ClinicalTrials.gg
Active, not recruitingNCT06824194Updated Apr 13, 2026

Study of the Safety of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age

A Phase 3 interventional study of PCV21 vaccine and Prevnar 20 vaccine in Pneumococcal Immunization, sponsored by Sanofi. Active, not recruiting at 132 sites in 6 countries. Open to participants aged 42 Days to 89 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-13.

Sponsored by Sanofi · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
2,360
Allocation
Randomized
Ages
42 Days to 89 Days
Sex
All
01

Study summary

This study is a Phase 3, randomized, modified double-blind study which aims to document the safety profile of the PCV21 vaccine (investigational pneumococcal vaccine) compared to a licensed 20-valent pneumococcal conjugate vaccine in infants aged from approximately 2 months (42 to 89 days).

The study duration per participant will be up to approximately 19 months. The study vaccines (either PCV21 or 20vPCV) will be administered at approximately 2, 4, 6 and 12 to 15 months of age. Routine pediatric vaccines will be given as per local recommendations.

There will be 6 study visits:

Visit (V)01, V02 separated from V01 by 60 days, V03 separated from V02 by 60 days, V04 separated from V03 by 30 days, V05 at 12 months of age until 15 months of age, V06 separated from V05 by 30 days.

02

Conditions studied

  • Pneumococcal Immunization
03

In context

Lead sponsor

Sanofi is the lead sponsor of 1,557 studies on the registry; 91 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 123 (60%) have results posted.

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

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

  • Aged 42 to 89 days on the day of inclusion
  • Participants who are healthy as determined by medical evaluation including medical history and physical examination
  • Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or born after a gestation period above 28 (> 28 weeks) through 36 weeks with a birth weight ≥ 1.5 kg, and in both cases medically stable as assessed by the investigator

Exclusion criteria

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

  • Known or suspected congenital or acquired immunodeficiency; or receipt of therapy, such as anti-cancer chemotherapy or radiation therapy; or long-term systemic therapy
  • History of microbiologically confirmed Streptococcus pneumoniae infection or disease
  • Any to the routine pediatric vaccine being administered in the study
  • History of seizure or significant stable or progressive neurologic disorders such as infantile spasms, inflammatory nervous system diseases, encephalopathy, cerebral palsy
  • Known systemic to any of the study interventions components, or history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances
  • Laboratory-confirmed or known thrombocytopenia, as reported by the parent(s) / legal acceptable representative (LAR(s)), contraindicating intramuscular (IM) injection
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM injection
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness/infection (according to investigator judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of study intervention administration. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Receipt of any non-US Food and Drug Administration (FDA) approved vaccine in the 4 weeks preceding the study intervention administration or planned receipt of any non-US FDA approved vaccine in the 4 weeks following the study intervention administration, including monovalent pandemic influenza vaccines and multivalent influenza vaccines, as applicable per local recommendations.
  • Receipt of any Bacillus of Calmette and Guerin (BCG) vaccine within 4 weeks preceding the first study intervention administration or planned receipt any BCG vaccine within the study period
  • Previous vaccination against S. pneumoniae
  • Previous vaccination against the following antigens: diphtheria, tetanus, pertussis, H. influenzae type b, poliovirus
  • Receipt of more than 1 dose of vaccine
  • Receipt of immune globulins, blood or blood-derived products since birth
  • Participation at the time of study enrollment (or in the 6 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure

Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Terms in these criteria, in plain language(5)

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.

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.

Corticosteroids (steroids)

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

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

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

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

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,360 participants (actual)

Study arms

  • Experimental
    Group 1: PCV21

    Participants will be administered via intramuscular injection (IM) a 4-dose PCV21 regimen at approximately 2, 4, 6 and 12 to 15 MoA

    Biological: PCV21 vaccine · Biological: M-M-R II vaccine · Biological: Rotarix · Biological: RotaTeq · Biological: Vaxelis vaccine · Biological: Varivax · Biological: Priorix · Biological: VAQTA · Biological: Havrix

  • Active comparator
    Group 2: 20vPCV

    Participants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA

    Biological: Prevnar 20 vaccine · Biological: M-M-R II vaccine · Biological: Rotarix · Biological: RotaTeq · Biological: Vaxelis vaccine · Biological: Varivax · Biological: Priorix · Biological: VAQTA · Biological: Havrix

Interventions

  • BiologicalPCV21 vaccine

    Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

    Also known as: 515

  • Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

    Also known as: Prevnar20™

  • Pharmaceutical form:Powder, lyophilized, for suspension for reconstitution-Route of administration:Subcutaneous or Intramuscular

    Also known as: M-M-R™ II

  • BiologicalRotarix

    Pharmaceutical form:Solution-Route of administration:Oral

    Also known as: Rotarix™

  • BiologicalRotaTeq

    Pharmaceutical form:Solution-Route of administration:Oral

    Also known as: RotaTeq™

  • BiologicalVaxelis vaccine

    Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

    Also known as: Vaxelis™

  • BiologicalVarivax

    Pharmaceutical form:Powder, lyophilized, for suspension for reconstitution-Route of administration:Subcutaneous or Intramuscular

    Also known as: Varivax™

  • BiologicalPriorix

    Pharmaceutical form:Lyophilized, for suspension for reconstitution-Route of administration:Subcutaneous

    Also known as: Priorix™

  • BiologicalVAQTA

    Pharmaceutical form:Suspension for Injection-Route of administration:Intramuscular

    Also known as: VAQTA™

  • BiologicalHavrix

    Pharmaceutical form:Suspension for Injection-Route of administration:Intramuscular

    Also known as: Havrix™

06

What researchers measure

Primary outcomes

  1. Presence of any immediate adverse events (AEs)

    Number of participants experiencing solicited and unsolicited immediate AEs

    Time frame: Within 30 minutes after each vaccination

  2. Presence of solicited injection site and systemic reactions through 7 days after each vaccine injection

    Number of participants experiencing solicited injection site and systemic reactions

    Time frame: Through 7 days after each vaccine injection

  3. Presence of unsolicited (spontaneously reported) injection site reactions and unsolicited systemic AEs through 30 days after each vaccine injection

    Number of participants experiencing unsolicited injection site reactions and unsolicited systemic AEs

    Time frame: Through 30 days after each vaccine injection

  4. Presence of serious adverse events (SAEs) throughout the study (through 6 months post- last vaccine injection)

    Number of participants experiencing SAEs

    Time frame: Throughout the study (through 6 months post-last vaccine injection), approximately 19 months

  5. Presence adverse events of special interest (AESIs) throughout the study (through 6 months post- last vaccine injection)

    Number of participants experiencing AESIs

    Time frame: Throughout the study (through 6 months post-last vaccine injection), approximately 19 months

07

Study locations

132 sites
  • Alabama Clinical Therapeutics - Birmingham - St. Vincent's Drive- Site Number : 8400013
    Birmingham, Alabama 35205, United States
  • University of Alabama at Birmingham- Site Number : 8400130
    Birmingham, Alabama 35233, United States
  • Lakeview Clinical Research- Site Number : 8400054
    Guntersville, Alabama 35976, United States
  • Midway Medical Clinic- Site Number : 8400091
    Oneonta, Alabama 35121, United States
  • Noble Clinical Research- Site Number : 8400121
    Tucson, Arizona 85704, United States
  • The Children's Clinic- Site Number : 8400079
    Jonesboro, Arkansas 72401, United States
  • Helios CR, Inc. - Little Rock- Site Number : 8400090
    Sherwood, Arkansas 72120, United States
  • Helping Hands Healthcare Group - Fullerton- Site Number : 8400063
    Fullerton, California 92831, United States
  • Advanced Investigative Medicine- Site Number : 8400055
    Hawthorne, California 90250, United States
  • Century Research Institute- Site Number : 8400118
    Huntington Park, California 90255, United States
  • Matrix Clinical Research - Huntington Park- Site Number : 8400117
    Huntington Park, California 90255, United States
  • Matrix Clinical Research - Los Angeles- Site Number : 8400026
    Los Angeles, California 90057, United States
  • Matrix Clinical Research - Los Angeles- Site Number : 8400123
    Los Angeles, California 90057, United States
  • Alliance Research Institute - Lynwood- Site Number : 8400099
    Lynwood, California 90262, United States
  • Madera Family Medical Group- Site Number : 8400011
    Madera, California 93637, United States
  • FOMAT-Golden Valley Health Centers- Site Number : 8400084
    Merced, California 95340, United States
  • Stanford University Medical Center CTRU - 800 Welch Road- Site Number : 8400072
    Palo Alto, California 94304, United States
  • Center for Clinical Trials - Paramount- Site Number : 8400100
    Paramount, California 90723, United States
  • Integrated Clinical Research LLC- Site Number : 8400027
    Sherman Oaks, California 91356-4173, United States
  • Emanate Health - Queen of the Valley Hospital- Site Number : 8400105
    West Covina, California 91790, United States
  • All In One Clinic- Site Number : 8400127
    Whittier, California 90601, United States
  • Amicis Research Center-Winnetka- Site Number : 8400128
    Winnetka, California 91306, United States
  • Emerson Clinical Research Institute - Washington - Connecticut Avenue- Site Number : 8400102
    Washington D.C., District of Columbia 20009, United States
  • D&H Doral Research Center- Site Number : 8400095
    Doral, Florida 33122, United States
  • Dolphin Medical Research, LLC- Site Number : 8400120
    Doral, Florida 33172, United States
  • Nextlevel Research Center- Site Number : 8400065
    Doral, Florida 33172, United States
  • CuraCare- Site Number : 8400125
    Kendall, Florida 33176, United States
  • PAS RESEARCH-Lutz- Site Number : 8400103
    Lutz, Florida 33549, United States
  • Abba Medical Research- Site Number : 8400064
    Miami, Florida 33176, United States
  • D&H National Research Center- Site Number : 8400085
    North Miami, Florida 33169, United States
  • Alfa Medical Research LLC- Site Number : 8400111
    Pembroke Pines, Florida 33029, United States
  • PAS Research - Tampa- Site Number : 8400113
    Tampa, Florida 33613, United States
  • Morehouse School of Medicine - Atlanta- Site Number : 8400093
    Atlanta, Georgia 30310, United States
  • CenExel - iResearch - Savannah- Site Number : 8400057
    Savannah, Georgia 31405, United States
  • Bingham Memorial Hospital - Blackfoot- Site Number : 8400114
    Blackfoot, Idaho 83221, United States
  • Elite Clinical Trials - Blackfoot- Site Number : 8400017
    Blackfoot, Idaho 83221, United States
  • Clinical Research Prime- Site Number : 8400022
    Idaho Falls, Idaho 83404, United States
  • Eagle Clinical Research- Site Number : 8400087
    Chicago, Illinois 60621, United States
  • University of Chicago Medical Center- Site Number : 8400062
    Chicago, Illinois 60637, United States
  • MidValley Research - Moline- Site Number : 8400096
    Moline, Illinois 61265, United States
  • South Bend Clinic - Main Campus- Site Number : 8400023
    South Bend, Indiana 46617, United States
  • Integrated Clinical Trial Services- Site Number : 8400059
    West Des Moines, Iowa 50265, United States
  • Kentucky Pediatric Research- Site Number : 8400014
    Bardstown, Kentucky 40004, United States
  • University of Kentucky Chandler Medical Center- Site Number : 8400034
    Lexington, Kentucky 40536, United States
  • Novak Center For Children's Health- Site Number : 8400073
    Louisville, Kentucky 40202, United States
  • Bluegrass Clinical Research - Louisville - Blankenbaker Parkway- Site Number : 8400056
    Louisville, Kentucky 40243, United States
  • Velocity Clinical Research - Lafayette- Site Number : 8400046
    Lafayette, Louisiana 70508, United States
  • NOLA Research Works- Site Number : 8400035
    New Orleans, Louisiana 70125, United States
  • The Pediatric Center- Site Number : 8400075
    Columbia, Maryland 21045, United States
  • The Pediatric Center of Frederick- Site Number : 8400074
    Frederick, Maryland 21702, United States
  • Virgo Carter Pediatrics- Site Number : 8400001
    Silver Spring, Maryland 20910, United States
  • Michigan Institute of Research- Site Number : 8400131
    Allen Park, Michigan 48101, United States
  • Vida Clinical Studies - Dearborn- Site Number : 8400094
    Dearborn, Michigan 48124, United States
  • Clinical Research Institute - Minneapolis- Site Number : 8400002
    Minneapolis, Minnesota 55402, United States
  • Jefferson City Medical Group- Site Number : 8400129
    Jefferson City, Missouri 65109, United States
  • Midwest Children's Health Research Institute - Lincoln - Salt Creek Circle- Site Number : 8400019
    Lincoln, Nebraska 68504, United States
  • Midwest Children's Health Research Institute- Site Number : 8400016
    Lincoln, Nebraska 68505, United States
  • Be Well Clinical Studies - Lincoln- Site Number : 8400031
    Lincoln, Nebraska 68516, United States
  • Midwest Childrens Health Research Institute- Site Number : 8400021
    Lincoln, Nebraska 68516, United States
  • Midwest Children's Health Research Institute - Lincoln - West A Street- Site Number : 8400045
    Lincoln, Nebraska 68522, United States
  • PAS Research - Henderson- Site Number : 8400033
    Henderson, Nevada 89014, United States
  • SUNY Downstate Medical Center- Site Number : 8400039
    Brooklyn, New York 11203, United States
  • Child Health Care Associates - East Syracuse- Site Number : 8400005
    East Syracuse, New York 13057, United States
  • GRO Clinical- Site Number : 8400109
    Hyde Park, New York 12538, United States
  • SUNY Upstate Medical University - Syracuse- Site Number : 8400115
    Syracuse, New York 13210, United States
  • PAS Research-Bronx- Site Number : 8400104
    The Bronx, New York 10460, United States
  • Advantage Clinical Trials- Site Number : 8400030
    The Bronx, New York 10468, United States
  • Atrium Health - Myers Park- Site Number : 8400080
    Charlotte, North Carolina 28207, United States
  • Atrium Health - STRIVE Vaccine Research Clinic- Site Number : 8400060
    Charlotte, North Carolina 28207, United States
  • Haywood Pediatric and Adolescent Medicine Group- Site Number : 8400051
    Clyde, North Carolina 28721, United States
  • East Carolina University- Site Number : 8400061
    Greenville, North Carolina 27858, United States
  • Piedmont Healthcare - Family Medicine- Site Number : 8400077
    Statesville, North Carolina 28625, United States
  • Legacy Clinical Trials Oklahoma City- Site Number : 8400097
    Oklahoma City, Oklahoma 73103, United States
  • Cyn3rgy Research- Site Number : 8400029
    Gresham, Oregon 97030, United States
  • Kid's Way Pediatrics- Site Number : 8400119
    Hermitage, Pennsylvania 16148, United States
  • Pas Research - Pittsburgh- Site Number : 8400050
    Pittsburgh, Pennsylvania 15227, United States
  • Neighbors Pediatrics- Site Number : 8400068
    Charleston, South Carolina 29407, United States
  • Tribe Clinical Research - Simpsonville- Site Number : 8400069
    Simpsonville, South Carolina 29680, United States
  • Parkside Pediatrics - Simpsonville- Site Number : 8400078
    Simpsonville, South Carolina 29681, United States
  • Tribe Clinical Research - Spartanburg- Site Number : 8400083
    Spartanburg, South Carolina 29301, United States
  • Austin Regional Clinic - ARC Four Points- Site Number : 8400082
    Austin, Texas 78726, United States
  • Cedar Health Research - Dallas- Site Number : 8400092
    Dallas, Texas 75251, United States
  • PAS Research - Children's Care Clinic- Site Number : 8400012
    Edinburg, Texas 78539, United States
  • The University of Texas Health Science Center- Site Number : 8400024
    Houston, Texas 77030, United States
  • Biopharma Informatic - Houston - Business Center Drive- Site Number : 8400108
    Houston, Texas 77043, United States
  • Mercury Clinical Research - Houston - Savoy Drive- Site Number : 8400049
    Houston, Texas 77070, United States
  • Pediatric Associates - Houston- Site Number : 8400101
    Houston, Texas 77087, United States
  • Pioneer Research Solutions - Houston - Stancliff Road- Site Number : 8400126
    Houston, Texas 77099, United States
  • GLRI - McAllen Research- Site Number : 8400098
    Pharr, Texas 78577, United States
  • AIM Trials- Site Number : 8400052
    Plano, Texas 75093, United States
  • Pediatric Center - Richmond- Site Number : 8400122
    Richmond, Texas 77469, United States
  • North Houston Internal Medicine & Pediatric Clinic- Site Number : 8400018
    Tomball, Texas 77375, United States
  • Wee Care Pediatrics - Kaysville- Site Number : 8400028
    Kaysville, Utah 84037, United States
  • Wee Care Pediatrics - Layton- Site Number : 8400044
    Layton, Utah 84041, United States
  • Rio Clinical Trials - Canyon View- Site Number : 8400132
    Ogden, Utah 84404, United States
  • Utah Valley Pediatrics - Orem- Site Number : 8400053
    Orem, Utah 84057, United States
  • Ogden Clinic - Mountain View - CCT Research- Site Number : 8400032
    Pleasant View, Utah 84404, United States
  • Pediatric Care - Provo- Site Number : 8400041
    Provo, Utah 84604, United States
  • Wee Care Pediatrics - Roy- Site Number : 8400070
    Roy, Utah 84067, United States
  • J. Lewis Research - Foothill Family Clinic - Salt Lake City- Site Number : 8400058
    Salt Lake City, Utah 84109, United States

Showing the first 100 of 132 sites across 6 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2025 (actual). Primary completion is estimated for Oct 2027, 32 months after the start.

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

Registered
Feb 7, 2025
First posted
Feb 13, 2025
StartActual
Feb 18, 2025
Primary completionEst.
Oct 22, 2027
CompletionEst.
Oct 22, 2027
Last update
Apr 13, 2026
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 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06824194
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Feb 13, 2025
Start date
Feb 18, 2025
Primary completion
Oct 22, 2027 (estimated)
Completion
Oct 22, 2027 (estimated)
Last update
Apr 13, 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 Apr 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Pneumococcal 21-Valent Conjugate Vaccine

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