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CompletedNCT03480802PNEU-WAYUpdated May 5, 2022Results posted

A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by PNEUMOVAX™23 in Adults Infected With Human Immunodeficiency Virus (HIV) (V114-018)

A Phase 3 interventional study of V114 and Prevnar 13™ in Pneumococcal Infections, sponsored by Merck Sharp & Dohme LLC. Completed at 13 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-05.

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

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Phase
Phase 3
Study type
Interventional
Enrollment
302
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 43 studies in Pneumococcal Infections by Merck & Co., Inc — 1 open to participants now, 1 under way, none of them phase 3. Pneumococcal Infections · Merck & Co., Inc.

Enrollment
30th of 43
302 · median 518
Started
2018
with 6 others
Phase 3
31 of 43
none open now
Registered
16th of 43
by date

Among the 43 studies in Pneumococcal Infections by Merck & Co., Inc, this one is the 30th largest by enrollment, is one of 7 that started in 2018, is one of 31 in phase 3, and was the 16th registered.

Pneumococcal Infections

298 studies on the registry are indexed under Pneumococcal Infections; 25 are open to participants now.

Browse Pneumococcal Infections studies →

Open to participants now

1 of the 43 studies in Pneumococcal Infections by Merck & Co., Inc is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Who these studies take

Of the 20 Pneumococcal Infections studies recruiting now, 4 (20%) set no upper age limit and 14 (70%) stop at 75 or younger; 14 take children under 18; 16 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This study is designed to 1) describe the safety, tolerability, and immunogenicity of V114 and Prevnar 13™ in pneumococcal vaccine-naïve adults infected with HIV and to 2) describe the safety, tolerability, and immunogenicity of PNEUMOVAX™23 when administered 8 weeks after receipt of either V114 or Prevnar 13™.

03

Conditions studied

  • Pneumococcal Infections

Keywords

  • Conjugate pneumococcal vaccine, 15-valent, 22F, 33F
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

  • Male or female infected with (HIV) and Cluster of Differentiation 4+ (CD4+) cell count ≥50 cells/µL and plasma HIV ribonucleic acid (RNA) \<50,000 copies/mL
  • Receiving combination anti-retroviral therapy (ART) for at least 6 weeks before enrollment with no intention of changing therapy for 3 months after randomization
  • Female participant: not pregnant, not breastfeeding and 1) not of , or 2) of childbearing potential and agrees to practice through 6 weeks after administration of study vaccine.

Exclusion criteria

Exclusion Criteria:

  • History of opportunistic infections within 12 months before the first study vaccination
  • History of non-infectious acquired immune deficiency syndrome-related illness such as Kaposi's sarcoma, wasting syndrome, or -associated nephropathy
  • History of invasive pneumococcal disease
  • Known to any vaccine component
  • Known or suspected congenital immunodeficiency, functional or anatomic asplenia, or history of disease
  • Coagulation disorder contraindicating intramuscular vaccination
  • History of ≤5 years before enrollment, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
  • Female participant: positive urine or serum pregnancy test
  • Prior administration of any pneumococcal vaccine
  • Received systemic for ≥14 consecutive days and have not completed within 30 days of enrollment
  • Received therapy
  • Received a blood transfusion or blood products within 6 months of enrollment
  • Participated in another clinical study of an product within 2 months of enrollment
  • Current user of recreational or illicit drugs or recent history of drug or alcohol abuse or dependence.
Terms in these criteria, in plain language(9)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and 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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
302 participants (actual)

Study arms

  • Experimental
    V114

    Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Week 8 (Vaccination 2)

    Biological: V114 · Biological: PNEUMOVAX™23

  • Active comparator
    Prevnar 13™

    Participants will receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Week 8 (Vaccination 2)

    Biological: Prevnar 13™ · Biological: PNEUMOVAX™23

Interventions

  • BiologicalV114

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

  • BiologicalPrevnar 13™

    13-valent pneumococcal conjugate vaccine with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg) in each 0.5 ml dose

  • BiologicalPNEUMOVAX™23

    Drug page: 23-valent pneumococcal capsular polysaccharide vaccine

    23-valent pneumococcal polysaccharide vaccine with serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, 33F (25 mcg each) in each 0.5 mL dose

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 1

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs consist of redness/erythema, swelling, and tenderness/pain. The 95% confidence interval (CI) were based on the exact binomial method proposed by Clopper and Pearson.

    Time frame: Up to 5 days after Vaccination 1 (Up to Day 5)

  2. Percentage of Participants With a Solicited Systemic Adverse Event After Vaccination 1

    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 consist of muscle pain (myalgia), joint pain (arthralgia), headache, and tiredness (fatigue). The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

    Time frame: Up to 14 days after Vaccination 1 (Up to Day 14)

  3. Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 1

    A serious adverse event (SAE) is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine is determined by the investigator. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

    Time frame: Day 1 up to 8 weeks after Vaccination 1 (Up to Week 8)

  4. Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) After Vaccination 1

    Opsonization of pneumococci for phagocytosis is an important mechanism by which antibodies to polysaccharides protect against disease in vivo. Sera from participants was used to measure geometric mean titer (GMT) of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, using the Multiplexed Opsonophagocytic Assay (MOPA). This assay reads the reciprocal of the highest dilution (1/dil) that gives ≥50% bacterial killing, as determined by comparison to assay background controls. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Time frame: Day 30

  5. Geometric Mean Concentration of Serotype-specific Immunoglobulin G (IgG) After Vaccination 1

    The geometric mean concentration of IgG serotype-specific antibodies to the 13 pneumococcal polysaccharide serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) contained in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, were quantitated from participants' sera by multiplex electrochemiluminescence (ECL) using the pneumococcal electrochemiluminescence (PnECL) v2.0 assay, based on the Meso-Scale Discovery technology, which employs disposable multi-spot microtiter plates. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Time frame: Day 30

Secondary outcomes

  1. Percentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 2

    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 consist of redness/erythema, swelling, and tenderness/pain. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

    Time frame: Up to 5 days after Vaccination 2 (Up to Day 61)

  2. Percentage of Participants With a Solicited Systemic Adverse Event After Vaccination 2

    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 consist of muscle pain (myalgia), joint pain (arthralgia), headache, and tiredness (fatigue). The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

    Time frame: Up to 14 days after Vaccination 2 (Up to Day 70)

  3. Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 2

    A serious adverse event (SAE) is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine is determined by the investigator. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

    Time frame: From Week 8 up to Month 6

  4. Geometric Mean Titer of Serotype-specific OPA After Vaccination 2

    Opsonization of pneumococci for phagocytosis is an important mechanism by which antibodies to polysaccharides protect against disease in vivo. Sera from participants was used to measure GMT of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, using the MOPA. The MOPA reads the reciprocal of the highest dilution (1/dil) that gives ≥50% bacterial killing, as determined by comparison to assay background controls. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Time frame: Week 12

  5. Geometric Mean Concentration of Serotype-specific IgG After Vaccination 2

    The geometric mean concentration of IgG serotype-specific antibodies to the 13 pneumococcal polysaccharide serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) contained in V114 and Prevnar 13™ ; and two serotypes (22F and 33F) which are unique to V114, were quantitated from participants' sera by multiplex ECL using the PnECL v2.0 assay, based on the Meso-Scale Discovery technology, which employs disposable multi-spot microtiter plates. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

    Time frame: Week 12

07

Results

Posted Nov 25, 2020

Participant flow

Adults 18 years of age or older infected with human immunodeficiency virus (HIV) who did not receive a pneumococcal vaccine prior to study entry were enrolled in this study.

Participant flow — Overall Study
MilestoneV114Prevnar 13™
Started152150
Week 8150148
Completed145147
Not completed73
Withdrew: Lost to follow-up51
Withdrew: Withdrawal by subject21
Withdrew: Relocated01

Outcome measures

PrimaryPercentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 1

An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs consist of redness/erythema, swelling, and tenderness/pain. The 95% confidence interval (CI) were based on the exact binomial method proposed by Clopper and Pearson.

Time frame:
Up to 5 days after Vaccination 1 (Up to Day 5)
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 1
Percentage of ParticipantsV114Prevnar 13™
Injection site erythema4.6 (1.9 to 9.3)3.3 (1.1 to 7.6)
Injection site pain57.2 (49.0 to 65.2)51.3 (43.0 to 59.6)
Injection site swelling11.8 (7.2 to 18.1)4.0 (1.5 to 8.5)
PrimaryPercentage of Participants With a Solicited Systemic Adverse Event After Vaccination 1

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 consist of muscle pain (myalgia), joint pain (arthralgia), headache, and tiredness (fatigue). The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Time frame:
Up to 14 days after Vaccination 1 (Up to Day 14)
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Solicited Systemic Adverse Event After Vaccination 1
Percentage of ParticipantsV114Prevnar 13™
Arthralgia3.3 (1.1 to 7.5)4.0 (1.5 to 8.5)
Fatigue20.4 (14.3 to 27.7)13.3 (8.3 to 19.8)
Headache13.2 (8.2 to 19.6)9.3 (5.2 to 15.2)
Myalgia12.5 (7.7 to 18.8)9.3 (5.2 to 15.2)
PrimaryPercentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 1

A serious adverse event (SAE) is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine is determined by the investigator. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Time frame:
Day 1 up to 8 weeks after Vaccination 1 (Up to Week 8)
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 1
Percentage of ParticipantsV114Prevnar 13™
Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 10 (0.0 to 2.4)0 (0.0 to 2.4)
PrimaryGeometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) After Vaccination 1

Opsonization of pneumococci for phagocytosis is an important mechanism by which antibodies to polysaccharides protect against disease in vivo. Sera from participants was used to measure geometric mean titer (GMT) of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, using the Multiplexed Opsonophagocytic Assay (MOPA). This assay reads the reciprocal of the highest dilution (1/dil) that gives ≥50% bacterial killing, as determined by comparison to assay background controls. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Time frame:
Day 30
Reported as:
Geometric mean · 1/dil
Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) After Vaccination 1
1/dilV114Prevnar 13™
Serotype 1238.8 (173.1 to 329.3)200.9 (142.7 to 282.7)
Serotype 3116.8 (94.9 to 143.7)72.3 (58.6 to 89.2)
Serotype 4824.0 (618.8 to 1097.2)1465.5 (1154.5 to 1860.3)
Serotype 5336.7 (242.4 to 467.7)276.7 (197.9 to 386.7)
Serotype 6A6421.0 (4890.4 to 8430.7)5645.1 (4278.9 to 7447.4)
Serotype 6B4772.9 (3628.3 to 6278.7)3554.0 (2751.0 to 4591.4)
Serotype 7F6085.8 (4871.6 to 7602.8)6144.3 (4982.8 to 7576.6)
Serotype 9V2836.3 (2311.5 to 3480.4)2133.9 (1721.8 to 2644.5)
Serotype 143508.7 (2730.6 to 4508.5)3000.3 (2350.0 to 3830.5)
Serotype 18C3002.2 (2435.5 to 3700.8)1560.3 (1213.8 to 2005.6)
Serotype 19A4240.7 (3415.4 to 5265.3)3715.9 (2949.2 to 4681.8)
Serotype 19F2438.6 (1972.7 to 3014.6)2042.0 (1618.9 to 2575.5)
Serotype 23F1757.4 (1276.1 to 2420.2)1787.0 (1309.0 to 2437.9)
Serotype 22F3943.7 (3049.2 to 5100.5)109.3 (66.2 to 180.3)
Serotype 33F11342.4 (9184.3 to 14007.6)1807.6 (1357.3 to 2407.3)
PrimaryGeometric Mean Concentration of Serotype-specific Immunoglobulin G (IgG) After Vaccination 1

The geometric mean concentration of IgG serotype-specific antibodies to the 13 pneumococcal polysaccharide serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) contained in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, were quantitated from participants' sera by multiplex electrochemiluminescence (ECL) using the pneumococcal electrochemiluminescence (PnECL) v2.0 assay, based on the Meso-Scale Discovery technology, which employs disposable multi-spot microtiter plates. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Time frame:
Day 30
Reported as:
Geometric mean · μg/mL
Geometric Mean Concentration of Serotype-specific Immunoglobulin G (IgG) After Vaccination 1
μg/mLV114Prevnar 13™
Serotype 13.16 (2.48 to 4.01)4.27 (3.31 to 5.50)
Serotype 30.57 (0.48 to 0.68)0.50 (0.41 to 0.60)
Serotype 41.14 (0.90 to 1.44)2.00 (1.56 to 2.55)
Serotype 52.38 (1.89 to 3.01)2.03 (1.56 to 2.64)
Serotype 6A5.13 (3.73 to 7.04)4.91 (3.49 to 6.91)
Serotype 6B7.17 (5.34 to 9.63)5.23 (3.73 to 7.35)
Serotype 7F2.61 (2.00 to 3.41)3.74 (2.91 to 4.81)
Serotype 9V3.35 (2.71 to 4.14)3.55 (2.77 to 4.56)
Serotype 1415.44 (11.69 to 20.39)15.22 (11.56 to 20.03)
Serotype 18C5.58 (4.33 to 7.18)5.07 (3.97 to 6.48)
Serotype 19A9.09 (7.08 to 11.67)9.61 (7.36 to 12.56)
Serotype 19F6.41 (4.89 to 8.39)6.21 (4.73 to 8.15)
Serotype 23F3.92 (2.94 to 5.22)4.90 (3.54 to 6.77)
Serotype 22F3.97 (3.06 to 5.15)0.20 (0.17 to 0.25)
Serotype 33F6.83 (5.14 to 9.07)0.77 (0.62 to 0.95)
SecondaryPercentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 2

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 consist of redness/erythema, swelling, and tenderness/pain. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Time frame:
Up to 5 days after Vaccination 2 (Up to Day 61)
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Solicited Injection-site Adverse Event After Vaccination 2
Percentage of ParticipantsV114Prevnar 13™
Injection site erythema10.0 (5.7 to 16.0)12.2 (7.4 to 18.5)
Injection site pain53.3 (45.0 to 61.5)61.5 (53.1 to 69.4)
Injection site swelling20.0 (13.9 to 27.3)29.1 (21.9 to 37.1)
SecondaryPercentage of Participants With a Solicited Systemic Adverse Event After Vaccination 2

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 consist of muscle pain (myalgia), joint pain (arthralgia), headache, and tiredness (fatigue). The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Time frame:
Up to 14 days after Vaccination 2 (Up to Day 70)
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Solicited Systemic Adverse Event After Vaccination 2
Percentage of ParticipantsV114Prevnar 13™
Arthralgia2.7 (0.7 to 6.7)1.4 (0.2 to 4.8)
Fatigue12.7 (7.8 to 19.1)10.8 (6.3 to 17.0)
Headache8.7 (4.7 to 14.4)8.8 (4.8 to 14.6)
Myalgia11.3 (6.7 to 17.5)12.2 (7.4 to 18.5)
SecondaryPercentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 2

A serious adverse event (SAE) is an AE that is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine is determined by the investigator. The 95% CI were based on the exact binomial method proposed by Clopper and Pearson.

Time frame:
From Week 8 up to Month 6
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 2
Percentage of ParticipantsV114Prevnar 13™
Percentage of Participants With a Vaccine-related Serious Adverse Event After Vaccination 20 (0.0 to 2.4)0 (0.0 to 2.5)
SecondaryGeometric Mean Titer of Serotype-specific OPA After Vaccination 2

Opsonization of pneumococci for phagocytosis is an important mechanism by which antibodies to polysaccharides protect against disease in vivo. Sera from participants was used to measure GMT of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™; and two serotypes (22F and 33F) which are unique to V114, using the MOPA. The MOPA reads the reciprocal of the highest dilution (1/dil) that gives ≥50% bacterial killing, as determined by comparison to assay background controls. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Time frame:
Week 12
Reported as:
Geometric mean · 1/dil
Geometric Mean Titer of Serotype-specific OPA After Vaccination 2
1/dilV114Prevnar 13™
Serotype 1212.0 (160.5 to 280.2)154.0 (111.6 to 212.4)
Serotype 3102.8 (83.0 to 127.2)96.6 (79.5 to 117.4)
Serotype 4915.4 (722.9 to 1159.1)984.7 (772.1 to 1255.7)
Serotype 5418.1 (312.1 to 560.3)274.5 (199.9 to 376.8)
Serotype 6A4065.4 (3052.1 to 5415.1)4593.2 (3543.0 to 5954.7)
Serotype 6B3661.1 (2735.1 to 4900.6)2826.4 (2202.7 to 3626.8)
Serotype 7F5983.5 (4788.9 to 7476.1)5516.5 (4522.2 to 6729.5)
Serotype 9V2454.8 (2008.7 to 3000.0)1929.9 (1567.7 to 2375.7)
Serotype 143634.0 (2935.6 to 4498.5)2539.3 (1960.6 to 3288.9)
Serotype 18C2511.5 (1958.7 to 3220.3)1753.8 (1428.6 to 2153.1)
Serotype 19A3358.1 (2679.6 to 4208.4)3300.3 (2638.7 to 4127.7)
Serotype 19F2230.7 (1803.6 to 2759.0)1994.1 (1630.7 to 2438.4)
Serotype 23F1641.2 (1217.2 to 2212.9)1266.5 (944.3 to 1698.5)
Serotype 22F3399.9 (2697.6 to 4285.0)2952.7 (2207.7 to 3949.1)
Serotype 33F10576.3 (8383.1 to 13343.4)11926.3 (9085.9 to 15654.6)
SecondaryGeometric Mean Concentration of Serotype-specific IgG After Vaccination 2

The geometric mean concentration of IgG serotype-specific antibodies to the 13 pneumococcal polysaccharide serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) contained in V114 and Prevnar 13™ ; and two serotypes (22F and 33F) which are unique to V114, were quantitated from participants' sera by multiplex ECL using the PnECL v2.0 assay, based on the Meso-Scale Discovery technology, which employs disposable multi-spot microtiter plates. The 95% CIs were derived by exponentiating the CIs of the mean of the natural log values based on the t-distribution.

Time frame:
Week 12
Reported as:
Geometric mean · μg/mL
Geometric Mean Concentration of Serotype-specific IgG After Vaccination 2
μg/mLV114Prevnar 13™
Serotype 12.80 (2.25 to 3.49)4.04 (3.27 to 5.00)
Serotype 30.51 (0.43 to 0.61)0.59 (0.50 to 0.70)
Serotype 41.26 (1.10 to 1.57)1.61 (1.31 to 1.98)
Serotype 52.61 (2.08 to 3.28)2.13 (1.69 to 2.68)
Serotype 6A3.12 (2.27 to 4.30)3.71 (2.74 to 5.03)
Serotype 6B4.69 (3.52 to 6.25)4.35 (3.23 to 5.86)
Serotype 7F2.45 (1.91 to 3.15)3.17 (2.60 to 3.87)
Serotype 9V2.92 (2.39 to 3.57)3.24 (2.62 to 4.01)
Serotype 1413.68 (10.34 to 18.10)14.37 (11.25 to 18.36)
Serotype 18C3.96 (3.08 to 5.09)3.96 (3.18 to 4.95)
Serotype 19A7.23 (5.80 to 9.02)8.54 (6.80 to 10.72)
Serotype 19F5.19 (4.06 to 6.62)5.84 (4.67 to 7.30)
Serotype 23F3.21 (2.42 to 4.25)3.74 (2.85 to 4.91)
Serotype 22F3.94 (3.07 to 5.05)3.50 (2.75 to 4.45)
Serotype 33F6.18 (4.72 to 8.09)9.20 (7.19 to 11.77)

Adverse events

Collected over V114 and Prevnar 13™ arms: NSAEs from Day 1 up to 14 days after vaccination 1, and SAEs from Day 1 up to Week 8. V114 (Post-PPV23) and Prevnar 13™ (Post-PPV23) arms: NSAEs from week 8 up to 14 days after vaccination 2, and SAEs after Week 8 vaccination up to Month 6. All-Cause Mortality: From screening up to Month 6.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
V1140/152 (0%)3/152 (2%)103/152 (67.8%)
Prevnar 13™0/150 (0%)0/150 (0%)88/150 (58.7%)
V114 (Post-PPV23)0/150 (0%)2/150 (1.3%)88/150 (58.7%)
Prevnar 13™ (Post-PPV23)0/148 (0%)6/148 (4.1%)99/148 (66.9%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventV114Prevnar 13™V114 (Post-PPV23)Prevnar 13™ (Post-PPV23)
Herpes zosterInfections and infestations0/1520/1500/1502/148
Chest painGeneral disorders0/1520/1500/1501/148
PeritonitisInfections and infestations0/1520/1500/1501/148
Soft tissue infectionInfections and infestations0/1520/1500/1501/148
Foot fractureInjury, poisoning and procedural complications0/1520/1500/1501/148
Dry gangreneVascular disorders0/1520/1500/1501/148
AppendicitisInfections and infestations0/1520/1501/1500/148
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/1520/1501/1500/148
Chondrocalcinosis pyrophosphateMusculoskeletal and connective tissue disorders1/1520/1500/1500/148
Transient ischaemic attackNervous system disorders1/1520/1500/1500/148
Most frequent other events
Most frequent other events
EventV114Prevnar 13™V114 (Post-PPV23)Prevnar 13™ (Post-PPV23)
Injection site painGeneral disorders88/15278/15080/15092/148
Injection site swellingGeneral disorders18/1526/15030/15043/148
FatigueGeneral disorders31/15220/15019/15016/148
HeadacheNervous system disorders20/15214/15013/15013/148
MyalgiaMusculoskeletal and connective tissue disorders19/15214/15017/15018/148
Injection site erythemaGeneral disorders8/1525/15015/15018/148

Baseline characteristics

Age, Continuous
Age, Continuous(Years)V114Prevnar 13™Total
Mean42.4 ± 12.541.3 ± 12.341.9 ± 12.4
Sex: Female, Male
Sex: Female, Male(Participants)V114Prevnar 13™Total
Female323264
Male120118238
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)V114Prevnar 13™Total
Hispanic or Latino494594
Not Hispanic or Latino102104206
Unknown or Not Reported112
Race (NIH/OMB)
Race (NIH/OMB)(Participants)V114Prevnar 13™Total
American Indian or Alaska Native011
Asian243054
Native Hawaiian or Other Pacific Islander022
Black or African American514394
White414889
More than one race362662
Unknown or Not Reported000
08

Study locations

13 sites
  • Bliss Healthcare Services ( Site 0010)
    Orlando, Florida 32806, United States
  • Triple O Research Institute, P.A. ( Site 0011)
    West Palm Beach, Florida 33407, United States
  • Saint Hope Foundation, Inc. ( Site 0009)
    Houston, Texas 77060, United States
  • The Crofoot Research Center, Inc. ( Site 0002)
    Houston, Texas 77098, United States
  • Hopital Gabriel Montpied ( Site 0084)
    Clemont Ferrand, 63000, France
  • Hopital Saint Louis ( Site 0094)
    Paris Cedex 10, 75475, France
  • Hopital Cochin du Paris ( Site 0089)
    Paris, 75679, France
  • Via Libre ( Site 0043)
    Lima, 15001, Peru
  • Investigaciones Medicas en Salud - INMENSA ( Site 0041)
    Lima, 15046, Peru
  • Chris Hani Baragwanath Hospital ( Site 0122)
    Johannesburg, Soweto 1862, South Africa
  • Be Part Yoluntu Centre ( Site 0123)
    Paarl, Western Cape 7626, South Africa
  • Siriraj Hosp (Prev&Social Med). ( Site 0183)
    Bangkok, 10700, Thailand
  • Research Institute for Health. ( Site 0182)
    Chiang Mai, 50200, Thailand
09

References and documents

Publications

  • Mohapi L, Pinedo Y, Osiyemi O, Supparatpinyo K, Ratanasuwan W, Molina JM, Dagan R, Tamms G, Sterling T, Zhang Y, Pedley A, Hartzel J, Kan Y, Hurtado K, Musey L, Simon JK, Buchwald UK; V114-018 (PNEU-WAY) study group. Safety and immunogenicity of V114, a 15-valent pneumococcal conjugate vaccine, in adults living with HIV. AIDS. 2022 Mar 1;36(3):373-382. doi: 10.1097/QAD.0000000000003126. PubMed 34750291 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Data sharing details ↗ · engagezone.msd.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2018 to primary completion in Sep 2019, 14 months.

Results were first posted in Nov 2020, 1 year 2 months after primary completion.

Of 81 industry-sponsored phase 3 interventional studies under Pneumococcal Infections, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 23. This study's 14 months is above that.

Counting every sponsor, half of 82 studies reached it within 13 months; a quarter within 9 and three quarters within 23.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 22, 2018
First posted
Mar 29, 2018
StartActual
Jul 6, 2018
Primary completionActual
Sep 16, 2019
CompletionActual
Jan 17, 2020
Results first posted
Nov 25, 2020
Last update
May 5, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03480802
Responsible party
Sponsor
First posted
Mar 29, 2018
Start date
Jul 6, 2018
Primary completion
Sep 16, 2019
Completion
Jan 17, 2020
Results posted
Nov 25, 2020
Last update
May 5, 2022

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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