A Phase 4 interventional study of 7-pneumococcal conjugate vaccine (7vPnC) and diphtheria, tetanus, and acellular pertussis vaccine (DTaP) in Healthy Subjects, sponsored by Pfizer. Completed at 18 sites in Japan. Open to participants aged 3 Months to 6 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-02-26.
Sponsored by Pfizer · Phase 4, Interventional, and Prevention
Subjects will be randomly assigned to 1 of 2 groups to receive the following vaccines: Group 1: 7-valent pneumococcal conjugate vaccine (7vPnC) and diphtheria, tetanus, and accelular pertussis vaccine (DTaP), Group 2: DTaP alone. Group 2 subjects will also receive catch-up doses of 7vPnC. The study vaccines will be open-label. The main purpose of the study is to demonstrate that the immune responses as measured by serum antibody responses to diphtheria toxin, tetanus toxin, pertussis toxin (PT) and filamentous haemagglutinin (FHA) induced by DTaP given concomitantly with 7vPnC are comparable to the immune responses induced by DTaP given alone. In addition, the study aims to evaluate the side effects (safety profile) after vaccination of 7vPnC when given with DTaP in healthy Japanese infants.
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Exclusion Criteria:
Experimental
Biological: 7-pneumococcal conjugate vaccine (7vPnC) · Biological: diphtheria, tetanus, and acellular pertussis vaccine (DTaP)
Active comparator
Biological: DTaP
0.5 mL per dose, 4 doses
0.5 mL per dose, 4 doses
0.5 mL per dose, 4 doses
Percentage of Participants Achieving Predefined Antibody Levels for Diphtheria Toxoid, Tetanus Toxoid, and Pertussis Antigens 1 Month After the Infant Series
Percentage of participants achieving predefined antibody level along with the corresponding 95% confidence interval (CI) were presented. Exact 2-sided CI based on the observed proportion of participants. Predefined antibody levels were 0.1 International Units/mL (IU/mL) for diphtheria, 0.01 IU/mL for tetanus, 5 Enzyme-linked Immunosorbent Assay (ELISA) units/mL (EU/mL) for pertussis toxoid (PT), and 5 EU/mL for filamentous hemagglutinin (FHA).
Time frame: 1 month after the infant series
Geometric Mean Concentration (GMC) for Antigen-specific Diphtheria and Tetanus Antibody 1 Month After the Infant Series
Geometric mean concentrations (GMCs) were measured in IU/mL and corresponding 2-sided 95% confidence interval (CI) were evaluated for diphtheria and tetanus antibodies.
Time frame: 1 month after the infant series
Geometric Mean Concentration (GMC) for Antigen-specific Acellular Pertussis Antibody 1 Month After the Infant Series
GMCs were measured in EU/mL and corresponding 2-sided 95% CI were evaluated for PT and FHA antibodies.
Time frame: 1 month after the infant series
Percentage of Participants Achieving Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody Level Greater Than or Equal to (>=) 0.35 Microgram Per Milliliter (Mcg/mL) 1 Month After the Infant Series
Percentage of participants achieving predefined antibody threshold \>=0.35 mcg/mL along with the corresponding 95% CI for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F and 23F) were presented. Exact 2-sided CI based on the observed proportion of participants.
Time frame: 1 month after the infant series
Geometric Mean Concentration (GMC) of Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody 1 Month After the Infant Series
Antibody geometric mean concentrations (GMCs) for 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) were presented. GMC and corresponding 2-sided 95% CI were evaluated. Geometric means (GMs) were calculated using all participants with available data for the specified blood draw.
Time frame: 1 month after the infant series
Percentage of Participants Achieving Predefined Antibody Levels for Diphtheria Toxoid, Tetanus Toxoid, and Pertussis Antigens 1 Month After the Toddler Dose
Percentage of participants achieving predefined antibody level along with the corresponding 95% CI were presented. Exact 2-sided CI based on the observed proportion of participants. Predefined antibody levels were 0.1 IU/mL for diphtheria, 0.01 IU/mL for tetanus, 5 EU/mL for PT, and 5 EU/mL for FHA.
Time frame: 1 month after the toddler dose
Geometric Mean Concentration (GMC) for Antigen-specific Diphtheria and Tetanus Antibody 1 Month After the Toddler Dose
GMCs were measured in IU/mL and corresponding 2-sided 95% CI were evaluated for diphtheria and tetanus antibodies.
Time frame: 1 month after the toddler dose
Geometric Mean Concentration (GMC) for Antigen-specific Acellular Pertussis Antibody 1 Month After the Toddler Dose
GMCs were measured in EU/mL and corresponding 2-sided 95% CI were evaluated for PT and FHA antibodies.
Time frame: 1 month after the toddler dose
Percentage of Participants Achieving Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody Level >=0.35 Mcg/mL 1 Month After the Toddler Dose
Percentage of participants achieving predefined antibody threshold \>=0.35 mcg/mL along with the corresponding 95% CI for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F and 23F) were presented. Exact 2-sided CI based on the observed proportion of participants.
Time frame: 1 month after the toddler dose
Geometric Mean Concentration (GMC) of Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody 1 Month After the Toddler Dose
Antibody GMCs for 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) were presented. GMC and corresponding 2-sided 95% CIs were evaluated. GMs were calculated using all participants with available data for the specified blood draw.
Time frame: 1 month after the toddler dose
Geometric Mean Fold Rise (GMFR) of Pneumococcal Antibodies From Pretoddler Dose to 1 Month After the Toddler Dose
Geometric mean fold rises (GMFRs) for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) from prevaccination to 1 month postvaccination were computed using the logarithmically transformed assay results. CI for the GMFRs were back transformations of a CI based on the Student t distribution for the logarithmically transformed assay results.
Time frame: Pre-toddler dose, 1 month after the toddler dose
Percentage of Participants Achieving Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody Level >=0.35 Mcg/mL 1 Month After Catch-up Dose 3
Percentage of participants achieving predefined antibody threshold \>=0.35 mcg/mL along with the corresponding 95% CI for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F and 23F) were presented. Exact 2-sided CI based on the observed proportion of participants.
Time frame: 1 month after the catch-up dose 3
Geometric Mean Concentration (GMC) of Serotype-specific Pneumococcal Immunoglobulin G (IgG) Antibody 1 Month After Catch-up Dose 3
Antibody GMCs for 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) were presented. GMC and corresponding 2-sided 95% CI were evaluated. GMs were calculated using all participants with available data for the specified blood draw.
Time frame: 1 month after the catch-up dose 3
Percentage of Participants Reporting Pre-Specified Local Reactions: Infant Series Dose 1 (3 to 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after Dose 1 of the infant series
Percentage of Participants Reporting Pre-Specified Local Reactions: Infant Series Dose 2 (4 to 8 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after Dose 2 of the infant series
Percentage of Participants Reporting Pre-Specified Local Reactions: Infant Series Dose 3 (5 to 10 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after Dose 3 of the infant series
Percentage of Participants Reporting Pre-Specified Local Reactions: Toddler Dose (12 to 15 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after the toddler dose
Percentage of Participants Reporting Pre-Specified Local Reactions: Post Infant Series Catch-up Dose 1 (6 to 11.5 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was catch-up 7vPnC injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after Catch-up Dose 1
Percentage of Participants Reporting Pre-Specified Local Reactions: Post Infant Series Catch-up Dose 2 (7 to 13 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was catch-up 7vPnC injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after Catch-up Dose 2
Percentage of Participants Reporting Pre-Specified Local Reactions: Post Infant Series Catch-up Dose 3 (13 to16.5 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). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was catch-up 7vPnC injection site in the DTaP (Catch-up 7vPnC) group.
Time frame: Within 7 days after Catch-up Dose 3
Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 1 (3 to 6 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after Dose 1 of the infant series
Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 2 (4 to 8 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after Dose 2 of the infant series
Percentage of Participants Reporting Pre-Specified Systemic Events: Infant Series Dose 3 (5 to 10 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after Dose 3 of the infant series
Percentage of Participants Reporting Pre-Specified Systemic Events: Toddler Dose (12 to 15 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after the toddler dose
Percentage of Participants Reporting Pre-Specified Systemic Events: Post Infant Series Catch-up Dose 1 (6 to 11.5 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after Catch-up Dose 1
Percentage of Participants Reporting Pre-Specified Systemic Events: Post Infant Series Catch-up Dose 2 (7 to 13 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after Catch-up Dose 2
Percentage of Participants Reporting Pre-Specified Systemic Events: Post Infant Series Catch-up Dose 3 (13 to 16.5 Months of Age)
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
Time frame: Within 7 days after Catch-up Dose 3
| Milestone | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Started | 161 | 160 |
| Vaccinated dose 1 | 159 | 158 |
| Vaccinated dose 2 | 147 | 157 |
| Vaccinated dose 3 | 133 | 155 |
| Completed | 133 | 153 |
| Not completed | 28 | 7 |
| Withdrew: Withdrawal by subject | 4 | 5 |
| Withdrew: Randomized, not vaccinated | 2 | 2 |
| Withdrew: Other | 22 | 0 |
| Milestone | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Started | 133 | 153 |
| Completed | 122 | 149 |
| Not completed | 11 | 4 |
| Withdrew: Adverse event | 5 | 2 |
| Withdrew: Withdrawal by subject | 4 | 1 |
| Withdrew: Other | 2 | 1 |
| Milestone | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Started | 122 | 149 |
| Completed | 122 | 148 |
| Not completed | 0 | 1 |
| Withdrew: Adverse event | 0 | 1 |
| Milestone | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Started | 0 | 148 |
| Completed | 0 | 147 |
| Not completed | 0 | 1 |
| Withdrew: Adverse event | 0 | 1 |
Percentage of participants achieving predefined antibody level along with the corresponding 95% confidence interval (CI) were presented. Exact 2-sided CI based on the observed proportion of participants. Predefined antibody levels were 0.1 International Units/mL (IU/mL) for diphtheria, 0.01 IU/mL for tetanus, 5 Enzyme-linked Immunosorbent Assay (ELISA) units/mL (EU/mL) for pertussis toxoid (PT), and 5 EU/mL for filamentous hemagglutinin (FHA).
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Diphtheria | 100.0 (97.2 to 100.0) | 100.0 (97.6 to 100.0) |
| Tetanus | 100.0 (97.2 to 100.0) | 100.0 (97.6 to 100.0) |
| Pertussis toxoid (PT) | 100.0 (97.2 to 100.0) | 100.0 (97.6 to 100.0) |
| Filamentous hemagglutinin (FHA) | 100.0 (97.2 to 100.0) | 100.0 (97.6 to 100.0) |
Geometric mean concentrations (GMCs) were measured in IU/mL and corresponding 2-sided 95% confidence interval (CI) were evaluated for diphtheria and tetanus antibodies.
| IU/mL | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Diphtheria | 1.38 (1.27 to 1.49) | 0.99 (0.91 to 1.09) |
| Tetanus | 1.91 (1.69 to 2.16) | 2.05 (1.83 to 2.29) |
GMCs were measured in EU/mL and corresponding 2-sided 95% CI were evaluated for PT and FHA antibodies.
| EU/mL | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Pertussis toxoid (PT) | 76.79 (70.81 to 83.28) | 83.56 (77.54 to 90.05) |
| Filamentous hemagglutinin (FHA) | 72.89 (65.80 to 80.74) | 77.85 (71.01 to 85.35) |
Percentage of participants achieving predefined antibody threshold \>=0.35 mcg/mL along with the corresponding 95% CI for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F and 23F) were presented. Exact 2-sided CI based on the observed proportion of participants.
| Percentage of participants | 7vPnC + DTaP |
|---|---|
| 4 | 100.0 (97.2 to 100.0) |
| 6B | 99.2 (95.9 to 100.0) |
| 9V | 100.0 (97.2 to 100.0) |
| 14 | 99.2 (95.9 to 100.0) |
| 18C | 99.2 (95.8 to 100.0) |
| 19F | 97.7 (93.5 to 99.5) |
| 23F | 98.5 (94.6 to 99.8) |
Antibody geometric mean concentrations (GMCs) for 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) were presented. GMC and corresponding 2-sided 95% CI were evaluated. Geometric means (GMs) were calculated using all participants with available data for the specified blood draw.
| mcg/mL | 7vPnC + DTaP |
|---|---|
| 4 | 11.82 (10.50 to 13.31) |
| 6B | 4.23 (3.61 to 4.97) |
| 9V | 5.96 (5.37 to 6.62) |
| 14 | 16.61 (14.66 to 18.81) |
| 18C | 5.48 (4.76 to 6.31) |
| 19F | 8.85 (7.54 to 10.40) |
| 23F | 4.17 (3.54 to 4.91) |
Percentage of participants achieving predefined antibody level along with the corresponding 95% CI were presented. Exact 2-sided CI based on the observed proportion of participants. Predefined antibody levels were 0.1 IU/mL for diphtheria, 0.01 IU/mL for tetanus, 5 EU/mL for PT, and 5 EU/mL for FHA.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Diphtheria | 100.0 (97.0 to 100.0) | 100.0 (97.5 to 100.0) |
| Tetanus | 100.0 (97.0 to 100.0) | 100.0 (97.5 to 100.0) |
| Pertussis toxoid (PT) | 100.0 (97.0 to 100.0) | 100.0 (97.5 to 100.0) |
| Filamentous hemagglutinin (FHA) | 100.0 (97.0 to 100.0) | 100.0 (97.5 to 100.0) |
GMCs were measured in IU/mL and corresponding 2-sided 95% CI were evaluated for diphtheria and tetanus antibodies.
| IU/mL | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Diphtheria | 2.56 (2.35 to 2.78) | 2.14 (1.94 to 2.35) |
| Tetanus | 2.53 (2.26 to 2.82) | 3.04 (2.74 to 3.38) |
GMCs were measured in EU/mL and corresponding 2-sided 95% CI were evaluated for PT and FHA antibodies.
| EU/mL | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| PT | 106.54 (96.10 to 118.12) | 130.62 (119.60 to 142.65) |
| FHA | 120.99 (109.75 to 133.39) | 145.38 (132.41 to 159.63) |
Percentage of participants achieving predefined antibody threshold \>=0.35 mcg/mL along with the corresponding 95% CI for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F and 23F) were presented. Exact 2-sided CI based on the observed proportion of participants.
| Percentage of participants | 7vPnC + DTaP |
|---|---|
| 4 | 100.0 (97.0 to 100.0) |
| 6B | 100.0 (97.0 to 100.0) |
| 9V | 100.0 (97.0 to 100.0) |
| 14 | 100.0 (97.0 to 100.0) |
| 18C | 99.2 (95.5 to 100.0) |
| 19F | 99.2 (95.5 to 100.0) |
| 23F | 100.0 (97.0 to 100.0) |
Antibody GMCs for 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) were presented. GMC and corresponding 2-sided 95% CIs were evaluated. GMs were calculated using all participants with available data for the specified blood draw.
| mcg/mL | 7vPnC + DTaP |
|---|---|
| 4 | 12.15 (10.35 to 14.26) |
| 6B | 10.66 (8.96 to 12.68) |
| 9V | 6.43 (5.57 to 7.42) |
| 14 | 15.83 (13.81 to 18.14) |
| 18C | 6.53 (5.49 to 7.76) |
| 19F | 9.70 (8.15 to 11.56) |
| 23F | 10.17 (8.58 to 12.07) |
Geometric mean fold rises (GMFRs) for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) from prevaccination to 1 month postvaccination were computed using the logarithmically transformed assay results. CI for the GMFRs were back transformations of a CI based on the Student t distribution for the logarithmically transformed assay results.
| Fold Rise | 7vPnC + DTaP |
|---|---|
| 4 | 6.74 (5.75 to 7.90) |
| 6B | 5.89 (5.09 to 6.81) |
| 9V | 4.34 (3.81 to 4.93) |
| 14 | 3.63 (3.22 to 4.09) |
| 18C | 6.90 (6.06 to 7.85) |
| 19F | 6.37 (5.35 to 7.59) |
| 23F | 8.10 (7.01 to 9.35) |
Percentage of participants achieving predefined antibody threshold \>=0.35 mcg/mL along with the corresponding 95% CI for the 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F and 23F) were presented. Exact 2-sided CI based on the observed proportion of participants.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| 4 | 100.0 (97.5 to 100.0) |
| 6B | 99.3 (96.3 to 100.0) |
| 9V | 100.0 (97.5 to 100.0) |
| 14 | 100.0 (97.5 to 100.0) |
| 18C | 99.3 (96.3 to 100.0) |
| 19F | 100.0 (97.5 to 100.0) |
| 23F | 99.3 (96.3 to 100.0) |
Antibody GMCs for 7 pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) were presented. GMC and corresponding 2-sided 95% CI were evaluated. GMs were calculated using all participants with available data for the specified blood draw.
| mcg/mL | DTaP (Catch-up 7vPnC) |
|---|---|
| 4 | 6.63 (5.91 to 7.44) |
| 6B | 4.30 (3.75 to 4.93) |
| 9V | 3.48 (3.12 to 3.89) |
| 14 | 11.55 (10.30 to 12.95) |
| 18C | 3.10 (2.69 to 3.57) |
| 19F | 5.16 (4.45 to 5.99) |
| 23F | 4.41 (3.78 to 5.14) |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Erythema-Any (n= 152, 152) | 57.2 | 14.5 |
| Erythema-Mild (n= 152, 151) | 52.6 | 12.6 |
| Erythema-Moderate (n= 148, 152) | 14.9 | 2.0 |
| Erythema-Severe (n= 148, 151) | 0.0 | 0.0 |
| Induration-Any (n= 149, 153) | 40.3 | 7.8 |
| Induration-Mild (n= 149, 153) | 38.3 | 7.8 |
| Induration-Moderate (n= 148, 151) | 10.1 | 0.0 |
| Induration-Severe (n= 148, 151) | 0.0 | 0.0 |
| Tenderness-Any (n= 148, 151) | 12.2 | 0.7 |
| Tenderness-Significant (n= 148, 151) | 0.0 | 0.0 |
| Any local reaction (n= 152, 154) | 66.4 | 15.6 |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Erythema-Any (n= 142, 150) | 64.1 | 39.3 |
| Erythema-Mild (n= 142, 150) | 58.5 | 33.3 |
| Erythema-Moderate (n= 134, 147) | 32.1 | 6.8 |
| Erythema-Severe (n= 133, 147) | 0.0 | 0.0 |
| Induration-Any (n= 137, 150) | 51.8 | 30.0 |
| Induration-Mild (n= 137, 150) | 49.6 | 28.7 |
| Induration-Moderate (n= 134, 148) | 23.9 | 6.8 |
| Induration-Severe (n= 133, 147) | 0.0 | 0.0 |
| Tenderness-Any (n= 133, 147) | 7.5 | 4.1 |
| Tenderness-Significant (n= 133, 147) | 0.0 | 0.0 |
| Any local reaction (n= 143, 151) | 69.2 | 45.0 |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Erythema-Any (n= 123, 144) | 52.8 | 30.6 |
| Erythema-Mild (n= 123, 143) | 46.3 | 28.0 |
| Erythema-Moderate (n= 120, 139) | 20.0 | 5.8 |
| Erythema-Severe (n= 118, 138) | 0.0 | 0.0 |
| Induration-Any (n= 124, 144) | 44.4 | 19.4 |
| Induration-Mild (n= 124, 144) | 42.7 | 19.4 |
| Induration-Moderate (n= 119, 139) | 11.8 | 2.2 |
| Induration-Severe (n= 118, 138) | 0.0 | 0.0 |
| Tenderness-Any (n= 119, 138) | 5.0 | 3.6 |
| Tenderness-Significant (n= 118, 138) | 0.0 | 0.0 |
| Any local reaction (n= 126, 145) | 61.1 | 33.1 |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was 7vPnC injection site in the 7vPnC+DTaP group, and DTaP injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Erythema-Any (n= 108, 137) | 51.9 | 32.1 |
| Erythema-Mild (n= 106, 137) | 48.1 | 28.5 |
| Erythema-Moderate (n= 102, 134) | 23.5 | 7.5 |
| Erythema-Severe (n= 98, 133) | 0.0 | 0.0 |
| Induration-Any (n= 108, 137) | 42.6 | 23.4 |
| Induration-Mild (n= 108, 137) | 40.7 | 19.7 |
| Induration-Moderate (n= 99, 133) | 16.2 | 6.8 |
| Induration-Severe (n= 98, 133) | 0.0 | 0.0 |
| Tenderness-Any (n= 99, 136) | 11.1 | 4.4 |
| Tenderness-Significant (n= 98, 133) | 0.0 | 0.0 |
| Any local reaction (n= 110, 138) | 56.4 | 39.1 |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was catch-up 7vPnC injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| Erythema-Any (n= 139) | 51.8 |
| Erythema-Mild (n= 139) | 45.3 |
| Erythema-Moderate (n= 136) | 10.3 |
| Erythema-Severe (n= 135) | 0.0 |
| Induration-Any (n= 138) | 34.8 |
| Induration-Mild (n= 138) | 32.6 |
| Induration-Moderate (n= 135) | 8.1 |
| Induration-Severe (n= 135) | 0.0 |
| Tenderness-Any (n= 136) | 8.1 |
| Tenderness-Significant (n= 135) | 0.0 |
| Any local reaction (n= 141) | 54.6 |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was catch-up 7vPnC injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| Erythema-Any (n= 144) | 50.7 |
| Erythema-Mild (n= 144) | 45.1 |
| Erythema-Moderate (n= 140) | 13.6 |
| Erythema-Severe (n= 138) | 0.0 |
| Induration-Any (n= 144) | 32.6 |
| Induration-Mild (n= 143) | 30.1 |
| Induration-Moderate (n= 140) | 15.0 |
| Induration-Severe (n= 138) | 0.0 |
| Tenderness-Any (n= 139) | 5.0 |
| Tenderness-Significant (n= 138) | 0.0 |
| Any local reaction (n= 145) | 55.2 |
Local reactions were reported using an electronic diary. Tenderness was scaled as Any (tenderness present); Significant (present and interfered with limb movement). Erythema and induration were scaled as Any (erythema and induration present); Mild (0.5 to 2.0 centimeters \[cm\]); Moderate (2.5 to 7.0 cm); Severe (\> 7.0 cm). Participants may be represented in more than 1 category. Injection site being evaluated for local reactions was catch-up 7vPnC injection site in the DTaP (Catch-up 7vPnC) group.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| Erythema-Any (n= 134) | 32.1 |
| Erythema-Mild (n= 133) | 27.1 |
| Erythema-Moderate (n= 131) | 9.9 |
| Erythema-Severe (n= 130) | 0.0 |
| Induration-Any (n= 134) | 27.6 |
| Induration-Mild (n= 133) | 24.8 |
| Induration-Moderate (n= 131) | 9.9 |
| Induration-Severe (n= 130) | 0.0 |
| Tenderness-Any (n= 132) | 6.8 |
| Tenderness-Significant (n= 130) | 0.0 |
| Any local reaction (n= 137) | 40.9 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Fever >=37.5 but =<39 degrees C(n=149,152) | 18.8 | 15.8 |
| Fever >39 but =<40.0 degrees C(n=148,151) | 2.0 | 2.0 |
| Fever >40 degrees C(n=148,151) | 0.0 | 0.0 |
| Decreased appetite(n=148,151) | 8.8 | 7.9 |
| Irritability(n=151,151) | 15.2 | 9.3 |
| Increased sleep(n=150,153) | 32.0 | 25.5 |
| Decreased sleep(n=151,151) | 16.6 | 15.2 |
| Hives (urticaria)(n=148,151) | 1.4 | 0.7 |
| Antipyretic medication to treat symptom(n=148,151) | 1.4 | 1.3 |
| Any systemic event(n=154,153) | 57.8 | 48.4 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Fever >=37.5 but =<39 degrees C(n=138,149) | 25.4 | 15.4 |
| Fever >39 but =<40.0 degrees C(n=135,147) | 2.2 | 0.0 |
| Fever >40 degrees C(n=133,147) | 0.0 | 0.7 |
| Decreased appetite(n=135,147) | 11.9 | 5.4 |
| Irritability(n=134,149) | 19.4 | 12.1 |
| Increased sleep(n=136,148) | 19.1 | 12.8 |
| Decreased sleep(n=140,151) | 17.1 | 15.2 |
| Hives (urticaria)(n=133,147) | 3.0 | 0.0 |
| Antipyretic medication to treat symptom(n=134,147) | 2.2 | 2.0 |
| Any systemic event(n=142,153) | 53.5 | 38.6 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Fever >=37.5 but =<39 degrees C(n=120,141) | 19.2 | 14.9 |
| Fever >39 but =<40.0 degrees C(n=118,138) | 1.7 | 0.7 |
| Fever >40 degrees C(n=118,138) | 0.0 | 0.0 |
| Decreased appetite(n=119,138) | 8.4 | 6.5 |
| Irritability(n=118,139) | 10.2 | 7.2 |
| Increased sleep(n=119,141) | 16.0 | 18.4 |
| Decreased sleep(n=120,140) | 6.7 | 14.3 |
| Hives (urticaria)(n=119,138) | 1.7 | 0.0 |
| Antipyretic medication to treat symptom(n=119,138) | 1.7 | 2.2 |
| Any systemic event(n=122,143) | 39.3 | 36.4 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) |
|---|---|---|
| Fever >=37.5 but =<39 degrees C(n=103,135) | 34.0 | 22.2 |
| Fever >39 but =<40.0 degrees C(n=99,132) | 5.1 | 2.3 |
| Fever >40 degrees C(n=98,132) | 1.0 | 0.0 |
| Decreased appetite(n=100,133) | 9.0 | 8.3 |
| Irritability(n=100,134) | 17.0 | 9.7 |
| Increased sleep(n=103,135) | 20.4 | 15.6 |
| Decreased sleep(n=101,133) | 10.9 | 7.5 |
| Hives (urticaria)(n=98,133) | 1.0 | 0.8 |
| Antipyretic medication to treat symptom(n=98,133) | 4.1 | 4.5 |
| Any systemic event(n=108,138) | 52.8 | 39.9 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| Fever >=37.5 but =<39 degrees C(n=139) | 32.4 |
| Fever >39 but =<40.0 degrees C(n=135) | 2.2 |
| Fever >40 degrees C(n=135) | 0.0 |
| Decreased appetite(n=136) | 8.1 |
| Irritability(n=136) | 12.5 |
| Increased sleep(n=136) | 17.6 |
| Decreased sleep(n=136) | 11.8 |
| Hives (urticaria)(n=135) | 0.7 |
| Antipyretic medication to treat symptom(n=136) | 5.9 |
| Any systemic event(n=139) | 49.6 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| Fever >=37.5 but =<39 degrees C(n=140) | 32.1 |
| Fever >39 but =<40.0 degrees C(n=138) | 5.1 |
| Fever >40 degrees C(n=138) | 0.7 |
| Decreased appetite(n=138) | 10.9 |
| Irritability(n=138) | 11.6 |
| Increased sleep(n=138) | 15.9 |
| Decreased sleep(n=139) | 10.1 |
| Hives (urticaria)(n=138) | 2.2 |
| Antipyretic medication to treat symptom(n=138) | 5.1 |
| Any systemic event(n=141) | 47.5 |
Systemic events (any fever \>= 37.5 degrees Celsius \[C\], decreased appetite, irritability, increased sleep, decreased sleep, and hives \[urticaria\]), were reported using an electronic diary. Participants may be represented in more than 1 category.
| Percentage of participants | DTaP (Catch-up 7vPnC) |
|---|---|
| Fever >=37.5 but =<39 degrees C(n=134) | 26.9 |
| Fever >39 but =<40.0 degrees C(n=130) | 0.8 |
| Fever >40 degrees C(n=130) | 0.0 |
| Decreased appetite(n=130) | 6.2 |
| Irritability(n=131) | 9.2 |
| Increased sleep(n=131) | 10.7 |
| Decreased sleep(n=131) | 6.9 |
| Hives (urticaria)(n=131) | 0.8 |
| Antipyretic medication to treat symptom(n=130) | 1.5 |
| Any systemic event(n=136) | 39.0 |
Collected over AEs/SAEs: recorded from signing of informed consent form to completion of study. Participants recorded prespecified AEs in electronic diary:local reactions; systemic events; use of antipyretic medication (up to 7 days after each vaccine dose).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 7vPnC + DTaP - Infant Series | — | 3/159 (1.9%) | 123/159 (77.4%) |
| DTaP (Catch-up 7vPnC)- Infant Series | — | 7/158 (4.4%) | 126/158 (79.7%) |
| 7vPnC + DTaP - After the Infant Series | — | 10/159 (6.3%) | 20/159 (12.6%) |
| DTaP (Catch-up 7vPnC) - After the Infant Series | — | 7/158 (4.4%) | 129/158 (81.6%) |
| 7vPnC + DTaP - Toddler Dose | — | 0/122 (0%) | 72/122 (59%) |
| DTaP (Catch-up 7vPnC) - Toddler Dose | — | 4/149 (2.7%) | 96/149 (64.4%) |
| DTaP (Catch-up 7vPnC) - After the Toddler Dose | — | 1/149 (0.7%) | 85/149 (57%) |
| Event | 7vPnC + DTaP - Infant Series | DTaP (Catch-up 7vPnC)- Infant Series | 7vPnC + DTaP - After the Infant Series | DTaP (Catch-up 7vPnC) - After the Infant Series | 7vPnC + DTaP - Toddler Dose | DTaP (Catch-up 7vPnC) - Toddler Dose | DTaP (Catch-up 7vPnC) - After the Toddler Dose |
|---|---|---|---|---|---|---|---|
| Febrile convulsionNervous system disorders | 0/159 | 0/158 | 4/159 | 2/158 | 0/122 | 1/149 | 1/149 |
| BronchopneumoniaInfections and infestations | 0/159 | 0/158 | 0/159 | 0/158 | 0/122 | 2/149 | 0/149 |
| PneumoniaInfections and infestations | 0/159 | 0/158 | 2/159 | 0/158 | 0/122 | 0/149 | 0/149 |
| Burns second degreeInjury, poisoning and procedural complications | 0/159 | 0/158 | 0/159 | 0/158 | 0/122 | 1/149 | 0/149 |
| Inguinal herniaGastrointestinal disorders | 0/159 | 1/158 | 0/159 | 0/158 | 0/122 | 0/149 | 0/149 |
| IntussusceptionGastrointestinal disorders | 0/159 | 1/158 | 1/159 | 1/158 | 0/122 | 0/149 | 0/149 |
| PyrexiaGeneral disorders | 0/159 | 1/158 | 0/159 | 0/158 | 0/122 | 0/149 | 0/149 |
| Gastroenteritis viralInfections and infestations | 1/159 | 1/158 | 1/159 | 0/158 | 0/122 | 0/149 | 0/149 |
| Respiratory syncytial virus bronchitisInfections and infestations | 1/159 | 1/158 | 0/159 | 0/158 | 0/122 | 0/149 | 0/149 |
| Bronchitis bacterialInfections and infestations | 0/159 | 1/158 | 0/159 | 0/158 | 0/122 | 0/149 | 0/149 |
| Event | 7vPnC + DTaP - Infant Series | DTaP (Catch-up 7vPnC)- Infant Series | 7vPnC + DTaP - After the Infant Series | DTaP (Catch-up 7vPnC) - After the Infant Series | 7vPnC + DTaP - Toddler Dose | DTaP (Catch-up 7vPnC) - Toddler Dose | DTaP (Catch-up 7vPnC) - After the Toddler Dose |
|---|---|---|---|---|---|---|---|
| Erythema (Any)Skin and subcutaneous tissue disorders | 91/142 | 59/150 | — | 73/144 | — | — | — |
| Erythema (Mild)Skin and subcutaneous tissue disorders | 83/142 | 50/150 | — | 65/144 | — | — | — |
| Erythema (Any)Skin and subcutaneous tissue disorders | 87/152 | 22/152 | — | 72/139 | 56/108 | 44/137 | — |
| Erythema (Any)Skin and subcutaneous tissue disorders | 65/123 | 44/144 | — | — | — | — | 43/134 |
| Erythema (Mild)Skin and subcutaneous tissue disorders | 80/152 | 19/151 | — | 63/139 | 51/106 | 39/137 | — |
| Induration (Any)Skin and subcutaneous tissue disorders | 71/137 | 45/150 | — | 47/144 | — | — | — |
| Induration (Mild)Skin and subcutaneous tissue disorders | 68/137 | 43/150 | — | 43/143 | — | — | — |
| Erythema (Mild)Skin and subcutaneous tissue disorders | 57/123 | 40/143 | — | — | — | — | 36/133 |
| Induration (Any)Skin and subcutaneous tissue disorders | 55/124 | 28/144 | — | — | — | — | 37/134 |
| Induration (Mild)Skin and subcutaneous tissue disorders | 53/124 | 28/144 | — | — | — | — | 33/133 |
| Age Continuous(months) | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) | Total |
|---|---|---|---|
| Mean | 3.8 ± 0.91 | 3.9 ± 0.94 | 3.9 ± 0.93 |
| Sex: Female, Male(Participants) | 7vPnC + DTaP | DTaP (Catch-up 7vPnC) | Total |
|---|---|---|---|
| Female | 80 | 82 | 162 |
| Male | 81 | 78 | 159 |
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