3230 Participants NeededMy employer runs this trial

New Pneumococcal Vaccine for Infants

Recruiting at 121 trial locations
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new pneumococcal vaccine for infants, the 20-valent pneumococcal conjugate vaccine (20vPnC), to determine if it is as safe and effective as the current vaccine used to prevent serious infections like pneumonia, meningitis, and ear infections. The study compares the ability of the new vaccine to help the body produce antibodies (proteins that fight germs) against the existing vaccine when administered with other childhood vaccines. It involves three groups, with infants receiving either the new or current vaccine in different ways. Healthy infants aged 2 to 6 months who have not previously received a pneumococcal vaccine are eligible to participate. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to potentially groundbreaking advancements in infant health.

Do I have to stop my infant's current medications for the trial?

The trial information does not specify whether infants need to stop taking their current medications. It's best to discuss this with the study doctor to get a clear answer.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Earlier studies have tested the new pneumococcal vaccine, PG4, for safety in babies. Research shows that similar vaccines are usually well-tolerated. However, brief pauses in breathing can occur in babies after vaccination, a common reaction with infant vaccines. PG4 remains under safety evaluation, and ongoing studies will provide more information.

The 20-valent pneumococcal conjugate vaccine (20vPnC), also known as Prevnar 20®, has a strong safety record. Studies found it generally well-tolerated in infants and toddlers, with common side effects being mild, such as redness or swelling at the injection site. The FDA has approved the vaccine for use in infants, supporting its safety profile.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the new pneumococcal vaccines for infants, particularly the PG4 and the 20-valent pneumococcal conjugate vaccine (20vPnC), because they offer some unique advantages over current options. Unlike standard vaccines, which typically cover fewer strains, the 20vPnC targets 20 different pneumococcal strains, potentially offering broader protection. The PG4, on the other hand, is a multivalent vaccine that can be administered both subcutaneously and intramuscularly, providing flexibility in how it's given. These features could mean better and more versatile protection against pneumococcal diseases in infants.

What evidence suggests that this trial's vaccines could be effective for preventing pneumococcal disease in infants?

Studies have shown that the 20-valent pneumococcal conjugate vaccine (20vPnC, or Prevnar 20®), which participants in this trial may receive, effectively prevents pneumococcal diseases. It protects against up to 90% of the bacterial types causing these diseases in children under five, with an effectiveness of 93.9%, significantly reducing the risk of infections like pneumonia and meningitis. Another treatment option in this trial is the new PG4 vaccine. While specific data on PG4 is still emerging, its design mirrors that of other successful vaccines, suggesting it could also effectively prevent these diseases in infants. Early research indicates that PG4 might offer additional protection against more bacterial types causing these illnesses.24678

Who Is on the Research Team?

PC

Pfizer CT.gov Call Center

Principal Investigator

Pfizer

Are You a Good Fit for This Trial?

This trial is for healthy infants aged 2 to 6 months, depending on the group. Infants must be considered healthy by the study doctor and able to attend regular clinic visits over about 1 to 1.5 years.

Inclusion Criteria

Healthy infants determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study
My baby is between 2 and 6 months old.
My child is 2 months old and in Group 1.

Exclusion Criteria

History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis)
Major known congenital malformation or serious chronic disorder
Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Infants receive either PG4 or 20vPnC vaccine at specified intervals

12 to 21 months
6 study clinic visits and 1 phone call

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months after Dose 4

What Are the Treatments Tested in This Trial?

Interventions

  • 20-valent pneumococcal conjugate vaccine (20vPnC)
  • PG4

Trial Overview

The study compares a new pneumococcal vaccine (PG4) with the current standard vaccine (20vPnC/Prevnar 20®) in infants. Babies are randomly assigned to receive one of these vaccines at set ages, either into or under the thigh muscle, along with other routine childhood shots.

How Is the Trial Designed?

7

Treatment groups

Experimental Treatment

Active Control

Group I: Group 3 PG4 (subcutaneous)Experimental Treatment1 Intervention
Group II: Group 3 PG4 (intramuscular)Experimental Treatment1 Intervention
Group III: Group 2 PG4 (intramuscular)Experimental Treatment1 Intervention
Group IV: Group 1 PG4 (intramuscular)Experimental Treatment1 Intervention
Group V: Group 3 20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)Active Control1 Intervention
Group VI: Group 2 20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)Active Control1 Intervention
Group VII: Group 1 20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Pfizer

Lead Sponsor

Trials
4,712
Recruited
50,980,000+
Known For
Vaccine Innovations
Top Products
Viagra, Zoloft, Lipitor, Prevnar 13

Albert Bourla

Pfizer

Chief Executive Officer since 2019

PhD in Biotechnology of Reproduction, Aristotle University of Thessaloniki

Patrizia Cavazzoni profile image

Patrizia Cavazzoni

Pfizer

Chief Medical Officer

MD from McGill University

Citations

20-valent pneumococcal conjugate vaccine (PCV20) for ...

A systematic literature search was completed to review all available evidence on the immunogenicity and safety of PCV20 among pediatric age groups.

2.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/38191278/

Cost-effectiveness of 20-valent pneumococcal conjugate ...

Replacing PCV13 with PCV20 in infants has the potential to avert over 55,000 invasive pneumococcal disease (IPD) cases, 2.5 million pneumonia ...

Pfizer Announces Positive Top-Line Results from Phase 3 ...

Pfizer today announced positive top-line results from its pivotal EU Phase 3 study in infants (NCT04546425) evaluating its 20-valent pneumococcal conjugate ...

Immunogenicity of a 20-Valent Pneumococcal Conjugate ...

The pooled results indicated that PCV20 elicited lower immune responses for the 13 serotypes shared with PCV13, according to the GMR and OPA outcomes.

Pneumococcal

PPSV23 is 60-70% effective against invasive pneumococcal disease caused by vaccine serotypes, although ineffective in children younger than 2 years of age.

Safety of a 4-Dose 20-Valent Pneumococcal Conjugate ...

PVC20 was well-tolerated in previous phase 3 trials in infants and toddlers and is expected to expand protection against pneumococcal disease.

7.

prevnar20pediatric.pfizerpro.com

prevnar20pediatric.pfizerpro.com/

PREVNAR 20® (Pneumococcal 20-valent Conjugate Vaccine ...

Prevnar 20 helps to strengthen babies' defense against invasive pneumococcal disease with the broadest serotype coverage available in a pediatric pneumococcal ...

8.

prevnar20.com

prevnar20.com/

PREVNAR 20® (Pneumococcal 20-Valent Conjugate Vaccine ...

IMPORTANT SAFETY INFORMATION · Prevnar 20 should not be given to anyone who has had a severe allergic reaction to any component of Prevnar 20 or to diphtheria ...