Clinical trial Recruiting at 25 sites Phase 3 Interventional Ages 42 Days to 89 Days

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.

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Quick facts

PhasePhase 3
Study typeInterventional
Ages42 Days to 89 Days
SexAll
Enrollment2195 (estimated)
SponsorSanofi
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations25 sites (Fayetteville, Arkansas and 24 other locations)
StatusRecruiting
StartedJanuary 20, 2026
Main results expectedJune 7, 2027
Study endsMay 29, 2028
Registry record updatedOctober 5, 2026
Trial IDNCT07348692 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

  • 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
  • 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

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.