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PCV21 vaccine

Phase 3

Pneumococcal Immunization | Monoclonal antibody | Other |Sanofi|Last Updated: May 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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment7,941
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07348692Lot-to-lot Consistency Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From 2 Months of AgePHASE3 RECRUITING 2,195Jan 20, 2026May 29, 2028May 22, 202619 United States, Honduras +1
NCT06975878Study of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePHASE3 ACTIVE NOT_RECRUITING 1,092May 22, 2025Aug 25, 2027Mar 2, 202649 Belgium, Czechia +6
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 AgePHASE3 ACTIVE NOT_RECRUITING 580Feb 27, 2025Sep 10, 2027Feb 13, 202627 United States, Chile +2
NCT06824194Study of the Safety of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePHASE3 ACTIVE NOT_RECRUITING 2,360Feb 18, 2025Oct 22, 2027Apr 13, 2026132 United States, Honduras +4
NCT06736041Study of a 4-Dose Regimen of a 21-valent Pneumococcal Conjugate Vaccine in Healthy Infants From Approximately 2 Months of AgePHASE3 ACTIVE NOT_RECRUITING 1,714Dec 18, 2024May 17, 2027Apr 22, 2026112 United States, Australia +4
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Study Endpoints
Primary Endpoints
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)

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
For all participants: Serotype specific IgG concentration ≥ 0.35 µg/mL
30 days after the third dose of PCV21 vaccine
For all participants: Presence of any immediate adverse events (AEs)
Within 30 minutes after each vaccine injection
For participants in Cohort A (reactogenicity subset): Presence of solicited injection site and systemic reactions through 7 days after each vaccine injection
Through 7 days after each vaccine injection
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
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
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
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 Range42 Days — 89 Days
SexALL
Healthy VolunteersYes
Study Sites19

Inclusion Criteria: * Aged 42 to 89 days on the day of inclusion * Participants who are healthy as determined by medical evaluation including medical history and physical examination * Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or born after a gestation period abov...

Countries:United StatesHondurasPuerto RicoBelgiumCzechiaEstoniaFinlandGermanyGreeceItalyPolandChileMexicoPhilippinesThailandTurkey (Türkiye)AustraliaSouth Korea
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT07348692Enrollment: 896 → 2195
LOWMay 26, 2026NCT06736041primaryCompletionDate: changed
LOWMay 26, 2026NCT06824181primaryCompletionDate: changed
LOWMay 26, 2026NCT06975878primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT06824194Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT07348692studyFirstPostDate: changed
LOWMay 24, 2026NCT06824194studyFirstPostDate: changed
LOWMay 24, 2026NCT06824181studyFirstPostDate: changed
LOWMay 24, 2026NCT06736041studyFirstPostDate: changed
LOWMay 24, 2026NCT06975878studyFirstPostDate: changed