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Completed

NCT Number: NCT05844423

Safety, Tolerability, and Immunogenicity of a 24-Valent Pneumococcal Conjugate Vaccine (VAX-24) in Healthy Infants

The objective of the study is to evaluate the safety and tolerability of 4 injections of VAX-24 (at 3 dose levels) compared to PCV15 in infants at 2, 4, 6, and 12-15 months of age, in addition to receiving routine US concomitant vaccines. Stage 1 of the study will comprise 3 dose ascending cohorts. Stage 2 of the study will enroll the remainder of the sample size.

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Key information

Age range

42 day–89 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The Children's Clinic of Jonesboro, P.A., Jonesboro, Arkansas, United States

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy male or female infant ≥42 days to ≤89 days (inclusive).
  • Full-term infant at least 37 weeks gestational age at birth.
  • Afebrile for ≥72 hours with a rectal temperature <38.0°C (<100.4°F) or axillary temperature <37.8°C (<100.0°F) before receipt of study vaccine.*
  • Able to attend all scheduled visits and comply with the study procedures.
  • Subject's parent/legal guardian is able to read and understands the study procedures, alternate treatments, risks and benefits, and provides written informed consent.
  • Subject's parent/legal guardian is able to fill out an ediary of solicited AE and take daily axillary temperature and measurements of local injection site reactions for the 7 days after each study vaccination.
  • Subject's parent/legal guardian has an e-mail address and access to a computer or smartphone with internet to complete the ediary.

Exclusion criteria

  • History of invasive pneumococcal disease (positive blood culture, positive cerebrospinal fluid culture, or other sterile site) or known history of other culture positive pneumococcal disease.
  • Previous receipt of a licensed or investigational vaccine (excluding 1 dose hepatitis B vaccine).
  • Known hypersensitivity to any vaccine.
  • Known or suspected impairment of immunological function (e.g., asplenia, HIV, primary immunodeficiency).
  • Use of any immunosuppressive therapy (Note: topical and inhaled/nebulized steroids are permitted).
  • History of failure to thrive.
  • Subject has a coagulation disorder contraindicating IM vaccination.
  • Subject or his/her mother have documented hepatitis B surface antigen-positive.
  • Has a known neurologic or cognitive behavioral disorder.
  • Has a known clinically significant congenital malformation or serious chronic disorder.
  • Receipt of a blood transfusion or blood products, including immunoglobulins.
  • Receipt of any investigational study product since birth, currently participating in another interventional investigational study, or having plans to receive another investigational product(s) while on study.
  • Any infant who cannot be adequately followed for safety according to the protocol plan.
  • Any other reason that in the opinion of the investigator may interfere with the evaluation required by the study.

Treatment and study plan

0.5 ml dose of 1.1 mcg VAX-24

Biological

24 valent pneumococcal conjugate vaccine

0.5 mL dose of PCV20

Biological

20 valent pneumococcal conjugate vaccine

0.5 ml dose of 2.2 mcg VAX-24

Biological

24 valent pneumococcal conjugate vaccine

0.5 ml dose of 2.2/4.4 mcg VAX-24

Biological

24 valent pneumococcal conjugate vaccine

Primary outcomes

  1. Percentage of participants with any solicited local injection site Adverse Events (AE) within 7 days after each vaccination

    Time frame: 7 days after each vaccination

    Solicited local reactions include erythema, edema, and tenderness at the injection site

  2. Percentage of participants with any solicited systemic AE within 7 days after each vaccination

    Time frame: 7 days after each vaccination

    Solicited systemic reactions include fever, irritability, decreased appetite, decreased sleep, and increased sleep

  3. Percentage of participants with any related Serious Adverse Events (SAE) within 6 months after last vaccination

    Time frame: 6 months after last vaccination

    Percentage of participants with related SAE

Secondary outcomes

  1. Percentage of subjects with any unsolicited AE within 1 month after each vaccination

    Time frame: 1 month after each vaccination

    Percentage of subjects with any unsolicited AE

  2. Percentage of subjects with any unsolicited AE from Dose 1 through 1 month post-Dose 3

    Time frame: First vaccination (Dose 1) through 1 month after third vaccination (Dose 3)

    Percentage of subjects with any unsolicited AE between first and 3rd vaccination in the primary series

  3. Percentage of subjects with any AE resulting in discontinuation of study within 6 months after last vaccination

    Time frame: 6 months after last vaccination

    Percentage of subjects with any AE resulting in discontinuation of study

  4. Percentage of subjects with any new onset of chronic illness (NOCI) within 6 months after last vaccination

    Time frame: 6 months after last vaccination

    Percentage of subjects with any NOCI

  5. Percentage of subjects with any medically attended adverse events (MAAE) within 6 months after last vaccination

    Time frame: 6 months after last vaccination

    Percentage of subjects with any MAAE

  6. Percentage of subjects with any SAE within 6 months after last vaccination

    Time frame: 6 months after last vaccination

    Percentage of subjects with any SAE

  7. Percentage of subjects achieving an anti-pneumococcal Immunoglobulin G (IgG) antibody concentration ≥0.35 mcg/mL 1 month after Dose 3

    Time frame: 1 month after Dose 3

    Percentage of subjects achieving an anti-pneumococcal IgG antibody concentration ≥0.35 mcg/mL

  8. Percentage of subjects achieving an anti-pneumococcal IgG antibody concentration ≥0.35 mcg/mL 1 month after Dose 4

    Time frame: 1 month after Dose 4

    Percentage of subjects achieving an anti-pneumococcal IgG antibody concentration ≥0.35 mcg/mL

  9. IgG antibody Geometric Mean Concentration (GMC) 1 month after Dose 3

    Time frame: 1 month after Dose 3

    Antibody geometric mean concentrations as measured by IgG for the 24 pneumococcal serotypes in VAX-24

  10. IgG antibody GMC 1 month after Dose 4

    Time frame: 1 month after Dose 4

    Antibody geometric mean concentrations as measured by IgG for the 24 pneumococcal serotypes in VAX-24

  11. Opsonophagocytic activity (OPA) Geometric Mean Titer (GMT) 1 month after Dose 3

    Time frame: 1 month after Dose 3

    Antibody geometric mean titers s as measured by OPA for the 24 pneumococcal serotypes in VAX-24

  12. OPA GMT 1 month after Dose 4

    Time frame: 1 month after Dose 4

    Antibody geometric mean titers s as measured by OPA for the 24 pneumococcal serotypes in VAX-24

  13. IgG Geometric Mean Fold Ratio (GMFR) before Dose 4 to 1 month after Dose 4

    Time frame: Pre-Dose 4 to 1 month after Dose 4

    Antibody geometric mean fold ratio as measured by IgG for the 24 pneumococcal serotypes in VAX-24

  14. OPA GMFR before Dose 4 to 1 month after Dose 4

    Time frame: Pre-Dose 4 to 1 month after Dose 4

    Antibody geometric mean fold rise as measured by OPA for the 24 pneumococcal serotypes in VAX-24

  15. Percentage of subjects achieving at least a 4-fold increase in IgG from pre-Dose 4 to 1 month post Dose 4

    Time frame: Pre-Dose 4 to 1 month after Dose 4

    Geometric mean concentration with a at least a 4-fold increase in IgG antibodies for the 24 pneumococcal serotypes in VAX-24

  16. Percentage of subjects achieving at least a 4-fold increase in OPA titers from pre-Dose 4 to 1 month post Dose 4

    Time frame: Pre-Dose 4 to 1 month after Dose 4

    Geometric mean titer with a at least a 4-fold increase in OPA titers for the 24 pneumococcal serotypes in VAX-24

Sponsors and collaborators

Lead sponsor

Vaxcyte, Inc.

Industry

Registry information

Official study title

Randomized, Observer-Blind, Active-Controlled, Dose-Finding Study to Evaluate the Safety, Tolerability, and Immunogenicity of 24-Valent PCV (VAX-24) in Infants Given 4 Doses at 2, 4, 6, and 12-15 Months of Age With Pediatric Vaccines

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
May 6, 2023
Registry last updated
Sep 11, 2025

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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