ClinicalTrials.gg
TerminatedNCT00518687Updated Oct 2, 2015Results posted

Efficacy, Immunogenicity, and Safety of a Single Dose of V710 in Adult Patients Scheduled for Cardiothoracic Surgery (V710-003 AM2)

A Phase 2/3 interventional study of V710 and Placebo in Staphylococcus Aureus, Bacteremia and Mediastinitis, sponsored by Merck Sharp & Dohme LLC. Terminated. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-10-02.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 2/3, Interventional, and Prevention

Phase
Phase 2/3
Study type
Interventional
Enrollment
8,031
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will assess the efficacy of a single dose of V710 vaccine to prevent serious Staphylococcus aureus infections following elective cardiothoracic surgery. The study will also evaluate the immune response and general safety of the V710 vaccine.

02

Conditions studied

  • Staphylococcus Aureus
  • Bacteremia
  • Mediastinitis
03

In context

Staphylococcal Infections

303 studies on the registry are indexed under Staphylococcal Infections; 34 are open to participants now.

This study's enrollment of 8,031 is above the median of 124 across 198 interventional studies indexed under Staphylococcal Infections.

Browse Staphylococcal Infections studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,166 studies on the registry; 132 are open to participants now.

Of its 501 completed or terminated interventional studies of FDA-regulated products, 370 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant is scheduled to undergo cardiothoracic surgery involving a full median sternotomy (not including cardiac transplantation surgery) within 14 to 60 days after vaccination.
  • Female participants of are required to have a negative urine or serum pregnancy test immediately prior to study vaccination and must use an acceptable form of .

Exclusion criteria

Exclusion Criteria:

  • Participants had an invasive Staphylococcus aureus infection within the past 3 months prior to study entry.
  • A realistic (>50%) possibility that cardiothoracic surgery will be necessary sooner than 10 days after vaccination.
  • Participant is planning to undergo cardiac transplantation surgery or sternal debridement to remedy an infection resulting from a prior cardiothoracic surgery.
  • Participant has any type of ventricular-assist device in place at the time of study entry.
  • Participant has a history of anaphylaxis to any of the vaccine components.
  • Participant received V710 vaccine, any other Staphylococcus aureus vaccine, or investigational Staphylococcus aureus antibodies.
  • Participant has a temperature of ≥100.4ºF (≥38.0ºC), oral equivalent, within 48 hours prior to study vaccination.
  • Participant has impairment of the immune system.
  • Participant has a medical condition in which the expected survival is less than 90 days.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
8,031 participants (actual)

Study arms

  • Experimental
    V710 60 µg

    Biological: V710

  • Placebo comparator
    Placebo

    Biological: Placebo

Interventions

  • BiologicalV710

    0.5-mL single injection of V710 (60 µg)

    Also known as: Merck 0657nI Staphylococcus aureus vaccine

  • BiologicalPlacebo

    0.5-mL single injection of matching placebo

06

What researchers measure

Primary outcomes

  1. Number of Participants With Staphylococcus Aureus Bacteremia and/or Deep Sternal Wound Infection

    Diagnosis of the Staphylococcus aureus infections employed standardized definitions adapted from the Centers for Disease Control (CDC) Guidelines for Nosocomial infections (Garner JS, Jarvis WS, Emori TG, et al. CDC definitions for nosocomial infections. APIC Infect Control App Epidemiol 1996;A1-20). Bacteremia was defined as ≥1 positive blood culture for S. aureus regardless of the presence of clinical symptoms. A Staphylococcus aureus deep sternal wound infection included mediastinitis or a deep incisional surgical-site infection involving the sternal wound.

    Time frame: Up to 90 days after surgery

  2. Incidence Rate of Vaccine-related Serious Adverse Experiences

    Vaccine-related adverse experiences were those deemed by the investigator to be possibly, probably, or definitely vaccine related. A serious adverse experience was any adverse experience occurring at any dose that 1) resulted in death, 2) was life threatening, 3) resulted in a persistent or significant disability/incapacity, 4) resulted in or prolonged an existing inpatient hospitalization, 5) was a congenital anomaly/birth defect, 6) was a cancer, 7) was an overdose, or 8) jeopardized the participant and required medical or surgical intervention.

    Time frame: Up to 360 days after surgery

Secondary outcomes

  1. Number of Participants With Invasive Staphylococcus Aureus Infection

    Diagnosis of the Staphylococcus aureus infections employed standardized definitions adapted from the CDC Guidelines for Nosocomial infections. An invasive Staphylococcus infection included bacteremia, deep sternal wound infection, deep-tissue organ/space infection at another surgical site, or any other deep-tissue infection.

    Time frame: Up to 90 days after surgery

  2. Number of Participants With Surgical-site Staphylococcus Aureus Infection

    Diagnosis of the Staphylococcus aureus infections employed standardized definitions adapted from the CDC Guidelines for Nosocomial infections. A Staphylococcus infection surgical-site infection included any superficial incisional, deep incisional, or organ/space infection at the sternal site, the vascular harvest (donor) site, or any other site at which the surgery was performed.

    Time frame: Up to 90 days after surgery

07

Results

Posted Nov 4, 2012

Participant flow

Participant flow — Overall Study
MilestoneV710 60 µgPlacebo
Started40054005
Vaccinated39813982
Completed25682585
Not completed14371420
Withdrew: Adverse event201177
Withdrew: Lost to follow-up144155
Withdrew: Physician decision4248
Withdrew: Progressive disease22
Withdrew: Protocol violation810
Withdrew: Study terminated by sponsor930918
Withdrew: Withdrawal by subject110110

Outcome measures

PrimaryNumber of Participants With Staphylococcus Aureus Bacteremia and/or Deep Sternal Wound Infection

Diagnosis of the Staphylococcus aureus infections employed standardized definitions adapted from the Centers for Disease Control (CDC) Guidelines for Nosocomial infections (Garner JS, Jarvis WS, Emori TG, et al. CDC definitions for nosocomial infections. APIC Infect Control App Epidemiol 1996;A1-20). Bacteremia was defined as ≥1 positive blood culture for S. aureus regardless of the presence of clinical symptoms. A Staphylococcus aureus deep sternal wound infection included mediastinitis or a deep incisional surgical-site infection involving the sternal wound.

Time frame:
Up to 90 days after surgery
Reported as:
Number · participants
Number of Participants With Staphylococcus Aureus Bacteremia and/or Deep Sternal Wound Infection
participantsV710 60 µgPlacebo
Number of Participants With Staphylococcus Aureus Bacteremia and/or Deep Sternal Wound Infection2227
Statistical analysis
  • V710 60 µg vs Placebo · Exact 1-sided binomial test · p = 0.584 (A 1-sided p-value \<0.025 implies that the V710 vaccine efficacy is statistically significantly greater than 20%) · Vaccine efficacy (ve): 18.5 · 95% CI -48.6 to 55.8VE = 1 - Relative Risk of V710 compared with placebo
PrimaryIncidence Rate of Vaccine-related Serious Adverse Experiences

Vaccine-related adverse experiences were those deemed by the investigator to be possibly, probably, or definitely vaccine related. A serious adverse experience was any adverse experience occurring at any dose that 1) resulted in death, 2) was life threatening, 3) resulted in a persistent or significant disability/incapacity, 4) resulted in or prolonged an existing inpatient hospitalization, 5) was a congenital anomaly/birth defect, 6) was a cancer, 7) was an overdose, or 8) jeopardized the participant and required medical or surgical intervention.

Time frame:
Up to 360 days after surgery
Reported as:
Number · Events per 100 person-years
Incidence Rate of Vaccine-related Serious Adverse Experiences
Events per 100 person-yearsV710 60 µgPlacebo
Incidence Rate of Vaccine-related Serious Adverse Experiences0.00.0
Statistical analysis
  • V710 60 µg vs Placebo · Miettinen and Nurminen · p = 0.997 · Estimated rate difference: 0.0 · 95% CI -0.1 to 0.1
SecondaryNumber of Participants With Invasive Staphylococcus Aureus Infection

Diagnosis of the Staphylococcus aureus infections employed standardized definitions adapted from the CDC Guidelines for Nosocomial infections. An invasive Staphylococcus infection included bacteremia, deep sternal wound infection, deep-tissue organ/space infection at another surgical site, or any other deep-tissue infection.

Time frame:
Up to 90 days after surgery
Reported as:
Number · participants
Number of Participants With Invasive Staphylococcus Aureus Infection
participantsV710 60 µgPlacebo
Number of Participants With Invasive Staphylococcus Aureus Infection2731
Statistical analysis
  • V710 60 µg vs Placebo · Exact 1-sided binomial test · p = 0.347 (A 1-sided p-value \<0.025 implies that the V710 vaccine efficacy is statistically significant) · Vaccine efficacy (ve): 12.9 · 95% CI -50.8 to 50.0VE = 1 - Relative Risk of V710 compared with placebo
SecondaryNumber of Participants With Surgical-site Staphylococcus Aureus Infection

Diagnosis of the Staphylococcus aureus infections employed standardized definitions adapted from the CDC Guidelines for Nosocomial infections. A Staphylococcus infection surgical-site infection included any superficial incisional, deep incisional, or organ/space infection at the sternal site, the vascular harvest (donor) site, or any other site at which the surgery was performed.

Time frame:
Up to 90 days after surgery
Reported as:
Number · participants
Number of Participants With Surgical-site Staphylococcus Aureus Infection
participantsV710 60 µgPlacebo
Number of Participants With Surgical-site Staphylococcus Aureus Infection5375
Statistical analysis
  • V710 60 µg vs Placebo · Exact 1-sided binomial test · p = 0.032 (A 1-sided p-value \<0.025 implies that the V710 vaccine efficacy is statistically significant) · Vaccine efficacy (ve): 29.3 · 95% CI -1.8 to 51.2VE = 1 - Relative Risk of V710 compared with placebo

Adverse events

Collected over All serious adverse events (SAEs): through Day 14 after vaccination; vaccine-related SAEs, SAEs resulting in death, and SAEs involving infection diagnosis: through Day 360 after surgery; other adverse events (AEs): through Day 14 after vaccination. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
V710 (60 µg) Lyophilized—291/3,958 (7.4%)749/3,958 (18.9%)
Placebo—274/3,967 (6.9%)343/3,967 (8.6%)
Most frequent serious events
Showing 10 of 185
Most frequent serious events
EventV710 (60 µg) LyophilizedPlacebo
Multi-organ failureGeneral disorders31/395817/3967
Wound infection staphylococcalInfections and infestations25/395827/3967
Cardiogenic shockCardiac disorders23/395818/3967
Cardiac arrestCardiac disorders18/395821/3967
Staphylococcal bacteraemiaInfections and infestations18/395819/3967
Cardiac failureCardiac disorders12/39586/3967
Acute myocardial infarctionCardiac disorders6/395811/3967
Staphylococcal mediastinitisInfections and infestations8/39589/3967
Circulatory collapseVascular disorders3/39589/3967
Cardio-respiratory arrestCardiac disorders8/39582/3967
Most frequent other events
Most frequent other events
EventV710 (60 µg) LyophilizedPlacebo
Injection site painGeneral disorders533/3958232/3967
Injection site erythemaGeneral disorders280/3958102/3967
Injection site swellingGeneral disorders217/395879/3967

Baseline characteristics

Age, Continuous
Age, Continuous(years)V710 60 µgPlaceboTotal
Mean63.6 ± 12.663.9 ± 12.563.8 ± 12.5
Sex: Female, Male
Sex: Female, Male(Participants)V710 60 µgPlaceboTotal
Female132813362664
Male267726695346
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Fowler VG, Allen KB, Moreira ED, Moustafa M, Isgro F, Boucher HW, Corey GR, Carmeli Y, Betts R, Hartzel JS, Chan IS, McNeely TB, Kartsonis NA, Guris D, Onorato MT, Smugar SS, DiNubile MJ, Sobanjo-ter Meulen A. Effect of an investigational vaccine for preventing Staphylococcus aureus infections after cardiothoracic surgery: a randomized trial. JAMA. 2013 Apr 3;309(13):1368-78. doi: 10.1001/jama.2013.3010. PubMed 23549582 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 2, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00518687
Responsible party
Sponsor
First posted
Aug 21, 2007
Start date
Dec 2007
Primary completion
Aug 2011
Completion
Aug 2011
Results posted
Nov 4, 2012
Last update
Oct 2, 2015

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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