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PCV21

Phase 3

Sickle Cell Disease | Monoclonal antibody | Hematology |Sanofi|Last Updated: Apr 15, 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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment100
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07247188Study of a Single Dose of a 21-valent Pneumococcal Conjugate Vaccine in Children and Adolescents With Sickle Cell DiseasePHASE3 RECRUITING 100Jan 20, 2026Jan 7, 2027Apr 15, 20267 United States, Dominican Republic
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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

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
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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
Interventions
NameTypeDescription
PCV21BIOLOGICALInvestigational pneumococcal conjugate vaccine
20vPCVBIOLOGICAL20-valent pneumococcal conjugate vaccine
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Eligibility Criteria
Age Range2 Years — 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 Republic
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07247188primaryCompletionDate: changed
LOWMay 24, 2026NCT07247188studyFirstPostDate: changed