Clostridioides difficile vaccine for people 65 and older
Official title: A PHASE 3, PLACEBO-CONTROLLED, DOUBLE-BLINDED, RANDOMIZED STUDY TO EVALUATE THE EFFICACY, SAFETY, AND TOLERABILITY OF A CLOSTRIDIOIDES DIFFICILE VACCINE IN ADULTS 65 YEARS OF AGE AND OLDER
Run by Pfizer · NCT07282665 · Data updated 2026-11-12
This trial tests whether a vaccine can prevent C. difficile infections in people age 65 and older.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 32500 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 185 sites (Athens, Alabama and 184 other locations) |
| Status | Recruiting |
| Started | December 10, 2025 |
| Main results expected | December 11, 2028 |
| Study ends | June 7, 2029 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07282665 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 65 or older with recent or planned healthcare contact or recent antibiotic exposure who meet the trial's health and medication eligibility criteria.
✕Probably not a fit
People with a history of C. difficile infection, prior C. difficile vaccination or antibody therapy, significant immunosuppression, chronic frequent diarrhea, prior bowel resection, or serious uncontrolled medical conditions are unlikely to qualify or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults 65 and older with recent or planned contact with healthcare or recent antibiotic use are assigned to receive either an investigational C. difficile vaccine or a saline placebo by injection into the upper arm. The trial is event-driven and will continue until a predefined number of C. difficile–related diarrhea (pCDI) events occur, so individual participation averages about 3.5 years. Safety, tolerability, and the occurrence of pCDI events are monitored through planned visits and ongoing surveillance. People with prior CDI, major immunosuppression, prior C. difficile vaccines/antibodies, certain serious medical conditions, or prior intestinal resections are excluded.
Why it matters
Potential benefit: If effective, the vaccine could reduce C. difficile infections and related diarrhea in older adults.
How similar studies have gone: Earlier-phase C. difficile vaccine trials showed immune responses and acceptable safety, but no vaccine is yet licensed and definitive phase 3 efficacy evidence is still emerging.
Who can join: the full rules
Show full inclusion / exclusion criteria
Who Can Join the Study (Inclusion Criteria): • People with recent or future planned contact with healthcare systems, recent antibiotic exposure, or a diagnosis of certain chronic medical conditions. Who Cannot Join the Study (Exclusion Criteria): * Anyone who has had CDI before. * Anyone who has had surgery to remove part of their small or large intestine. * Anyone who often has diarrhea (meaning three or more loose stools in a day, more than once a month). * Anyone who has already received a vaccine or special antibody treatment for C. difficile. * Anyone who has had a serious allergic reaction to a vaccine or to any part of the study vaccines. * Anyone who might not respond well to the vaccine because their immune system is weak (either from a disease or from treatment). * Anyone with cancer that has spread or another serious health problem.
Where it's running
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North Alabama Research Center
Athens, Alabama, United States Recruiting -
Lakeview Clinical Research
Guntersville, Alabama, United States Recruiting -
Medical Affiliated Research Center
Huntsville, Alabama, United States Recruiting -
Chinle Center for Indigenous Health
Chinle, Arizona, United States Recruiting -
Chinle Comprehensive Health Care Facility
Chinle, Arizona, United States Recruiting -
Epic Medical Research-Sun City
Sun City, Arizona, United States Recruiting
Show 44 more locations
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Applied Research Center of Arkansas
Little Rock, Arkansas, United States Recruiting -
Kaiser Permanente Daly City
Daly City, California, United States Recruiting -
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, United States Recruiting -
Kaiser Permanente Oncology Pharmacy #014C
Los Angeles, California, United States Recruiting -
Sacramento VA Medical Center
Mather, California, United States Recruiting -
Kaiser Permanente Oakland
Oakland, California, United States Recruiting -
Kaiser Permanente Ontario Medical Center
Ontario, California, United States Recruiting -
Kaiser Permanente Roseville
Roseville, California, United States Recruiting -
Kaiser Permanente Sacramento
Sacramento, California, United States Recruiting -
Kaiser Permanente South Sacramento
Sacramento, California, United States Recruiting -
Velocity Clinical Research, San Bernardino
San Bernardino, California, United States Recruiting -
Kaiser Permanente - San Diego Medical Center
San Diego, California, United States Recruiting -
Kaiser Permanente Viewridge Medical Office
San Diego, California, United States Recruiting -
Kaiser Permanente San Jose
San Jose, California, United States Recruiting -
Kaiser Permanente Santa Clara
Santa Clara, California, United States Recruiting -
Med Partners, Inc. dba Premiere Medical Center of Burbank, Inc.
Toluca Lake, California, United States Recruiting -
Kaiser Permanente Walnut Creek
Walnut Creek, California, United States Recruiting -
Diablo Clinical Research, Inc.
Walnut Creek, California, United States Recruiting -
GW Vaccine Research Unit
Washington D.C., District of Columbia, United States Recruiting -
The GW Medical Faculty Associates
Washington D.C., District of Columbia, United States Recruiting -
Bay Pines VA Healthcare System
Bay Pines, Florida, United States Recruiting -
Proactive Clinical Research,LLC
Fort Lauderdale, Florida, United States Recruiting -
Clinical Neuroscience Solutions, LLC
Jacksonville, Florida, United States Recruiting -
M3 Wake Research - Lake City
Lake City, Florida, United States Recruiting -
South Florida Research Organization
Medley, Florida, United States Recruiting -
Care Research Inc
Miami, Florida, United States Recruiting -
Entrust Clinical Research
Miami, Florida, United States Recruiting -
Charisma Medical and Research Center
Miami Lakes, Florida, United States Recruiting -
Palm Springs Community Health Center
Miami Lakes, Florida, United States Recruiting -
Indago Research & Health Center, Inc
Miami Lakes, Florida, United States Recruiting -
Angels Clinical Research Institute
Tampa, Florida, United States Recruiting -
Emory Steiner Building Research Center
Atlanta, Georgia, United States Recruiting -
Emory University Woodruff Extension Building (WEB)
Atlanta, Georgia, United States Recruiting -
Centricity Research Columbus Georgia Multispecialty
Columbus, Georgia, United States Recruiting -
The Hope Clinic of Emory University
Decatur, Georgia, United States Recruiting -
Atlanta VA Medical Center
Decatur, Georgia, United States Recruiting -
Velocity Clinical Research, Savannah
Savannah, Georgia, United States Recruiting -
DM Clinical Research - Chicago
Melrose Park, Illinois, United States Recruiting -
Accellacare - McFarland
Ames, Iowa, United States Recruiting -
McFarland Clinic, PC
Ames, Iowa, United States Recruiting -
Velocity Clinical Research, Sioux City
Sioux City, Iowa, United States Recruiting -
AMR Clinical
Newton, Kansas, United States Recruiting -
Ochsner Medical Complex - The Grove
Baton Rouge, Louisiana, United States Recruiting -
Ochsner Clinic Foundation - Kenner Clinical Trials Unit
Kenner, Louisiana, United States Recruiting
+135 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.