Comparing three production lots of a 21‑valent pneumococcal vaccine in infants
Official title: A Phase 3, Randomized, Modified Double-blind, Active-controlled, Parallel-group, Lot-to-lot Consistency, 4-arm Study to Investigate the Safety and Immunogenicity of a 4-dose Regimen of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants and Toddlers
Run by Sanofi · NCT07348692 · Data updated 2026-11-12
This trial will test if three different production lots of a 21‑valent pneumococcal vaccine give similar immune responses and are as safe as the licensed 20‑valent vaccine when given to infants starting at about 2 months of age.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 42 Days to 89 Days |
| Sex | All |
| Enrollment | 2195 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 25 sites (Fayetteville, Arkansas and 24 other locations) |
| Status | Recruiting |
| Started | January 20, 2026 |
| Main results expected | June 7, 2027 |
| Study ends | May 29, 2028 |
| Registry record updated | October 5, 2026 |
| Trial ID | NCT07348692 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Healthy infants aged 42 to 89 days at enrollment who were born at or near term (or medically stable preterm as specified), with no known immunodeficiency or contraindication to routine pediatric vaccines are ideal candidates.
✕Probably not a fit
Infants with known or suspected immunodeficiency, prior microbiologically confirmed pneumococcal disease, contraindications to routine vaccines, or significant neurologic disorders are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 3, randomized, modified double‑blind study designed to show lot‑to‑lot consistency of an investigational 21‑valent pneumococcal conjugate vaccine (PCV21) and to compare its safety and immunogenicity with a licensed 20‑valent vaccine. Infants are enrolled at about 2 months of age and receive vaccinations at approximately 2, 4, 6 and 12 months, with routine pediatric vaccines given per local guidelines. Cohort A randomizes participants to one of three PCV21 manufacturing lots or to the 20‑valent comparator, while Cohort B randomizes to the three PCV21 lots only. Each participant is followed for up to about 17 months to collect immune response and safety data.
Why it matters
Potential benefit: If successful, a consistent 21‑valent vaccine could offer broader protection against pneumococcal serotypes and provide an additional reliable option for infant immunization.
How similar studies have gone: Higher‑valent pneumococcal conjugate vaccines (including 20‑valent formulations) have been licensed and shown immunogenicity and effectiveness, and lot‑consistency testing is a standard regulatory requirement, but PCV21 itself is a newer formulation with limited public outcome data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 42 to 89 days on the day of inclusion * Participants who are healthy as determined by medical evaluation including medical history and physical examination * Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or born after a gestation period above 28 (\> 28 weeks) through 36 weeks with a birth weight ≥ 1.5 kg, and in both cases medically stable Exclusion Criteria: * Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy * History of microbiologically confirmed Streptococcus pneumoniae infection or disease * Any contraindication to the routine pediatric vaccine being administered in the study * History of seizure or significant stable or progressive neurologic disorders such as infantile spasms, inflammatory nervous system diseases, encephalopathy, cerebral palsy * Known systemic hypersensitivity to any of the study interventions components, or history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances3 * Laboratory-confirmed or known thrombocytopenia, as reported by the parent(s) / legally acceptable representative (LAR(s)), contraindicating intramuscular (IM) injection. * Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM injection. * Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion * Moderate or severe acute illness/infection (according to investigator judgment) or febrile illness (temperature ≥ 38.0°C \[≥ 100.4°F\]) on the day of study intervention administration. * Receipt of any BCG vaccine within 4 weeks preceding the first study intervention administration or planned receipt any BCG vaccine within the study period * Previous vaccination against Streptococcus pneumoniae * Previous vaccination against the following antigens: diphtheria, tetanus, pertussis, H. influenzae type b, poliovirus * Receipt of more than 1 dose of hepatitis B vaccine * Receipt of immune globulins, blood or blood-derived products since birth * Participation at the time of study enrollment (or in the 6 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
Where it's running
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Northwest Arkansas Pediatric Clinic- Site Number : 8400039
Fayetteville, Arkansas, United States Recruiting -
Matrix Clinical Research - Huntington Park- Site Number : 8400029
Huntington Park, California, United States Recruiting -
Community Clinical Research- Site Number : 8400030
Los Angeles, California, United States Recruiting -
Matrix Clinical Research - Los Angeles- Site Number : 8400028
Los Angeles, California, United States Recruiting -
PAS Research - Tampa- Site Number : 8400034
Tampa, Florida, United States Recruiting -
Kentucky Pediatric Research- Site Number : 8400036
Bardstown, Kentucky, United States Recruiting
Show 19 more locations
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Michigan Institute of Research- Site Number : 8400004
Allen Park, Michigan, United States Recruiting -
Nappi Wellness Institute\t- Site Number : 8400037
Syracuse, New York, United States Recruiting -
Tribe Clinical Research At Neighbors Pediatrics- Site Number : 8400008
Charleston, South Carolina, United States Recruiting -
Parkside Pediatrics - Simpsonville- Site Number : 8400005
Simpsonville, South Carolina, United States Recruiting -
Tribe Clinical Research - Spartanburg- Site Number : 8400026
Spartanburg, South Carolina, United States Recruiting -
PAS Research - Children's Care Clinic- Site Number : 8400035
Edinburg, Texas, United States Recruiting -
Pediatric Center - Richmond- Site Number : 8400038
Richmond, Texas, United States Recruiting -
Rio Clinical Trials - Canyon View- Site Number : 8400031
Ogden, Utah, United States Recruiting -
Investigational Site Number : 3400001
San Pedro Sula, Honduras Recruiting -
Investigational Site Number : 3400002
Tegucigalpa, Honduras Recruiting -
Investigational Site Number : 3400003
Tegucigalpa, Honduras Recruiting -
Investigational Site Number : 6300005
Guayama, Puerto Rico Recruiting -
Investigational Site Number : 6300006
San Juan, Puerto Rico Recruiting -
Investigational Site Number : 6300007
Trujillo Alto, Puerto Rico Recruiting -
Investigational Site Number : 7640002
Bangkok, Thailand Recruiting -
Investigational Site Number : 7640004
Chiang Mai, Thailand Recruiting -
Investigational Site Number : 7640003
Hat Yai, Thailand Recruiting -
Investigational Site Number : 7640001
Khon Kaen, Thailand Recruiting -
Investigational Site Number : 7640005
Pathum Wan, Thailand Recruiting
Study contacts
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: Contact-US@sanofi.com
- Phone: 800-633-1610
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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.