Trial to Evaluate the Safety, Tolerability, and Immunogenicity of A Multivalent Group B Streptococcus Vaccine When Administered Concomitantly With Tdap in Healthy Nonpregnant Women

Recruitment Status
COMPLETED - HAS RESULTS
(See Contacts and Locations)Verified March 2024 by Pfizer
Sponsor
Pfizer
Information Provided by (Responsible Party)
Pfizer
Clinicaltrials.gov Identifier
NCT04766086
Other Study ID Numbers:
C1091005
First Submitted
February 17, 2021
First Posted
February 22, 2021
Results First Posted
April 24, 2024
Last Update Posted
May 23, 2024
Last Verified
March 2024

ClinicalTrials.gov processed this data on April 2024Link to the current ClinicalTrials.gov record .

History of Changes

Study Details

Study Description

Condition or DiseaseIntervention/Treatment
Group B Streptococcus Infections
Biological: Multivalent Group B streptococcus vaccineBiological: Multivalent Group B streptococcus vaccineBiological: Tetanus, diphtheria, and acellular pertussis vaccine

Study Design

Study TypeInterventional
Actual Enrollment306 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingDouble
Primary PurposePrevention
Official TitleA PHASE 2B, PLACEBO-CONTROLLED, RANDOMIZED, OBSERVER-BLINDED TRIAL TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A MULTIVALENT GROUP B STREPTOCOCCUS VACCINE WHEN ADMINISTERED CONCOMITANTLY WITH TETANUS, DIPHTHERIA, AND ACELLULAR PERTUSSIS VACCINE (TDAP) IN HEALTHY NONPREGNANT WOMEN 18 THROUGH 49 YEARS OF AGE
Study Start DateAugust 11, 2022
Actual Primary Completion DateApril 26, 2023
Actual Study Completion DateApril 26, 2023

Groups and Cohorts

Group/CohortIntervention/Treatment
GBS6 and Tdap
Multivalent group B streptococcus vaccine and Tetanus, diphtheria, and acellular pertussis vaccine (Tdap)
Biological: Multivalent Group B streptococcus vaccine
Multivalent Group B streptococcus vaccine
GBS6 and Placebo
Multivalent group B streptococcus vaccine and Placebo
Biological: Multivalent Group B streptococcus vaccine
Multivalent Group B streptococcus vaccine
Placebo and Tdap
Placebo and Tetanus, diphtheria, and acellular pertussis vaccine (Tdap)
Biological: Tetanus, diphtheria, and acellular pertussis vaccine
Tetanus, diphtheria, and acellular pertussis vaccine

Outcome Measures

Primary Outcome Measures
  1. Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination
    Local reactions (redness, swelling, and pain at the injection site of the left arm) were recorded by participants in e-diary. Erythema/Redness and induration/swelling were measured and recorded in measuring device units (1 measuring device unit=0.5 centimeter \[cm\]). Grading: Grade 1/mild (greater than \[\>\] 2.0 to 5.0 cm), Grade 2/moderate (\>5.0 to 10.0 cm), Grade 3/severe (\>10.0 cm) and Grade 4 (necrosis \[swelling\] or necrosis or exfoliative dermatitis \[redness\]). Pain at injection site was graded as Grade 1/mild (did not interfere with activity), Grade2/moderate (interfered with activity), Grade 3/severe (prevented daily activity) and Grade 4 (emergency room \[ER\] visit or hospitalization for severe pain at injection site). Grade 4 were classified by investigator or medically qualified person.
  2. Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination
    Systemic events were recorded in e-diary. Fever: oral temperature greater than or equal to (\>=) 38.0 degree Celsius (deg C) and categorized as \>=38.0-38.4 deg C, \>38.4-38.9 deg C, \>38.9-40.0 deg C and \>40.0 deg C. Nausea/vomiting was graded as: Grade 1/mild (1-2 times in 24 hours \[h\]), Grade 2/moderate: (\>2 times in 24h), Grade 3/severe (required intravenous hydration) and Grade 4 (ER visit/hospitalization for hypotensive shock). Diarrhea was graded as: Grade 1/mild (2-3 loose stools in 24h), Grade 2/moderate (4-5 loose stools in 24h), Grade 3/severe (6 or more loose stools in 24h) and Grade 4 (ER visit/hospitalization for severe diarrhea). Fatigue/tiredness, headache, chills, muscle pain and joint pain were graded as: Grade 1/mild (did not interfere with activity), Grade 2/moderate (some interference with activity), Grade 3/severe (prevented daily routine activity) and Grade 4 (ER visit/hospitalization). Grade 4 were classified by investigator or medically qualified person.
  3. Percentage of Participants Reporting Adverse Events (AEs) Through 1 Month After Vaccination
    An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. In this outcome measure results excluded data for local reactions and systemic events.
  4. Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination
    A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. A SAE was defined as any untoward medical occurrence at any dose that resulted in any of the following outcomes: death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect; or that was considered as an important medical event.
  5. Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups
    IU/mL stands for international units per milliliter.
  6. Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination
    GMCs of anti-PT, anti-FHA, and anti-PRN was reported as descriptive data for the GBS6 +Tdap and placebo + Tdap groups, along with associated 2-sided 95% confidence interval. GMR for anti-PT, anti-FHA and anti-PRN antibodies were estimated from the GBS6 + Tdap group to the placebo + Tdap group and reported as statistical data.
  7. GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination
    GBS CPS serotype-specific IgG GMCs (Ia, Ib, II, III, IV, V) were reported as descriptive data for the GBS6+Tdap and GBS6+placebo groups, along with associated 2-sided 95% confidence interval. GMR of GBS CPS serotype-specific IgG antibodies were estimated from the GBS6 + Tdap group to the placebo + Tdap group and reported as statistical data.

Eligibility Criteria

Ages Eligible for Study(Adult)
Sexes Eligible for StudyFemale
Accepts Healthy VolunteersYes
Inclusion Criteria
Healthy women ≥18 and ≤49 years of age.
Participants who are willing and able to comply with scheduled visits, investigational plan, laboratory tests, lifestyle considerations, and other study procedures, including completion of the e-diary from Day 1 to Day 7 following administration of investigational product.
Healthy females at enrollment who are determined by medical history, physical examination, and clinical judgment of the investigator to be eligible for inclusion in the study.
Expected to be available for the duration of the study and who can be contacted by telephone during study participation.
Capable of giving personal signed informed consent.
Exclusion Criteria
Pregnant female participants; breastfeeding female participants; positive urine pregnancy test for women of childbearing potential (WOCBP) at Visit 1 (prior to vaccination)
History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the investigational product or any diphtheria toxoid-containing or CRM197-containing vaccine.
History of microbiologically proven invasive disease caused by group B streptococcus.
Immunocompromised participants with known or suspected immunodeficiency.
Bleeding diathesis or condition associated with prolonged bleeding that would in the opinion of the investigator contraindicate intramuscular injection.
Other acute or chronic medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
Previous vaccination with any licensed or investigational GBS vaccine, or planned receipt during the participant's participation in the study (through the 1-month follow-up visit \[Visit 2\]).
Vaccination within 5 years with tetanus and diphtheria toxoids and acellular pertussis-containing vaccines (Tdap) before investigational product administration.
Participants who receive treatment with immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids
Vaccination with diphtheria- or CRM197-containing vaccine(s) from 6 months before investigational product administration, or planned receipt through the 1-month follow-up visit.
Receipt or planned receipt of blood/plasma products or immunoglobulin, from 60 days before investigational product administration through the 1-month follow-up visit
Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation

Contacts and Locations

Sponsors and CollaboratorsPfizer
Locations
Alliance for Multispecialty Research, LLC | Newton Kansas, United States, 67114Quality Clinical Research, Inc | Omaha Nebraska, United States, 68114Alliance for Multispecialty Research, LLC | Las Vegas Nevada, United States, 89119Accellacare - Raleigh | Raleigh North Carolina, United States, 27609Accellacare - Wilmington | Wilmington North Carolina, United States, 28401PriMED Clinical Research | Dayton Ohio, United States, 45419PriMed Clinical Research | Dayton Ohio, United States, 45429Lynn Health Science Institute | Oklahoma City Oklahoma, United States, 73112Alliance for Multispecialty Research, LLC | Knoxville Tennessee, United States, 37909Benchmark Research | Fort Worth Texas, United States, 76135DM Clinical Research - Brookline | Houston Texas, United States, 77081J. Lewis Research, Inc. / Foothill Family Clinic South | Salt Lake City Utah, United States, 84121
Investigators
Study Director: Pfizer CT.gov Call Center, Pfizer
Study Documents (Full Text)
Documents provided by PfizerStudy Protocol  October 3, 2022Documents provided by PfizerStatistical Analysis Plan  December 13, 2022