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Active, not recruitingNCT06720038Updated May 15, 2026

A Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of VAX-31 in Healthy Infants

A Phase 2 interventional study of 0.5 mL of the low dose VAX-31 and 0.5 mL of the mid dose VAX-31 in Pneumococcal Vaccines, sponsored by Vaxcyte, Inc.. Active, not recruiting at 48 sites in 2 countries. Open to participants aged 42 Days to 89 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-15.

Sponsored by Vaxcyte, Inc. · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
900
Allocation
Randomized
Ages
42 Days to 89 Days
Sex
All
01

Study summary

The objective of the study is to evaluate the safety, tolerability, and immunogenicity of 4 injections of VAX-31 (at 4 dose levels) compared to PCV20 in infants at 2, 4, 6, and 12-15 months of age, in addition to receiving routine US concomitant vaccines. Stage 1 of the study will comprise 3 dose ascending cohorts. Stage 2 of the study will enroll approximately 352 subjects. Stage 3 of the study will enroll approximately 500 subjects.

02

Conditions studied

  • Pneumococcal Vaccines

Keywords

  • 31 Valent PCV
  • Pneumonia
  • Pneumococcal Infection
03

In context

Pneumonia

2,044 studies on the registry are indexed under Pneumonia; 283 are open to participants now.

This study's enrollment of 900 is above the median of 106 across 1,247 interventional studies indexed under Pneumonia.

Browse Pneumonia studies →

Lead sponsor

Vaxcyte, Inc. is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
42 Days to 89 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy male or female infant ≥42 days to ≤89 days.
  2. Full-term infant at least 37 weeks gestational age at birth.
  3. Afebrile for ≥72 hours with an tympanic or rectal temperature \<38.0°C (\<100.4°F) before receipt of study vaccine.*Criterion applies to each vaccination. If not met, visit may be rescheduled for a time when no longer febrile for ≥72 hours.
  4. Able to attend all scheduled visits and comply with the study procedures.
  5. Subject's parent/legal guardian is able to read and understands the study procedures, alternate treatments, risks and benefits, and provides written informed consent.
  6. Subject's parent/legal guardian is able to fill out an eDiary of solicited AE and take daily tympanic temperature and measurements of local injection site reactions for the 7 days after each study vaccination.
  7. Subject's parent/legal guardian has an email address and access to a computer or smartphone with internet to complete the eDiary.

Exclusion criteria

Exclusion Criteria:

  1. History of invasive pneumococcal disease (positive blood culture, positive cerebrospinal fluid culture, or other sterile site) or known history of other culture positive pneumococcal disease.
  2. Previous receipt of a licensed or investigational vaccine (excluding 1 dose of hepatitis B vaccine).
  3. Known hypersensitivity to any vaccine.
  4. Known or suspected impairment of immunological function (e.g., asplenia, human immunodeficiency virus, primary immunodeficiency).
  5. Use of any immunosuppressive therapy or planned use through the last blood draw (Visit 6). Receipt of a \<14-day course of systemic corticosteroids is not exclusionary if completed ≥1 month prior to first study vaccination. Topical and inhaled/nebulized steroids are also permitted.
  6. History of failure to thrive or prior hospitalization for any chronic condition.
  7. Subject has a bleeding disorder contraindicating IM vaccination.
  8. Subject or his/her mother has documented hepatitis B surface antigen-positive test.
  9. Subject has a known neurologic or cognitive behavioral disorder.
  10. Subject has a known clinically significant congenital malformation or serious chronic disorder.
  11. Receipt of a blood transfusion or blood products, including immunoglobulins.
  12. Receipt of any investigational study product since birth, currently participating in another interventional investigational study, or plans to receive another investigational product while on study.
  13. Any infant who cannot be adequately followed for safety according to the protocol plan.
  14. Any other reason that in the opinion of the Investigator may interfere with the evaluation required by the study.
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
900 participants (actual)

Study arms

  • Experimental
    VAX-31 Low

    Participants will receive 4 doses of VAX-31 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of four dose levels.

    Biological: 0.5 mL of the low dose VAX-31

  • Experimental
    VAX-31 Mid

    Participants will receive 4 doses of VAX-31 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of four dose levels.

    Biological: 0.5 mL of the mid dose VAX-31

  • Experimental
    VAX-31 High

    Participants will receive 4 doses of VAX-31 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of four dose levels.

    Biological: 0.5 mL of the high dose VAX-31

  • Active comparator
    PCV20

    Participants will receive 4 doses of PCV20 administered as an intramuscular injection of the standard dose at 2, 4, 6, and 12-15 months of age.

    Biological: 0.5 mL dose of PCV20

  • Experimental
    VAX-31 High-PFS

    Participants will receive 4 doses of VAX-31 administered as an intramuscular injection at 2, 4, 6, and 12-15 months of age at one of four dose levels.

    Biological: 0.5 mL of the High-PFS dose VAX-31

Interventions

  • Biological0.5 mL of the low dose VAX-31

    31 valent pneumococcal conjugate vaccine

  • Biological0.5 mL of the mid dose VAX-31

    31 valent pneumococcal conjugate vaccine

  • Biological0.5 mL of the high dose VAX-31

    31 valent pneumococcal conjugate vaccine

  • Biological0.5 mL dose of PCV20

    20 valent pneumococcal conjugate vaccine

  • Biological0.5 mL of the High-PFS dose VAX-31

    31 valent pneumococcal conjugate vaccine

06

What researchers measure

Primary outcomes

  1. Percentage of subjects with any solicited local injection site adverse events (AE) within 7 days after each vaccination

    Solicited local reactions include erythema, edema, and tenderness at the injection site

    Time frame: 7 days after each vaccination

  2. Percentage of subjects with any solicited systemic AE within 7 days after each vaccination

    Solicited systemic reactions include fever, irritability, decreased appetite, decreased sleep, and increased sleep

    Time frame: 7 days after each vaccination

  3. Percentage of subjects with any unsolicited AE within 1 month after each vaccination

    Percentage of subjects with unsolicited AE

    Time frame: 1 months after each vaccination

  4. Percentage of subjects with any medically attended adverse events (MAAE) within 6 months after last vaccination

    Percentage of subjects with MAAE

    Time frame: 6 months after last vaccination

  5. Percentage of subjects with any Serious Adverse Events (SAE) within 6 months after last vaccination

    Percentage of subjects with SAE

    Time frame: 6 months after last vaccination

  6. Percentage of subjects with any new onset of chronic illness (NOCI) within 6 months after last vaccination

    Percentage of subjects with NOCI

    Time frame: 6 months after last vaccination

Secondary outcomes

  1. Percentage of subjects achieving a serotype-specific anti-pneumococcal IgG antibody concentration ≥0.35 mcg/mL 1 month after Dose 3

    Percentage of subjects achieving a serotype-specific anti-pneumococcal IgG antibody concentration ≥0.35 mcg/mL

    Time frame: 1 month after Dose 3

  2. Serotype-specific IgG antibody geometric mean concentration (GMC) 1 month after Dose 3

    Antibody geometric mean concentrations as measured by IgG for the 31 pneumococcal serotypes in VAX-31

    Time frame: 1 month after Dose 3

  3. Serotype-specific IgG antibody GMC 1 month after Dose 4

    Antibody geometric mean concentrations as measured by IgG for the 31 pneumococcal serotypes in VAX-31

    Time frame: 1 month after Dose 4

07

Study locations

48 sites
  • The Children's Clinic of Jonesboro, P.A
    Jonesboro, Arkansas 72401, United States
  • Matrix Clinical Research
    Gardena, California 90237, United States
  • Matrix Clinical Research
    Los Angeles, California 90057, United States
  • Orange County Research Institute
    Ontario, California 91762, United States
  • Center for Clinical Trials of San Gabriel
    West Covina, California 91790, United States
  • Children's Hospital of Colorado - Dept. of Infectious Disease
    Aurora, Colorado 80045, United States
  • SEC Clinical Research
    Pensacola, Florida 32503, United States
  • PAS Research
    Tampa, Florida 33613, United States
  • Clinical Research Prime, LLP
    Idaho Falls, Idaho 83404, United States
  • Clinical Research Prime - Rexburg
    Rexburg, Idaho 83440, United States
  • Kentucky Pediatrics/Adult Research
    Bardstown, Kentucky 40004, United States
  • ACC Pediatric Research
    Haughton, Louisiana 71037, United States
  • Complete Children's Health
    Lincoln, Nebraska 68504, United States
  • Complete Children's Health
    Lincoln, Nebraska 68505, United States
  • Be Well Clinical Studies Nebraska
    Lincoln, Nebraska 68516, United States
  • Complete Children's Health
    Lincoln, Nebraska 68516, United States
  • Complete Children's Health
    Lincoln, Nebraska 68522, United States
  • Ohio Pediatric Research Association
    Dayton, Ohio 45414, United States
  • Senders Pediatrics
    South Euclid, Ohio 44121, United States
  • Cyn3rgy Research
    Gresham, Oregon 97030, United States
  • UPMC Children's Community Pediatrics - Bass Wolfson, Cranberry
    Cranberry Township, Pennsylvania 16066, United States
  • Allegheny Health & Wellness Pavilion West
    Erie, Pennsylvania 16506, United States
  • UPMC Children's Community Pediatrics - Norwin
    N. Huntingdon, Pennsylvania 15642, United States
  • UPMC Children's Community Pediatrics South Hills-Jefferson Hills
    Pittsburgh, Pennsylvania 15025, United States
  • UPMC Children's Hospital of Pittsburgh - General Academic Pediatrics (GAP)
    Pittsburgh, Pennsylvania 15213, United States
  • UPMC Children's Community Pediatrics Bass Wolfson-Squirrel Hill
    Pittsburgh, Pennsylvania 15217, United States
  • UPMC Children's Community Pediatrics-Castle Shannon
    Pittsburgh, Pennsylvania 15234, United States
  • Tribe Clinical Research, LLC dba Neighbors Clinical Research
    Charleston, South Carolina 29407, United States
  • Tribe Clinical Research/Parkside Pediatrics
    Simpsonville, South Carolina 29680, United States
  • Proactive RGV LLC
    Brownsville, Texas 78520, United States
  • Javara Inc. /Texas Health Care, PLLC
    Dallas, Texas 75001-, United States
  • Oak Cliff Research Company
    Dallas, Texas 75287, United States
  • Kool Kids Pediatrics (Dynamed)
    Houston, Texas 77065, United States
  • Sunrise Pediatrics
    Houston, Texas 77077, United States
  • Mercury Clinical Research - Pediatric Associates
    Houston, Texas 77087, United States
  • University of Texas Medical Branch - Sealy Institute for Vaccine Sciences, Clinical Trials Program
    League City, Texas 77573, United States
  • Pediatric Center/Neutra Life Sciences
    Richmond, Texas 77469, United States
  • AMR - Layton
    Layton, Utah 84041, United States
  • AMR - Cottonwood
    Murray, Utah 84107, United States
  • AMR - Roy
    Roy, Utah 84067, United States
  • AMR South Jordan
    South Jordan, Utah 84095, United States
  • AMR - Syracuse
    Syracuse, Utah 84075, United States
  • Pediatric Research of Charlottesville, LLC
    Charlottesville, Virginia 22902, United States
  • Pediatric Research of Charlottesville, LLC
    Gordonsville, Virginia 22942, United States
  • Clinical Research Partners, LLC.
    Richmond, Virginia 23226, United States
  • Ponce Medical School Foundation Inc. / CAIMED Center
    Ponce, PR 716, Puerto Rico
  • BRCR Global Puerto Rico
    San Juan, PR 907, Puerto Rico
  • Caribbean Medical Research Center
    San Juan, PR 918, Puerto Rico
08

References and documents

Individual participant data

Plan to share: Yes — Vaxcyte is committed to providing access to anonymized data from the company's clinical trials for the purpose of legitimate scientific research. Requests for data may be addressed to datasharing@vaxcyte.com. Requests must be accompanied by a detailed analysis plan and will be reviewed for scientific validity. Data will be made available after initial product approval. Sharing of data may require execution of a data-sharing agreement.

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06720038
Lead sponsor
Vaxcyte, Inc.
Responsible party
Sponsor
First posted
Dec 6, 2024
Start date
Nov 25, 2024
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
May 15, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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