A Phase 2 Safety and Immunogenicity Study of a Monovalent Pneumococcal Conjugate Candidate in Healthy Toddlers

2023-505154-18-00 Protocol C4801002 Therapeutic exploratory (Phase II) Ended

Start 2 Nov 2023 · End 28 May 2024 · Status Ended · 2 EU/EEA countries · 16 sites · Protocol C4801002

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 100
Countries 2
Sites 16

Pneumococcal Infections

To describe the safety profile of the mPnC candidate administered as a 2-dose series in children ≥11 to ≤15 months of age.

Key facts

Sponsor
Pfizer Inc.
Participant type
Pediatric, Healthy volunteers
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01], Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
2 Nov 2023 → 28 May 2024
Decision date (initial)
2023-10-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Pfizer Inc.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To describe the safety profile of the mPnC candidate administered as a 2-dose series in children ≥11 to ≤15 months of age.

Secondary objectives 1

  1. To describe the immune responses elicited by the mPnC candidate.

Conditions and MedDRA coding

Pneumococcal Infections

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Toddlers ≥11 and ≤15 months of age at the time of consent.
  2. Have received exactly 2 infant doses of PCV10 according to a local immunization schedule.
  3. Healthy toddlers determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study.

Exclusion criteria 5

  1. History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of study intervention, 13vPnC, 20vPnC, or any diphtheria toxoid–containing vaccine.
  2. Significant neurological disorder or history of seizure (excluding febrile seizure) or significant stable or evolving disorders such as cerebral palsy, encephalopathy, hydrocephalus, or other significant disorders.
  3. Major known congenital malformation or serious chronic disorder.
  4. History of microbiologically proven invasive disease caused by S pneumoniae.
  5. Previous vaccination with any licensed pneumococcal vaccine (other than the PCV10 primary infant series) or investigational pneumococcal vaccine, or planned receipt of nonstudy pneumococcal vaccine during study participation.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. Prompted local reactions (redness, swelling, and pain at the injection site)
  2. Prompted systemic events (fever, decreased appetite, drowsiness/increased sleep, and irritability)
  3. Adverse events (AEs)
  4. Serious adverse events (SAEs)

Secondary endpoints 2

  1. Immunoglobulin G (IgG) concentrations for the candidate serotype
  2. Opsonophagocytic activity (OPA) titers for the candidate serotype

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

PF-07831695

PRD10480606 · Product

Active substance
PF-07831695
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
PFIZER INC.
Paediatric formulation
No
Orphan designation
No

Comparator 1

Pneumococcal Polysaccharide Serotype 3 Conjugated to CRM197 Adsorbed on Aluminium Phosphate

SUB199854 · Substance

Active substance
Pneumococcal Polysaccharide Serotype 3 Conjugated to CRM197 Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 6

Synflorix suspension for injection in pre-filled syringe Pneumococcal polysaccharide conjugate vaccine (adsorbed)

PRD333987 · Product

Active substance
Pneumococcal Polysaccharide Serotype 1 Conjugated to Protein D (Derived From Non-Typeable Haemophilus Influenzae) Carrier Protein Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AL52 — -
Marketing authorisation
EU/1/09/508/002
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Synflorix suspension for injection in pre-filled syringe Pneumococcal polysaccharide conjugate vaccine (adsorbed)

PRD333952 · Product

Active substance
Pneumococcal Polysaccharide Serotype 1 Conjugated to Protein D (Derived From Non-Typeable Haemophilus Influenzae) Carrier Protein Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AL52 — -
Marketing authorisation
EU/1/09/508/001
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Synflorix suspension for injection in pre-filled syringe Pneumococcal polysaccharide conjugate vaccine (adsorbed)

PRD334228 · Product

Active substance
Pneumococcal Polysaccharide Serotype 1 Conjugated to Protein D (Derived From Non-Typeable Haemophilus Influenzae) Carrier Protein Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AL52 — -
Marketing authorisation
EU/1/09/508/010
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Synflorix suspension for injection in pre-filled syringe Pneumococcal polysaccharide conjugate vaccine (adsorbed)

PRD334042 · Product

Active substance
Pneumococcal Polysaccharide Serotype 1 Conjugated to Protein D (Derived From Non-Typeable Haemophilus Influenzae) Carrier Protein Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
J07AL52 — -
Marketing authorisation
EU/1/09/508/003
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Synflorix suspension for injection in pre-filled syringe Pneumococcal polysaccharide conjugate vaccine (adsorbed)

PRD334115 · Product

Active substance
Pneumococcal Polysaccharide Serotype 1 Conjugated to Protein D (Derived From Non-Typeable Haemophilus Influenzae) Carrier Protein Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AL52 — -
Marketing authorisation
EU/1/09/508/005
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Synflorix suspension for injection in pre-filled syringe Pneumococcal polysaccharide conjugate vaccine (adsorbed)

PRD334095 · Product

Active substance
Pneumococcal Polysaccharide Serotype 1 Conjugated to Protein D (Derived From Non-Typeable Haemophilus Influenzae) Carrier Protein Adsorbed on Aluminium Phosphate
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AL52 — -
Marketing authorisation
EU/1/09/508/004
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Pfizer Inc.

Sponsor organisation
Pfizer Inc.
Address
235 East 42nd Street
City
New York
Postcode
10017-5703
Country
United States

Scientific contact point

Organisation
Pfizer Inc.
Contact name
Clinical Medical Lead

Public contact point

Organisation
Pfizer Inc.
Contact name
Clinical Medical Lead

Third parties 3

OrganisationCity, countryDuties
Yprime LLC
ORG-100042888
Malvern, United States Other
Innovative Trials Limited
ORG-100044081
Letchworth Garden City, United Kingdom Other
Icon Public Limited Company
ORG-100042517
Dublin 18, Ireland On site monitoring

Locations

2 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ended 50 9
Poland Ended 50 7
Rest of world 0

Investigational sites

Finland

9 sites · Ended
Rokotetutkimuskeskus Finvac Oy
FVR Turku Vaccine Research Clinic, Lemminkaisenkatu 14-18 B, 20520, Turku
HUS Helsinki University Hospital
Meilahti Vaccine Research Center MeVac, Haartmaninkatu 8, Haartmaninkatu 4, 00290, Helsinki
Rokotetutkimuskeskus Finvac Oy
FVR Helsinki South Vaccine Research Clinic, Vuorikatu 18 B 3 Krs, 00100, Helsinki
Rokotetutkimuskeskus Finvac Oy
FVR Espoo Vaccine Research Clinic, Piispansilta 11, 02230, Espoo
Rokotetutkimuskeskus Finvac Oy
FVR Järvenpää Vaccine Research Clinic, Mannilantie 44, 04400, Jarvenpaa
Rokotetutkimuskeskus Finvac Oy
FVR Seinäjoki Vaccine Research Clinic, Kauppatori 1-3, 60100, Seinajoki
Rokotetutkimuskeskus Finvac Oy
FVR Oulu Vaccine Research Clinic, Kiviharjunlenkki 6, 90220, Oulu
Rokotetutkimuskeskus Finvac Oy
FVR Tampere Vaccine Research Clinic, Tullikatu 6, 33100, Tampere
Rokotetutkimuskeskus Finvac Oy
FVR Kokkola Vaccine Research Clinic, Rantakatu 16, 67100, Kokkola

Poland

7 sites · Ended
Medicover Integrated Clinical Services Sp. z o.o.
MICS Centrum Medyczne Szczecin, Ul. Andrzeja Struga 42, 70-784, Szczecin
NZOZ Praktyka Lekarza Rodzinnego Eskulap
NZOZ Praktyka Lekarza Rodzinnego „ESKULAP”, Ul. Weteranow 46, 20-044, Lublin
Vitamed Galaj I Cichomski Sp. j.
NZOZ VITAMED, Ul. Tadeusza Kosciuszki 35, 85-079, Bydgoszcz
Pratia S.A.
Centrum Medyczne Pratia Bydgoszcz, Ul. Wojciecha Lochowskiego 7a, 85-796, Bydgoszcz
Niepubliczny Zaklad Opieki Zdrowotnej Salmed
Niepubliczny Zakład Opieki Zdrowotnej „Salmed”, Ul. Waclawa Jawoszka 3, 21-010, Leczna
Medicover Integrated Clinical Services Sp. z o.o.
MICS Centrum Medyczne Toruń, Ul. Stefana Batorego 18/22, 87-100, Torun
Niepubliczny Zaklad Lecznictwa Ambulatoryjnego Michalkowice Rybarczyk I Partnerzy Spolka Lekarska sp.p.
Niepubliczny Zakład Lecznictwa Ambulatoryjnego Michałkowice, Ul. Koscielna 32, 41-103, Siemianowice Slaskie

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2023-11-07 2024-05-20 2023-11-08 2024-02-07
Poland 2023-11-02 2024-05-27 2023-11-20 2024-02-07

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
C4801002 Public Disclosure Synopsis
SUM-59869
2024-11-26T19:56:08 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
C4801002 Plain Language Study Results Summary (PLSRS) Phase 2-4 2024-11-26T19:56:14 Submitted Laypersons Summary of Results
C4801002_2023-505154-18-00_Lay person summary of results_Polish 2026-03-12T09:02:00 Submitted Laypersons Summary of Results
C4801002_2023-505154-18-00_Lay person summary of results_Swedish 2026-03-12T09:02:54 Submitted Laypersons Summary of Results
C4801002_2023-505154-18-00_Lay person summary of results_Finnish 2026-03-12T09:03:44 Submitted Laypersons Summary of Results

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) C4801002 Plain Language Study Results Summary 1
Laypersons summary of results (for publication) C4801002_2023-505154-18-00_Lay person summary of results_Finnish 1
Laypersons summary of results (for publication) C4801002_2023-505154-18-00_Lay person summary of results_Polish 1
Laypersons summary of results (for publication) C4801002_2023-505154-18-00_Lay person summary of results_Swedish 1
Summary of results (for publication) C4801002 Public Disclosure Synopsis 1

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-07-14 Finland Acceptable
2023-10-16
2023-10-19
2 NON SUBSTANTIAL MODIFICATION NSM-2 2023-10-24 Finland Acceptable
2023-10-16
2023-10-24
3 SUBSTANTIAL MODIFICATION SM-2 2023-11-24 Finland Acceptable
2024-02-05
2024-02-06
4 SUBSTANTIAL MODIFICATION SM-3 2024-03-01 Finland Acceptable 2024-04-03