Clinical trial Recruiting at 183 sites Phase 3 Interventional Ages 65 and up

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

PhasePhase 3
Study typeInterventional
Ages65 Years and up
SexAll
Enrollment32500 (estimated)
SponsorPfizer
Industry-sponsored
Locations185 sites (Athens, Alabama and 184 other locations)
StatusRecruiting
StartedDecember 10, 2025
Main results expectedDecember 11, 2028
Study endsJune 7, 2029
Registry record updatedNovember 5, 2026
Trial IDNCT07282665 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.