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TerminatedNCT03550313Updated Nov 30, 2021Results posted

Study to Evaluate the Safety and Immunogenicity of a Multivalent Pneumococcal Vaccine Given With Prevnar 13 in Healthy Infants

A Phase 2 interventional study of Multivalent and Prevnar 13 in Pneumococcal Infections, sponsored by Pfizer. Terminated at 48 sites in United States. Open to participants aged 42 Days to 98 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-30.

Sponsored by Pfizer · Phase 2, Interventional, and Prevention

Why this study was terminated
Study vaccinations and blood draws were halted due to adequacy of a smaller dataset and study feasibility issues. It was not based on any safety concerns.
Phase
Phase 2
Study type
Interventional
Enrollment
565
Allocation
Randomized
Ages
42 Days to 98 Days
Sex
All
01

Study summary

This is a Phase 2, randomized, active-controlled, open-label study with a 3-arm parallel design. Healthy 2-month old infants (42 to 98 days of age) with no history of pneumococcal vaccination will be randomized in a 1:1:1 ratio to receive a 4-dose series of: multivalent pneumococcal conjugate vaccine coadministered with Prevnar 13 (Group 1); multivalent pneumococcal conjugate vaccine given 1 month after Prevnar 13 (Group 2); or Prevnar 13 with a single dose of multivalent pneumococcal conjugate vaccine (Group 3).

02

Conditions studied

  • Pneumococcal Infections
03

In context

Pneumococcal Infections

281 studies on the registry are indexed under Pneumococcal Infections; 27 are open to participants now.

This study's enrollment of 565 is above the median of 379 across 230 interventional studies indexed under Pneumococcal Infections.

Browse Pneumococcal Infections studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

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

04

Who can participate

Ages eligible
42 Days to 98 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male or female infant born at >36 weeks of gestation and aged 2 months (42 to 98 days) at the time of consent (the day of birth is considered day of life 1).
  • Healthy infant determined by medical history, physical examination, and clinical judgment.

Exclusion criteria

Exclusion Criteria:

  • Previous vaccination with licensed or investigational pneumococcal vaccine.
  • Prior receipt of routine pediatric vaccines, with the exception of hepatitis B vaccine.
  • Previous receipt of >1 dose of hepatitis B vaccine.
  • Prior hepatitis B vaccine must have been administered at age \<30 days.
  • Major known congenital malformation or serious chronic disorder.
  • Receipt of blood/plasma products or immunoglobulins.
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
565 participants (actual)

Study arms

  • Experimental
    Group 1 - Coadministration

    Multivalent pneumococcal conjugate vaccine coadministered with Prevnar 13

    Biological: Multivalent · Biological: Prevnar 13

  • Experimental
    Group 2 - Staggered Administration

    Multivalent pneumococcal conjugate vaccine given 1 month after Prevnar 13

    Biological: Multivalent · Biological: Prevnar 13

  • Active comparator
    Group 3 - Control with Supplemental Dose

    Prevnar 13 with a single dose of multivalent pneumococcal conjugate vaccine

    Biological: Multivalent · Biological: Prevnar 13

Interventions

  • BiologicalMultivalent

    Pneumococcal conjugate vaccine

    Also known as: Pneumococcal conjugate vaccine

  • BiologicalPrevnar 13

    Pneumococcal conjugate vaccine

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Local Reactions Within 7 Days After Dose 1

    Local reactions were recorded using an electronic diary (e-diary) by participant's legally acceptable representative (LAR). Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild (greater than \[\>\] 0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

    Time frame: Within 7 Days After Dose 1

  2. Percentage of Participants With Local Reactions Within 7 Days After Dose 2

    Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

    Time frame: Within 7 Days After Dose 2

  3. Percentage of Participants With Local Reactions Within 7 Days After Dose 3

    Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

    Time frame: Within 7 Days After Dose 3

  4. Percentage of Participants With Local Reactions Within 7 Days After Dose 4

    Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

    Time frame: Within 7 Days After Dose 4

  5. Percentage of Participants With Local Reactions Within 7 Days After Supplemental Dose (SD)

    Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

    Time frame: Within 7 Days After Supplemental Dose

  6. Percentage of Participants With Systemic Events Within 7 Days After Dose 1

    Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of greater than or equal to (\>=) 38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

    Time frame: Within 7 Days After Dose 1

  7. Percentage of Participants With Systemic Events Within 7 Days After Dose 2

    Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

    Time frame: Within 7 Days After Dose 2

  8. Percentage of Participants With Systemic Events Within 7 Days After Dose 3

    Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

    Time frame: Within 7 Days After Dose 3

  9. Percentage of Participants With Systemic Events Within 7 Days After Dose 4

    Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

    Time frame: Within 7 Days After Dose 4

  10. Percentage of Participants With Systemic Events Within 7 Days After Supplemental Dose

    Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

    Time frame: Within 7 Days After Supplemental Dose

  11. Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3

    An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship with the treatment.

    Time frame: From Dose 1 to 1 Month After Dose 3 (up to duration of 5 months)

  12. Percentage of Participants With Adverse Events (AEs) From Dose 4 to 1 Month After Dose 4

    An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship with the treatment.

    Time frame: From Dose 4 to 1 Month After Dose 4 (up to duration of 1 month)

  13. Percentage of Participants With Adverse Events (AEs) From Supplemental Dose to 1 Month After Supplemental Dose

    An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship with the treatment.

    Time frame: From Supplemental Dose to 1 Month After Supplemental Dose (up to duration of 1 month)

  14. Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to End of the Study

    An SAE was any untoward medical occurrence at any dose that resulted in death; was life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

    Time frame: From Dose 1 to End of the Study (up to duration of 17 months)

  15. Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to End of the Study

    An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or was otherwise long lasting in its effects.

    Time frame: From Dose 1 to End of the Study (up to duration of 17 months)

Secondary outcomes

  1. Pneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentration (GMC) 1 Month After Dose 3

    IgG GMCs were determined for each of 7 pneumococcal serotypes (8, 10A, 11A, 12F, 15B, 22F, and 33F) at 1 month after Dose 3. Dose 3 was third dose of c7vPnC in Group 1 and Group 2, and third dose of Prevnar 13 in Group 3.

    Time frame: 1 Month After Dose 3

  2. Percentage of Participants Achieving Prespecified Level of Pneumococcal Serotype-specific Immunoglobulin G (IgG) Concentrations 1 Month After Dose 3

    Percentage of participants with pre-specified IgG concentration (\>=0.35 microgram per milliliter) were determined for each of 7 pneumococcal serotypes (8, 10A, 11A, 12F, 15B, 22F, and 33F) at 1 month after Dose 3. Dose 3 was third dose of c7vPnC in Group 1 and Group 2, and third dose of Prevnar 13 in Group 3.

    Time frame: 1 Month after Dose 3

  3. Pneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentration (GMC) 1 Month After Dose 4

    IgG GMCs were determined for each of 7 pneumococcal serotypes (8, 10A, 11A, 12F, 15B, 22F, and 33F ) at 1 month after Dose 4. Dose 4 was fourth dose of c7vPnC in Group 1 and Group 2, and fourth dose of Prevnar 13 in Group 3.

    Time frame: 1 Month After Dose 4

07

Results

Posted Nov 30, 2021

Participant flow

Participant flow — Overall Study
MilestoneGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Started192187186
Vaccinated for dose 1171147166
Vaccinated for dose 2159135153
Vaccinated for dose 3151127146
Completed957772
Not completed97110114
Withdrew: Adverse event010
Withdrew: Lost to follow-up5712
Withdrew: Study terminated by sponsor443748
Withdrew: No longer met eligibility criteria356
Withdrew: Withdrawal by parent/guardian201826
Withdrew: Other422
Withdrew: Randomized but not vaccinated3232
Withdrew: Sites terminated due to quality issues181718

Outcome measures

PrimaryPercentage of Participants With Local Reactions Within 7 Days After Dose 1

Local reactions were recorded using an electronic diary (e-diary) by participant's legally acceptable representative (LAR). Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild (greater than \[\>\] 0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Time frame:
Within 7 Days After Dose 1
Reported as:
Number · Percentage of participants
Percentage of Participants With Local Reactions Within 7 Days After Dose 1
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Redness: Any25.9 (19.4 to 33.3)26.4 (19.4 to 34.4)21.8 (15.8 to 28.9)
Redness: Mild16.3 (11.0 to 22.8)21.5 (15.1 to 29.1)18.2 (12.6 to 24.9)
Redness: Moderate9.6 (5.6 to 15.2)4.9 (2.0 to 9.8)3.6 (1.3 to 7.7)
Redness: Severe0 (0.0 to 2.2)0 (0.0 to 2.5)0 (0.0 to 2.2)
Swelling: Any27.1 (20.5 to 34.5)22.2 (15.7 to 29.9)23.6 (17.4 to 30.9)
Swelling: Mild16.3 (11.0 to 22.8)13.9 (8.7 to 20.6)17.0 (11.6 to 23.6)
Swelling: Moderate10.2 (6.1 to 15.9)8.3 (4.4 to 14.1)5.5 (2.5 to 10.1)
Swelling: Severe0.6 (0.0 to 3.3)0 (0.0 to 2.5)1.2 (0.1 to 4.3)
Pain at Injection Site: Any59.6 (51.8 to 67.2)40.3 (32.2 to 48.8)50.3 (42.4 to 58.2)
Pain at Injection Site: Mild28.9 (22.2 to 36.4)28.5 (21.3 to 36.6)26.1 (19.5 to 33.5)
Pain at Injection Site: Moderate27.7 (21.1 to 35.2)11.1 (6.5 to 17.4)22.4 (16.3 to 29.6)
Pain at Injection Site: Severe3.0 (1.0 to 6.9)0.7 (0.0 to 3.8)1.8 (0.4 to 5.2)
PrimaryPercentage of Participants With Local Reactions Within 7 Days After Dose 2

Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Time frame:
Within 7 Days After Dose 2
Reported as:
Number · Percentage of participants
Percentage of Participants With Local Reactions Within 7 Days After Dose 2
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Redness: Any28.9 (21.9 to 36.8)20.6 (13.9 to 28.8)23.8 (17.2 to 31.5)
Redness: Mild22.4 (16.0 to 29.8)18.3 (11.9 to 26.1)21.1 (14.8 to 28.6)
Redness: Moderate6.6 (3.2 to 11.8)2.4 (0.5 to 6.8)2.7 (0.7 to 6.8)
Redness: Severe0 (0.0 to 2.4)0 (0.0 to 2.9)0 (0.0 to 2.5)
Swelling: Any21.1 (14.9 to 28.4)16.7 (10.6 to 24.3)22.4 (16.0 to 30.1)
Swelling: Mild14.5 (9.3 to 21.1)14.3 (8.7 to 21.6)16.3 (10.7 to 23.3)
Swelling: Moderate6.6 (3.2 to 11.8)2.4 (0.5 to 6.8)6.1 (2.8 to 11.3)
Swelling: Severe0 (0.0 to 2.4)0 (0.0 to 2.9)0 (0.0 to 2.5)
Pain at Injection Site: Any55.3 (47.0 to 63.3)23.8 (16.7 to 32.2)46.9 (38.7 to 55.3)
Pain at Injection Site: Mild31.6 (24.3 to 39.6)19.0 (12.6 to 27.0)27.9 (20.8 to 35.9)
Pain at Injection Site: Moderate21.7 (15.4 to 29.1)4.8 (1.8 to 10.1)18.4 (12.5 to 25.6)
Pain at Injection Site: Severe2.0 (0.4 to 5.7)0 (0.0 to 2.9)0.7 (0.0 to 3.7)
PrimaryPercentage of Participants With Local Reactions Within 7 Days After Dose 3

Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Time frame:
Within 7 Days After Dose 3
Reported as:
Number · Percentage of participants
Percentage of Participants With Local Reactions Within 7 Days After Dose 3
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Redness: Any25.2 (18.3 to 33.1)20.0 (13.3 to 28.3)22.5 (15.8 to 30.3)
Redness: Mild23.1 (16.4 to 30.9)19.2 (12.6 to 27.4)18.1 (12.1 to 25.6)
Redness: Moderate2.1 (0.4 to 6.0)0.8 (0.0 to 4.6)4.3 (1.6 to 9.2)
Redness: Severe0 (0.0 to 2.5)0 (0.0 to 3.0)0 (0.0 to 2.6)
Swelling: Any21.7 (15.2 to 29.3)14.2 (8.5 to 21.7)18.1 (12.1 to 25.6)
Swelling: Mild17.5 (11.6 to 24.7)11.7 (6.5 to 18.8)13.8 (8.5 to 20.7)
Swelling: Moderate4.2 (1.6 to 8.9)2.5 (0.5 to 7.1)3.6 (1.2 to 8.3)
Swelling: Severe0 (0.0 to 2.5)0 (0.0 to 3.0)0.7 (0.0 to 4.0)
Pain at Injection Site: Any39.9 (31.8 to 48.4)22.5 (15.4 to 31.0)35.5 (27.6 to 44.1)
Pain at Injection Site: Mild23.8 (17.1 to 31.6)17.5 (11.2 to 25.5)18.8 (12.7 to 26.4)
Pain at Injection Site: Moderate15.4 (9.9 to 22.4)5.0 (1.9 to 10.6)15.2 (9.7 to 22.3)
Pain at Injection Site: Severe0.7 (0.0 to 3.8)0 (0.0 to 3.0)1.4 (0.2 to 5.1)
PrimaryPercentage of Participants With Local Reactions Within 7 Days After Dose 4

Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Time frame:
Within 7 Days After Dose 4
Reported as:
Number · Percentage of participants
Percentage of Participants With Local Reactions Within 7 Days After Dose 4
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Redness: Any22.9 (15.2 to 32.1)19.0 (11.0 to 29.4)22.4 (14.6 to 32.0)
Redness: Mild21.9 (14.4 to 31.0)15.2 (8.1 to 25.0)19.4 (12.1 to 28.6)
Redness: Moderate1.0 (0.0 to 5.2)3.8 (0.8 to 10.7)3.1 (0.6 to 8.7)
Redness: Severe0 (0.0 to 3.5)0 (0.0 to 4.6)0 (0.0 to 3.7)
Swelling: Any19.0 (12.0 to 27.9)13.9 (7.2 to 23.5)19.4 (12.1 to 28.6)
Swelling: Mild17.1 (10.5 to 25.7)8.9 (3.6 to 17.4)13.3 (7.3 to 21.6)
Swelling: Moderate1.9 (0.2 to 6.7)5.1 (1.4 to 12.5)6.1 (2.3 to 12.9)
Swelling: Severe0 (0.0 to 3.5)0 (0.0 to 4.6)0 (0.0 to 3.7)
Pain at Injection Site: Any35.2 (26.2 to 45.2)22.8 (14.1 to 33.6)28.6 (19.9 to 38.6)
Pain at Injection Site: Mild21.9 (14.4 to 31.0)16.5 (9.1 to 26.5)18.4 (11.3 to 27.5)
Pain at Injection Site: Moderate12.4 (6.8 to 20.2)6.3 (2.1 to 14.2)10.2 (5.0 to 18.0)
Pain at Injection Site: Severe1.0 (0.0 to 5.2)0 (0.0 to 4.6)0 (0.0 to 3.7)
PrimaryPercentage of Participants With Local Reactions Within 7 Days After Supplemental Dose (SD)

Local reactions were recorded using an electronic diary by participant's LAR. Local reactions included redness, swelling and pain at the injection site. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild (\>0.0 to 2.0 cm), moderate (\>2.0 to 7.0 cm) and severe (\>7 cm). Pain at injection site was graded as mild (hurt if gently touched), moderate (hurt if gently touched, with crying), and severe (caused limitation of limb movement).

Time frame:
Within 7 Days After Supplemental Dose
Reported as:
Number · Percentage of participants
Percentage of Participants With Local Reactions Within 7 Days After Supplemental Dose (SD)
Percentage of participantsGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Redness: Any5.9 (1.9 to 13.2)
Redness: Mild4.7 (1.3 to 11.6)
Redness: Moderate1.2 (0.0 to 6.4)
Redness: Severe0 (0.0 to 4.2)
Swelling: Any9.4 (4.2 to 17.7)
Swelling: Mild9.4 (4.2 to 17.7)
Swelling: Moderate0 (0.0 to 4.2)
Swelling: Severe0 (0.0 to 4.2)
Pain at Injection Site: Any12.9 (6.6 to 22.0)
Pain at Injection Site: Mild11.8 (5.8 to 20.6)
Pain at Injection Site: Moderate1.2 (0.0 to 6.4)
Pain at Injection Site: Severe0 (0.0 to 4.2)
PrimaryPercentage of Participants With Systemic Events Within 7 Days After Dose 1

Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of greater than or equal to (\>=) 38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame:
Within 7 Days After Dose 1
Reported as:
Number · Percentage of participants
Percentage of Participants With Systemic Events Within 7 Days After Dose 1
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Fever: >=38.0 degree C12.7 (8.0 to 18.7)5.6 (2.4 to 10.7)9.1 (5.2 to 14.6)
Fever: >=38.0 degree C to 38.4 degree C7.8 (4.2 to 13.0)3.5 (1.1 to 7.9)6.1 (2.9 to 10.9)
Fever: >38.4 degree C to 38.9 degree C3.0 (1.0 to 6.9)0.7 (0.0 to 3.8)2.4 (0.7 to 6.1)
Fever: >38.9 degree C to 40.0 degree C1.8 (0.4 to 5.2)1.4 (0.2 to 4.9)0.6 (0.0 to 3.3)
Fever: >40.0 degree C0 (0.0 to 2.2)0 (0.0 to 2.5)0 (0.0 to 2.2)
Decreased Appetite: Any28.9 (22.2 to 36.4)15.3 (9.8 to 22.2)26.7 (20.1 to 34.1)
Decreased Appetite: Mild19.3 (13.6 to 26.1)6.3 (2.9 to 11.5)14.5 (9.5 to 20.9)
Decreased Appetite: Moderate7.2 (3.8 to 12.3)9.0 (4.9 to 14.9)10.3 (6.1 to 16.0)
Decreased Appetite: Severe2.4 (0.7 to 6.1)0 (0.0 to 2.5)1.8 (0.4 to 5.2)
Drowsiness: Any59.6 (51.8 to 67.2)43.1 (34.8 to 51.6)53.3 (45.4 to 61.1)
Drowsiness: Mild41.6 (34.0 to 49.5)31.9 (24.4 to 40.2)38.2 (30.7 to 46.1)
Drowsiness: Moderate16.3 (11.0 to 22.8)9.7 (5.4 to 15.8)13.3 (8.5 to 19.5)
Drowsiness: Severe1.8 (0.4 to 5.2)1.4 (0.2 to 4.9)1.8 (0.4 to 5.2)
Irritability: Any70.5 (62.9 to 77.3)57.6 (49.1 to 65.8)63.6 (55.8 to 71.0)
Irritability: Mild25.3 (18.9 to 32.6)29.2 (21.9 to 37.3)23.6 (17.4 to 30.9)
Irritability: Moderate38.0 (30.5 to 45.8)23.6 (16.9 to 31.4)36.4 (29.0 to 44.2)
Irritability: Severe7.2 (3.8 to 12.3)4.9 (2.0 to 9.8)3.6 (1.3 to 7.7)
PrimaryPercentage of Participants With Systemic Events Within 7 Days After Dose 2

Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame:
Within 7 Days After Dose 2
Reported as:
Number · Percentage of participants
Percentage of Participants With Systemic Events Within 7 Days After Dose 2
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Fever: >=38.0 degree C25.7 (18.9 to 33.4)4.0 (1.3 to 9.0)15.6 (10.2 to 22.5)
Fever: >=38.0 degree C to 38.4 degree C12.5 (7.7 to 18.8)3.2 (0.9 to 7.9)8.2 (4.3 to 13.8)
Fever: >38.4 degree C to 38.9 degree C10.5 (6.1 to 16.5)0.8 (0.0 to 4.3)2.7 (0.7 to 6.8)
Fever: >38.9 degree C to 40.0 degree C2.6 (0.7 to 6.6)0 (0.0 to 2.9)4.1 (1.5 to 8.7)
Fever: >40.0 degree C0 (0.0 to 2.4)0 (0.0 to 2.9)0.7 (0.0 to 3.7)
Decreased Appetite: Any23.0 (16.6 to 30.5)12.7 (7.4 to 19.8)25.2 (18.4 to 33.0)
Decreased Appetite: Mild11.8 (7.2 to 18.1)8.7 (4.4 to 15.1)15.6 (10.2 to 22.5)
Decreased Appetite: Moderate9.9 (5.6 to 15.8)4.0 (1.3 to 9.0)9.5 (5.3 to 15.5)
Decreased Appetite: Severe1.3 (0.2 to 4.7)0 (0.0 to 2.9)0 (0.0 to 2.5)
Drowsiness: Any48.7 (40.5 to 56.9)21.4 (14.6 to 29.6)42.9 (34.7 to 51.3)
Drowsiness: Mild32.2 (24.9 to 40.3)15.1 (9.3 to 22.5)25.9 (19.0 to 33.7)
Drowsiness: Moderate15.1 (9.8 to 21.8)6.3 (2.8 to 12.1)17.0 (11.3 to 24.1)
Drowsiness: Severe1.3 (0.2 to 4.7)0 (0.0 to 2.9)0 (0.0 to 2.5)
Irritability: Any64.5 (56.3 to 72.1)44.4 (35.6 to 53.6)58.5 (50.1 to 66.6)
Irritability: Mild20.4 (14.3 to 27.7)21.4 (14.6 to 29.6)17.7 (11.9 to 24.8)
Irritability: Moderate40.8 (32.9 to 49.0)20.6 (13.9 to 28.8)36.1 (28.3 to 44.4)
Irritability: Severe3.3 (1.1 to 7.5)2.4 (0.5 to 6.8)4.8 (1.9 to 9.6)
PrimaryPercentage of Participants With Systemic Events Within 7 Days After Dose 3

Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame:
Within 7 Days After Dose 3
Reported as:
Number · Percentage of participants
Percentage of Participants With Systemic Events Within 7 Days After Dose 3
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Fever: >=38.0 degree C14.0 (8.8 to 20.8)5.8 (2.4 to 11.6)14.5 (9.1 to 21.5)
Fever: >=38.0 degree C to 38.4 degree C6.3 (2.9 to 11.6)3.3 (0.9 to 8.3)8.0 (4.0 to 13.8)
Fever: >38.4 degree C to 38.9 degree C5.6 (2.4 to 10.7)1.7 (0.2 to 5.9)2.9 (0.8 to 7.3)
Fever: >38.9 degree C to 40.0 degree C1.4 (0.2 to 5.0)0.8 (0.0 to 4.6)3.6 (1.2 to 8.3)
Fever: >40.0 degree C0.7 (0.0 to 3.8)0 (0.0 to 3.0)0 (0.0 to 2.6)
Decreased Appetite: Any19.6 (13.4 to 27.0)18.3 (11.9 to 26.4)21.0 (14.5 to 28.8)
Decreased Appetite: Mild12.6 (7.6 to 19.2)12.5 (7.2 to 19.8)10.1 (5.7 to 16.4)
Decreased Appetite: Moderate7.0 (3.4 to 12.5)5.8 (2.4 to 11.6)10.1 (5.7 to 16.4)
Decreased Appetite: Severe0 (0.0 to 2.5)0 (0.0 to 3.0)0.7 (0.0 to 4.0)
Drowsiness: Any43.4 (35.1 to 51.9)21.7 (14.7 to 30.1)45.7 (37.2 to 54.3)
Drowsiness: Mild29.4 (22.1 to 37.6)16.7 (10.5 to 24.6)32.6 (24.9 to 41.1)
Drowsiness: Moderate13.3 (8.2 to 20.0)3.3 (0.9 to 8.3)12.3 (7.3 to 19.0)
Drowsiness: Severe0.7 (0.0 to 3.8)1.7 (0.2 to 5.9)0.7 (0.0 to 4.0)
Irritability: Any57.3 (48.8 to 65.6)50.8 (41.6 to 60.1)53.6 (44.9 to 62.1)
Irritability: Mild25.2 (18.3 to 33.1)26.7 (19.0 to 35.5)23.9 (17.1 to 31.9)
Irritability: Moderate31.5 (24.0 to 39.8)21.7 (14.7 to 30.1)26.8 (19.6 to 35.0)
Irritability: Severe0.7 (0.0 to 3.8)2.5 (0.5 to 7.1)2.9 (0.8 to 7.3)
PrimaryPercentage of Participants With Systemic Events Within 7 Days After Dose 4

Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame:
Within 7 Days After Dose 4
Reported as:
Number · Percentage of participants
Percentage of Participants With Systemic Events Within 7 Days After Dose 4
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Fever: >=38.0 degree C12.4 (6.8 to 20.2)0 (0.0 to 4.6)11.2 (5.7 to 19.2)
Fever: >=38.0 degree C to 38.4 degree C7.6 (3.3 to 14.5)0 (0.0 to 4.6)4.1 (1.1 to 10.1)
Fever: >38.4 degree C to 38.9 degree C1.9 (0.2 to 6.7)0 (0.0 to 4.6)4.1 (1.1 to 10.1)
Fever: >38.9 degree C to 40.0 degree C1.9 (0.2 to 6.7)0 (0.0 to 4.6)3.1 (0.6 to 8.7)
Fever: >40.0 degree C1.0 (0.0 to 5.2)0 (0.0 to 4.6)0 (0.0 to 3.7)
Decreased Appetite: Any20.0 (12.8 to 28.9)13.9 (7.2 to 23.5)23.5 (15.5 to 33.1)
Decreased Appetite: Mild14.3 (8.2 to 22.5)10.1 (4.5 to 19.0)13.3 (7.3 to 21.6)
Decreased Appetite: Moderate4.8 (1.6 to 10.8)3.8 (0.8 to 10.7)9.2 (4.3 to 16.7)
Decreased Appetite: Severe1.0 (0.0 to 5.2)0 (0.0 to 4.6)1.0 (0.0 to 5.6)
Drowsiness: Any33.3 (24.4 to 43.2)20.3 (12.0 to 30.8)29.6 (20.8 to 39.7)
Drowsiness: Mild25.7 (17.7 to 35.2)17.7 (10.0 to 27.9)20.4 (12.9 to 29.7)
Drowsiness: Moderate7.6 (3.3 to 14.5)2.5 (0.3 to 8.8)8.2 (3.6 to 15.5)
Drowsiness: Severe0 (0.0 to 3.5)0 (0.0 to 4.6)1.0 (0.0 to 5.6)
Irritability: Any60.0 (50.0 to 69.4)53.2 (41.6 to 64.5)46.9 (36.8 to 57.3)
Irritability: Mild24.8 (16.9 to 34.1)31.6 (21.6 to 43.1)21.4 (13.8 to 30.9)
Irritability: Moderate34.3 (25.3 to 44.2)20.3 (12.0 to 30.8)23.5 (15.5 to 33.1)
Irritability: Severe1.0 (0.0 to 5.2)1.3 (0.0 to 6.9)2.0 (0.2 to 7.2)
PrimaryPercentage of Participants With Systemic Events Within 7 Days After Supplemental Dose

Systemic events were recorded using an e-diary by participant's LAR and included fever, decreased appetite, drowsiness/increased sleep, and irritability. Fever was defined as rectal temperature of \>=38.0 degree Celsius and categorized as \>=38.0 to 38.4 degree Celsius,\>38.4 to 38.9 degree Celsius, \>38.9 to 40.0 degree Celsius and \>40.0 degree Celsius. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).

Time frame:
Within 7 Days After Supplemental Dose
Reported as:
Number · Percentage of participants
Percentage of Participants With Systemic Events Within 7 Days After Supplemental Dose
Percentage of participantsGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Fever: >=38.0 degree C5.9 (1.9 to 13.2)
Fever: >=38.0 degree C to 38.4 degree C3.5 (0.7 to 10.0)
Fever: >38.4 degree C to 38.9 degree C1.2 (0.0 to 6.4)
Fever: >38.9 degree C to 40.0 degree C1.2 (0.0 to 6.4)
Fever: >40.0 degree C0 (0.0 to 4.2)
Decreased Appetite: Any11.8 (5.8 to 20.6)
Decreased Appetite: Mild8.2 (3.4 to 16.2)
Decreased Appetite: Moderate1.2 (0.0 to 6.4)
Decreased Appetite: Severe2.4 (0.3 to 8.2)
Drowsiness: Any21.2 (13.1 to 31.4)
Drowsiness: Mild17.6 (10.2 to 27.4)
Drowsiness: Moderate2.4 (0.3 to 8.2)
Drowsiness: Severe1.2 (0.0 to 6.4)
Irritability: Any30.6 (21.0 to 41.5)
Irritability: Mild15.3 (8.4 to 24.7)
Irritability: Moderate12.9 (6.6 to 22.0)
Irritability: Severe2.4 (0.3 to 8.2)
PrimaryPercentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3

An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship with the treatment.

Time frame:
From Dose 1 to 1 Month After Dose 3 (up to duration of 5 months)
Reported as:
Number · Percentage of participants
Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 357.9 (50.1 to 65.4)65.3 (57.0 to 73.0)56.6 (48.7 to 64.3)
PrimaryPercentage of Participants With Adverse Events (AEs) From Dose 4 to 1 Month After Dose 4

An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship with the treatment.

Time frame:
From Dose 4 to 1 Month After Dose 4 (up to duration of 1 month)
Reported as:
Number · Percentage of participants
Percentage of Participants With Adverse Events (AEs) From Dose 4 to 1 Month After Dose 4
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Percentage of Participants With Adverse Events (AEs) From Dose 4 to 1 Month After Dose 423.6 (16.1 to 32.7)15.3 (8.4 to 24.7)25.7 (17.6 to 35.4)
PrimaryPercentage of Participants With Adverse Events (AEs) From Supplemental Dose to 1 Month After Supplemental Dose

An AE was any untoward medical occurrence in study participants who received study vaccine without regard to possibility of causal relationship with the treatment.

Time frame:
From Supplemental Dose to 1 Month After Supplemental Dose (up to duration of 1 month)
Reported as:
Number · Percentage of participants
Percentage of Participants With Adverse Events (AEs) From Supplemental Dose to 1 Month After Supplemental Dose
Percentage of participantsGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Percentage of Participants With Adverse Events (AEs) From Supplemental Dose to 1 Month After Supplemental Dose18.2 (10.8 to 27.8)
PrimaryPercentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to End of the Study

An SAE was any untoward medical occurrence at any dose that resulted in death; was life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

Time frame:
From Dose 1 to End of the Study (up to duration of 17 months)
Reported as:
Number · Percentage of participants
Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to End of the Study
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to End of the Study4.1 (1.7 to 8.3)2.7 (0.7 to 6.8)5.4 (2.5 to 10.0)
PrimaryPercentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to End of the Study

An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or was otherwise long lasting in its effects.

Time frame:
From Dose 1 to End of the Study (up to duration of 17 months)
Reported as:
Number · Percentage of participants
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to End of the Study
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to End of the Study7.6 (4.1 to 12.6)3.4 (1.1 to 7.8)7.2 (3.8 to 12.3)
SecondaryPneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentration (GMC) 1 Month After Dose 3

IgG GMCs were determined for each of 7 pneumococcal serotypes (8, 10A, 11A, 12F, 15B, 22F, and 33F) at 1 month after Dose 3. Dose 3 was third dose of c7vPnC in Group 1 and Group 2, and third dose of Prevnar 13 in Group 3.

Time frame:
1 Month After Dose 3
Reported as:
Geometric mean · microgram per milliliter
Pneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentration (GMC) 1 Month After Dose 3
microgram per milliliterGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Serotype 82.90 (2.47 to 3.39)5.14 (4.41 to 5.99)0.03 (0.03 to 0.04)
Serotype 10A2.55 (1.95 to 3.34)4.52 (3.59 to 5.69)0.03 (0.03 to 0.04)
Serotype 11A4.37 (3.57 to 5.34)8.88 (7.25 to 10.87)0.01 (0.01 to 0.02)
Serotype 12F1.92 (1.58 to 2.34)3.35 (2.75 to 4.07)0.02 (0.02 to 0.02)
Serotype 15B9.12 (7.54 to 11.04)14.86 (12.65 to 17.44)0.05 (0.04 to 0.06)
Serotype 22F9.25 (7.50 to 11.41)23.94 (19.88 to 28.82)0.01 (0.01 to 0.01)
Serotype 33F3.40 (2.75 to 4.21)4.83 (3.99 to 5.84)0.06 (0.05 to 0.06)
SecondaryPercentage of Participants Achieving Prespecified Level of Pneumococcal Serotype-specific Immunoglobulin G (IgG) Concentrations 1 Month After Dose 3

Percentage of participants with pre-specified IgG concentration (\>=0.35 microgram per milliliter) were determined for each of 7 pneumococcal serotypes (8, 10A, 11A, 12F, 15B, 22F, and 33F) at 1 month after Dose 3. Dose 3 was third dose of c7vPnC in Group 1 and Group 2, and third dose of Prevnar 13 in Group 3.

Time frame:
1 Month after Dose 3
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Prespecified Level of Pneumococcal Serotype-specific Immunoglobulin G (IgG) Concentrations 1 Month After Dose 3
Percentage of participantsGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Serotype 898.4 (94.5 to 99.8)100.0 (96.6 to 100.0)1.8 (0.2 to 6.5)
Serotype 10A89.8 (83.3 to 94.5)98.1 (93.4 to 99.8)2.8 (0.6 to 7.8)
Serotype 11A96.9 (92.2 to 99.1)99.1 (94.9 to 100.0)0.9 (0.0 to 5.0)
Serotype 12F95.3 (90.1 to 98.3)98.1 (93.4 to 99.8)0.0 (0.0 to 3.3)
Serotype 15B96.9 (92.2 to 99.1)100.0 (96.6 to 100.0)6.4 (2.6 to 12.8)
Serotype 22F96.9 (92.2 to 99.1)100.0 (96.6 to 100.0)0.0 (0.0 to 3.3)
Serotype 33F96.1 (91.1 to 98.7)99.1 (94.9 to 100.0)4.6 (1.5 to 10.4)
SecondaryPneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentration (GMC) 1 Month After Dose 4

IgG GMCs were determined for each of 7 pneumococcal serotypes (8, 10A, 11A, 12F, 15B, 22F, and 33F ) at 1 month after Dose 4. Dose 4 was fourth dose of c7vPnC in Group 1 and Group 2, and fourth dose of Prevnar 13 in Group 3.

Time frame:
1 Month After Dose 4
Reported as:
Geometric mean · microgram per milliliter
Pneumococcal Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentration (GMC) 1 Month After Dose 4
microgram per milliliterGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Serotype 83.79 (3.10 to 4.62)3.05 (2.46 to 3.78)0.08 (0.06 to 0.12)
Serotype 10A12.77 (10.16 to 16.06)7.15 (5.26 to 9.72)0.04 (0.03 to 0.04)
Serotype 11A8.25 (6.72 to 10.12)7.12 (5.53 to 9.15)0.02 (0.01 to 0.04)
Serotype 12F3.15 (2.64 to 3.74)2.57 (2.08 to 3.19)0.03 (0.02 to 0.03)
Serotype 15B24.56 (21.23 to 28.41)17.70 (14.31 to 21.89)0.06 (0.04 to 0.07)
Serotype 22F25.68 (21.33 to 30.91)29.92 (24.21 to 36.98)0.01 (0.01 to 0.02)
Serotype 33F5.38 (4.47 to 6.48)3.95 (3.16 to 4.93)0.06 (0.05 to 0.08)

Adverse events

Collected over Local reactions, systemic events: within 7 days after Dose 1, 2, 3, 4, Supplemental Dose; Non-SAEs: from Dose 1 to 1 month after Dose 3, Dose 4 to 1 month after Dose 4, Supplemental Dose to 1 month after Supplemental Dose ; SAEs: Dose 1 to 6 months after last dose (Dose 4 or Supplemental Dose) (up to duration of 17 months). Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1: c7vPnC and Prevnar 13 Co-administration0/171 (0%)7/171 (4.1%)163/171 (95.3%)
Group 2: c7vPnC and Prevnar 13 Staggered Administration0/147 (0%)4/147 (2.7%)138/147 (93.9%)
Group 3: Prevnar 13 as Control With Supplemental c7vPnC Dose0/166 (0%)9/166 (5.4%)163/166 (98.2%)
Most frequent serious events
Showing 10 of 16
Most frequent serious events
EventGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
BronchiolitisInfections and infestations2/1711/1473/166
Pneumonia viralInfections and infestations0/1710/1472/166
CellulitisInfections and infestations0/1711/1470/166
Parotid abscessInfections and infestations0/1711/1470/166
Subcutaneous abscessInfections and infestations0/1711/1470/166
Urinary tract infectionInfections and infestations1/1711/1470/166
Respiratory syncytial virus bronchiolitisInfections and infestations0/1710/1471/166
Respiratory syncytial virus infectionInfections and infestations0/1710/1471/166
Viral infectionInfections and infestations0/1710/1471/166
Post procedural haemorrhageInjury, poisoning and procedural complications0/1710/1471/166
Most frequent other events
Showing 10 of 70
Most frequent other events
EventGroup 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC Dose
Irritability (IRRITABILITY)Psychiatric disorders141/171113/147141/166
Injection site pain (PAIN)General disorders131/17182/147112/166
Somnolence (DROWSINESS)Nervous system disorders124/17180/147126/166
Decreased appetite (DECREASED APPETITE)Metabolism and nutrition disorders82/17151/14784/166
Injection site erythema (REDNESS)General disorders82/17167/14777/166
Injection site swelling (SWELLING)General disorders74/17149/14768/166
Pyrexia (FEVER)General disorders62/17120/14753/166
Upper respiratory tract infectionInfections and infestations45/17143/14735/166
Otitis mediaInfections and infestations11/17117/14713/166
BronchiolitisInfections and infestations13/1716/14714/166

Baseline characteristics

The overall safety population included all participants who received at least 1 dose of c7vPnC (in Groups 1 and 2) or Prevnar 13 (in Group 3) and had safety data reported in the study.

Age, Continuous
Age, Continuous(Days)Group 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC DoseTotal
Mean65.9 ± 9.5395.1 ± 10.4064.9 ± 8.2274.4 ± 16.59
Sex: Female, Male
Sex: Female, Male(Participants)Group 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC DoseTotal
Female858075240
Male866791244
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC DoseTotal
Hispanic or Latino897085244
Not Hispanic or Latino817780238
Unknown or Not Reported1012
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1: c7vPnC and Prevnar 13 Co-administrationGroup 2: c7vPnC and Prevnar 13 Staggered AdministrationGroup 3: Prevnar 13 as Control With Supplemental c7vPnC DoseTotal
American Indian or Alaska Native48315
Asian75315
Native Hawaiian or Other Pacific Islander0011
Black or African American35263192
White10290105297
More than one race64616
Unknown or Not Reported17141748
08

Study locations

48 sites
  • Mobile Pediatric Clinic
    Mobile, Alabama 36607, United States
  • Harrisburg Family Medical Center
    Harrisburg, Arkansas 72432, United States
  • Emmaus Research Center, Inc.
    Anaheim, California 92804, United States
  • Hoag Memorial Hospital Presbyterian
    Huntington Beach, California 92648, United States
  • Madera Family Medical Group
    Madera, California 93637, United States
  • Orange County Research Institute
    Ontario, California 91762, United States
  • Center for Clinical Trials, LLC
    Paramount, California 90723, United States
  • Center for Clinical Trials
    Paramount, California 90723, United States
  • Gentle Medicine Associates
    Boynton Beach, Florida 33435, United States
  • Avail Clinical Research, LLC
    DeLand, Florida 32720, United States
  • Next Phase Research Alliance
    Homestead, Florida 33030, United States
  • Crystal Biomedical Research, LLC
    Miami Lakes, Florida 33014, United States
  • Acevedo Clinical Research Associates
    Miami, Florida 33142, United States
  • Bio-Medical Research, LLC
    Miami, Florida 33184, United States
  • IACT Health
    Columbus, Georgia 31903, United States
  • Advocate Children's Hospital
    Park Ridge, Illinois 60068, United States
  • MOC Research
    Mishawaka, Indiana 46544, United States
  • Michael W. Simon, MD, PSC
    Lexington, Kentucky 40517, United States
  • All Children Pediatrics
    Louisville, Kentucky 40243, United States
  • Meridian Clinical Research, LLC
    Baton Rouge, Louisiana 70806, United States
  • MedPharmics, LLC
    Metairie, Louisiana 70006, United States
  • LSUHSC-Shreveport
    Shreveport, Louisiana 71103, United States
  • Ochsner-LSU Health Shreveport
    Shreveport, Louisiana 71103, United States
  • Floating Hospital for Children at Tufts Medical Center
    Boston, Massachusetts 02111, United States
  • Pediatric Phlebotomy
    Boston, Massachusetts 02111, United States
  • Tufts Medical Center IDS - Pharmacy
    Boston, Massachusetts 02111, United States
  • Children's Mercy Clinics on Broadway
    Kansas City, Missouri 64111, United States
  • Children's Physicians Embassy Park
    Omaha, Nebraska 68114, United States
  • Children's Physicians Spring Valley
    Omaha, Nebraska 68117, United States
  • Creighton University Clinical Research Office
    Omaha, Nebraska 68131, United States
  • Child Health care Associates
    East Syracuse, New York 13057, United States
  • Blue Ridge Pediatric and Adolescent Medicine, Inc
    Boone, North Carolina 28607, United States
  • Sugarcamp Family Research
    Dayton, Ohio 45409, United States
  • Allegheny Health and Wellness Pavilion
    Erie, Pennsylvania 16506, United States
  • Coastal Pediatric Research
    Charleston, South Carolina 29414, United States
  • Parkside Pediatrics
    Greenville, South Carolina 29607, United States
  • Sanford Children's Specialty Clinic
    Sioux Falls, South Dakota 57105, United States
  • Sanford Research
    Sioux Falls, South Dakota 57105, United States
  • Sanford 69th & Louise Family Medicine
    Sioux Falls, South Dakota 57108, United States
  • Holston Medical Group
    Kingsport, Tennessee 37660, United States
  • Ventavia Research Group
    Houston, Texas 77008, United States
  • Mercury Clinical Research
    Houston, Texas 77054, United States
  • Pediatric Associates
    Houston, Texas 77087, United States
  • Ventavia Research Group
    Keller, Texas 76248, United States
  • Tekton Research, Inc.
    San Antonio, Texas 78240, United States
  • Ventavia Research Group, LLC
    Spring, Texas 77389, United States
  • Dixie Pediatrics
    Saint George, Utah 84790, United States
  • Marshall Health
    Huntington, West Virginia 25701, United States
09

References and documents

Study documents

  • Study protocol · Feb 18, 2020
  • Statistical analysis plan · May 24, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03550313
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jun 8, 2018
Start date
Jun 1, 2018
Primary completion
Nov 5, 2020
Completion
Nov 5, 2020
Results posted
Nov 30, 2021
Last update
Nov 30, 2021

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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