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出境医 / 临床实验 / Safety, Tolerability, and Immunogenicity of a 3-dose Regimen of V114 in Healthy Infants (PNEU-PED-EU-2/V114-026) (PNEU-PED-EU-2)

Safety, Tolerability, and Immunogenicity of a 3-dose Regimen of V114 in Healthy Infants (PNEU-PED-EU-2/V114-026) (PNEU-PED-EU-2)

Study Description
Brief Summary:

The purpose of this clinical study is to evaluate the safety and immunogenicity of a 3-dose schedule (2-dose primary series followed by a toddler dose) of pneumococcal conjugate vaccine (PCV) as one of the currently recommended by the World Health Organization (WHO) Strategic Advisory Group of Experts (SAGE) on Immunizations and practiced in many countries.

The primary hypotheses are that V114 is non-inferior to Prevnar 13® for the 13 shared serotypes based on response rates and on anti-pneumococcal polysaccharide (PnPs) serotype-specific Immunoglobulin G (IgG) geometric mean concentrations (GMCs) at 30 days following Dose 3; that V114 is superior to Prevnar 13® for the 2 serotypes unique to V114 based on the response rates and on anti-PnPs serotype-specific IgG GMCs at 30 days following Dose 3; and that Vaxelis™ administered concomitantly with V114 is non-inferior to Vaxelis™ administered concomitantly with Prevnar 13® at 30 days following Dose 3 for each antigen included in Vaxelis™.


Condition or disease Intervention/treatment Phase
Pneumococcal Infections Drug: V114 Drug: Prevnar 13® Drug: Vaxelis™ Drug: M-M-R®II Drug: Varivax® Phase 3

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1180 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: A Phase 3, Multicenter, Randomized, Double-blind, Active-comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of a 3-dose Regimen of V114 in Healthy Infants (PNEU-PED-EU-2)
Actual Study Start Date : August 28, 2019
Estimated Primary Completion Date : November 16, 2021
Estimated Study Completion Date : November 16, 2021
Arms and Interventions
Arm Intervention/treatment
Experimental: V114
Infant participants will receive a single 0.5 mL intramuscular (IM) injection of V114 at Visit 1, 2 and 4 (approximately 3, 5, and 12 months of age).
Drug: V114
15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F, serotype 6B and aluminum phosphate adjuvant in each 0.5 mL dose.

Drug: Vaxelis™
Intramuscular 0.5 mL single dose

Drug: M-M-R®II
Subcutaneous 0.5 mL single dose
Other Name: Measles, Mumps, and Rubella Virus Vaccine Live

Drug: Varivax®
Subcutaneous 0.5 mL single dose
Other Name: Varicella Vaccine Live

Active Comparator: Prevnar 13®
Infant participants will receive a single 0.5 mL IM injection of Prevnar 13® at Visit 1, 2 and 4 (approximately 3, 5, and 12 months of age).
Drug: Prevnar 13®
13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F, serotype 6B in each 0.5. mL dose.

Drug: Vaxelis™
Intramuscular 0.5 mL single dose

Drug: M-M-R®II
Subcutaneous 0.5 mL single dose
Other Name: Measles, Mumps, and Rubella Virus Vaccine Live

Drug: Varivax®
Subcutaneous 0.5 mL single dose
Other Name: Varicella Vaccine Live

Outcome Measures
Primary Outcome Measures :
  1. Percentage of Participants with a Solicited Injection-Site Adverse Event [ Time Frame: Day 1 to Day 14 post any vaccination ]
    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. Solicited injection-site AEs will be swelling, redness, pain or tenderness, and hard lump.

  2. Percentage of Participants with a Solicited Systemic Adverse Event [ Time Frame: Day 1 to Day 14 post any vaccination ]
    An 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. Solicited systemic AEs will be irritability, drowsiness, appetite loss, and hives or welts.

  3. Percentage of Participants with Vaccine-Related Serious Adverse Event [ Time Frame: Up to 6 months after Dose 3 (up to 194 days) ]
    An 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.

  4. Percentage of Participants Meeting the Serotype Specific Immunoglobulin G (IgG) Threshold Value of ≥0.35 μg/mL for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-pneumococcal polysaccharide (PnPs) serotype-specific IgG response rates (percentage of participants meeting serotype-specific IgG threshold value of ≥0.35 μg/mL) for the 15 serotypes contained in V114 as measured by the pneumococcal electrochemiluminescence (Pn ECL) assay.

  5. Geometric Mean Concentration (GMC) of Serotype-Specific IgG for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-PnPs serotype-specific IgG GMCs for the 15 serotypes contained in V114 as measured by the Pn ECL assay.


Secondary Outcome Measures :
  1. Percentage of Participants Meeting the Antigen-Specific Antibody Threshold Value for each Antigen Included in Vaxelis™ [ Time Frame: 30 days after Dose 3 ]
    Assess the antibody responses to each antigen in Vaxelis™: diphtheria toxoid, tetanus toxoid, pertussis toxin (PT), pertussis filamentous hemagglutinin (FHA), pertussis fimbriae 2/3 (FIM 2/3), pertussis pertactin (PRN), Haemophilus influenzae type b polyribosylribitol phosphate (Hib-PRP), hepatitis B surface antigen (HBsAg), and poliovirus serotypes 1, 2, and 3. The percentage of participants administered V114 concomitantly with Vaxelis™ versus participants administered with Prevnar 13™ concomitantly with Vaxelis™ will be assessed.

  2. Percentage of Participants Meeting the Serotype Specific IgG Threshold Value of ≥0.35 μg/mL for each Serotype in V114 [ Time Frame: 30 days after Dose 2 ]
    Assess the anti-PnP serotype-specific IgG responses for the 15 serotypes contained in V114.

  3. GMC of Serotype-Specific IgG for Each Serotype in V114 [ Time Frame: 30 days after Dose 2 ]
    Assess the anti-PnPs serotype-specific IgG GMCs for the 15 serotypes contained in V114.

  4. Percentage of Participants Meeting the Serotype-Specific Opsonophagocytic Activity (OPA) Threshold Value for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-PnPs serotype-specific OPA responses for the 15 serotypes contained in V114.

  5. Geometric Mean Titer (GMT) of Serotype-Specific OPA for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-PnPs serotype-specific OPA GMTs for the 15 serotypes contained in V114.


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   70 Days to 111 Days   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Is male or female, approximately 3 months of age, from 70 days to 111 days inclusive, at the time of signing the informed consent.
  • Has a legally acceptable representative who understands the study procedures, alternate treatments available, and risks involved with the study and voluntarily agrees to participate by giving written informed consent.

Exclusion Criteria:

  • Was born prior to 37 weeks of gestation.
  • Has a history of invasive pneumococcal disease (IPD) or known history of other culture positive pneumococcal disease.
  • Has a known hypersensitivity to any component of the pneumococcal conjugate vaccine (PCV), any component of the licensed pediatric vaccines to be administered concomitantly in the study, or any diphtheria toxoid containing vaccine.
  • Has any contraindication to the concomitant study vaccines being administered in the study.
  • Has a known or suspected impairment of immunological function.
  • Has a history of congenital or acquired immunodeficiency.
  • Has, or his/her mother has, a documented human immunodeficiency virus (HIV) infection.
  • Has, or his/her mother has, a documented hepatitis B surface antigen - positive test.
  • Has known or history of functional or anatomic asplenia.
  • Has failure to thrive based on the clinical judgement of the investigator.
  • Has a bleeding disorder contraindicating intramuscular vaccination.
  • Has a history of autoimmune disease (including but not limited to systemic lupus erythematosus, antiphospholipid syndrome, Behcet's disease, autoimmune thyroid disease, polymyositis and dermatomyositis, scleroderma, type 1 diabetes mellitus, or other autoimmune disorders).
  • Has a known neurologic or cognitive behavioral disorder, including encephalitis/myelitis, acute disseminating encephalomyelitis, pervasive development disorder, and related disorders.
  • Has received a dose of any pneumococcal vaccine prior to study entry.
  • Has received >1 dose of monovalent hepatitis B vaccine or hepatitis B-based combination vaccine prior to study entry.
  • Has received a dose of any acellular pertussis- or whole cell pertussis-based combination vaccines, Haemophilus influenza type b conjugate vaccine, poliovirus vaccine, or any other combination thereof, prior to study entry.
  • Has received a blood transfusion or blood products, including immunoglobulins.
  • Has participated in another clinical study of an investigational product before the beginning or anytime during the duration of the current clinical study. Participants enrolled in observational studies may be included; these will be reviewed on a case by-case basis for approval by the Sponsor.
  • Has any other reason that, in the opinion of the investigator, may interfere with the evaluation required by the study. Reasons may include, but are not limited to, being unable to keep appointments or planning to relocate during the study.
  • Is or has an immediate family member (e.g., parent/legal guardian or sibling) who is investigational site or Sponsor staff directly involved with this study.
Contacts and Locations

Locations
Show Show 24 study locations
Sponsors and Collaborators
Merck Sharp & Dohme Corp.
Investigators
Layout table for investigator information
Study Director: Medical Director Merck Sharp & Dohme Corp.
Tracking Information
First Submitted Date  ICMJE July 10, 2019
First Posted Date  ICMJE July 11, 2019
Last Update Posted Date July 14, 2020
Actual Study Start Date  ICMJE August 28, 2019
Estimated Primary Completion Date November 16, 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 10, 2019)
  • Percentage of Participants with a Solicited Injection-Site Adverse Event [ Time Frame: Day 1 to Day 14 post any vaccination ]
    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. Solicited injection-site AEs will be swelling, redness, pain or tenderness, and hard lump.
  • Percentage of Participants with a Solicited Systemic Adverse Event [ Time Frame: Day 1 to Day 14 post any vaccination ]
    An 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. Solicited systemic AEs will be irritability, drowsiness, appetite loss, and hives or welts.
  • Percentage of Participants with Vaccine-Related Serious Adverse Event [ Time Frame: Up to 6 months after Dose 3 (up to 194 days) ]
    An 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.
  • Percentage of Participants Meeting the Serotype Specific Immunoglobulin G (IgG) Threshold Value of ≥0.35 μg/mL for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-pneumococcal polysaccharide (PnPs) serotype-specific IgG response rates (percentage of participants meeting serotype-specific IgG threshold value of ≥0.35 μg/mL) for the 15 serotypes contained in V114 as measured by the pneumococcal electrochemiluminescence (Pn ECL) assay.
  • Geometric Mean Concentration (GMC) of Serotype-Specific IgG for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-PnPs serotype-specific IgG GMCs for the 15 serotypes contained in V114 as measured by the Pn ECL assay.
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 10, 2019)
  • Percentage of Participants Meeting the Antigen-Specific Antibody Threshold Value for each Antigen Included in Vaxelis™ [ Time Frame: 30 days after Dose 3 ]
    Assess the antibody responses to each antigen in Vaxelis™: diphtheria toxoid, tetanus toxoid, pertussis toxin (PT), pertussis filamentous hemagglutinin (FHA), pertussis fimbriae 2/3 (FIM 2/3), pertussis pertactin (PRN), Haemophilus influenzae type b polyribosylribitol phosphate (Hib-PRP), hepatitis B surface antigen (HBsAg), and poliovirus serotypes 1, 2, and 3. The percentage of participants administered V114 concomitantly with Vaxelis™ versus participants administered with Prevnar 13™ concomitantly with Vaxelis™ will be assessed.
  • Percentage of Participants Meeting the Serotype Specific IgG Threshold Value of ≥0.35 μg/mL for each Serotype in V114 [ Time Frame: 30 days after Dose 2 ]
    Assess the anti-PnP serotype-specific IgG responses for the 15 serotypes contained in V114.
  • GMC of Serotype-Specific IgG for Each Serotype in V114 [ Time Frame: 30 days after Dose 2 ]
    Assess the anti-PnPs serotype-specific IgG GMCs for the 15 serotypes contained in V114.
  • Percentage of Participants Meeting the Serotype-Specific Opsonophagocytic Activity (OPA) Threshold Value for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-PnPs serotype-specific OPA responses for the 15 serotypes contained in V114.
  • Geometric Mean Titer (GMT) of Serotype-Specific OPA for Each Serotype in V114 [ Time Frame: 30 days after Dose 3 ]
    Assess the anti-PnPs serotype-specific OPA GMTs for the 15 serotypes contained in V114.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Safety, Tolerability, and Immunogenicity of a 3-dose Regimen of V114 in Healthy Infants (PNEU-PED-EU-2/V114-026)
Official Title  ICMJE A Phase 3, Multicenter, Randomized, Double-blind, Active-comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of a 3-dose Regimen of V114 in Healthy Infants (PNEU-PED-EU-2)
Brief Summary

The purpose of this clinical study is to evaluate the safety and immunogenicity of a 3-dose schedule (2-dose primary series followed by a toddler dose) of pneumococcal conjugate vaccine (PCV) as one of the currently recommended by the World Health Organization (WHO) Strategic Advisory Group of Experts (SAGE) on Immunizations and practiced in many countries.

The primary hypotheses are that V114 is non-inferior to Prevnar 13® for the 13 shared serotypes based on response rates and on anti-pneumococcal polysaccharide (PnPs) serotype-specific Immunoglobulin G (IgG) geometric mean concentrations (GMCs) at 30 days following Dose 3; that V114 is superior to Prevnar 13® for the 2 serotypes unique to V114 based on the response rates and on anti-PnPs serotype-specific IgG GMCs at 30 days following Dose 3; and that Vaxelis™ administered concomitantly with V114 is non-inferior to Vaxelis™ administered concomitantly with Prevnar 13® at 30 days following Dose 3 for each antigen included in Vaxelis™.

Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 3
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Condition  ICMJE Pneumococcal Infections
Intervention  ICMJE
  • Drug: V114
    15-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F, serotype 6B and aluminum phosphate adjuvant in each 0.5 mL dose.
  • Drug: Prevnar 13®
    13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F, serotype 6B in each 0.5. mL dose.
  • Drug: Vaxelis™
    Intramuscular 0.5 mL single dose
  • Drug: M-M-R®II
    Subcutaneous 0.5 mL single dose
    Other Name: Measles, Mumps, and Rubella Virus Vaccine Live
  • Drug: Varivax®
    Subcutaneous 0.5 mL single dose
    Other Name: Varicella Vaccine Live
Study Arms  ICMJE
  • Experimental: V114
    Infant participants will receive a single 0.5 mL intramuscular (IM) injection of V114 at Visit 1, 2 and 4 (approximately 3, 5, and 12 months of age).
    Interventions:
    • Drug: V114
    • Drug: Vaxelis™
    • Drug: M-M-R®II
    • Drug: Varivax®
  • Active Comparator: Prevnar 13®
    Infant participants will receive a single 0.5 mL IM injection of Prevnar 13® at Visit 1, 2 and 4 (approximately 3, 5, and 12 months of age).
    Interventions:
    • Drug: Prevnar 13®
    • Drug: Vaxelis™
    • Drug: M-M-R®II
    • Drug: Varivax®
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Active, not recruiting
Estimated Enrollment  ICMJE
 (submitted: July 10, 2019)
1180
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE November 16, 2021
Estimated Primary Completion Date November 16, 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Is male or female, approximately 3 months of age, from 70 days to 111 days inclusive, at the time of signing the informed consent.
  • Has a legally acceptable representative who understands the study procedures, alternate treatments available, and risks involved with the study and voluntarily agrees to participate by giving written informed consent.

Exclusion Criteria:

  • Was born prior to 37 weeks of gestation.
  • Has a history of invasive pneumococcal disease (IPD) or known history of other culture positive pneumococcal disease.
  • Has a known hypersensitivity to any component of the pneumococcal conjugate vaccine (PCV), any component of the licensed pediatric vaccines to be administered concomitantly in the study, or any diphtheria toxoid containing vaccine.
  • Has any contraindication to the concomitant study vaccines being administered in the study.
  • Has a known or suspected impairment of immunological function.
  • Has a history of congenital or acquired immunodeficiency.
  • Has, or his/her mother has, a documented human immunodeficiency virus (HIV) infection.
  • Has, or his/her mother has, a documented hepatitis B surface antigen - positive test.
  • Has known or history of functional or anatomic asplenia.
  • Has failure to thrive based on the clinical judgement of the investigator.
  • Has a bleeding disorder contraindicating intramuscular vaccination.
  • Has a history of autoimmune disease (including but not limited to systemic lupus erythematosus, antiphospholipid syndrome, Behcet's disease, autoimmune thyroid disease, polymyositis and dermatomyositis, scleroderma, type 1 diabetes mellitus, or other autoimmune disorders).
  • Has a known neurologic or cognitive behavioral disorder, including encephalitis/myelitis, acute disseminating encephalomyelitis, pervasive development disorder, and related disorders.
  • Has received a dose of any pneumococcal vaccine prior to study entry.
  • Has received >1 dose of monovalent hepatitis B vaccine or hepatitis B-based combination vaccine prior to study entry.
  • Has received a dose of any acellular pertussis- or whole cell pertussis-based combination vaccines, Haemophilus influenza type b conjugate vaccine, poliovirus vaccine, or any other combination thereof, prior to study entry.
  • Has received a blood transfusion or blood products, including immunoglobulins.
  • Has participated in another clinical study of an investigational product before the beginning or anytime during the duration of the current clinical study. Participants enrolled in observational studies may be included; these will be reviewed on a case by-case basis for approval by the Sponsor.
  • Has any other reason that, in the opinion of the investigator, may interfere with the evaluation required by the study. Reasons may include, but are not limited to, being unable to keep appointments or planning to relocate during the study.
  • Is or has an immediate family member (e.g., parent/legal guardian or sibling) who is investigational site or Sponsor staff directly involved with this study.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 70 Days to 111 Days   (Child)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Denmark,   Finland,   Italy,   Norway,   Sweden
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04016714
Other Study ID Numbers  ICMJE V114-026
2018-003788-70 ( Other Identifier: EudraCT Number )
V114-026 ( Other Identifier: Merck Protocol Number )
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: Yes
IPD Sharing Statement  ICMJE
Plan to Share IPD: Yes
Plan Description: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
URL: http://engagezone.msd.com/ds_documentation.php
Responsible Party Merck Sharp & Dohme Corp.
Study Sponsor  ICMJE Merck Sharp & Dohme Corp.
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Medical Director Merck Sharp & Dohme Corp.
PRS Account Merck Sharp & Dohme Corp.
Verification Date July 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP