A Phase III Clinical Trial of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants

There will be two arms. 1200 healthy infants aged 2 months will be randomly assigned (1:1) to receive an experimental vaccine or a comparator vaccine in Month 0,2 and 4 (primary vaccination). All of them will receive a fourth dose as booster vaccination in Month 10.

Inclusion criteria

• Aged 42-77 days old on the day of inclusion
• Subjects' legal guardians are able to understand and sign the informed consent
• Subjects' legal guardians can and will comply with the requirements of the protocol
• Subjects with temperature <=37.0°C on axillary setting

Exclusion criteria

for First Vaccination:

• Preterm infants or low birth weight infants
• Any administration history of pneumococcal polysaccharide vaccine or pneumococcal conjugate vaccine
• A medical history of culture-confirmed invasive disease caused by Streptococcus pneumonia
• Subject who has allergic history or serious adverse reaction history after vaccination such as allergies, hives, difficulty in breathing, angioedema or abdominal pain
• Subject with congenital malformation, developmental disorder, genetic defects or severe malnutrition
• Subject with epilepsy, a history of seizures or convulsions, or a family history of mental illness
• Known or suspected immune deficiency or immune suppression
• Diagnosed coagulation abnormalities (such as clotting factor deficiency, coagulation disorders, platelet disorder) or significant bruising or blood clotting disorder
• Had immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (not including allergic rhinitis corticosteroid spray treatment, acute uncomplicated dermatitis surfaces corticosteroid therapy) in the past 6 months
• Any prior administration of blood products in last 3 months
• Any prior administration of any attenuated live vaccine in last 14 days
• Any prior administration of subunit or inactivated vaccines in last 7 days
• Any acute infection or serious infection needing systemic antibiotics or antiviral treatment in last 7 days
• Any fever with temperature >=38.0°C on axillary setting in last 3 days
• Any other factors judged by investigator, that may interfere subject's compliance with the protocol

Exclusion criteria

for Second/Third and Booster Vaccination:

If one of the following (1) to (3) adverse events (AE) occurs, further vaccination is prohibited, but other study steps can be continued according to the judgment of the investigators; If one of the following (4) to (5) adverse events occurs, the investigator shall determine whether to continue the following vaccination. In the event of one of the following adverse events (6) to (7), vaccination may be postponed within the time window specified in the protocol.

• （1）The subjects have suffered from severe adverse events caused by the previous vaccination.
• （2）The subjects suffered from severe allergic reactions or hypersensitivity after the previous vaccination.
• （3）Known or suspected autoimmune diseases or immunodeficiency diseases，including HIV infection.
• （4）The occurrence of acute or emerging chronic diseases at the time of vaccination.
• （5）Other reactions (including severe pain, severe swelling, severe restriction of movement, persistent high fever, severe headache, or other systemic or local reactions) judged by the investigators.
• （6）Acute illness (acute illness refers to moderate or severe illness with or without fever) at the time of vaccination.
• （7）The axillary temperature >37.0℃ at the time of vaccination.