AzTrials
AzTrials

PREVENTION OF INVASIVE PNEUMOCOCCAL DISEASEPhase 4NCT02124161

Concomitant Administration of 13-valent Pneumococcal Conjugate Vaccine (13vPnC) With Influenza Vaccine in 23-valent Pneumococcal Polysaccharide (23vPS) Pre-vaccinated Adults.

A Phase 4 study testing 13-valent pneumococcal conjugate vaccine and Seasonal Inactivated Influenza Vaccine in people with PREVENTION OF INVASIVE PNEUMOCOCCAL DISEASE, run by Pfizer at 44 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the immunogenicity and safety of 13-valent pneumococcal polysaccharide vaccine when given concomitantly with seasonal inactivated influenza vaccine to adults 50 years and older who have previously received 23-valent pneumococcal polysaccharide vaccine. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
What is being tested?
13-valent pneumococcal conjugate vaccine and Seasonal Inactivated Influenza Vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
882 participants
Where
44 sitesUnited States
Study dates
Sep 2014to May 2015
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Evidence of a personally signed and dated informed consent document (ICD) indicating that the subject has been informed of all pertinent aspects of the study.
  • Male or female adults 50 years of age or older.
  • Documented vaccination with 1 or more prior doses of 23vPS, the last given at least 1 year prior to study enrollment.
  • Negative urine pregnancy test for all female subjects who are of child bearing potential.

Who cannot join

  • Previous vaccination with Prevnar®, Prevnar 13®, or any other investigational pneumococcal conjugate vaccine.
  • History of severe adverse reactions associated with any vaccine or vaccine-related component.
  • Allergic to egg proteins (egg or egg products) and chicken proteins.
  • History of Guillain-Barré syndrome.
  • Vaccination with any influenza vaccine within 6 months (182 days) before investigational product administration.
  • Documented S pneumoniae infection within the past 5 years before investigational product administration.

Trial locations and contacts

44 sites in 1 country.

44 sites in 1 country

United States44 sites
  • Benchmark Research

    Austin, Texas, 78705

  • Meridian Clinical Research

    Bellevue, Nebraska, 68005

  • United Medical Associates

    Binghamton, New York, 13901

  • Achieve Clinical Research, LLC

    Birmingham, Alabama, 35216

  • Internal Medicine and Pediatric Associates of Bristol, PC

    Bristol, Tennessee, 37620

  • Preferred Primary Care Physicians, Inc.

    Carnegie, Pennsylvania, 15106

  • PMG Research of Raleigh, LLC d/b/a PMG Research of Cary

    Cary, North Carolina, 27518

  • Radiant Research, Inc

    Columbus, Ohio, 43212

  • Clinical Research Advantage, Inc/Ridge Family Practice

    Council Bluffs, Iowa, 51503

  • Avail Clinical Research, LLC

    DeLand, Florida, 32720

  • Brandywine Clinical Research

    Downingtown, Pennsylvania, 19335

  • Regional Clinical Research, Inc.

    Endwell, New York, 13760

  • Benchmark Research

    Fort Worth, Texas, 76735

  • Prestige Clinical Research

    Franklin, Ohio, 45005

  • PharmQuest

    Greensboro, North Carolina, 27408

  • PMG Research of Hickory, LLC

    Hickory, North Carolina, 28602

  • Optimal Research (Formerly Accelovance)

    Huntsville, Alabama, 35802

  • Westside Center for Clinical Research

    Jacksonville, Florida, 32205

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida, 32216

  • Volunteer Research Group

    Knoxville, Tennessee, 37920

  • Clinical Research Center of Nevada, LLC

    Las Vegas, Nevada, 89104

  • Clinical Research Advantage, Inc.

    Las Vegas, Nevada, 89128

  • Johnson County Clin-Trials, Inc.

    Lenexa, Kansas, 66219

  • Benchmark Research

    Metairie, Louisiana, 70002

  • Optimal Research, LLC

    Mishawaka, Indiana, 46545

  • PMG Research of Charleston

    Mt. Pleasant, South Carolina, 29464

  • Radiant Research, Inc.

    Murray, Utah, 84123

  • Meridian Clinical Research

    Norfolk, Nebraska, 68701

  • Kaiser Permanente Vaccine Study Center

    Oakland, California, 94612

  • Meridian Clinical Research, LLC

    Omaha, Nebraska, 68134

  • Radiant Research, Inc.

    Pinellas Park, Florida, 33781

  • Rochester Clinical Research, Inc.

    Rochester, New York, 14609

  • Kaiser Permanante South. Sacramento

    Sacramento, California, 95823

  • J. Lewis Research, Inc. / Foothill Family Clinic

    Salt Lake City, Utah, 84109

  • J. Lewis Research, Inc. / Foothill Family Clinic South

    Salt Lake City, Utah, 84121

  • Diagnostics Research Group

    San Antonio, Texas, 78229

  • Benchmark Research

    San Francisco, California, 94108

  • Kaiser Pemanente Santa Clara

    Santa Clara, California, 95051

  • Meridian Clinical Research

    Savannah, Georgia, 31406

  • Radiant Research, Inc.

    Scottsdale, Arizona, 85251

  • J. Lewis Research, Inc. / Jordan River Family Medicine

    South Jordan, Utah, 84095

  • Omega Medical Research

    Warwick, Rhode Island, 02886

  • Clinical Trials of America, Inc.

    Winston-Salem, North Carolina, 27103

  • PMG Research of Winston-Salem

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Phase 4, Randomized, Double-blind Trial To Evaluate The Immunogenicity And Safety Of A 13-valent Pneumococcal Conjugate Vaccine When Administered Concomitantly With Seasonal Inactivated Influenza Vaccine In Adults 50 Years And Older Who Received 1 Or More Doses Of 23-valent Pneumococcal Polysaccharide Vaccine Prior To Study Enrollment.

The purpose of this study is to evaluate the immunogenicity and safety of 13-valent pneumococcal polysaccharide vaccine when given concomitantly with seasonal inactivated influenza vaccine to adults 50 years and older who have previously received 23-valent pneumococcal polysaccharide vaccine.

Being tested
13-valent pneumococcal conjugate vaccine, Seasonal Inactivated Influenza Vaccine, Placebo
Keywords
Pneumococcal polysaccharide vaccine, 13-valent pneumococcal conjugate vaccine, invasive pneumococcal disease, flu vaccine
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 13-valent pneumococcal conjugate vaccineBiological

    Also called 13vPnC

    One (1) dose (0.5 mL) will be administered intramuscularly into the left deltoid either at Visit 1 or at Visit 2, depending on the randomization group assigned to the subject.

  • Seasonal Inactivated Influenza VaccineBiological

    Also called SIIV

    One (1) dose of SIIV will be administered intramuscularly into the right deltoid of all subjects at Visit 1.

  • PlaceboOther

    One (1) dose (0.5 mL) will be administered intramuscularly into the left deltoid either at Visit 1 or at Visit 2, depending on the randomization group assigned to the subject.

  • PlaceboOther

    One (1) dose (0.5 mL) will be administered intramuscularly into the left deltoid either at Visit 1 or at Visit 2, depending on the randomization group assigned to the subject.

  • Seasonal Inactivated Influenza VaccineBiological

    Also called SIIV

    One (1) dose of SIIV will be administered intramuscularly into the right deltoid of all subjects at Visit 1.

  • 13-valent pneumococcal conjugate vaccineBiological

    Also called 13vPnC

    One (1) dose (0.5 mL) will be administered intramuscularly into the left deltoid either at Visit 1 or at Visit 2, depending on the randomization group assigned to the subject.

Study groups in NCT02124161
Study groupRoleWhat they receive
13vPnC+SIIV/PlaceboOtherNot described
Receives: Biological: 13-valent pneumococcal conjugate vaccine; Biological: Seasonal Inactivated Influenza Vaccine; Other: Placebo
Placebo+SIIV/13vPnCOtherNot described
Receives: Other: Placebo; Biological: Seasonal Inactivated Influenza Vaccine; Biological: 13-valent pneumococcal conjugate vaccine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) for 13 Pneumococcal Serotypes

    Serotype-specific OPA GMTs for each of the 13 pneumococcal common serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) were logarithmically transformed for analysis. Confidence intervals (CIs) for GMT were back-transformed based on the Student t distribution for the mean logarithm of the titers. GMTs were calculated using all participants with available data for the specified blood draw. Here, "number of participants analyzed" signifies the participants who were evaluable at this timepoint and "n" signifies participants with a determinate OPA titer to the given serotype.

    Measured: 1 month after Vaccination 1 for 13vPnC+QIV/Placebo, 1 Month After Vaccination 2 for Placebo+QIV/13vPnC

  2. Hemagglutination Inhibition Assay (HAI) Geometric Mean Titers (GMTs) for Each Influenza Virus Strain in Quadrivalent Influenza Vaccine (QIV)

    HAI GMTs were computed for assay titers collected 1 month after Vaccination 1 by vaccine sequence for each influenza virus strain (A/H1N1, A/H3N2, B/Brisbane and B/Massachusetts). CIs were back-transformations of a CI based on the Student t distribution for the mean logarithm of the titers. HAI GMTs were calculated using all participants with available data for the specified blood draw. Here, "number of participants analyzed" signifies participants with a determinate HAI titer to the given strain.

    Measured: 1 month after Vaccination 1

  3. Percentage of Participants With Treatment--Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) After Vaccination 1

    An AE was any untoward medical occurrence in a participant who received vaccine without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious adverse events (Non-SAEs).

    Measured: Within 28 to 42 days after Vaccination 1

  4. Percentage of Participants With Treatment--Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) After Vaccination 2

    An AE was any untoward medical occurrence in a participant who received vaccine without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious adverse events (Non-SAEs).

    Measured: Within 28 to 42 days after Vaccination 2

  5. Percentage of Participants With Treatment--Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) After 13vPnC Vaccination

    An AE was any untoward medical occurrence in a participant who received vaccine without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious adverse events (Non-SAEs).

    Measured: Baseline (Vaccination 1) up to 28 to 42 Days after Vaccination 2

  6. Percentage of Participants With Treatment--Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) at the 6-Month Follow-up

    An AE was any untoward medical occurrence in a participant who received vaccine without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious adverse events (Non-SAEs).

    Measured: Within 168 to 196 days after Vaccination 2

Secondary outcomes (5)
  1. Percentage of Participants Achieving Pneumococcal Serotype-specific Opsonophagocytic Activity (OPA) Antibody Titer Greater Than or Equal to (>=) Lower Limit of Quantitation (LLOQ)

    Percentage of participants achieving predefined OPA antibody titer >= LLOQ for each of the 13 pneumococcal serotypes (LLOQs for each serotype OPA were set as- serotype 1: 18; serotype 3: 12; serotype 4: 21; serotype 5: 29; serotype 6A: 37; serotype 6B: 43; serotype 7F: 210; serotype 9V: 345; serotype 14: 35; serotype 18C: 31; serotype 19A: 18; serotype 19F: 48; and serotype 23F: 13) determined in blood samples of all participants were calculated. Exact, 2-sided 95% CIs based on the observed percentage of participants were determined by using Clopper and Pearson method. OPA titers were calculated using all participants with available data from 1 month after 13vPnC vaccination blood draw. Here, "number of participants analyzed" signifies the participants who were evaluable at this timepoint and "n" signifies participants with valid and determinate assay results to the specified serotype.

    Measured: 1 Month After Vaccination 1 for 13vPnC+QIV/Placebo, 1 month after Vaccination 2 for Placebo+QIV/13vPnC

  2. Geometric Mean Fold Rise (GMFR) for Pneumococcal Serotype-Specific Opsonophagocytic Activity (OPA) Titers 1 Month After 13vPnC Vaccination 1 to Immediately Before 13vPnC Vaccination 1

    GMFR for the 13 pneumococcal serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) 1 month after Vaccination 1 to before Vaccination 1 were computed using the logarithmically transformed assay results. CIs for GMFR were back transformations of a CI based on the Student t distribution for the mean logarithm of the mean fold rise. GMFRs were calculated using all participants with available data from both before Vaccination 1 and 1 month after Vaccination 1 blood draws. Here, "n" signifies participants with valid and determinate assay results for specified serotype at both the given visits. Number of participants who received at least 1 dose of 13vPnC during Vaccination 1 were analyzed.

    Measured: Immediately before Vaccination 1, 1 month after Vaccination 1

  3. Geometric Mean Fold Rise (GMFR) for Pneumococcal Serotype-Specific Opsonophagocytic Activity (OPA) Titers 1 Month After 13vPnC Vaccination 2 to Immediately Before 13vPnC Vaccination 2

    GMFR for the 13 pneumococcal serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) 1 month after Vaccination 2 to before Vaccination 2 (1 month after Vaccination 1) were computed using the logarithmically transformed assay results. CIs for GMFR were back transformations of a CI based on the Student t distribution for the mean logarithm of the mean fold rise. GMFRs were calculated using all participants with available data from both before Vaccination 2 and 1 month after Vaccination 2 blood draws. Here, "number of participants analyzed" signifies total participants who were evaluable at this timepoint and "n" signifies participants with valid and determinate assay results for specified serotype at both the given visits. Number of participants who received at least 1 dose of 13vPnC during Vaccination 2 were analyzed.

    Measured: Immediately before Vaccination 2, 1 month after Vaccination 2

  4. Percentage of Participants Achieving Seroconversion in Hemagglutination Inhibition Assay (HAI) Titers

    Percentage of participants achieving seroconversion in HAI titers was defined as the percentage of participants with either before Vaccination 1 (pre-vaccination 1) HAI titer less than <1:10 and after Vaccination 1 (post-vaccination 1) HAI titer >=1:40 or before Vaccination 1 (pre-vaccination 1) HAI titer >=1:10 and a minimum 4-fold rise in after Vaccination 1 (post-vaccination 1) HAI antibody titer with respect to before Vaccination 1 (pre-vaccination) titer for influenza virus strains. Here, "number of participants analyzed" signifies the participants who were evaluable at this timepoint.

    Measured: Immediately before Vaccination 1, 1 month after Vaccination 1

  5. Geometric Mean Fold Rise (GMFR) in Hemagglutination Inhibition Assay (HAI) 1 Month After Vaccination 1 to Immediately Before Vaccination 1

    Fold rise 1 month after Vaccination 1 to before Vaccination 1 was calculated for each influenza virus strain (A/H1N1, A/H3N2, B/Brisbane and B/Massachusetts). GMFRs were calculated using all participants with available data from both the specified blood draws. CI for the GMFRs were back transformations of a CI based on the Student t distribution for mean fold rise. Here, "number of participants analyzed" signifies participants with valid and determinate assay results for specified strain at both the specified blood draws.

    Measured: Immediately before Vaccination 1, 1 month after Vaccination 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Apr 2014 (estimated)
  2. Study startSep 2014
  3. Primary completionMay 2015
  4. Study completionMay 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomised
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
882 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02124161
Sponsor's protocol ID
B1851138
Status last verified
Apr 2016
First submitted
24 Apr 2014
Last updated
1 Jul 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing 13-valent pneumococcal conjugate vaccine and Seasonal Inactivated Influenza Vaccine in people with PREVENTION OF INVASIVE PNEUMOCOCCAL DISEASE, run by Pfizer at 44 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Jul 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) for 13 Pneumococcal Serotypes (time frame: 1 month after Vaccination 1 for 13vPnC+QIV/Placebo, 1 Month After Vaccination 2 for Placebo+QIV/13vPnC). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in