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Clostridium Difficile Vaccine 2-Dose Versus 3-Dose Study

Primary Purpose

Clostridium Difficile Associated Disease

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Clostridium difficile
Placebo
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Clostridium Difficile Associated Disease focused on measuring Clostridium Difficile, vaccine

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Evidence of a personally signed and dated informed consent document.
  • Willing and able to comply with study procedures.
  • Subjects with an increased risk of future contact with healthcare systems or subjects who have received systemic antibiotics in the previous 12 weeks.
  • Ability to be contacted by telephone during study participation.

Exclusion Criteria:

  • Pregnant female participants; breastfeeding female participants; positive urine pregnancy test for women of childbearing potential (WOCBP); and WOCBP who are, in the opinion of the investigator, sexually active and at risk for pregnancy and are unwilling or unable to use effective methods of contraception as outlined in this protocol from the signing of the informed consent until at least 28 days after the last dose of investigational product.
  • Prior episode of CDI, confirmed by either laboratory test or diagnosis of pseudomembranous colitis at colonoscopy, at surgery, or histopathologically.
  • Participants who may be unable to respond to vaccination due to:

    • Metastatic malignancy; or
    • End-stage renal disease (glomerular filtration rate <15 mL/min/1.73 m2 or on dialysis).
    • Any serious medical disorder that in the investigator's opinion is likely to be fatal within the next 12 months.
    • Congenital or acquired immunodeficiency.
  • Known infection with human immunodeficiency virus (HIV).
  • Any bleeding disorder or anticoagulant therapy that would contraindicate IM injection.
  • Any contraindication to vaccination or vaccine components, including previous anaphylactic reaction to any vaccine or vaccine-related components.
  • Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
  • Previous administration of an investigational C difficile vaccine or C difficile mAb therapy.
  • Receipt of systemic corticosteroids for greater than or equal to 14 days within 28 days before enrollment.
  • Receipt of chronic systemic treatment with other known immunosuppressant medications, or radiotherapy, within 6 months before enrollment.
  • Receipt of blood products or immunoglobulins within 6 months before enrollment.
  • Participation in other studies involving investigational drug(s)/vaccine(s) within 28 days prior to study entry until 1 month after the third vaccination.
  • Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or Pfizer employees, including their family members, directly involved in the conduct of the study.

Sites / Locations

  • North Alabama Research Center, LLC
  • Medical Affiliated Research Center
  • East Valley Gastroenterology and Hepatology Associates
  • The Pain Center of Arizona
  • HOPE Research Institute
  • The Pain Center of Arizona
  • The Pain Center of Arizona
  • Paradigm Clinical Research Centers, Inc.
  • Paradigm Clinical Research Centers, Inc.
  • Paradigm Research
  • Innovative Research of West Florida, Inc.
  • Accel Research Sites - DeLand Clinical Research Unit
  • Acevedo Clinical Research Associates
  • Clinical Neuroscience Solutions, Inc.
  • Clinical Neuroscience Solutions, Inc.
  • Pines Care Research Center, LLC
  • Progressive Medical Research
  • Meridian Clinical Research, LLC
  • Snake River Research, PLLC
  • MOC Research
  • MedPharmics, LLC
  • MedPharmics, LLC
  • Clinical Research Professionals Inc.
  • Amici Clinical Research
  • Rochester Clinical Research, Inc
  • PMG Research of Charlotte LLC
  • PharmQuest
  • Accellacare - Hickory
  • PMG Research of Raleigh
  • PMG Research of Wilmington, LLC
  • PMG Research of Winston-Salem, LLC
  • Lillestol Research LLC
  • Aventiv Research Inc.
  • PriMed Clinical Research
  • Medical Research South
  • Main Street Physician's Care - Waterway
  • Coastal Carolina Research Center
  • Holston Medical Group
  • ARC Clinical Research at Wilson Parke
  • Bellaire Doctor's Clinic
  • Texas Health Care, PLLC
  • Ventavia Research Group, LLC
  • Texas Center for Drug Development, Inc.
  • Diagnostics Research Group
  • DM Clinical Research
  • Martin Diagnostic Clinic
  • J. Lewis Research Inc. / Foothill Family Clinic Draper
  • J. Lewis Research, Inc. / Foothill Family Clinic
  • J. Lewis Research, Inc. / Foothill Family Clinic South
  • J. Lewis Research, Inc. / Jordan River Family Medicine
  • Virginia Research Center LLC
  • Wenatchee Valley Hospital & Clinics

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Clostridium difficile vaccine - 3 dose

Clostridium difficile vaccine - 2 dose

Arm Description

All 3 doses are the Clostridium difficile vaccine

2 of the 3 doses are the Clostridium difficile vaccine with the other being placebo

Outcomes

Primary Outcome Measures

C difficile toxin A- and toxin B-specific neutralizing antibody levels at Month 7 in each regimen
As measured by the central laboratory
Percentage of subjects reporting local reactions
Pain, erythema, and induration, as self-reported in electronic diaries
Percentage of subjects reporting systemic events
Fever, vomiting, headache, fatigue, new or worsening muscle pain, and new or worsening joint pain, as self-reported in electronic diaries
Percentage of subjects reporting nonserious adverse events
As elicited by investigational site staff
Percentage of subjects reporting serious adverse evets
As elicited by investigational site staff

Secondary Outcome Measures

Toxin A- and toxin B-specific neutralizing antibody levels, expressed as geometric mean concentrations in each regimen
As measured by the central laboratory

Full Information

First Posted
April 2, 2019
Last Updated
March 23, 2022
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT03918629
Brief Title
Clostridium Difficile Vaccine 2-Dose Versus 3-Dose Study
Official Title
A PHASE 3, RANDOMIZED OBSERVER-BLINDED STUDY TO EVALUATE THE IMMUNOGENICITY, SAFETY, AND TOLERABILITY OF 2 DOSES COMPARED TO 3 DOSES OF CLOSTRIDIUM DIFFICILE VACCINE IN ADULTS 50 YEARS OF AGE AND OLDER
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
April 1, 2019 (Actual)
Primary Completion Date
December 22, 2020 (Actual)
Study Completion Date
December 22, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will investigate a Clostridium difficile vaccine in healthy adults 50 years of age and older. In half the healthy adults, all 3 doses given are the Clostridium difficile vaccine, and in half the healthy adults, 2 of the 3 doses are the Clostridium difficile vaccine with the other dose containing no active ingredients. The study will look at the subjects' immune response to the vaccine and assess the safety and tolerability of a 2-dose regimen of Clostridium difficile vaccine compared to a 3-dose regimen of Clostridium difficile vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Clostridium Difficile Associated Disease
Keywords
Clostridium Difficile, vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1994 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Clostridium difficile vaccine - 3 dose
Arm Type
Experimental
Arm Description
All 3 doses are the Clostridium difficile vaccine
Arm Title
Clostridium difficile vaccine - 2 dose
Arm Type
Experimental
Arm Description
2 of the 3 doses are the Clostridium difficile vaccine with the other being placebo
Intervention Type
Biological
Intervention Name(s)
Clostridium difficile
Intervention Description
Toxoid-based Clostridium difficile vaccine
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Normal saline solution (0.9% sodium chloride)
Primary Outcome Measure Information:
Title
C difficile toxin A- and toxin B-specific neutralizing antibody levels at Month 7 in each regimen
Description
As measured by the central laboratory
Time Frame
At Month 7
Title
Percentage of subjects reporting local reactions
Description
Pain, erythema, and induration, as self-reported in electronic diaries
Time Frame
Up to 7 days following each vaccination
Title
Percentage of subjects reporting systemic events
Description
Fever, vomiting, headache, fatigue, new or worsening muscle pain, and new or worsening joint pain, as self-reported in electronic diaries
Time Frame
Up to 7 days following each vaccination
Title
Percentage of subjects reporting nonserious adverse events
Description
As elicited by investigational site staff
Time Frame
Up to 1 month after the last dose of vaccine
Title
Percentage of subjects reporting serious adverse evets
Description
As elicited by investigational site staff
Time Frame
Up to 6 months after the last dose of vaccine
Secondary Outcome Measure Information:
Title
Toxin A- and toxin B-specific neutralizing antibody levels, expressed as geometric mean concentrations in each regimen
Description
As measured by the central laboratory
Time Frame
At Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Evidence of a personally signed and dated informed consent document. Willing and able to comply with study procedures. Subjects with an increased risk of future contact with healthcare systems or subjects who have received systemic antibiotics in the previous 12 weeks. Ability to be contacted by telephone during study participation. Exclusion Criteria: Pregnant female participants; breastfeeding female participants; positive urine pregnancy test for women of childbearing potential (WOCBP); and WOCBP who are, in the opinion of the investigator, sexually active and at risk for pregnancy and are unwilling or unable to use effective methods of contraception as outlined in this protocol from the signing of the informed consent until at least 28 days after the last dose of investigational product. Prior episode of CDI, confirmed by either laboratory test or diagnosis of pseudomembranous colitis at colonoscopy, at surgery, or histopathologically. Participants who may be unable to respond to vaccination due to: Metastatic malignancy; or End-stage renal disease (glomerular filtration rate <15 mL/min/1.73 m2 or on dialysis). Any serious medical disorder that in the investigator's opinion is likely to be fatal within the next 12 months. Congenital or acquired immunodeficiency. Known infection with human immunodeficiency virus (HIV). Any bleeding disorder or anticoagulant therapy that would contraindicate IM injection. Any contraindication to vaccination or vaccine components, including previous anaphylactic reaction to any vaccine or vaccine-related components. Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study. Previous administration of an investigational C difficile vaccine or C difficile mAb therapy. Receipt of systemic corticosteroids for greater than or equal to 14 days within 28 days before enrollment. Receipt of chronic systemic treatment with other known immunosuppressant medications, or radiotherapy, within 6 months before enrollment. Receipt of blood products or immunoglobulins within 6 months before enrollment. Participation in other studies involving investigational drug(s)/vaccine(s) within 28 days prior to study entry until 1 month after the third vaccination. Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or Pfizer employees, including their family members, directly involved in the conduct of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
North Alabama Research Center, LLC
City
Athens
State/Province
Alabama
ZIP/Postal Code
35611
Country
United States
Facility Name
Medical Affiliated Research Center
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
East Valley Gastroenterology and Hepatology Associates
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
Facility Name
The Pain Center of Arizona
City
Peoria
State/Province
Arizona
ZIP/Postal Code
85381
Country
United States
Facility Name
HOPE Research Institute
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
The Pain Center of Arizona
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
The Pain Center of Arizona
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
Paradigm Clinical Research Centers, Inc.
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Paradigm Clinical Research Centers, Inc.
City
Redding
State/Province
California
ZIP/Postal Code
96001
Country
United States
Facility Name
Paradigm Research
City
Wheat Ridge
State/Province
Colorado
ZIP/Postal Code
80033
Country
United States
Facility Name
Innovative Research of West Florida, Inc.
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Accel Research Sites - DeLand Clinical Research Unit
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
Acevedo Clinical Research Associates
City
Miami
State/Province
Florida
ZIP/Postal Code
33142
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32801
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Pines Care Research Center, LLC
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33026
Country
United States
Facility Name
Progressive Medical Research
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
Meridian Clinical Research, LLC
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
Snake River Research, PLLC
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
MOC Research
City
Mishawaka
State/Province
Indiana
ZIP/Postal Code
46544
Country
United States
Facility Name
MedPharmics, LLC
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
MedPharmics, LLC
City
Gulfport
State/Province
Mississippi
ZIP/Postal Code
39503
Country
United States
Facility Name
Clinical Research Professionals Inc.
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63005
Country
United States
Facility Name
Amici Clinical Research
City
Raritan
State/Province
New Jersey
ZIP/Postal Code
08869
Country
United States
Facility Name
Rochester Clinical Research, Inc
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
PMG Research of Charlotte LLC
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28209
Country
United States
Facility Name
PharmQuest
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27408
Country
United States
Facility Name
Accellacare - Hickory
City
Hickory
State/Province
North Carolina
ZIP/Postal Code
28601
Country
United States
Facility Name
PMG Research of Raleigh
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
Facility Name
PMG Research of Wilmington, LLC
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
PMG Research of Winston-Salem, LLC
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Lillestol Research LLC
City
Fargo
State/Province
North Dakota
ZIP/Postal Code
58104
Country
United States
Facility Name
Aventiv Research Inc.
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43213
Country
United States
Facility Name
PriMed Clinical Research
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45419
Country
United States
Facility Name
Medical Research South
City
Goose Creek
State/Province
South Carolina
ZIP/Postal Code
29445
Country
United States
Facility Name
Main Street Physician's Care - Waterway
City
Little River
State/Province
South Carolina
ZIP/Postal Code
29566
Country
United States
Facility Name
Coastal Carolina Research Center
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29405
Country
United States
Facility Name
Holston Medical Group
City
Bristol
State/Province
Tennessee
ZIP/Postal Code
37620
Country
United States
Facility Name
ARC Clinical Research at Wilson Parke
City
Austin
State/Province
Texas
ZIP/Postal Code
78726
Country
United States
Facility Name
Bellaire Doctor's Clinic
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
Texas Health Care, PLLC
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Ventavia Research Group, LLC
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Texas Center for Drug Development, Inc.
City
Houston
State/Province
Texas
ZIP/Postal Code
77081
Country
United States
Facility Name
Diagnostics Research Group
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
DM Clinical Research
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
Martin Diagnostic Clinic
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
J. Lewis Research Inc. / Foothill Family Clinic Draper
City
Draper
State/Province
Utah
ZIP/Postal Code
84020
Country
United States
Facility Name
J. Lewis Research, Inc. / Foothill Family Clinic
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84109
Country
United States
Facility Name
J. Lewis Research, Inc. / Foothill Family Clinic South
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
Facility Name
J. Lewis Research, Inc. / Jordan River Family Medicine
City
South Jordan
State/Province
Utah
ZIP/Postal Code
84095
Country
United States
Facility Name
Virginia Research Center LLC
City
Midlothian
State/Province
Virginia
ZIP/Postal Code
23114
Country
United States
Facility Name
Wenatchee Valley Hospital & Clinics
City
Wenatchee
State/Province
Washington
ZIP/Postal Code
98801
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
IPD Sharing URL
https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=B5091019
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

Clostridium Difficile Vaccine 2-Dose Versus 3-Dose Study

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