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Trial · NCT03197376

Phase 3 Study of 10-valent Pneumococcal Conjugate Vaccine (PNEUMOSIL) in Healthy Infants

NCT03197376, Phase 3, Completed, PATH; results first posted 2019-09-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Phase 3 Study of 10-valent Pneumococcal Conjugate Vaccine (PNEUMOSIL) in Healthy Infants. Trials, record NCT03197376. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03197376

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Phase 3 Study of 10-valent Pneumococcal Conjugate Vaccine (PNEUMOSIL) in Healthy Infants
NCT number
NCT03197376
Status
Completed
Phases
Phase 3
Enrollment
2,250 participants, actual
Lead sponsor
PATH
Conditions
Pneumonia, Pneumococcal
Interventions
Pneumosil, Synflorix
First posted
2017-06-23
Last updated
2020-07-14
Results first posted
2019-09-11

Source ClinicalTrials.gov

Registered outcomes27

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySerotype-specific Geometric Mean Concentration of IgG Antibody4 weeks after the third doseSerotype-specific concentrations of immunoglobulin G (IgG) antibody measured by ELISA
PrimaryNumber and Percentage of Subjects With Serotype-specific IgG Antibody Responses ≥ 0.35 μg/mL4 weeks after the third doseNumber and Percentage of subjects with serotype-specific IgG Antibody Responses ≥ 0.35 μg/mL
PrimarySerotype-specific Geometric Mean Concentration of IgG Antibody4 weeks after the third doseSerotype-specific immunoglobulin G (IgG) geometric mean concentration (GMC) 4 weeks after the primary series of PNEUMOSIL/Synflorix co-administered with pentavalent, RV and polio vaccines.
PrimaryNumber and Percentage of Subjects With EPI Vaccine Immune Responses (Diphtheria, Tetanus, Hepatitis B, Hib, Polio and Rotavirus)4 weeks after the third dose
Subjects with 1) anti-diphtheria toxoid (DT) and anti-tetanus toxoid (DT) IgG concentration ≥ 0.1 IU/mL; 2) anti-Hepatitis B surface antigen (HBsAg) IgG concentration ≥ 10 mIU/mL; 3) anti-Hib (polyribosylribitol phosphate \[PRP\]) IgG concentration ≥ 0.15 µg/mL; 4) anti-poliovirus types 1, 2 and 3 neutralizing antibody titers ≥ 1:8; 5) anti-rotavirus IgA concentration ≥ 20 U/mL.
PrimaryAnti-pertussis Toxoid GMCs for the Pertussis Antigen4 weeks after the third doseAnti-pertussis toxoid GMCs for the pertussis antigen
PrimaryAnti Fimbriae 2/3 IgG GMCs for the Pertussis Antigen4 weeks after the third doseAnti fimbriae 2/3 IgG GMCs for the pertussis antigen
PrimaryNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Vaccination 17 days (including day of vaccination)
In the primary reactogenicity cohort, local and systemic reactogenicity of the study vaccine was evaluated through day 6 for severity by toxicity grading scale (0 \[none\], 1 \[mild\], 2 \[moderate\], 3 \[severe\], 4 \[life threatening\].
PrimaryNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Vaccination 27 days (including day of vaccination)
In the primary reactogenicity cohort, local and systemic reactogenicity of the study vaccine was evaluated through day 6 for severity by toxicity grading scale (0 \[none\], 1 \[mild\], 2 \[moderate\], 3 \[severe\], 4 \[life threatening\].
PrimaryNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Vaccination 37 days (including day of vaccination)
In the primary reactogenicity cohort, local and systemic reactogenicity of the study vaccine was evaluated through day 6 for severity by toxicity grading scale (0 \[none\], 1 \[mild\], 2 \[moderate\], 3 \[severe\], 4 \[life threatening\].
PrimaryNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Booster7 days (including day of vaccination)
In the primary reactogenicity cohort, local and systemic reactogenicity of the study vaccine was evaluated through day 6 for severity by toxicity grading scale (0 \[none\], 1 \[mild\], 2 \[moderate\], 3 \[severe\], 4 \[life threatening\].

Outcomes27

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSerotype-specific Geometric Mean Concentration of IgG Antibody4 weeks after the third doseAll subjects who received all primary series doses of study vaccines, had post-dose immunogenicity measurement(s) with no major protocol deviationsµg/mLGEOMETRIC_MEAN
PRIMARYNumber and Percentage of Subjects With Serotype-specific IgG Antibody Responses ≥ 0.35 μg/mL4 weeks after the third dose
Non-inferiority for each serotype is based on 2 non-inferiority criteria evaluation: for each serotype, non-inferiority was shown if a two-sided 97.5% CI for the absolute difference in proportions responding (PNEUMOSIL-Synflorix) had a lower limit \>-0.10, or if a two-sided 97.5% CI for the IgG GMC ratio (PNEUMOSIL/Synflorix) had a lower limit \>0.5.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYSerotype-specific Geometric Mean Concentration of IgG Antibody4 weeks after the third dose
Non-inferiority for each serotype is based on 2 non-inferiority criteria evaluation: for each serotype, non-inferiority was shown if a two-sided 97.5% CI for the absolute difference in proportions responding (PNEUMOSIL-Synflorix) had a lower limit \>-0.10, or if a two-sided 97.5% CI for the IgG GMC ratio (PNEUMOSIL/Synflorix) had a lower limit \>0.5.
µg/mLGEOMETRIC_MEAN
PRIMARYNumber and Percentage of Subjects With EPI Vaccine Immune Responses (Diphtheria, Tetanus, Hepatitis B, Hib, Polio and Rotavirus)4 weeks after the third dose
Evaluated in a subset who got 3 primary doses, had postdose immunogenicity data with no major protocol deviations.For each Ag in the pentavalent, RV, OPV vaccines, non-inferiority shown if 2-sided 95% CI for difference in response proportions (PNEUMOSIL-Synflorix) had lower limit \>-0.10. For this, pooled PNUEMOSIL data was used as specified in SAP.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAnti-pertussis Toxoid GMCs for the Pertussis Antigen4 weeks after the third dose
Evaluated in a subset who got 3 primary doses, had postdose immunogenicity data with no major protocol deviations.Non-inferiority was defined as 2-sided 95% CI for the GMC ratio (PNEUMOSIL/Synflorix) with lower limit\>0.5 for each of 2 separate antigens (pertussis toxoid and fimbriae).For this analysis, pooled PNUEMOSIL data used as specified in SAP
IU/mLGEOMETRIC_MEAN
PRIMARYAnti Fimbriae 2/3 IgG GMCs for the Pertussis Antigen4 weeks after the third dose
Evaluated in a subset of subjects who received all primary series doses, had postdose immunogenicity results with no major protocol deviations. Non-inferiority was defined as a two-sided 95% CI for the GMC ratio (PNEUMOSIL/Synflorix) with lower limit \> 0.5 for each of 2 separate antigens (pertussis toxoid and fimbriae).
U/mLGEOMETRIC_MEAN
PRIMARYNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Vaccination 17 days (including day of vaccination)
Sample size for evaluation of solicited local and systemic AEs was approx. 1,125. Evaluated in a subset of subjects who got a study vaccine and had some post-vaccination safety data. Lotwise data was used for clinical lot equivalence evaluation, for safety analyses pooled PNUEMOSIL data was used as specified in SAP.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Vaccination 27 days (including day of vaccination)
Sample size for evaluation of solicited local and systemic AEs was approx. 1,125. Evaluated in a subset of subjects who got a study vaccine and had some post-vaccination safety data. Lotwise data was used for clinical lot equivalence evaluation, for safety analyses pooled PNUEMOSIL data was used as specified in SAP.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Vaccination 37 days (including day of vaccination)
Sample size for evaluation of solicited local and systemic AEs was approx. 1,125. Evaluated in a subset of subjects who got a study vaccine and had some post-vaccination safety data. Lotwise data was used for clinical lot equivalence evaluation, for safety analyses pooled PNUEMOSIL data was used as specified in SAP.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber and Percentage of Solicited Local and Systemic Reactogenicity by Severity- Booster7 days (including day of vaccination)
Reported in a subset of subjects who got 3 doses and booster dose of the study vaccine and had post-vaccination safety data.Treatment groups (PNUEMOSIL or Synflorix) were based on actual treatment received at Visit 1. Lotwise data was used for clinical lot equivalence evaluation, for safety analyses pooled PNUEMOSIL data was used (specified in SAP)
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group1,156

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 1Pn IgG Type 14.0895% Confidence Interval 3.84 to 4.33µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 2Pn IgG Type 14.2495% Confidence Interval 3.97 to 4.52µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 3Pn IgG Type 14.5895% Confidence Interval 4.30 to 4.87µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 1Pn IgG Type 51.3495% Confidence Interval 1.27 to 1.43µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 2Pn IgG Type 51.8095% Confidence Interval 1.70 to 1.91µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 3Pn IgG Type 51.8495% Confidence Interval 1.73 to 1.96µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 1Pn IgG Type 6A1.0595% Confidence Interval 0.95 to 1.15µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 2Pn IgG Type 6A0.9595% Confidence Interval 0.86 to 1.06µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 3Pn IgG Type 6A1.0195% Confidence Interval 0.91 to 1.11µg/mL
Serotype-specific Geometric Mean Concentration of IgG AntibodyLot 1Pn IgG Type 6B1.3095% Confidence Interval 1.15 to 1.47µg/mL

Participant flow48

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Primary and Booster PhaseSTARTEDPneumosil Lot 1502
Primary and Booster PhaseSTARTEDPneumosil Lot 2501
Primary and Booster PhaseSTARTEDPneumosil Lot 3500
Primary and Booster PhaseSTARTEDSynflorix747
Primary and Booster PhaseVaccinated-Dose 1Pneumosil Lot 1502
Primary and Booster PhaseVaccinated-Dose 1Pneumosil Lot 2501
Primary and Booster PhaseVaccinated-Dose 1Pneumosil Lot 3500
Primary and Booster PhaseVaccinated-Dose 1Synflorix747
Primary and Booster PhaseVaccinated-Dose 2Pneumosil Lot 1495
Primary and Booster PhaseVaccinated-Dose 2Pneumosil Lot 2495

Adverse events104

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUpper respiratory tract infectionInfections and infestationsPneumosil7301,5031,041
otherUpper respiratory tract infectionInfections and infestationsSynflorix379747552
otherFuruncleInfections and infestationsPneumosil1501,503183
otherFuruncleInfections and infestationsSynflorix6574777
otherGastroenteritisInfections and infestationsPneumosil1541,503169
otherGastroenteritisInfections and infestationsSynflorix7674780
otherConjunctivitisInfections and infestationsPneumosil1101,503116
otherConjunctivitisInfections and infestationsSynflorix6474767
otherBronchiolitisInfections and infestationsPneumosil591,50365
otherBronchiolitisInfections and infestationsSynflorix4274747

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPneumosil11,503
Total, all-cause mortalitySynflorix2747
Total, other adverse eventsPneumosil1,1311,503
Total, other adverse eventsSynflorix572747
Total, serious adverse eventsPneumosil511,503
Total, serious adverse eventsSynflorix26747

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33516293DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Pneumosil vs Synflorix: deaths from any causeTrial comparisons
Pneumosil vs Synflorix: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03197376

GET https://conductscience.org/api/trials/v1/NCT03197376/registered?page=2