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V114-A

Phase 2

Pneumococcal Infections | Monoclonal antibody | Other |Merck & Company, Inc.|Last Updated: Apr 16, 2019

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-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment690
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02547649Safety, Tolerability, and Immunogenicity of Two Formulations of V114 in Healthy Adults 50 Years of Age or Older (V114-006)PHASE2 COMPLETED 690Oct 8, 2015Jan 20, 2016Apr 16, 2019 -
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Study Endpoints
Primary Endpoints
Percentage of Participants With an Adverse Event (AE)
Up to 14 days after vaccination

The percentage of participants experiencing ≥1 AE(s) in each arm was determined. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Percentage of Participants With a Solicited Injection-site Adverse Event (AE)
Up to 14 days after vaccination

The percentage of participants experiencing ≥1 solicited injection-site AE(s) in each arm was determined.

Percentage of Participants With a Solicited Systemic Adverse Event (AE)
Up to 14 days after vaccination

The percentage of participants experiencing ≥1 solicited systemic AE(s) in each arm was determined.

Percentage of Participants With a Serious Adverse Event (SAE)
Up to 30 days after vaccination

The percentage of participants experiencing ≥1 SAE(s) in each arm was determined.

Percentage of Participants With Vaccine-Related Serious Adverse Event (SAE)
Up to 30 days after vaccination

The percentage of participants experiencing ≥1 vaccine-related SAEs(s) in each arm was determined.

Geometric Mean Titers (GMTs) of Serotype-specific Opsonophagocytic Killing Activity (OPA) at One Month Post-Vaccination
Day 30 (one month after vaccination)

The OPA GMTs of each common serotype (CS) and V114-specific serotype (VS) were determined in each arm. Titer levels were determined with the multiplexed opsonophagocytic assay (MOPA).

Secondary Endpoints
Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) at One Month Post-Vaccination
Day 30 (one month after vaccination)
Percentage of Participants With a ≥4-fold Rise From Baseline in Serotype-specific Opsonophagocytic Killing Activity (OPA) Geometric Mean Titers (GMTs)
Baseline and Day 30 (one month after vaccination)
Percentage of Participants With a ≥4-fold Rise From Baseline in Geometric Mean Concentrations (GMCs) of Serotype-specific Immunoglobulin G (IgG) Antibodies
Baseline and Day 30 (one month after vaccination)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
V114 Formulation AEXPERIMENTALParticipants receive a single 0.5 mL intramuscular injection of V114 Formulation A on Day 1
V114 Formulation BEXPERIMENTALParticipants receive a single 0.5 mL intramuscular injection of V114 Formulation B on Day 1
Prevnar 13®ACTIVE_COMPARATORParticipants receive a single 0.5 mL intramuscular injection of Prevnar 13® on Day 1
Interventions
NameTypeDescription
V114-ABIOLOGICALFormulation A of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-A uses a unique excipient to improve stability of the vaccine against physical stress).
V114-BBIOLOGICALFormulation B of V114 contains 2 µg of pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, and 33F; 4 µg of serotype 6B; 32 µg of CRM197 protein carrier; and 125 µg of Aluminum Phosphate Adjuvant in each 0.5 mL dose (V114-B uses a unique excipient to improve stability of the vaccine against physical stress).
Prevnar 13®BIOLOGICALPneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg each), and 6B (4.4 mcg) in each 0.5 mL dose.
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Good health; any underlying chronic illness must be documented to be in stable condition * Highly unlikely to conceive through 6 weeks after administration of the study vaccine Exclusion Criteria: * Prior administration of any pneumococcal vaccine * History of invasive pneum...

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