC Toddler Dose 13vPnC
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 3/223 (1.3%) 3/223 (1.3%) 2/191 (1%)
Cardiac disorders
Myocarditis 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Gastrointestinal disorders
Diarrhoea 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
General disorders
Pyrexia 1/223 (0.4%) 1/223 (0.4%) 0/191 (0%)
Infections and infestations
Bronchiolitis 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Pneumonia 0/223 (0%) 1/223 (0.4%) 0/191 (0%)
Acute sinusitis 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Nervous system disorders
Seizure anoxic 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Psychiatric disorders
Breath holding 0/223 (0%) 1/223 (0.4%) 0/191 (0%)
Skin and subcutaneous tissue disorders
Angioedema 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Vascular disorders
Kawasaki's disease 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Other (Not Including Serious) Adverse Events
Infant Series 13vPnC After the Infant Series 13vPnC Toddler Dose 13vPnC
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 182/223 (81.6%) 3/223 (1.3%) 96/191 (50.3%)
Blood and lymphatic system disorders
Anaemia 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Deficiency Anaemia 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Gastrointestinal disorders
Diarrhoea 13/223 (5.8%) 0/223 (0%) 8/191 (4.2%)
Gastrooesophageal reflux disease 6/223 (2.7%) 0/223 (0%) 0/191 (0%)
Mouth ulceration 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Mucous stools 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Vomiting 0/223 (0%) 0/223 (0%) 7/191 (3.7%)
General disorders
Pyrexia 6/223 (2.7%) 0/223 (0%) 14/191 (7.3%)
Vaccination site pain 0/223 (0%) 0/223 (0%) 3/191 (1.6%)
Vaccination site erythema 0/223 (0%) 0/223 (0%) 2/191 (1%)
Vaccination site swelling 0/223 (0%) 0/223 (0%) 2/191 (1%)
Irritability 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Fever ≥38°C but ≤39°C 14/199 (7%) 0/0 (NaN) 32/139 (23%)
Fever ≥38°C but ≤39°C 33/178 (18.5%) 0/0 (NaN) 0/0 (NaN)
Fever ≥38°C but ≤39°C 26/142 (18.3%) 0/0 (NaN) 0/0 (NaN)
Fever >39°C but ≤40°C 0/199 (0%) 0/0 (NaN) 0/132 (0%)
Fever >39°C but ≤40°C 1/175 (0.6%) 0/0 (NaN) 0/0 (NaN)
Fever >39°C but ≤40°C 3/138 (2.2%) 0/0 (NaN) 0/0 (NaN)
Fever >40°C 0/199 (0%) 0/0 (NaN) 0/132 (0%)
Fever >40°C 0/175 (0%) 0/0 (NaN) 0/0 (NaN)
Fever >40°C 0/138 (0%) 0/0 (NaN) 0/0 (NaN)
Decreased appetite 63/203 (31%) 0/0 (NaN) 51/151 (33.8%)
Decreased appetite 55/188 (29.3%) 0/0 (NaN) 0/0 (NaN)
Decreased appetite 38/148 (25.7%) 0/0 (NaN) 0/0 (NaN)
Irritability 148/212 (69.8%) 0/0 (NaN) 71/152 (46.7%)
Irritability 120/193 (62.2%) 0/0 (NaN) 0/0 (NaN)
Irritability 103/163 (63.2%) 0/0 (NaN) 0/0 (NaN)
Increased sleep 77/207 (37.2%) 0/0 (NaN) 25/140 (17.9%)
Increased sleep 45/184 (24.5%) 0/0 (NaN) 0/0 (NaN)
Increased sleep 35/153 (22.9%) 0/0 (NaN) 0/0 (NaN)
Decreased sleep 67/204 (32.8%) 0/0 (NaN) 31/141 (22%)
Decreased sleep 66/188 (35.1%) 0/0 (NaN) 0/0 (NaN)
Decreased sleep 56/150 (37.3%) 0/0 (NaN) 0/0 (NaN)
Hepatobiliary disorders
Hepatomegaly 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Immune system disorders
Allergy to arthropod bite 0/223 (0%) 1/223 (0.4%) 0/191 (0%)
Infections and infestations
Nasopharyngitis 33/223 (14.8%) 0/223 (0%) 8/191 (4.2%)
Viral upper respiratory tract infection 11/223 (4.9%) 0/223 (0%) 0/191 (0%)
Pharyngitis 7/223 (3.1%) 0/223 (0%) 1/191 (0.5%)
Bronchiolitis 6/223 (2.7%) 0/223 (0%) 0/191 (0%)
Viral rhinitis 5/223 (2.2%) 0/223 (0%) 0/191 (0%)
Rhinitis 4/223 (1.8%) 0/223 (0%) 0/191 (0%)
Viral pharyngitis 4/223 (1.8%) 0/223 (0%) 0/191 (0%)
Influenza 3/223 (1.3%) 0/223 (0%) 4/191 (2.1%)
Impetigo 2/223 (0.9%) 0/223 (0%) 0/191 (0%)
Acarodermatitis 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Body tinea 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Bronchitis 1/223 (0.4%) 0/223 (0%) 2/191 (1%)
Conjunctivitis viral 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Croup infectious 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Cystitis 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Oral candidiasis 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Pyoderma 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Upper respiratory tract infection 1/223 (0.4%) 0/223 (0%) 1/191 (0.5%)
Urinary tract infection 1/223 (0.4%) 0/223 (0%) 1/191 (0.5%)
Acute sinusitis 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Ear infection 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Gastroenteritis 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Pharyngotonsillitis 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Varicella 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Injury, poisoning and procedural complications
Traumatic brain injury 2/223 (0.9%) 0/223 (0%) 0/191 (0%)
Metabolism and nutrition disorders
Malnutrition 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Decreased appetite 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Nervous system disorders
Grand mal convulsion 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Pregnancy, puerperium and perinatal conditions
Cephalhaematoma 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 5/223 (2.2%) 0/223 (0%) 1/191 (0.5%)
Rhinitis allergic 3/223 (1.3%) 0/223 (0%) 0/191 (0%)
Rhinorrhoea 2/223 (0.9%) 0/223 (0%) 1/191 (0.5%)
Bronchospasm 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Skin and subcutaneous tissue disorders
Dermatitis diaper 3/223 (1.3%) 0/223 (0%) 0/191 (0%)
Rash maculo-papular 3/223 (1.3%) 0/223 (0%) 0/191 (0%)
Rash morbilliform 2/223 (0.9%) 0/223 (0%) 0/191 (0%)
Seborrhoeic dermatitis 2/223 (0.9%) 2/223 (0.9%) 0/191 (0%)
Dermatitis atopic 1/223 (0.4%) 1/223 (0.4%) 0/191 (0%)
Eczema 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Erythema 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Heat rash 1/223 (0.4%) 0/223 (0%) 0/191 (0%)
Dermatitis 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Prurigo 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Urticaria 0/223 (0%) 0/223 (0%) 1/191 (0.5%)
Tenderness (any) 134/211 (63.5%) 0/0 (NaN) 66/151 (43.7%)
Tenderness (any) 136/196 (69.4%) 0/0 (NaN) 0/0 (NaN)
Tenderness (any) 100/163 (61.3%) 0/0 (NaN) 0/0 (NaN)
Tenderness (significant) 25/202 (12.4%) 0/0 (NaN) 5/132 (3.8%)
Tenderness (significant) 23/183 (12.6%) 0/0 (NaN) 0/0 (NaN)
Tenderness (significant) 22/143 (15.4%) 0/0 (NaN) 0/0 (NaN)
Swelling (any) 64/205 (31.2%) 0/0 (NaN) 30/141 (21.3%)
Swelling (any) 56/187 (29.9%) 0/0 (NaN) 0/0 (NaN)
Swelling (any) 45/153 (29.4%) 0/0 (NaN) 0/0 (NaN)
Swelling (mild) 51/203 (25.1%) 0/0 (NaN) 11/136 (8.1%)
Swelling (mild) 37/185 (20%) 0/0 (NaN) 0/0 (NaN)
Swelling (mild) 28/147 (19%) 0/0 (NaN) 0/0 (NaN)
Swelling (moderate) 24/201 (11.9%) 0/0 (NaN) 22/139 (15.8%)
Swelling (moderate) 24/180 (13.3%) 0/0 (NaN) 0/0 (NaN)
Swelling (moderate) 21/144 (14.6%) 0/0 (NaN) 0/0 (NaN)
Swelling (severe) 0/199 (0%) 0/0 (NaN) 0/132 (0%)
Swelling (severe) 0/177 (0%) 0/0 (NaN) 0/0 (NaN)
Swelling (severe) 0/138 (0%) 0/0 (NaN) 0/0 (NaN)
Redness (any) 69/204 (33.8%) 0/0 (NaN) 31/141 (22%)
Redness (any) 54/187 (28.9%) 0/0 (NaN) 0/0 (NaN)
Redness (any) 49/154 (31.8%) 0/0 (NaN) 0/0 (NaN)
Redness (mild) 57/204 (27.9%) 0/0 (NaN) 12/136 (8.8%)
Redness (mild) 36/185 (19.5%) 0/0 (NaN) 0/0 (NaN)
Redness (mild) 31/148 (20.9%) 0/0 (NaN) 0/0 (NaN)
Redness (moderate) 21/199 (10.6%) 0/0 (NaN) 22/140 (15.7%)
Redness (moderate) 22/179 (12.3%) 0/0 (NaN) 0/0 (NaN)
Redness (moderate) 20/144 (13.9%) 0/0 (NaN) 0/0 (NaN)
Redness (severe) 0/199 (0%) 0/0 (NaN) 0/132 (0%)
Redness (severe) 0/177 (0%) 0/0 (NaN) 0/0 (NaN)
Redness (severe) 0/138 (0%) 0/0 (NaN) 0/0 (NaN)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer Clinical Trials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquires@Pfizer.com
Responsible Party:
Wyeth is now a wholly owned subsidiary of Pfizer
ClinicalTrials.gov Identifier:
NCT00708682
Other Study ID Numbers:
  • 6096A1-3009
First Posted:
Jul 2, 2008
Last Update Posted:
Oct 25, 2011
Last Verified:
Oct 1, 2011