ClinicalTrials.gg
CompletedNCT03896477Updated Apr 20, 2022Results posted

Study of 10-valent Pneumococcal Conjugate Vaccine (Pneumosil) Administered in a 2+1 Schedule to Healthy Infants

A Phase 3 interventional study of Pneumosil and Prevenar 13 in Pneumonia, Pneumococcal, sponsored by PATH. Completed at 1 site in Gambia. Open to participants aged 42 Days to 56 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-20.

Sponsored by PATH · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
660
Allocation
Randomized
Ages
42 Days to 56 Days
Sex
All
01

Study summary

The primary objectives of this study are to evaluate the immunogenicity (antibody response) and safety and tolerability of a 2-dose primary series and booster dose (2+1 schedule) of Pneumosil co-administered with routine pediatric vaccines in healthy infants in The Gambia.

Read the detailed description

This study will provide data necessary to evaluate the safety and immunogenicity of Pneumosil when administered in an alternative schedule to the 3 dose primary schedule (3+0) evaluated in the Phase 3 pivotal trial (VAC-056; NCT03197376) - namely in a 2 dose primary and booster (2+1) schedule - and compare immunogenicity to that of both currently licensed second-generation pneumococcal conjugate vaccines (Synflorix and Prevenar 13) administered in the same 2+1 schedule.

In this prospective, single center, randomized, active-controlled, observer-blind, Phase 3 descriptive study, 660 healthy Gambian pneumococcal conjugate vaccine (PCV)-naïve infants will be randomized 1:1:1 to receive 3 doses of either Pneumosil, Synflorix or Prevenar 13 at 6 weeks, 14 weeks and 9-10 months of age. Standard Expanded Program on Immunization (EPI) vaccinations in The Gambia will be given concomitantly with all 3 doses of study vaccine.

The booster vaccination window was extended up to 18 months of age due to a pause in the study due to the coronavirus disease 2019 (COVID-19) pandemic. The study schedule for participants is as follows:

  • Age 6 weeks: First primary vaccination dose administered
  • Age 14 weeks: Second primary vaccination dose administered (8 weeks after first primary dose)
  • Age 18 weeks: Blood sample for immunogenicity testing (4 weeks after second primary dose)
  • Age 9-18 months: Blood sample for immunogenicity testing and booster vaccination dose administered
  • Age 10-19 months: Blood sample for immunogenicity testing (4 weeks after booster dose)
02

Conditions studied

  • Pneumonia, Pneumococcal
03

In context

Pneumonia, Pneumococcal

44 studies on the registry are indexed under Pneumonia, Pneumococcal; 2 are open to participants now.

This study's enrollment of 660 is above the median of 388 across 37 interventional studies indexed under Pneumonia, Pneumococcal.

Browse Pneumonia, Pneumococcal studies →

Lead sponsor

PATH is the lead sponsor of 113 studies on the registry; 7 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 10 (100%) have results posted.

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

04

Who can participate

Ages eligible
42 Days to 56 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Healthy infants based on medical history and clinical assessment.
  • Between 6 and 8 weeks (ie 42 to 56 days) old, inclusive.
  • Subject's parent must provide voluntary written/thumb-printed and be willing to comply with study requirements and procedures.
  • Subjects must have been born full-term, have a weight-to-height Z score of ≥ -2 at the time of enrollment (WHO child growth standard), and be ≥ 3.5 kg at randomization.
  • Subject's parents must be available for the duration of trial participation

Exclusion criteria

Exclusion Criteria:

  • Use of any medicinal product prior to randomization.
  • Previous vaccination against or infection with S. pneumoniae.
  • History of anaphylactic shock or an allergic reaction to any prior vaccination.
  • Any fever, illness (including malaria).
  • Receipt of another study vaccine within 30 days of study start.
  • Chronic administration of an or administration of immunoglobulins
  • History of blood disorder, primary immunodeficiency, or a sibling who has such a diagnosis or who died suddenly without apparent cause.
  • History of meningitis, seizures or any neurological disorder.
  • Exposure to (HIV) by history.
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
660 participants (actual)

Study arms

  • Experimental
    Pneumosil

    Infants received two primary vaccinations with Pneumosil, the first at age 6 weeks and the second at age 14 weeks. A booster vaccination was given between 9 and 16 months of age.

    Biological: Pneumosil

  • Active comparator
    Synflorix

    Infants received two primary vaccinations with Synflorix, the first at age 6 weeks and the second at age 14 weeks. A booster vaccination was given between 9 and 16 months of age.

    Biological: Synflorix

  • Active comparator
    Prevenar 13

    Infants received two primary vaccinations with Prevenar 13, the first at age 6 weeks and the second at age 14 weeks. A booster vaccination was given between 9 and 16 months of age.

    Biological: Prevenar 13

Interventions

  • BiologicalPneumosil

    One single dose contains 2 μg of polysaccharide for serotypes 1, 5, 6A, 7F, 9V, 14, 19A, 19F and 23F, and 4 μg for serotype 6B formulated with aluminium phosphate as an adjuvant in an appropriate buffer

    Also known as: Serum Institute of India Pneumococcal conjugate vaccine (SIIPL-PCV )

  • BiologicalPrevenar 13

    One single dose contains 2.2 µg of the following pneumococcal polysaccharides serotypes - 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F - and 4.4 µg of pneumococcal polysaccharide serotype 6B, all conjugated to CRM197 and absorbed onto aluminum phosphate

  • BiologicalSynflorix

    One single dose contains 1 μg of polysaccharide for serotypes 1, 5, 6B, 7F, 9V, 14, and 23F, and 3μg of serotypes 4, 18C, and 19F formulated with aluminum phosphate as an adjuvant.

    Also known as: Pneumococcal polysaccharide conjugate vaccine (adsorbed)

06

What researchers measure

Primary outcomes

  1. Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG) Antibodies Four Weeks Post-Booster

    The IgG antibody concentration to each of the 10 serotypes contained in Pneumosil was measured by enzyme-linked immunosorbent assay (ELISA) in serum samples collected 4 weeks after the booster dose (Visit 6). The pneumococcal serotype-specific IgG ELISAs were performed using the World Health Organisation (WHO) reference assay at the WHO Pneumococcal Serology Reference Laboratory, at the Institute of Child Health, University College London, United Kingdom (UK), where the assay was validated.

    Time frame: 4 weeks post booster dose

  2. Number of Participants With Solicited Local and Systemic Adverse Events (AEs) Through Day 6 Following Any Vaccination

    Solicited local reactions included tenderness, erythema/redness and induration/swelling at the study vaccine injection site. Solicited systemic reactions included cutaneous rash, fever (based on axillary temperature), irritability, drowsiness, and decreased appetite. The severity of all solicited AEs was graded from mild (Grade 1) to potentially life threatening (Grade 4), based on protocol-defined criteria that were derived from Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (Version 2.0, November 2014).

    Time frame: Day 0 to Day 6 after each vaccination

  3. Number of Participants With Unsolicited Treatment-emergent Adverse Events (TEAEs)

    AEs include any intercurrent illness or injury during the study, clinically significant worsening of a preexisting condition, and any solicited AE that occurred or was ongoing 6 days after study vaccine administration. A TEAE is an event that was not present prior to administration of the study vaccine, or increased in intensity after administration of the study vaccine. Unsolicited AEs were graded using the scale below: Grade 1: Mild; asymptomatic or mild symptoms; intervention not indicated. Grade 2: Moderate; minimal, local, or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death related to AE. Related AEs are AEs where the Investigator determined a reasonable causal relationship between the vaccine administered and the AE based on medical judgement.

    Time frame: AEs were collected from first dose at age 6 weeks up to 9 months of age, and then from the date of the booster vaccination through 4 weeks post vaccination; approximately 8.5 months overall.

  4. Number of Participants With Serious Adverse Events (SAEs)

    An SAE was a specific AE that: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of an existing hospitalization. * Resulted in a persistent or significant disability or incapacity. * Resulted in a congenital anomaly or birth defect

    Time frame: SAEs were collected from first dose at age 6 weeks up to 4 weeks post booster vaccination, approximately 15.5 months overall.

Secondary outcomes

  1. Geometric Mean Titers (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) Four Weeks Post-Booster

    The functional activity of the antibody response to the 10 serotypes contained in Pneumosil was determined in serum samples collected 4 weeks after the booster dose in a subset of 50 participants per group. This activity was determined using the 4-fold multiplexed opsonophagocytic assay (MOPA) developed at the University of Alabama at Birmingham, and performed at the WHO Pneumococcal Serology Reference Laboratory, at the Institute of Child Health, University College London, UK, where the assay was validated. A higher titer indicates increased antibody-mediated opsonophagocytosis.

    Time frame: 4 weeks post booster dose

  2. Percentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 0.35 μg/mL Four Weeks Post-Booster

    The seroresponse rate was defined as the percentage of infants with serotype-specific IgG antibody concentrations of at least 0.35 μg/mL, which is the reference concentration for assessment of vaccine efficacy against invasive pneumococcal diseases (IPDs). The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the booster dose.

    Time frame: 4 weeks post booster dose

  3. Percentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 1.0 μg/mL Four Weeks Post-Booster

    Seroresponse rate was also defined as the percentage of infants with serotype-specific IgG antibody concentrations of at least 1.0 μg/mL. The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the booster dose.

    Time frame: 4 weeks post booster dose

  4. Percentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Four Weeks Post-Booster

    The OPA seroresponse rate was defined as the percentage of infants with an OPA titer of at least 8. Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA) from serum samples taken 4 weeks after the booster vaccination.

    Time frame: 4 weeks post booster dose

  5. Percentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 0.35 μg/mL Four Weeks After Completion of Primary Vaccinations

    The seroresponse rate was defined as the percentage of infants with serotype-specific IgG antibody concentrations of at least 0.35 μg/mL, which is the reference concentration for assessment of vaccine efficacy against invasive pneumococcal diseases (IPDs). The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the second primary vaccination dose.

    Time frame: 4 weeks after completion of primary vaccinations (at age 18 weeks)

  6. Geometric Mean Concentration of Serotype-specific IgG Antibodies Four Weeks After Completion of Primary Vaccinations

    The IgG antibody concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the second primary vaccination dose.

    Time frame: 4 weeks after completion of primary vaccinations (at age 18 weeks)

  7. Percentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Four Weeks After Completion of Primary Vaccinations

    The OPA seroresponse rate was defined as the percentage of infants with an OPA titer of at least 8. Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA).

    Time frame: 4 weeks after completion of primary vaccinations (at age 18 weeks)

  8. Geometric Mean Titers of Serotype-specific Serum OPA Four Weeks After Primary Vaccinations

    Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA).

    Time frame: 4 weeks after completion of primary vaccinations (at age 18 weeks)

  9. Percentage of Participants With Serotype-specific Serum IgG Concentrations ≥ 0.35 μg/mL Prior to Booster

    The seroresponse rate was defined as the percentage of infants with serotype-specific IgG concentrations of at least 0.35 μg/mL, which is the reference concentration for assessment of vaccine efficacy against invasive pneumococcal diseases (IPDs). The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected immediately prior to the booster vaccination dose.

    Time frame: Prior to the booster dose at approximately 9 to 16 months of age

  10. Geometric Mean Concentration of Serotype-specific Serum IgG Antibodies Prior to Booster

    The IgG antibody concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected immediately prior to the booster vaccination dose.

    Time frame: Prior to the booster dose at approximately 9 to 16 months of age

  11. Percentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Prior to Booster

    The OPA seroresponse rate was defined as the percentage of infants with an OPA titer of at least 8. Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA) from serum samples collected immediately prior to the booster vaccination dose.

    Time frame: Prior to the booster dose at approximately 9 to 16 months of age

  12. Geometric Mean Titer of Serotype-specific Serum OPA Prior to Booster

    Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA) from serum samples collected immediately prior to the booster vaccination dose.

    Time frame: Prior to the booster dose at approximately 9 to 16 months of age

  13. Ratio of Serotype-specific Serum IgG GMC 4 Weeks Post-Booster to Serotype-specific IgG GMC 4 Weeks After Completion of Primary Vaccinations

    Booster response was measured by the ratio of IgG GMCs measured at the post-booster visit to those measured 4 weeks after completion of primary vaccinations.

    Time frame: 4 weeks after completion of primary vaccinations (at age 18 weeks) and 4 weeks post booster

  14. Ratio of Serotype-specific Serum OPA GMT 4 Weeks Post-Booster to Serotype-specific OPA GMT 4 Weeks After Completion of Primary Vaccinations

    OPA booster response was measured by the ratio of OPA GMTs measured at the post-booster visit to those measured 4 weeks after completion of primary vaccinations.

    Time frame: 4 weeks after completion of primary vaccinations (at age 18 weeks) and 4 weeks post booster

07

Results

Posted Apr 20, 2022

Participant flow

Healthy, Gambian male and female, pneumococcal conjugate vaccine (PCV)-naïve infants were screened and enrolled at the Medical Research Council Unit, The Gambia at the London School of Hygiene and Tropical Medicine (MRCG at LSHTM).

Participant flow — Overall Study
MilestonePneumosilSynflorixPrevenar 13
Started220220220
Received first vaccination220220220
Received second vaccination217213213
Received booster vaccination208206206
Completed203200200
Not completed172020
Withdrew: Met ineligibility criteria during the study112
Withdrew: Parent requested withdrawal8129
Withdrew: Adverse event001
Withdrew: Death100
Withdrew: Other567
Withdrew: Lost to follow-up211

Outcome measures

PrimaryGeometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG) Antibodies Four Weeks Post-Booster

The IgG antibody concentration to each of the 10 serotypes contained in Pneumosil was measured by enzyme-linked immunosorbent assay (ELISA) in serum samples collected 4 weeks after the booster dose (Visit 6). The pneumococcal serotype-specific IgG ELISAs were performed using the World Health Organisation (WHO) reference assay at the WHO Pneumococcal Serology Reference Laboratory, at the Institute of Child Health, University College London, United Kingdom (UK), where the assay was validated.

Time frame:
4 weeks post booster dose
Reported as:
Geometric mean · μg/mL
Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG) Antibodies Four Weeks Post-Booster
μg/mLPneumosilSynflorixPrevenar 13
Serotype 18.45 (7.54 to 9.48)2.90 (2.57 to 3.28)5.87 (5.26 to 6.56)
Serotype 51.54 (1.38 to 1.73)0.80 (0.72 to 0.88)2.04 (1.86 to 2.24)
Serotype 6A9.56 (8.26 to 11.05)0.60 (0.50 to 0.71)10.95 (9.57 to 12.54)
Serotype 6B12.46 (11.07 to 14.01)4.96 (4.44 to 5.53)15.54 (13.71 to 17.60)
Serotype 7F6.66 (5.96 to 7.44)3.15 (2.87 to 3.45)6.31 (5.75 to 6.93)
Serotype 9V3.46 (3.08 to 3.88)2.45 (2.21 to 2.72)3.87 (3.47 to 4.32)
Serotype 148.28 (6.97 to 9.82)5.02 (4.22 to 5.97)9.17 (8.06 to 10.45)
Serotype 19A8.82 (7.65 to 10.15)2.39 (1.97 to 2.89)12.21 (10.83 to 13.76)
Serotype 19F11.11 (9.70 to 12.73)17.31 (14.83 to 20.20)14.99 (13.25 to 16.96)
Serotype 23F4.95 (4.28 to 5.73)2.16 (1.92 to 2.44)4.97 (4.34 to 5.69)
Statistical analysis
  • Pneumosil vs Synflorix · Gmc ratio: 2.91 · 95% CI 2.47 to 3.44
  • Pneumosil vs Prevenar 13 · Gmc ratio: 1.44 · 95% CI 1.23 to 1.69
  • Pneumosil vs Synflorix · Gmc ratio: 1.93 · 95% CI 1.66 to 2.25
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.76 · 95% CI 0.65 to 0.88
  • Pneumosil vs Synflorix · Gmc ratio: 16.03 · 95% CI 12.84 to 20.03
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.87 · 95% CI 0.72 to 1.06
  • Pneumosil vs Synflorix · Gmc ratio: 2.51 · 95% CI 2.14 to 2.95
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.80 · 95% CI 0.68 to 0.95
  • Pneumosil vs Synflorix · Gmc ratio: 2.11 · 95% CI 1.83 to 2.44
  • Pneumosil vs Prevenar 13 · Gmc ratio: 1.05 · 95% CI 0.91 to 1.22
  • Pneumosil vs Synflorix · Gmc ratio: 1.41 · 95% CI 1.21 to 1.65
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.89 · 95% CI 0.76 to 1.05
  • Pneumosil vs Synflorix · Gmc ratio: 1.65 · 95% CI 1.29 to 2.10
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.90 · 95% CI 0.73 to 1.12
  • Pneumosil vs Synflorix · Gmc ratio: 3.69 · 95% CI 2.91 to 4.67
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.72 · 95% CI 0.60 to 0.87
  • Pneumosil vs Synflorix · Gmc ratio: 0.64 · 95% CI 0.52 to 0.79
  • Pneumosil vs Prevenar 13 · Gmc ratio: 0.74 · 95% CI 0.62 to 0.89
  • Pneumosil vs Synflorix · Gmc ratio: 2.29 · 95% CI 1.89 to 2.76
  • Pneumosil vs Prevenar 13 · Gmc ratio: 1.00 · 95% CI 0.82 to 1.22
PrimaryNumber of Participants With Solicited Local and Systemic Adverse Events (AEs) Through Day 6 Following Any Vaccination

Solicited local reactions included tenderness, erythema/redness and induration/swelling at the study vaccine injection site. Solicited systemic reactions included cutaneous rash, fever (based on axillary temperature), irritability, drowsiness, and decreased appetite. The severity of all solicited AEs was graded from mild (Grade 1) to potentially life threatening (Grade 4), based on protocol-defined criteria that were derived from Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (Version 2.0, November 2014).

Time frame:
Day 0 to Day 6 after each vaccination
Reported as:
Count of participants · Participants
Number of Participants With Solicited Local and Systemic Adverse Events (AEs) Through Day 6 Following Any Vaccination
ParticipantsPneumosilSynflorixPrevenar 13
Any local reaction728463
Any local reaction Grade 3 or higher000
Tenderness708361
Erythema/Redness131
Induration/Swelling351
Any systemic reaction160167160
Any systemic reaction Grade 3 or higher302
Fever98105108
Fever Grade 3 or higher302
Cutaneous Rash1676
Cutaneous Rash Grade 3 or higher000
Irritability105110101
Irritability Grade 3 or higher000
Drowsiness121518
Drowsiness Grade 3 or higher000
Decreased Appetite251828
Decreased Appetite Grade 3 or higher000
PrimaryNumber of Participants With Unsolicited Treatment-emergent Adverse Events (TEAEs)

AEs include any intercurrent illness or injury during the study, clinically significant worsening of a preexisting condition, and any solicited AE that occurred or was ongoing 6 days after study vaccine administration. A TEAE is an event that was not present prior to administration of the study vaccine, or increased in intensity after administration of the study vaccine. Unsolicited AEs were graded using the scale below: Grade 1: Mild; asymptomatic or mild symptoms; intervention not indicated. Grade 2: Moderate; minimal, local, or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death related to AE. Related AEs are AEs where the Investigator determined a reasonable causal relationship between the vaccine administered and the AE based on medical judgement.

Time frame:
AEs were collected from first dose at age 6 weeks up to 9 months of age, and then from the date of the booster vaccination through 4 weeks post vaccination; approximately 8.5 months overall.
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited Treatment-emergent Adverse Events (TEAEs)
ParticipantsPneumosilSynflorixPrevenar 13
Any treatment-emergent adverse event (TEAE)198197189
Any vaccine-related TEAE120
Grade 1 TEAE196195186
Vaccine-related Grade 1 TEAE110
Grade 2 TEAE222017
Vaccine-related Grade 2 TEAE000
Grade 3 TEAE11106
Vaccine-related Grade 3 TEAE010
Grade 4 TEAE000
Grade 5 TEAE101
Vaccine related Grade 5 TEAE000
TEAEs leading to study discontinuation001
PrimaryNumber of Participants With Serious Adverse Events (SAEs)

An SAE was a specific AE that: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of an existing hospitalization. * Resulted in a persistent or significant disability or incapacity. * Resulted in a congenital anomaly or birth defect

Time frame:
SAEs were collected from first dose at age 6 weeks up to 4 weeks post booster vaccination, approximately 15.5 months overall.
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs)
ParticipantsPneumosilSynflorixPrevenar 13
Any serious adverse event12107
Vaccine-related serious adverse events000
SecondaryGeometric Mean Titers (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) Four Weeks Post-Booster

The functional activity of the antibody response to the 10 serotypes contained in Pneumosil was determined in serum samples collected 4 weeks after the booster dose in a subset of 50 participants per group. This activity was determined using the 4-fold multiplexed opsonophagocytic assay (MOPA) developed at the University of Alabama at Birmingham, and performed at the WHO Pneumococcal Serology Reference Laboratory, at the Institute of Child Health, University College London, UK, where the assay was validated. A higher titer indicates increased antibody-mediated opsonophagocytosis.

Time frame:
4 weeks post booster dose
Reported as:
Geometric mean · titer
Geometric Mean Titers (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) Four Weeks Post-Booster
titerPneumosilSynflorixPrevenar 13
Serotype 1631.29 (467.98 to 851.59)282.35 (190.44 to 418.60)429.13 (310.99 to 592.14)
Serotype 5885.98 (662.20 to 1185.37)484.66 (361.73 to 649.38)703.15 (556.01 to 889.24)
Serotype 6A3651.54 (2593.53 to 5141.16)53.86 (25.10 to 115.56)6464.88 (5120.52 to 8162.19)
Serotype 6B3931.21 (2969.79 to 5203.89)1294.61 (929.52 to 1803.11)6012.88 (4130.89 to 8752.29)
Serotype 7F7053.37 (5904.91 to 8425.18)4401.18 (3593.44 to 5390.50)8288.88 (6756.83 to 10168.3)
Serotype 9V1408.68 (1092.33 to 1816.64)845.47 (631.39 to 1132.13)2464.43 (1957.36 to 3102.85)
Serotype 142622.36 (1845.88 to 3725.47)1381.52 (883.30 to 2160.74)3131.96 (2245.73 to 4367.91)
Serotype 19A1620.76 (1200.51 to 2188.13)305.46 (177.87 to 524.57)3679.06 (2920.79 to 4634.19)
Serotype 19F1384.38 (937.18 to 2044.98)2541.40 (1666.99 to 3874.49)2094.57 (1410.71 to 3109.94)
Serotype 23F2998.53 (2272.86 to 3955.89)1427.66 (1110.72 to 1835.05)5687.60 (3891.57 to 8312.54)
SecondaryPercentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 0.35 μg/mL Four Weeks Post-Booster

The seroresponse rate was defined as the percentage of infants with serotype-specific IgG antibody concentrations of at least 0.35 μg/mL, which is the reference concentration for assessment of vaccine efficacy against invasive pneumococcal diseases (IPDs). The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the booster dose.

Time frame:
4 weeks post booster dose
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 0.35 μg/mL Four Weeks Post-Booster
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 1100 (98.2 to 100.0)100 (98.1 to 100.0)99.5 (97.3 to 100.0)
Serotype 597.5 (94.3 to 99.2)89.9 (84.9 to 93.8)99.0 (96.4 to 99.9)
Serotype 6A98.0 (95.0 to 99.5)66.2 (59.1 to 72.8)99.0 (96.4 to 99.9)
Serotype 6B100 (98.2 to 100.0)99.5 (97.3 to 100.0)99.5 (97.3 to 100.0)
Serotype 7F100 (98.2 to 100.0)99.5 (97.3 to 100.0)100 (98.2 to 100.0)
Serotype 9V99.0 (96.5 to 99.9)99.5 (97.3 to 100.0)100 (98.2 to 100.0)
Serotype 1498.5 (95.7 to 99.7)97.5 (94.3 to 99.2)99.5 (97.3 to 100.0)
Serotype 19A100 (98.2 to 100.0)91.5 (86.7 to 94.9)100 (98.2 to 100.0)
Serotype 19F100 (98.2 to 100.0)100 (98.1 to 100.0)100 (98.1 to 100.0)
Serotype 23F98.0 (95.0 to 99.5)98.0 (95.0 to 99.5)98.5 (95.6 to 99.7)
SecondaryPercentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 1.0 μg/mL Four Weeks Post-Booster

Seroresponse rate was also defined as the percentage of infants with serotype-specific IgG antibody concentrations of at least 1.0 μg/mL. The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the booster dose.

Time frame:
4 weeks post booster dose
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 1.0 μg/mL Four Weeks Post-Booster
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 198.5 (95.7 to 99.7)88.3 (83.0 to 92.5)97.5 (94.3 to 99.2)
Serotype 568.6 (61.9 to 75.1)37.7 (30.9 to 44.8)87.5 (82.1 to 91.7)
Serotype 6A96.5 (93.0 to 98.6)37.9 (31.1 to 45.2)98.0 (94.9 to 99.5)
Serotype 6B100 (98.2 to 100.0)96.5 (92.9 to 98.6)99.5 (97.3 to 100.0)
Serotype 7F98.0 (95.0 to 99.5)95.0 (91.0 to 97.6)99.5 (97.3 to 100.0)
Serotype 9V94.6 (90.5 to 97.3)89.5 (84.4 to 93.4)95.5 (91.6 to 97.9)
Serotype 1495.0 (91.1 to 97.6)90.0 (85.0 to 93.8)99.0 (96.4 to 99.9)
Serotype 19A96.0 (92.3 to 98.3)77.4 (70.9 to 83.0)99.5 (97.2 to 100.0)
Serotype 19F98.5 (95.7 to 99.7)96.9 (93.4 to 98.9)99.0 (96.4 to 99.9)
Serotype 23F94.6 (90.5 to 97.3)83.0 (77.1 to 87.9)96.0 (92.2 to 98.2)
SecondaryPercentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Four Weeks Post-Booster

The OPA seroresponse rate was defined as the percentage of infants with an OPA titer of at least 8. Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA) from serum samples taken 4 weeks after the booster vaccination.

Time frame:
4 weeks post booster dose
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Four Weeks Post-Booster
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 1100 (92.9 to 100.0)96.0 (86.3 to 99.5)98.0 (89.2 to 100.0)
Serotype 5100 (92.9 to 100.0)100 (92.9 to 100.0)100 (92.9 to 100.0)
Serotype 6A100 (92.9 to 100.0)55.6 (40.0 to 70.4)100 (92.9 to 100.0)
Serotype 6B100 (92.9 to 100.0)98.0 (89.4 to 100.0)98.0 (89.4 to 100.0)
Serotype 7F100 (92.9 to 100.0)100 (92.9 to 100.0)100 (92.9 to 100.0)
Serotype 9V100 (92.9 to 100.0)100 (92.8 to 100.0)100 (92.9 to 100.0)
Serotype 14100 (92.9 to 100.0)96.0 (86.3 to 99.5)100 (92.9 to 100.0)
Serotype 19A100 (92.9 to 100.0)90.0 (78.2 to 96.7)100 (92.9 to 100.0)
Serotype 19F98.0 (89.4 to 100.0)98.0 (89.4 to 100.0)98.0 (89.4 to 100.0)
Serotype 23F100 (92.9 to 100.0)100 (92.9 to 100.0)100 (92.9 to 100.0)
SecondaryPercentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 0.35 μg/mL Four Weeks After Completion of Primary Vaccinations

The seroresponse rate was defined as the percentage of infants with serotype-specific IgG antibody concentrations of at least 0.35 μg/mL, which is the reference concentration for assessment of vaccine efficacy against invasive pneumococcal diseases (IPDs). The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the second primary vaccination dose.

Time frame:
4 weeks after completion of primary vaccinations (at age 18 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum IgG Antibody Concentrations ≥ 0.35 μg/mL Four Weeks After Completion of Primary Vaccinations
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 199.5 (97.5 to 100.0)96.2 (92.7 to 98.4)100 (98.3 to 100.0)
Serotype 596.8 (93.4 to 98.7)92.0 (87.5 to 95.3)96.2 (92.7 to 98.4)
Serotype 6A83.3 (77.7 to 88.1)12.8 (8.6 to 18.1)91.5 (86.9 to 94.9)
Serotype 6B84.7 (79.2 to 89.2)71.2 (64.6 to 77.2)89.0 (84.0 to 92.9)
Serotype 7F99.5 (97.5 to 100.0)97.2 (93.9 to 99.0)100 (98.3 to 100.0)
Seroytpe 9V94.9 (91.1 to 97.4)91.0 (86.4 to 94.5)98.1 (95.2 to 99.5)
Serotype 1498.6 (96.0 to 99.7)95.3 (91.5 to 97.7)97.2 (93.9 to 99.0)
Serotype 19A97.7 (94.7 to 99.2)75.2 (68.8 to 80.9)97.6 (94.6 to 99.2)
Serotype 19F100 (98.3 to 100.0)99.5 (97.4 to 100.0)100 (98.3 to 100.0)
Serotype 23F95.8 (92.2 to 98.1)63.2 (56.3 to 69.7)89.6 (84.7 to 93.4)
SecondaryGeometric Mean Concentration of Serotype-specific IgG Antibodies Four Weeks After Completion of Primary Vaccinations

The IgG antibody concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected 4 weeks after the second primary vaccination dose.

Time frame:
4 weeks after completion of primary vaccinations (at age 18 weeks)
Reported as:
Geometric mean · μg/mL
Geometric Mean Concentration of Serotype-specific IgG Antibodies Four Weeks After Completion of Primary Vaccinations
μg/mLPneumosilSynflorixPrevenar 13
Serotype 13.63 (3.32 to 3.98)1.36 (1.23 to 1.51)3.40 (3.10 to 3.74)
Serotype 51.19 (1.10 to 1.28)0.87 (0.79 to 0.96)1.81 (1.62 to 2.01)
Serotype 6A1.19 (1.00 to 1.41)0.14 (0.13 to 0.16)2.62 (2.24 to 3.08)
Serotype 6B1.82 (1.48 to 2.23)0.91 (0.75 to 1.10)1.75 (1.49 to 2.07)
Serotype 7F3.46 (3.09 to 3.88)1.73 (1.55 to 1.92)4.67 (4.19 to 5.20)
Serotype 9V1.93 (1.74 to 2.16)1.31 (1.17 to 1.46)2.56 (2.28 to 2.88)
Serotype 144.03 (3.50 to 4.64)2.58 (2.18 to 3.04)3.27 (2.70 to 3.96)
Serotype 19A1.75 (1.57 to 1.96)0.65 (0.57 to 0.73)4.38 (3.73 to 5.15)
Serotype 19F5.45 (4.94 to 6.01)8.86 (7.71 to 10.17)9.06 (7.97 to 10.30)
Serotype 23F2.21 (1.92 to 2.56)0.57 (0.48 to 0.68)1.64 (1.39 to 1.93)
SecondaryPercentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Four Weeks After Completion of Primary Vaccinations

The OPA seroresponse rate was defined as the percentage of infants with an OPA titer of at least 8. Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA).

Time frame:
4 weeks after completion of primary vaccinations (at age 18 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Four Weeks After Completion of Primary Vaccinations
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 198.0 (89.4 to 100.0)73.5 (58.9 to 85.1)96.0 (86.3 to 99.5)
Serotype 598.0 (89.4 to 100.0)96.0 (86.3 to 99.5)100 (92.9 to 100.0)
Serotype 6A92.0 (80.8 to 97.8)10.2 (3.4 to 22.2)98.0 (89.4 to 100.0)
Serotype 6B96.0 (86.3 to 99.5)69.4 (54.6 to 81.8)92.0 (80.8 to 97.8)
Serotype 7F100 (92.9 to 100.0)100 (92.9 to 100.0)100 (92.9 to 100.0)
Serotype 9V100 (92.5 to 100.0)100 (92.9 to 100.0)100 (92.9 to 100.0)
Serotype 1494.0 (83.5 to 98.8)97.9 (88.9 to 100.0)90.0 (78.2 to 96.7)
Serotype 19A91.8 (80.4 to 97.7)56.5 (41.1 to 71.1)96.0 (86.3 to 99.5)
Serotype 19F96.0 (86.3 to 99.5)95.9 (86.0 to 99.5)98.0 (89.4 to 100.0)
Serotype 23F100 (92.6 to 100.0)100 (92.5 to 100.0)100 (92.8 to 100.0)
SecondaryGeometric Mean Titers of Serotype-specific Serum OPA Four Weeks After Primary Vaccinations

Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA).

Time frame:
4 weeks after completion of primary vaccinations (at age 18 weeks)
Reported as:
Geometric mean · titer
Geometric Mean Titers of Serotype-specific Serum OPA Four Weeks After Primary Vaccinations
titerPneumosilSynflorixPrevenar 13
Serotype 199.67 (71.83 to 138.30)26.70 (17.72 to 40.22)98.63 (70.61 to 137.78)
Serotype 5182.18 (134.53 to 246.70)85.09 (58.98 to 122.75)291.98 (221.91 to 384.18)
Serotype 6A400.49 (238.40 to 672.79)5.35 (4.04 to 7.08)1524.31 (1066.28 to 2179.09)
Serotype 6B923.86 (589.56 to 1447.73)166.74 (88.71 to 313.43)920.43 (573.35 to 1477.61)
Serotype 7F2069.84 (1622.83 to 2639.98)1096.84 (853.88 to 1408.93)3069.95 (2435.98 to 3868.91)
Serotype 9V134.50 (87.35 to 207.10)58.24 (38.29 to 88.58)331.79 (241.48 to 455.89)
Serotype 14669.79 (383.93 to 1168.50)577.98 (376.06 to 888.33)489.56 (224.00 to 1069.94)
Serotype 19A69.15 (46.95 to 101.85)22.40 (13.27 to 37.83)324.64 (204.39 to 515.65)
Serotype 19F381.46 (269.27 to 540.40)690.36 (461.10 to 1033.61)647.79 (460.50 to 911.24)
Serotype 23F806.12 (584.18 to 1112.39)180.97 (106.19 to 308.44)748.96 (458.35 to 1223.84)
SecondaryPercentage of Participants With Serotype-specific Serum IgG Concentrations ≥ 0.35 μg/mL Prior to Booster

The seroresponse rate was defined as the percentage of infants with serotype-specific IgG concentrations of at least 0.35 μg/mL, which is the reference concentration for assessment of vaccine efficacy against invasive pneumococcal diseases (IPDs). The IgG concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected immediately prior to the booster vaccination dose.

Time frame:
Prior to the booster dose at approximately 9 to 16 months of age
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum IgG Concentrations ≥ 0.35 μg/mL Prior to Booster
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 150.2 (43.2 to 57.3)17.2 (12.3 to 23.2)53.4 (46.3 to 60.4)
Serotype 513.7 (9.3 to 19.1)16.4 (11.6 to 22.3)33.8 (27.4 to 40.8)
Serotype 6A76.0 (69.6 to 81.6)32.7 (26.3 to 39.6)70.4 (63.7 to 76.5)
Serotype 6B89.9 (85.0 to 93.6)74.6 (68.1 to 80.4)60.7 (53.7 to 67.4)
Serotype 7F74.5 (68.0 to 80.3)65.4 (58.4 to 71.9)84.5 (78.8 to 89.1)
Serotype 9V35.1 (28.6 to 42.1)36.1 (29.5 to 43.1)37.7 (31.1 to 44.8)
Serotype 1469.6 (62.8 to 75.8)59.3 (52.2 to 66.1)86.3 (80.9 to 90.7)
Serotype 19A58.1 (51.0 to 65.0)54.9 (47.8 to 61.9)65.7 (58.7 to 72.2)
Serotype 19F84.1 (78.4 to 88.8)95.1 (91.2 to 97.6)80.6 (74.5 to 85.8)
Serotype 23F46.2 (39.2 to 53.2)19.4 (14.3 to 25.5)24.9 (19.1 to 31.4)
SecondaryGeometric Mean Concentration of Serotype-specific Serum IgG Antibodies Prior to Booster

The IgG antibody concentration to each of the 10 serotypes contained in Pneumosil was measured by ELISA in serum samples collected immediately prior to the booster vaccination dose.

Time frame:
Prior to the booster dose at approximately 9 to 16 months of age
Reported as:
Geometric mean · μg/mL
Geometric Mean Concentration of Serotype-specific Serum IgG Antibodies Prior to Booster
μg/mLPneumosilSynflorixPrevenar 13
Serotype 10.36 (0.33 to 0.41)0.16 (0.15 to 0.18)0.37 (0.33 to 0.41)
Serotype 50.17 (0.15 to 0.18)0.16 (0.14 to 0.17)0.24 (0.22 to 0.27)
Serotype 6A0.62 (0.55 to 0.70)0.22 (0.19 to 0.25)0.50 (0.45 to 0.56)
Serotype 6B0.97 (0.87 to 1.08)0.56 (0.50 to 0.62)0.45 (0.39 to 0.50)
Serotype 7F0.60 (0.53 to 0.68)0.43 (0.39 to 0.48)0.72 (0.64 to 0.80)
Serotype 9V0.25 (0.23 to 0.28)0.29 (0.26 to 0.32)0.28 (0.25 to 0.31)
Serotype 140.71 (0.60 to 0.83)0.48 (0.41 to 0.56)1.16 (1.00 to 1.35)
Serotype 19A0.49 (0.42 to 0.56)0.40 (0.35 to 0.45)0.53 (0.46 to 0.62)
Serotype 19F0.83 (0.73 to 0.94)1.25 (1.11 to 1.40)0.72 (0.63 to 0.83)
Serotype 23F0.32 (0.27 to 0.37)0.16 (0.15 to 0.19)0.17 (0.15 to 0.20)
SecondaryPercentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Prior to Booster

The OPA seroresponse rate was defined as the percentage of infants with an OPA titer of at least 8. Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA) from serum samples collected immediately prior to the booster vaccination dose.

Time frame:
Prior to the booster dose at approximately 9 to 16 months of age
Reported as:
Number · percentage of participants
Percentage of Participants With Serotype-specific Serum OPA Titers ≥ 8 Prior to Booster
percentage of participantsPneumosilSynflorixPrevenar 13
Serotype 122.4 (11.8 to 36.6)16.0 (7.2 to 29.1)25.5 (13.9 to 40.3)
Serotype 558.3 (43.2 to 72.4)49.0 (34.4 to 63.7)63.3 (48.3 to 76.6)
Serotype 6A76.6 (62.0 to 87.7)14.0 (5.8 to 26.7)63.8 (48.5 to 77.3)
Serotype 6B87.5 (74.8 to 95.3)62.5 (47.3 to 76.1)54.2 (39.2 to 68.6)
Serotype 7F100 (92.8 to 100.0)100 (92.8 to 100.0)100 (92.6 to 100.0)
Serotype 9V100 (92.0 to 100.0)100 (91.8 to 100.0)100 (92.1 to 100.0)
Serotype 1475.5 (61.1 to 86.7)52.1 (37.2 to 66.7)72.9 (58.2 to 84.7)
Serotype 19A35.4 (22.2 to 50.5)40.8 (27.0 to 55.8)63.3 (48.3 to 76.6)
Serotype 19F60.4 (45.3 to 74.2)79.6 (65.7 to 89.8)36.7 (23.4 to 51.7)
Serotype 23F100 (91.8 to 100.0)100 (91.6 to 100.0)100 (91.6 to 100.0)
SecondaryGeometric Mean Titer of Serotype-specific Serum OPA Prior to Booster

Opsonophagocytic activity was measured using the 4-fold multiplexed opsonophagocytic assay (MOPA) from serum samples collected immediately prior to the booster vaccination dose.

Time frame:
Prior to the booster dose at approximately 9 to 16 months of age
Reported as:
Geometric mean · titer
Geometric Mean Titer of Serotype-specific Serum OPA Prior to Booster
titerPneumosilSynflorixPrevenar 13
Serotype 15.57 (4.56 to 6.80)5.19 (4.27 to 6.30)5.45 (4.57 to 6.49)
Serotype 512.53 (9.03 to 17.37)12.01 (8.28 to 17.43)16.03 (10.95 to 23.45)
Serotype 6A42.59 (26.46 to 68.55)6.41 (4.49 to 9.15)40.66 (22.34 to 74.00)
Serotype 6B121.60 (78.09 to 189.36)40.08 (25.20 to 63.72)32.27 (19.77 to 52.68)
Serotype 7F1756.80 (1234.91 to 2499.24)1725.63 (1206.66 to 2467.79)1688.30 (1160.23 to 2456.74)
Serotype 9V27.60 (15.80 to 48.21)27.95 (17.48 to 44.67)48.64 (29.08 to 81.36)
Serotype 1460.53 (32.55 to 112.55)17.67 (10.31 to 30.29)62.77 (33.95 to 116.08)
Serotype 19A13.43 (7.80 to 23.11)12.88 (8.25 to 20.12)28.20 (16.96 to 46.89)
Serotype 19F24.09 (13.90 to 41.77)57.66 (33.74 to 98.52)12.27 (7.34 to 20.50)
Serotype 23F65.62 (38.19 to 112.74)41.99 (23.29 to 75.68)81.42 (44.08 to 150.40)
SecondaryRatio of Serotype-specific Serum IgG GMC 4 Weeks Post-Booster to Serotype-specific IgG GMC 4 Weeks After Completion of Primary Vaccinations

Booster response was measured by the ratio of IgG GMCs measured at the post-booster visit to those measured 4 weeks after completion of primary vaccinations.

Time frame:
4 weeks after completion of primary vaccinations (at age 18 weeks) and 4 weeks post booster
Reported as:
Geometric mean · ratio
Ratio of Serotype-specific Serum IgG GMC 4 Weeks Post-Booster to Serotype-specific IgG GMC 4 Weeks After Completion of Primary Vaccinations
ratioPneumosilSynflorixPrevenar 13
Serotype 12.31 (2.10 to 2.55)2.09 (1.86 to 2.34)1.74 (1.54 to 1.97)
Serotype 51.29 (1.15 to 1.44)0.90 (0.81 to 1.01)1.15 (1.02 to 1.30)
Serotype 6A7.86 (6.54 to 9.44)4.30 (3.61 to 5.12)4.14 (3.49 to 4.91)
Serotype 6B6.71 (5.48 to 8.21)5.32 (4.46 to 6.35)8.92 (7.47 to 10.66)
Serotype 7F1.91 (1.69 to 2.17)1.84 (1.64 to 2.05)1.36 (1.22 to 1.52)
Serotype 9V1.76 (1.55 to 1.98)1.86 (1.65 to 2.09)1.55 (1.34 to 1.79)
Serotype 141.98 (1.69 to 2.33)1.93 (1.61 to 2.33)2.80 (2.29 to 3.43)
Serotype 19A4.98 (4.33 to 5.74)3.69 (3.08 to 4.42)2.69 (2.25 to 3.22)
Serotype 19F1.98 (1.74 to 2.26)1.96 (1.68 to 2.29)1.68 (1.46 to 1.94)
Serotype 23F2.24 (1.95 to 2.58)3.67 (3.10 to 4.36)3.00 (2.55 to 3.52)
SecondaryRatio of Serotype-specific Serum OPA GMT 4 Weeks Post-Booster to Serotype-specific OPA GMT 4 Weeks After Completion of Primary Vaccinations

OPA booster response was measured by the ratio of OPA GMTs measured at the post-booster visit to those measured 4 weeks after completion of primary vaccinations.

Time frame:
4 weeks after completion of primary vaccinations (at age 18 weeks) and 4 weeks post booster
Reported as:
Geometric mean · ratio
Ratio of Serotype-specific Serum OPA GMT 4 Weeks Post-Booster to Serotype-specific OPA GMT 4 Weeks After Completion of Primary Vaccinations
ratioPneumosilSynflorixPrevenar 13
Serotype 16.70 (5.07 to 8.86)9.35 (6.50 to 13.46)4.45 (2.94 to 6.74)
Serotype 54.91 (3.71 to 6.49)5.36 (3.78 to 7.61)2.46 (1.86 to 3.25)
Serotype 6A10.36 (6.54 to 16.41)10.12 (4.98 to 20.53)3.89 (2.70 to 5.61)
Serotype 6B4.62 (2.84 to 7.53)7.70 (4.40 to 13.46)6.54 (4.03 to 10.60)
Serotype 7F3.51 (2.67 to 4.62)4.03 (2.93 to 5.54)2.71 (2.08 to 3.53)
Serotype 9V10.24 (6.36 to 16.50)14.90 (9.12 to 24.35)7.64 (5.58 to 10.45)
Serotype 144.27 (2.38 to 7.64)2.25 (1.32 to 3.83)5.73 (2.84 to 11.60)
Serotype 19A23.79 (15.61 to 36.25)12.25 (6.86 to 21.87)11.63 (7.59 to 17.81)
Serotype 19F3.74 (2.47 to 5.65)3.30 (2.32 to 4.68)3.55 (2.35 to 5.39)
Serotype 23F3.81 (2.69 to 5.40)8.71 (5.63 to 13.45)7.41 (4.32 to 12.72)

Adverse events

Collected over All-cause mortality and SAEs were collected from first dose at age 6 weeks up to 4 weeks post booster vaccination, approximately 15.5 months overall. Non-serious AEs were collected from first dose at age 6 weeks up to 9 months of age, and then from the date of the booster vaccination through 4 weeks post booster vaccination; approximately 8.5 months overall.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pneumosil1/220 (0.5%)12/220 (5.5%)212/220 (96.4%)
Synflorix0/220 (0%)10/220 (4.5%)213/220 (96.8%)
Prevenar 131/220 (0.5%)7/220 (3.2%)211/220 (95.9%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventPneumosilSynflorixPrevenar 13
GastroenteritisInfections and infestations5/2202/2200/220
BronchiolitisInfections and infestations3/2201/2202/220
Periorbital cellulitisInfections and infestations0/2203/2202/220
CellulitisInfections and infestations1/2200/2202/220
PneumoniaInfections and infestations0/2202/2201/220
Infected dermal cystInfections and infestations0/2201/2200/220
Meningitis bacterialInfections and infestations1/2200/2200/220
Vulval cellulitisInfections and infestations1/2200/2200/220
Atrioventricular septal defectCongenital, familial and genetic disorders0/2200/2201/220
Dermoid cystCongenital, familial and genetic disorders0/2201/2200/220
Most frequent other events
Showing 10 of 100
Most frequent other events
EventPneumosilSynflorixPrevenar 13
Upper respiratory tract infectionInfections and infestations111/220112/22099/220
Irritability postvaccinalGeneral disorders105/220110/220101/220
PyrexiaGeneral disorders96/220104/220108/220
Vaccination site painGeneral disorders70/22083/22061/220
DiarrhoeaGastrointestinal disorders52/22058/22045/220
FuruncleInfections and infestations52/22040/22039/220
ConjunctivitisInfections and infestations29/22042/22036/220
GastroenteritisInfections and infestations24/22021/22029/220
Rash papularSkin and subcutaneous tissue disorders25/22029/22015/220
Decreased appetiteMetabolism and nutrition disorders25/22018/22029/220

Baseline characteristics

Age, Continuous
Age, Continuous(days)PneumosilSynflorixPrevenar 13Total
Mean47.3 ± 3.8646.8 ± 3.9646.7 ± 3.7446.9 ± 3.86
Sex: Female, Male
Sex: Female, Male(Participants)PneumosilSynflorixPrevenar 13Total
Female125108109342
Male95112111318
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PneumosilSynflorixPrevenar 13Total
African220220220660
Ethnicity
Ethnicity(Participants)PneumosilSynflorixPrevenar 13Total
Mandinka109118124351
Wolof21172260
Fula26252576
Jola28311574
Serahule99927
Serere98825
Manjago51410
Other13111337
Primary Cooking Fuel Source
Primary Cooking Fuel Source(Participants)PneumosilSynflorixPrevenar 13Total
Wood/charcoal218219219656
Gas/electricity2114
Primary Water Source for Cooking/Drinking
Primary Water Source for Cooking/Drinking(Participants)PneumosilSynflorixPrevenar 13Total
Private tap, well or borehole168180178526
Community tap, well or borehole524042134
Weight
Weight(kg)PneumosilSynflorixPrevenar 13Total
Mean4.64 ± 0.554.68 ± 0.584.67 ± 0.654.66 ± 0.59
Length
Length(cm)PneumosilSynflorixPrevenar 13Total
Mean55.44 ± 1.9155.48 ± 2.0255.29 ± 2.1155.40 ± 2.02
08

Study locations

1 site
  • Medical Research Council Unit, The Gambia at the London School of Hygiene and Tropical Medicine (MRCG at LSHTM)
    Banjul, Gambia
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2019 to primary completion in Dec 2020, 16 months.

Results were first posted in Apr 2022, 1 year 4 months after primary completion.

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

Registered
Mar 22, 2019
First posted
Apr 1, 2019
StartActual
Jul 18, 2019
Primary completionActual
Dec 17, 2020
CompletionActual
Dec 17, 2020
Results first posted
Apr 20, 2022
Last update
Apr 20, 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 Apr 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03896477
Lead sponsor
PATH
Collaborators
Serum Institute of India Pvt. Ltd., Medical Research Council Unit, The Gambia, University College, London, FHI 360
Responsible party
Sponsor
First posted
Apr 1, 2019
Start date
Jul 18, 2019
Primary completion
Dec 17, 2020
Completion
Dec 17, 2020
Results posted
Apr 20, 2022
Last update
Apr 20, 2022

Study contacts

Ed Clarke, MB ChB, PhD
principal investigator · MRCG at LSHTM

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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