A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 Followed by PNEUMOVAX™23 in Adults at Increased Risk for Pneumococcal Disease (V114-017/PNEU-DAY)
Pneumococcal Infections
About this trial
This is an interventional prevention trial for Pneumococcal Infections
Eligibility Criteria
Inclusion Criteria:
Native American participant enrolled from any of the clinical sites of the Johns Hopkins Center for American Indian Health (CAIH) without any of the pre-specified risk conditions for pneumococcal disease listed below, OR Native American participant enrolled from any of the CAIH sites or participant from a site other than CAIH with ≥1 of the following risk conditions for pneumococcal disease:
- Diabetes mellitus Type 1 or Type 2 and with hemoglobin A1c (HgA1c) <10%
- Chronic liver disease with documented history of compensated cirrhosis (Child-Pugh Score A)
- Confirmed diagnosis of Chronic Obstructive Pulmonary Disease (COPD) with spirometric Global Initiative for Chronic Obstructive Lung Disease Stage 1 to 3
- Confirmed diagnosis of mild or moderate persistent asthma receiving guideline directed therapy
- Confirmed diagnosis of chronic heart disease (New York Heart Association [NYHA] heart failure Class 1 to 3, receiving guideline-directed oral heart failure treatment) due to reduced or preserved ejection fraction or due to non-cyanotic congenital heart disease.
- Current smoker
- Female participant: not pregnant, not breastfeeding and 1) not of childbearing potential, or 2) of childbearing potential and agrees to practice contraception through 6 weeks after last administration of study vaccine.
Exclusion Criteria:
- History of active hepatitis within the prior 3 months
- History of diabetic ketoacidosis, or >1 episodes of severe, symptomatic hypoglycemia within the prior 3 months
- Myocardial infarction, acute coronary syndrome, transient ischemic attack, and ischemic or hemorrhagic stroke within the prior 3 months
- History of severe pulmonary hypertension or history of Eisenmenger syndrome
- History of invasive pneumococcal disease (IPD) or known history of other culture-positive pneumococcal disease within the prior 3 years
- Known hypersensitivity to any vaccine component, pneumococcal conjugate vaccine, or diphtheria toxoid-containing vaccine
- Known or suspected impairment of immunological function (including human immunodeficiency virus (HIV) infection or autoimmune disease)
- History of malignancy within the prior 5 years, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
- History of Stage 4 or 5 Chronic Kidney Disease or nephrotic syndrome
- History of alcohol withdrawal or alcohol withdrawal seizure within the prior 12 months
- History of coagulation disorder contraindicating intramuscular vaccination
- History of hospitalization within the prior 3 months
- Planned organ transplantation (heart, liver, lung, kidney, or pancreas) or other planned major surgery during the duration of this study.
- Expected survival for less than 1 year according to the investigator's judgment.
- Female participant: positive urine or serum pregnancy test
- Prior administration of any pneumococcal vaccine
- Received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed within the prior 30 days
- Received systemic corticosteroids exceeding physiologic replacement doses within 14 days before study vaccination
- Receiving immunosuppressive or immunomodulatory therapy with a biological agent
- Received any licensed, non-live vaccine within 14 days before receipt of study vaccine or is scheduled to receive any licensed, non-live vaccine within 30 days following receipt of study vaccine
- Received any live vaccine within 30 days before receipt of any study vaccine or is scheduled to receive any live vaccine within 30 days following receipt of any study vaccine
- Received a blood transfusion or blood products within the prior 6 months
- Receiving chronic home oxygen therapy
- Participated in another clinical study of an investigational product within the prior 2 months
- Current user of recreational or illicit drugs or history of drug abuse or dependence
- Diabetes mellitus with HgA1c ≥10%
- Chronic liver disease with Child-Pugh Class B or C cirrhosis
- Chronic lung disease with Chronic Obstructive Pulmonary Disease (COPD) GOLD Stage 4 or severe persistent asthma
- Chronic heart disease with NYHA heart failure Class 4.
Sites / Locations
- Chinle Comprehensive Health Care Facility ( Site 0001)
- Fort Defiance Center for American Indian Health ( Site 0002)
- Pulmonary Associates, PA ( Site 0043)
- Central Phoenix Medical Clinic, LLC ( Site 0031)
- Whiteriver Center for American Indian Health ( Site 0005)
- Inland Empire Clinical Trials, LLC ( Site 0052)
- Top Medical Research, Inc ( Site 0033)
- Indago Research & Health Center, Inc ( Site 0054)
- Renstar Medical Research ( Site 0008)
- Triple O Research Institute, P.A. ( Site 0026)
- Emory University School of Medicine at Grady Hospital ( Site 0027)
- Kootenai Health ( Site 0042)
- Evanston Premier Healthcare & Research, LLC. ( Site 0012)
- Pharmakon Inc ( Site 0049)
- Reid Physician Associates ( Site 0055)
- The Center for Pharmaceutical Research PC ( Site 0050)
- Clinical Research Consortium ( Site 0053)
- Internal Medicine Associates [Bridgeton, NJ] ( Site 0015)
- Gallup Center for American Indian Health ( Site 0003)
- Shiprock Center for American Indian Health ( Site 0004)
- Corning Center For Clinical Research ( Site 0036)
- Mid Hudson Medical Research ( Site 0022)
- Wake Research Associates, LLC ( Site 0016)
- Lehigh Valley Health Network ( Site 0040)
- University of Pennsylvania ( Site 0030)
- Mountain View Clinical Research ( Site 0007)
- Holston Medical Group ( Site 0025)
- AIM Trials ( Site 0060)
- University of Texas Medical Branch at Galveston ( Site 0034)
- Private Practice Leadership, LLC ( Site 0051)
- Texas Center For Drug Development ( Site 0041)
- Texas Institute Of Cardiology ( Site 0048)
- Village Health Partners ( Site 0006)
- Copperview Medical Center ( Site 0038)
- Timber Lane Allergy & Asthma Research, LLC ( Site 0044)
- Pulmonary & Sleep Research ( Site 0046)
- Gundersen Health System ( Site 0021)
- Marshfield Clinic ( Site 0013)
- Paratus Clinical Pty Ltd - Blacktown Clinic ( Site 0174)
- Holdsworth House Medical Practice ( Site 0170)
- Core Research Group Pty limited ( Site 0175)
- Emeritus Research Pty Ltd ( Site 0173)
- Paratus Clinical Kanwal ( Site 0172)
- Nepean Hospital ( Site 0176)
- The Liver and Intestinal Research Centre (LAIR) ( Site 0302)
- GA Research Associates, Ltd/Ltee ( Site 0303)
- Colchester Research Group ( Site 0094)
- Hamilton Medical Research Group ( Site 0092)
- SKDS Research Inc. ( Site 0099)
- Omnispec Recherche Clinique Inc ( Site 0093)
- Dynamik Research ( Site 0095)
- Q & T Research Sherbrooke Inc. ( Site 0097)
- Diex Recherche Quebec Inc ( Site 0091)
- Clinica Arauco Salud ( Site 0100)
- Centro de Investigacion Clinica UC CICUC ( Site 0104)
- CECIM ( Site 0101)
- CESFAM Esmeralda ( Site 0102)
- Hospital Dr. Hernan Henriquez Aravena ( Site 0105)
- Southern Clinical Trials - Waitemata ( Site 0183)
- Auckland Clinical Studies Limited ( Site 0189)
- Optimal Clinical Trials ( Site 0182)
- Christchurch Heart Institute ( Site 0280)
- Southern Clinical Trials Ltd ( Site 0180)
- Lakeland Clinical Trials ( Site 0181)
- Bay of Plenty Clinical School ( Site 0186)
- P3 Research Ltd - Wellington ( Site 0184)
- WSOZ im.T.Browicza w Bydgoszczy ( Site 0317)
- Centrum Medyczne Pratia Bydgoszcz ( Site 0139)
- Synexus Polska Sp. z o.o. ( Site 0238)
- Specjalistyczny osrodek .All-Med. Grazyna Pulka ( Site 0233)
- ID Clinic ( Site 0235)
- Centrum Medyczne Ogrodowa Sp. Z o.o. ( Site 0319)
- Niepubliczny Zaklad Opieki Zdrowotnej ( Site 0314)
- Wroclawskie Centrum Zdrowia SP ZOZ ( Site 0236)
- Synexus Polska Sp. z o.o. oddział we Wrocławiu ( Site 0234)
- Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 0249)
- Saratov State Medical University n.a. V.I.Razumovskiy ( Site 0144)
- Smolensk State Medical University ( Site 0246)
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
V114
Prevnar 13™
Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2)
Participants will receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1 (Vaccination 1) and a single 0.5 mL IM injection of PNEUMOVAX™23 at Month 6 (Vaccination 2)