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V116

Phase 3

Pneumonia, Pneumococcal | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: Oct 29, 2025

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 Trials3
Total Enrollment2,397
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05526716A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 When Administered Concomitantly With Influenza Vaccine in Adults 50 Years of Age or Older (V116-005, STRIDE-5)PHASE3 COMPLETED 1,080Sep 23, 2022Jun 21, 2023Oct 29, 202556 United States
NCT05420961A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-experienced Adults (V116-006, STRIDE-6)PHASE3 COMPLETED 717Jul 12, 2022May 16, 2023Oct 26, 202451 United States, Canada +7
NCT04168190A Phase 1/Phase 2 Study of Polyvalent Pneumococcal Conjugate Vaccine (V116) in Adults (V116-001)PHASE1 COMPLETED 600Dec 6, 2019Jul 12, 2021Sep 16, 202220 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Solicited Injection-site Adverse Events (AEs)
Up to 5 days post-vaccination

An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited injection-site AEs included erythema, pain, and swelling.

Number of Participants With Solicited Systemic AEs
Up to 5 days post-vaccination

An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited systemic AEs include fatigue, headache, myalgia, and pyrexia.

Percentage of Participants With Vaccine-related Serious Adverse Events (SAEs)
Up to ~6 months postvaccination with V116

A serious adverse event (SAE) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is another important medical event. SAEs that were reported to be at least possibly related by the investigator to study vaccination are summarized.

Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) Responses
30 days after V116 vaccination (Day 30 for concomitant group and Day 59 for sequential group)

OPA for the serotypes in V116 were determined using a multiplexed opsonophagocytic assay (MOPA). Serotype-specific OPA GMTs (GMTs) (estimated) and GMT ratios with 95% CIs were calculated using a constrained longitudinal data analysis (cLDA) model utilizing data from both vaccination groups. Per the statistical analysis plan, the only CIs calculated were the between-group CIs (for the GMT ratios); within-group CIs were not calculated.

GMT of Influenza Strain-specific Hemagglutination Inhibition (HAI)
Day 30

GMTs for the 4 strains contained in QIV vaccine were determined using an HAI assay.

Percentage of Participants With Solicited Injection-site Adverse Events (AEs)
Up to 5 days post-vaccination

An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following any injection with either V116, PCV15, or PPSV23 the percentage of participants with solicited injection-site AEs was assessed. The solicited injection-site AEs assessed were erythema, pain, and swelling.

Percentage of Participants With Solicited Systemic AEs
Up to 5 days post-vaccination

An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Following any of the injections with either V116, PCV15, or PPSV23, the percentage of participants with solicited systemic AEs was assessed. The solicited systemic AEs assessed were fatigue, headache, myalgia, and pyrexia.

Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA)
30 Days post-vaccination

OPA for the serotypes contained in V116 were determined using a multiplex opsonophagocytic assay (MOPA). GMT is defined as geometric mean titer (1/dil). Serotype-specific OPA GMTs with 95% confidence intervals are presented.

Phase 1: Percentage of Participants With a Solicited Injection-site Adverse Event (AE)
Up to 5 days post-vaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Injection-site AEs solicited on the Vaccine Report Card (VRC) were redness/erythema, swelling, and tenderness/pain. The percentage of participants with one or more solicited injection-site AE was assessed.

Phase 1: Percentage of Participants With a Solicited Systemic AE
Up to 5 days post-vaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Systemic AEs solicited on the VRC were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue. The percentage of participants with one or more solicited systemic AE was assessed.

Phase 1: Percentage of Participants With Vaccine-related Serious Adverse Events (SAEs)
Up to Day 195

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. The percentage of participants with one or more SAE that were assessed by the investigator to be at least possibly related to the study vaccination were reported.

Phase 2: Percentage of Participants With a Solicited Injection-site AE
Up to 5 days post-vaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Injection-site AEs solicited on the Vaccine Report Card (VRC) were redness/erythema, swelling, and tenderness/pain. The percentage of participants with one or more solicited injection-site AE was assessed.

Phase 2: Percentage of Participants With a Solicited Systemic AE
Up to 5 days post-vaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Systemic AEs solicited on the VRC were muscle pain/myalgia, joint pain/arthralgia, headache, and tiredness/fatigue. The percentage of participants with 1 or more solicited systemic AE was assessed.

Phase 2: Percentage of Participants With Vaccine-related SAEs
Up to Day 293

An 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. The percentage of participants who experienced at least one SAE that were assessed by the investigator to be at least possibly related to the study vaccination were reported.

Phase 2: Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) for the Common Serotypes in V116 and Pneumovax™23
30 days post vaccination

GMTs for the serotypes common to V116 and Pneumovax™23 were determined using the muliplex opsonophagocytic assay (MOPA). Serotype-specific OPA GMTs and GMT ratios with 95% confidence intervals (CIs) were calculated using a constrained longitudinal data analysis (cLDA) model. Per protocol, within-group CIs were not calculated.

Phase 2: Serotype-specific OPA GMTs for the Unique Serotypes in V116
30 days post vaccination

GMTs for the serotypes unique to V116 were determined using the MOPA. Serotype-specific OPA GMTs and GMT ratios with 95% CIs were calculated using a cLDA model. Per protocol, within-group CIs were not calculated.

Secondary Endpoints
Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG)
30 days after V116 vaccination (Day 30 for concomitant group and Day 59 for sequential group)
Geometric Mean Fold Rise (GMFR) Ratio of Serotype-specific OPA
Baseline (Day 1 for the concomitant group and Day 30 for the sequential group) and Postvaccination (Day 30 for the concomitant group and Day 59 for the sequential group)
GMFR Ratio of Serotype-specific IgG
Baseline (Day 1 for the concomitant group and Day 30 for the sequential group) and Postvaccination (Day 30 for the concomitant group and Day 59 for the sequential group)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Concomitant group (V116 + QIV followed by placebo)EXPERIMENTALParticipants will receive a single 0.5 mL intramuscular (IM) injection of V116 and a single 0.5 mL IM injection of QIV on Day 1 and a single 0.5 mL injection of placebo on Day 30
Sequential group (placebo + QIV followed by V116)EXPERIMENTALParticipants will receive a single 0.5 mL IM injection of QIV and a single 0.5 mL IM injection of placebo on Day 1 and a single 0.5 mL injection of V116 on Day 30
Cohort 1: V116EXPERIMENTALParticipants will receive a single 0.5 mL intramuscular (IM) injection of V116 on Day 1. Participants in this arm received PPSV23 prior to the enrollment.
Cohort 1: PCV15ACTIVE_COMPARATORParticipants will receive a single 0.5 mL IM injection of PCV15 on Day 1. Participants in this arm received PPSV23 prior to the enrollment.
Cohort 2: V116EXPERIMENTALParticipants will receive a single 0.5 mL IM injection of V116 on Day 1. Participants in this arm received PCV13 prior to the enrollment.
Cohort 2: PPSV23ACTIVE_COMPARATORParticipants will receive a single 0.5 mL IM injection of PPSV23 on Day 1. Participants in this arm received PCV13 prior to the enrollment.
Cohort 3: V116EXPERIMENTALParticipants will receive a single 0.5 mL IM injection of V116 on Day 1. Participants in this arm received PCV15, PCV20, PCV13+PPSV23, PCV15+PPSV23, or PPSV23+PCV13 prior to the enrollment.
Phase 1: V116 0.5 mLEXPERIMENTALParticipants will receive a single intramuscular (IM) 0.5 mL vaccination on Day 1 of Phase 1
Phase 1: V116 1.0 mLEXPERIMENTALParticipants will receive a single IM 1.0 mL vaccination on Day 1 of Phase 1
Phase 1: Pneumovax™23ACTIVE_COMPARATORParticipants will receive a single IM 0.5 mL vaccination on Day 1 of Phase 1
Phase 2: V116EXPERIMENTALParticipants will receive a single IM 1.0 mL vaccination on Day 1 of Phase 2
Phase 2: Pneumovax™23ACTIVE_COMPARATORParticipants will receive a single IM 0.5 mL vaccination on Day 1 of Phase 2
Interventions
NameTypeDescription
V116BIOLOGICALPneumococcal 21-valent conjugate vaccine with 4 μg of each of the pneumococcal polysaccharides (PnPs) antigen: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B in each 0.5 mL sterile solution
QIVBIOLOGICALSingle 0.5 mL IM injection
Matching Placebo for V116BIOLOGICALSingle 0.5 mL of sterile saline IM injection
PCV15BIOLOGICALPneumococcal 15-valent conjugate vaccine with 2 μg of each of the PnPs antigen: 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, 33F, and 4 μg of 6B in each 0.5 mL sterile suspension
PPSV23BIOLOGICALPneumococcal 23-valent vaccine with 25 μg of each of the PnPs antigen: 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, and 33F in each 0.5 mL sterile solution
Pneumovax™23BIOLOGICALPneumococcal 23-valent polyvalent vaccine with 25 μg of each of the following PnPs antigen: 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, and 33F in each 0.5 mL sterile solution
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites56

Inclusion Criteria: * Any underlying chronic conditions were assessed to be in stable condition per the investigator's judgment * Females: Not pregnant or a breast feeding and not a woman of childbearing potential (WOCBP) or a WOCBP agrees to use contraception or remain abstinent Exclusion Criteri...

Countries:United StatesCanadaFranceIsraelItalyJapanSouth KoreaSpainTaiwan
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