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V114

Phase 3

Acute Otitis Media (AOM) | Monoclonal antibody | ENT |Merck & Company, Inc.|Last Updated: Jan 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment7,119
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04193215V114 and Acute Otitis Media (V114-032/PNEU-ERA)PHASE3 COMPLETED 7,119Sep 12, 2020Dec 22, 2025Jan 22, 202613 Thailand
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Study Endpoints
Primary Endpoints
Number of Participants with a First Episode of Vaccine-Type Acute Otitis Media (VT-AOM) Caused by the Pneumococcal Serotypes Contained in V114
Up to ~36 months

The number of participants with VT-AOM will be presented.

Percentage of Participants with Serious Adverse Events
Up to ~36 months

A serious adverse event (SAE) is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment.

Percentage of Participants with Vaccine-Related Serious Adverse Events
Up to ~36 months

A serious adverse event (SAE) is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment.

Percentage of Participants Who Discontinued the Study due to Serious Adverse Events
Up to ~36 months

A serious adverse event (SAE) is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment.

Percentage of Participants Who Died
Up to ~36 months

The percentage of participants who died from any cause during the study will be assessed.

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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
V114EXPERIMENTALParticipants will receive an intramuscular (IM) injection.
ControlOTHER -
Interventions
NameTypeDescription
V114BIOLOGICALIM injection
Pediatric vaccinesOTHERStandard of care vaccines administered according to the local recommended schedule.
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Eligibility Criteria
Age Range42 Days — 90 Days
SexALL
Healthy VolunteersYes
Study Sites13

Inclusion Criteria: * Is healthy (based on a review of medical history and physical examination) * Is male or female, approximately 2 months of age, from 42 days to 90 days of age Exclusion Criteria: * Was born prior to 37 weeks of gestation. * Has a history of invasive pneumococcal disease (IPD)...

Countries:Thailand
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