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Pneumoccocal Vaccine

Phase 3

Meningococcal Immunisation | Monoclonal antibody | Other |Sanofi|Last Updated: Jan 21, 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 Enrollment1,528
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05794230Study of a Quadrivalent Meningococcal Conjugate Vaccine (MenACYW Conjugate Vaccine) Given With Routine Pediatric Vaccines in Healthy Infants and Toddlers in India and the Republic of South AfricaPHASE3 COMPLETED 1,528Mar 27, 2023Nov 15, 2025Jan 21, 202615 India, South Africa
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Study Endpoints
Primary Endpoints
Percentage of participants with anti-meningococcal serogroups A, C, Y, W antibody titers above predefined thresholds after 2 doses of MenACYW conjugate vaccine compared to 2 doses of Menactra® vaccine in infants and toddlers 6 months to 16 months of age
30 days after the second vaccination

Antibody (Ab) titers against meningococcal serogroups A, C, Y, and W will be measured in infants and toddlers 6 months to 16 months of age (\[Group 1 + Group 3\] versus \[Group 2 + Group 4\]) The following threshold values will be considered: ≥ 1:8

Percentage of participants with anti-meningococcal serogroups A, C, Y, W Ab titers above predefined thresholds after 3 doses of MenACYW conjugate vaccine in infants and toddlers 6 weeks to 15 months of age
30 days after the booster vaccination

Ab titers against meningococcal serogroups A, C, Y, and W will be measured in infants and toddlers 6 months to 15 months of age (Group 5 + Group 7) The following threshold values will be considered: ≥ 1:8

Secondary Endpoints
Geometric Mean Titers (GMTs) of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine administered concomitantly with other age-recommended vaccine in infants 6 weeks to 15 months of age
Baseline; 30 days after primary series of vaccination; Before and 30 days after booster vaccination
Geometric Mean Titers Ratio (GMTR) of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine administered concomitantly with other age-recommended vaccine in infants 6 weeks to 15 months of age
Baseline; 30 days after primary series of vaccination; Before and 30 days after booster vaccination
GMTs of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine or Menactra vaccine when administered concomitantly with other age-recommended vaccines in infants and toddlers 6 months to 16 months of age
Baseline; Before and 30 days after each vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Groups 1a, 1b and 1c Cohort Ia (India)EXPERIMENTAL2 injections of MenACYW conjugate vaccine: at 6 months of age and second dose at 12 months of age (group 1a) or at 15 months of age (group 1b) or at 16 months of age (group 1c) + co-administered routine pediatric vaccines
Group 2 Cohort Ia (India)ACTIVE_COMPARATOR2 injections of Menactra vaccine: at 9 months of age and second dose at 16 months of age + co-administered routine pediatric vaccines
Groups 3 Cohort Ib (RSA)EXPERIMENTAL2 injections of MenACYW conjugate vaccine: at 6 months of age and second dose between 12 and 16 months of age + co-administered routine pediatric vaccines
Group 4 Cohort Ib (RSA)ACTIVE_COMPARATOR2 injections of Menactra vaccine: at 9 months of age and second dose between 12 and 16 months of age + co-administered routine pediatric vaccines
Groups 5a and 5b Cohort IIa (India)EXPERIMENTAL3 injections of MenACYW conjugate vaccine: at 6-8 weeks of age and second dose at 14-16 weeks of age with a booster dose administered at 12 months of age (group 5a) or at 15 months of age (group 5b) + co-administered routine pediatric vaccines
Group 6 Cohort IIa (India)OTHERroutine pediatric vaccines only
Group 7 Cohort IIb (RSA)EXPERIMENTAL3 injections of MenACYW conjugate vaccine: at 6-8 weeks of age and second dose at 14-16 weeks of age with a booster dose administered between 12 and 15 months of age + co-administered routine pediatric vaccines
Group 8 Cohort IIb (RSA)OTHERroutine pediatric vaccines only
Interventions
NameTypeDescription
Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate VaccineBIOLOGICALLiquid solution - intramuscular
Meningococcal (Groups A, C, Y and W 135) Polysaccharide Diphtheria Toxoid Conjugate VaccineBIOLOGICALLiquid solution - intramuscular
Oral bivalent types 1 and 3; Poliomyelitis Vaccine (OPV)BIOLOGICALOral suspension - oral
Pneumoccocal VaccineBIOLOGICALSuspension for injection - intramuscular
Measles, Mumps, and Rubella Vaccine live (MMR)BIOLOGICALLyophilized powder for injection - subcutaneous
DTwP-HepB-Hib-IPV vaccineBIOLOGICALSuspension - intramuscular
DTaP-IPV-Hib-HepB vaccineBIOLOGICALLiquid solution - intramuscular
Hepatitis A vaccineBIOLOGICALLyophilized powder for injection - subcutaneous
Rotavirus vaccineBIOLOGICALOral solution - oral
Typhoid conjugate vaccine (TCV)BIOLOGICALSuspension for injection - intramuscular
Measles vaccineBIOLOGICALFreeze-dried powder for reconstitution and injection - subcutaneous
Varicella vaccine liveBIOLOGICALSterile powder and diluent for injection - subcutaneous
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Eligibility Criteria
Age Range6 Weeks — 6 Months
SexALL
Healthy VolunteersYes
Study Sites15

Inclusion Criteria: * Cohort I: 6 months of age (180 to 209 days of age) on the day of the first study visit * Cohort II: 6-8 weeks of age (42 to 62 days of age) on the day of the first study visit * Healthy infants as determined by medical history, physical examination, and judgment of the Investi...

Countries:IndiaSouth Africa
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