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PCV21

Phase 3

Pneumococcal Immunization | Vaccine | Infectious Disease |Sanofi|Trials Updated: Oct 5, 2026

PCV21 development status

Highest phase Phase 3
Registered trials 3 across 3 sponsors since Feb 2025

PCV21 target and mechanism

ModalityVaccine

Also known as PCV21 vaccine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials7
Total Enrollment9,309

FDA Designations

No designations recorded

PCV21 clinical trials

PCV21 · 7 trials · 4 indications

Phase 3 7
NCT07247188Study of a Single Dose of a 21-valent Pneumococcal Conjugate Vaccine in Children and Adolescents With Sickle Cell DiseaseSickle Cell Disease
RECRUITING100 Analytics
NCT07348692Lot-to-lot Consistency Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From 2 Months of AgePneumococcal Immunization
RECRUITING2,195 Analytics
NCT06975878Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePneumococcal Immunization
ACTIVE NOT_RECRUITING1,092 Analytics
NCT06838000Study of the Safety and Immunogenicity of Catch-up Vaccination With a 21-valent Pneumococcal Conjugate Vaccine (PCV21) in Healthy Infants, Toddlers, Children, and AdolescentsPneumococcal Infections
ACTIVE NOT_RECRUITING1,268 Analytics
NCT06824181Study of Mixed Vaccination Schedules With a 21-valent Pneumococcal Conjugate Vaccine and a 20-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePneumococcal Immunization
ACTIVE NOT_RECRUITING580 Analytics
NCT06824194Study of the Safety of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePneumococcal Immunization
ACTIVE NOT_RECRUITING2,360 Analytics
NCT06736041Study of a 4-Dose Regimen of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePneumococcal Immunization
ACTIVE NOT_RECRUITING1,714 Analytics
PHASE3RECRUITING
Study of a Single Dose of a 21-valent Pneumococcal Conjugate Vaccine in Children and Adolescents With Sickle Cell Disease
Sickle Cell DiseaseUnlock trial analytics
PHASE3RECRUITING
Lot-to-lot Consistency Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From 2 Months of Age
Pneumococcal ImmunizationUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age
Pneumococcal ImmunizationUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of the Safety and Immunogenicity of Catch-up Vaccination With a 21-valent Pneumococcal Conjugate Vaccine (PCV21) in Healthy Infants, Toddlers, Children, and Adolescents
Pneumococcal InfectionsUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of Mixed Vaccination Schedules With a 21-valent Pneumococcal Conjugate Vaccine and a 20-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age
Pneumococcal ImmunizationUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of the Safety of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age
Pneumococcal ImmunizationUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of a 4-Dose Regimen of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of Age
Pneumococcal ImmunizationUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants reporting immediate adverse events (AEs)
Within 30 minutes post-vaccination

Unsolicited (spontaneously reported) systemic AEs after injection of a pneumococcal vaccine

Number of participants reporting solicited injection site and solicited systemic reactions
Up to Day 7 post-vaccination
Number of participants reporting unsolicited (spontaneously reported) injection site reactions and unsolicited systemic AEs after injection of a pneumococcal vaccine
Within 30 days post-vaccination
Number of participants reporting serious adverse events (SAEs) and adverse events of special interest (AESIs)
From day 0 to day 181

SAEs and AESIs are collected throughout the study period

Number of participants with serotype-specific immunoglobulin G (IgG) concentrations for all serotypes included in PCV21
On day 30 post-vaccination

Ab (antibody) concentrations for each pneumococcal serotype measured by electro-chemiluminescence (ECL) assay

For all participants: Serotype specific Immunoglobulin g (IgG) Geometric Mean Concentration (GMC)
30 days after the third dose of PCV21 vaccine

Serotype specific IgG concentrations for all serotypes included in PCV21 vaccine as measured by electrochemiluminescence assay (ECL)

Seroresponse rate for PCV21 and 15vPCV serotypes
30 days post-toddler dose

Serotype specific IgG concentration ≥ 0.35 µg/mL

IgG concentration for PCV21 and 15vPCV serotypes
30 days post-toddler dose

Serotype specific IgG Geometric Mean Concentration (GMC)

Number of participants reporting unsolicited (spontaneously reported) injection site reactions and unsolicited systemic AEs after each and any injection of a pneumococcal vaccine
Within 30 days after vaccination
Number of Infants (7-11 months of age [MoA]) and toddlers (12-23 MoA): with serotype-specific IgG concentrations for all serotypes included in PCV21
On day 30 after last vaccination

Ab (antibody) concentrations for each pneumococcal serotype are measured.

Number of Children (2-5 years of age [YoA]):with serotype specific OPA titers for all serotypes included in PCV21
On day 30

Serotype specific OPA titers for each pneumococcal serotype are determined.

Number of Children (2-5 years of age [YoA]):with serotype specific IgG concentrations for all serotypes included in PCV21
On day 30

Ab concentrations for each pneumococcal serotype are measured.

Number of Children/adolescents (6-17 YoA):with serotype specific OPA titers for all serotypes included in PCV21
On day 30

Serotype specific OPA titers for each pneumococcal serotype are determined.

Presence of any immediate adverse events (AEs)
Within 30 minutes after each vaccination

Number of participants experiencing solicited and unsolicited immediate AEs

Presence of solicited injection site and systemic reactions through 7 days after each vaccine injection
Through 7 days after each vaccine injection

Number of participants experiencing solicited injection site and systemic reactions

Presence of unsolicited (spontaneously reported) injection site reactions and unsolicited systemic AEs through 30 days after each vaccine injection
Through 30 days after each vaccine injection

Number of participants experiencing unsolicited injection site reactions and unsolicited systemic AEs

Presence of serious adverse events (SAEs) throughout the study (through 6 months post- last vaccine injection)
Throughout the study (through 6 months post-last vaccine injection), approximately 19 months

Number of participants experiencing SAEs

Presence adverse events of special interest (AESIs) throughout the study (through 6 months post- last vaccine injection)
Throughout the study (through 6 months post-last vaccine injection), approximately 19 months

Number of participants experiencing AESIs

Serotype Specific IgG GMCs for Each Pneumococcal Serotype at 30 Days PD4
30 days PD4

The GMCs for serotype-specific pneumococcal IgG antibodies are measured using electro-chemiluminescence assay (ECL)

Seroresponse rate for PCV21 serotypes
30 days post-dose 3

Serotype specific IgG concentration ≥ 0.35 µg/mL

IgG concentration for PCV21 serotypes
30 days post-dose 3

Serotype specific IgG Geometric Mean Concentration (GMC)

Secondary Endpoints

Number of participants with serotype-specific IgG concentrations for all serotypes included in PCV21
Pre-vaccination and at 30 days post-vaccination
Number of participants with serotype specific opsonophagocytic activity (OPA) titers for all serotypes included in PCV21
On day 30
For all participants: Serotype specific IgG concentration ≥ 0.35 µg/mL
30 days after the third dose of PCV21 vaccine
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Investigated Vaccine: PCV21EXPERIMENTALParticipants will receive 1 intramuscular injection of the pneumococcal vaccine
Comparator Vaccine: 20vPCVACTIVE_COMPARATORParticipants will receive 1 intramuscular injection of the pneumococcal vaccine
Group 1: PCV21EXPERIMENTALParticipants will be administered via intramuscular injection (IM) PCV21 vaccine lot 1 for Doses 1, 2 and 3; PCV21 lot 1, or different lot if needed, for Dose 4 at 2, 4, 6 and 12 months of age co-administered with routine pediatric vaccines.
Group 2: PCV21EXPERIMENTALParticipants will be administered via IM injection PCV21 vaccine lot 2 for Doses 1, 2 and 3; PCV21 lot 2, or different lot if needed, for Dose 4 at 2, 4, 6 and 12 months of age co-administered with routine pediatric vaccines.
Group 3: PCV21EXPERIMENTALParticipants will be administered via IM injection PCV21 vaccine lot 3 for Doses 1, 2 and 3; PCV21 lot 3, or different lot if needed, for Dose 4 at 2, 4, 6 and 12 months of age co-administered with routine pediatric vaccines.
Group 4: 20vPCV (Cohort A only)ACTIVE_COMPARATORParticipants will be administered via IM injection 20vPCV at 2, 4, 6 and 12 months of age co-administered with routine pediatric vaccines.
Group 2: 15vPCVACTIVE_COMPARATORParticipants will be administered via intramuscular injection (IM) a 2-dose primary series of 15vPCV at approximately 2 and 4 months of age (MoA) or a 3-dose primary series (preterm infants) at 2, 3, and 4 MoA co- administered with Hexyon. At 11 to 15 MoA, participants will receive a 3rd dose or 4th dose (for preterm infants) of 15vPCV co-administered with Hexyon and M M RvaxPro; Varivax will also be co-administered unless not possible as per local practice
Infants (7 to 11 MoA)EXPERIMENTALParticipants will receive 3 intramuscular injections of pneumococcal vaccine with an interval of: * 4 to 8 weeks (28 to 56 days) between the 1st dose and the 2nd dose * 8 to 12 weeks (56 to 84 days) between the 2nd dose and the 3rd dose AND age ≥ 12 MoA at 3rd dose
Toddlers (12 to 23 MoA)EXPERIMENTALParticipants will receive 2 intramuscular injections of the pneumococcal vaccine with an interval of 8 to 12 weeks (56 to 84 days) between doses
Children/adolescent (2 to 5 and 6 to 17 YoA)EXPERIMENTALParticipants will receive 1 intramuscular injection of the pneumococcal vaccine
Group 1: 20vPCV-PCV21-PCV21-PCV21EXPERIMENTALParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2 MoA, PCV21 at 4 MoA, PCV21 at 6 MoA and PCV21 at 12 to 15 MoA
Group 2: 20vPCV-20vPCV-PCV21-PCV21EXPERIMENTALParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2 MoA, 20vPCV at 4 MoA, PCV21 at 6 MoA and PCV21 at 12 to 15 MoA
20vPCV-20vPCV-20vPCV-PCV21EXPERIMENTALParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2 MoA, 20vPCV at 4 MoA, 20vPCV at 6 MoA and PCV21 at 12 to 15 MoA
20vPCV-20vPCV-20vPCV-20vPCVACTIVE_COMPARATORParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2 MoA, 20vPCV at 4 MoA, 20vPCV at 6 MoA and 20vPCV at 12 to 15 MoA
Group 2: 20vPCVACTIVE_COMPARATORParticipants will be administered via intramuscular injection (IM) a 4-dose 20vPCV regimen at approximately 2, 4, 6 and 12 to 15 MoA

Interventions

NameTypeDescription
PCV21BIOLOGICALInvestigational pneumococcal conjugate vaccine
20vPCVBIOLOGICAL20-valent pneumococcal conjugate vaccine
PCV21 vaccineBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
20vPCV licensed vaccineBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
Vaxneuvance vaccineBIOLOGICALPharmaceutical form:Suspension for injection-Route of administration:Intramuscular
Hexyon vaccineBIOLOGICALPharmaceutical form:Suspension for injection-Route of administration:Intramuscular
M-M-RvaxPro vaccineBIOLOGICALPharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous
Varivax vaccineBIOLOGICALPharmaceutical form:Powder and solvent for suspension for injection-Route of administration:Intramuscular or Subcutaneous
Prevnar 20 vaccineBIOLOGICALPharmaceutical form:Suspension for injection-Route of administration:Intramuscular
M-M-R II vaccineBIOLOGICALPharmaceutical form:Powder, lyophilized, for suspension for reconstitution-Route of administration:Subcutaneous or Intramuscular
RotarixBIOLOGICALPharmaceutical form:Solution-Route of administration:Oral
RotaTeqBIOLOGICALPharmaceutical form:Solution-Route of administration:Oral
Vaxelis vaccineBIOLOGICALPharmaceutical form:Suspension for injection-Route of administration:Intramuscular
VarivaxBIOLOGICALPharmaceutical form:Powder, lyophilized, for suspension for reconstitution-Route of administration:Subcutaneous or Intramuscular
PriorixBIOLOGICALPharmaceutical form:Lyophilized, for suspension for reconstitution-Route of administration:Subcutaneous
VAQTABIOLOGICALPharmaceutical form:Suspension for Injection-Route of administration:Intramuscular
HavrixBIOLOGICALPharmaceutical form:Suspension for Injection-Route of administration:Intramuscular
Hexaxim VaccineBIOLOGICALPharmaceutical form:Suspension for injection-Route of administration:Intramuscular
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Eligibility Criteria

Age Range2 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: AGE * Aged 2 to 17 years on the day of inclusion. TYPE OF PARTICIPANT AND DISEASE CHARACTERISTICS * Participants who have a documented diagnosis of sickle cell disease (SCD) in their medical record. SEX, CONTRACEPTIVE/BARRIER METHOD AND PREGNANCY TESTING REQUIREMENTS * A pa...

Countries:United StatesDominican RepublicHondurasPuerto RicoThailandBelgiumCzechiaEstoniaFinlandGermanyGreeceItalyPolandChileMexicoPhilippinesTurkey (Türkiye)AustraliaSouth Korea
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Recent Changes (Last 90 Days)

LOWOct 5, 2026NCT07348692lastUpdatePostDate: changed
LOWOct 5, 2026NCT07348692lastUpdatePostDate: changed

Frequently asked questions about PCV21

What is PCV21?

PCV21 is an investigational 21-valent pneumococcal conjugate vaccine developed by Sanofi. It is designed to immunize against pneumococcal disease and is being studied in healthy infants, children, adolescents, and in children with sickle cell disease. It is currently in Phase 3 clinical development.

What is PCV21 used for?

PCV21 is being developed for pneumococcal immunization and the prevention of pneumococcal infections. Clinical studies are also evaluating it in children and adolescents with sickle cell disease, a group at elevated risk of pneumococcal illness. All studied uses remain investigational pending Phase 3 results.

Who makes PCV21?

PCV21 is developed by Sanofi, which trades on the New York Stock Exchange under the ticker SNY. Sanofi is running the Phase 3 clinical program evaluating the vaccine across infant, toddler, child, adolescent, and sickle cell disease populations.

What phase is PCV21 in?

PCV21 is in Phase 3 clinical development. It is investigational and has not been approved by the FDA. Five Phase 3 trials are listed, all currently active, with no completed trials. Total planned enrollment across these studies is approximately 7,941 participants.

What clinical trials is PCV21 in?

PCV21 is being studied in five Phase 3 trials. These include NCT07348692, a lot-to-lot consistency study in healthy infants; NCT07247188, a single-dose study in children and adolescents with sickle cell disease; NCT06975878 in healthy infants; and NCT06838000, a catch-up vaccination study in infants through adolescents.

Is PCV21 the same as the PCV21 vaccine?

Yes. PCV21 and PCV21 vaccine refer to the same Sanofi investigational 21-valent pneumococcal conjugate vaccine. The shorthand PCV21 is used in trial titles such as the catch-up vaccination study NCT06838000, while the full name appears in the other Phase 3 study listings.