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NCT Number: NCT05934890

A Phase 3 Study to Evaluate the Immunogenicity and Safety of Walvax's PCV13-TT as Compared to Pfizer's PCV13

The goal of this clinical trial is to evaluate the immunogenicity and safety of a novel 13-valent pneumococcal polysaccharide conjugate vaccine (PCV13-TT) as compared to Pfizer's 13-valent pneumococcal conjugate vaccine (PCV13) when co-administered with local EPI Vaccines at 2, 4, and 12-15 months of age, to healthy infants in Indonesia. This study aims to demonstrate the non-inferiority of the serotype-specific immune responses elicited by the novel PCV13-TT as compared to PCV13 one month after the booster dose.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

6 week–8 week

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

RSUP Prof. Dr. I.G.N.G Ngoerah, Denpasar, Bali, Indonesia

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Infants must meet ALL the following inclusion criteria for enrollment in the study, at the time of the screening:
  • Healthy infants based on medical history and clinical assessment.
  • Age of 6-8 weeks at enrolment. Infants will be eligible since the day they reach 6 weeks of age and until 8 weeks of age included.
  • Body weight at enrollment ≥3.5 kg.
  • Infant's parent(s) or legal guardian(s) must be able and willing to provide voluntary written/thumb-printed informed consent for the infant to participate in the study.
  • Infant's parent(s) or legal guardian(s) must be able to comprehend and comply with study requirements and procedures and must be willing and able to return or make themselves available for all scheduled follow-up visits.
  • Infant's parents must have a readily identifiable place of residence in the study area, be available for the duration of trial participation, and have means of telephone contact.

Exclusion criteria

  • The following criteria should be checked at the time of study entry. If ANY exclusion criterion applies, the subject must not be included in the study:
  • Use of any investigational medicinal product prior to randomization or planned use of such a product during the period of study participation.
  • History of S. pneumoniae infection as confirmed by medical enquiry or as confirmed by laboratory testing if available.
  • Participant has fever (axillary temperature ≥ 37.5℃) within 24 hours prior to the 1st dose of vaccination; (If the subject does not meet the criteria, the visit may be rescheduled when the criteria are met.)
  • The infant who are children in care, preterm and low-birth-weight(Preterm infants have a gestational age below 37 weeks at birth and low-birth-weight infants have a birth weight below 2.5 kg).
  • History of allergic disease or history of a serious reaction to any prior vaccination or known hypersensitivity to any component of the 2 study vaccines. This includes all components of the EPI vaccines.
  • History of anaphylactic shock.
  • Any abnormal vital sign.
  • Any moderate or severe acute illness.
  • History of administration of a non-study vaccine within 30 days prior to administration of study vaccine, other than EPI vaccinations (Note: EPI vaccines other than that stipulated in the study must be given at least 14 days prior to the investigational vaccine.)
  • Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids (if systemic corticosteroids are administered for 14 days at a dose of 20 mg/day of prednisone or equivalent), e.g., for cancer or an autoimmune disease, or planned receipt throughout the study. Inhaled/nebulized, intra-articular, epidural, or topical (skin or eyes) corticosteroids within indicated dosage are permitted.
  • Administration of immunoglobulins and/or any blood products or anticipation of such administration during the study period.
  • History of known disturbance of coagulation or blood disorder that could cause anemia or excess bleeding (e.g., thalassemia, coagulation factor deficiencies, severe anemia at birth).
  • History of suspected primary immunodeficiency.
  • History of meningitis, seizures or any neurological disorder.
  • A family history of congenital or hereditary immunodeficiency.
  • The infant is a direct descendant (child or grandchild) of any person employed by the Sponsor, the CRO, the investigator, study site personnel.
  • Any medical or social condition that in the opinion of the investigator may compromise the well-being of the study participant, interfere with the study objectives, pose a risk to the study participant, or prevent the study participant from completing the study follow-up.

Treatment and study plan

Walvax PCV13-TT

Biological

PCV13-TT is supplied as 0.5 mL prefill syringe (PFS), with 0.5 mL suspension for intramuscular injection. After shaking, the vaccine is a homogenous, white suspension. Each dose (0.5 mL) of PCV13-TT contains pneumococcal polysaccharide serotypes 1, 3 4, 5, 6A 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F which are conjugated to TT carrier protein individually.

The vaccine is formulated in phosphate-buffered saline containing 4.25 mg/dose sodium chloride (NaCl), 44.35 μg/dose sodium dihydrogen phosphate (NaH2PO4), 19.0 μg/dose disodium hydrogen phosphate (Na2HPO4), and contains 0.5 mg/dose of aluminum phosphate as an adjuvant; no preservatives added.

Pfizer PCV13

Biological

PCV13 is a suspension for intramuscular injection available in 0.5 mL single-dose prefilled syringes. Each 0.5 mL dose of PCV13 is formulated to contain approximately 2.2 μg of each of S. pneumoniae serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F polysaccharides, 4.4 μg of 6B polysaccharides, 34 μg 26 CRM197 carrier protein, 100 μg polysorbate 80, 295 μg succinate buffer and 125 μg aluminum as aluminum phosphate adjuvant.

Primary outcomes

  1. Immunogenicity and non-inferiority as measured by serotype-specific IgG

    Time frame: 1 month after the booster dose

    Percentage of infants with serotype-specific IgG concentrations ≥0.35 μg/mL

  2. Immunogenicity and non-inferiority as measured by serotype-specific IgG GMC

    Time frame: 1 month after the booster dose

    Serotype-specific IgG GMCs

Secondary outcomes

  1. Solicited local and systemic adverse events after each dose

    Time frame: within 30 min and 7 days after each dose

    Frequency and severity of solicited local and systemic adverse events (AEs)

  2. Unsolicited adverse events after each dose

    Time frame: within 30 days after each dose

    Frequency and severity of unsolicited AEs

  3. Serious adverse events throughout the study

    Time frame: from dose 1 until 6 months after booster dose

    Frequency of serious AEs (SAEs)

  4. Immune response to primary series as measured by serotype-specific IgG

    Time frame: 1 month after the 2nd dose

    Percentage of infants with pneumococcal serotype-specific IgG concentrations ≥0.35 µg/mL

  5. Immune response to primary series as measured by serotype-specific IgG GMC

    Time frame: 1 month after the 2nd dose

    Serotype-specific IgG GMCs

  6. Functional antibody responses as measured by serotype-specific OPA titer

    Time frame: baseline, 1 month after the 2nd dose, before the booster dose, and 1 month after the booster dose

    Percentage of infants with serotype-specific OPA titer ≥1:8

  7. Functional antibody responses as measured by serotype-specific OPA geometric mean titers (GMTs)

    Time frame: baseline, 1 month after the 2nd dose, before the booster dose, and 1 month after the booster dose

    Serotype-specific OPA geometric mean titers (GMTs)

  8. Immune persistence as measured by serotype-specific IgG

    Time frame: 12-15 months of age, before the booster dose

    Percentage of infants with pneumococcal serotype-specific IgG concentrations ≥0.35 µg/mL

  9. Immune persistence as measured by serotype-specific IgG GMC

    Time frame: 12-15 months of age, before the booster dose

    Serotype-specific IgG GMCs

Other outcomes

  1. Exploratory_Non-interference

    Time frame: 1 month after the 2nd dose

    Percentage of infants with anti-diphtheria toxoid IgG concentrations ≥0.1 IU/mL

  2. Exploratory_Non-interference

    Time frame: 1 month after the 2nd dose

    Percentage of infants with anti-tetanus toxoid IgG concentrations ≥0.1 IU/mL

  3. Exploratory_Non-interference

    Time frame: 1 month after the 2nd dose with respect to baseline titers

    Proportion of subjects with 4-fold increase in anti-pertussis IgG concentration

  4. Exploratory_Non-interference

    Time frame: 1 month after the 2nd dose.

    Percentage of infants with anti Haemophilus influenzae type b (PRP) IgG concentration ≥0.15 µg/mL

  5. Exploratory_Non-interference

    Time frame: 1 month after the 2nd dose.

    Percentage of infants with anti Hepatitis B surface antigen (hBsAg) IgG oncentrations ≥10 mIU/mL

  6. Exploratory_Non-interference

    Time frame: 1 month after the 2nd dose.

    Percentage of infants with anti poliovirus types 1, 2 and 3 neutralizing antibody titers ≥1:8 measured

Sponsors and collaborators

Lead sponsor

Walvax Biotechnology Co., Ltd.

Industry

Registry information

Official study title

A Phase 3, Randomized, Blinded, Active-controlled Study to Evaluate the Immunogenicity and Safety of Walvax's 13-valent Pneumococcal Polysaccharide Conjugate Vaccine (PCV13-TT) as Compared to Pfizer's 13-Valent Pneumococcal Conjugate Vaccine (PCV13) Co-administered With EPI Vaccines at 2, 4, and 12-15 Months of Age, to Healthy Infants in Indonesia

Important dates

Study start
2023
Primary completion
2025
Study completion
2026
First posted
Jul 7, 2023
Registry last updated
Jul 3, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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