PMID- 36383730 OWN - NLM STAT- MEDLINE DCOM- 20230208 LR - 20230304 IS - 2473-9537 (Electronic) IS - 2473-9529 (Print) IS - 2473-9529 (Linking) VI - 7 IP - 3 DP - 2023 Feb 14 TI - Safety and immunogenicity of V114, a 15-valent pneumococcal conjugate vaccine, in children with SCD: a V114-023 (PNEU-SICKLE) study. PG - 414-421 LID - 10.1182/bloodadvances.2022008037 [doi] AB - Sickle cell disease (SCD) is an inherited red blood cell disease that results in a multitude of medical complications, including an increased risk of invasive disease caused by encapsulated bacteria, such as Streptococcus pneumoniae. Pneumococcal vaccines have contributed to a significant reduction in pneumococcal disease (PD) in children and adults, including those with SCD. This phase 3 study evaluated the safety and immunogenicity of V114, a 15-valent pneumococcal conjugate vaccine (PCV), in children with SCD. A total of 103 children aged 5 to 17 years with SCD were randomized and received a single dose of V114 or Prevnar 13 (PCV13). Safety was evaluated as the proportion of participants with adverse events (AEs). Serotype-specific immunoglobulin G (IgG) levels and opsonophagocytic activity (OPA) were measured immediately before vaccination and 30 days after vaccination. Overall, the rates of injection-site and systemic AEs reported after vaccination were similar between the vaccination groups. Up to 6 months after vaccination, serious AEs were those expected for patients with SCD, and none were assessed to be vaccine related. IgG geometric mean concentrations (GMCs) and OPA geometric mean titers (GMTs) for the 13 shared serotypes were generally comparable between recipients of V114 and PCV13. Additionally, V114 induced immune responses to serotypes 22F and 33F, which are not included in PCV13. The safety and tolerability profiles of V114 were consistent with those reported for PCV13. Immune responses following vaccination with V114 were generally comparable to PCV13 for the shared serotypes and higher for unique serotypes 22F and 33F. These results support the use of V114 in children with SCD. This trial was registered at www.clinicaltrials.gov as #NCT03731182. CI - (c) 2023 by The American Society of Hematology. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0), permitting only noncommercial, nonderivative use with attribution. All other rights reserved. FAU - Quinn, Charles T AU - Quinn CT AUID- ORCID: 0000-0002-2372-2175 AD - Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH. FAU - Wiedmann, Richard T AU - Wiedmann RT AUID- ORCID: 0000-0003-1069-466X AD - Merck & Co, Inc, Rahway, NJ. FAU - Jarovsky, Daniel AU - Jarovsky D AUID- ORCID: 0000-0002-4825-7396 AD - Santa Casa de Sao Paulo, Sao Paulo, Brazil. FAU - Lopez-Medina, Eduardo AU - Lopez-Medina E AUID- ORCID: 0000-0003-3066-5938 AD - Centro de Estudios en Infectologia Pediatrica, Department of Pediatrics Universidad del Valle and Clinica Imbanaco Grupo Quironsalud, Cali, Valle del Cauca, Colombia. FAU - Rodriguez, Hilze M AU - Rodriguez HM AD - Hospital del Nino Jose Renan Esquivel, Ciudad de Panama, Panama. FAU - Papa, Melanie AU - Papa M AD - Merck & Co, Inc, Rahway, NJ. FAU - Boggio, Gordana AU - Boggio G AD - Merck & Co, Inc, Rahway, NJ. FAU - Shou, Qiong AU - Shou Q AD - Merck & Co, Inc, Rahway, NJ. FAU - Dagan, Ron AU - Dagan R AD - The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Faculty of Health Sciences of the Ben-Gurion University of the Negev, Beer-Sheva, Israel. FAU - Richmond, Peter AU - Richmond P AUID- ORCID: 0000-0001-7562-7228 AD - University of Western Australia School of Medicine, Perth, Australia. FAU - Feemster, Kristen AU - Feemster K AD - Merck & Co, Inc, Rahway, NJ. FAU - McFetridge, Richard AU - McFetridge R AD - Merck & Co, Inc, Rahway, NJ. FAU - Tamms, Gretchen AU - Tamms G AD - Merck & Co, Inc, Rahway, NJ. FAU - Lupinacci, Robert AU - Lupinacci R AD - Merck & Co, Inc, Rahway, NJ. FAU - Musey, Luwy AU - Musey L AD - Merck & Co, Inc, Rahway, NJ. FAU - Bickham, Kara AU - Bickham K AD - Merck & Co, Inc, Rahway, NJ. LA - eng SI - ClinicalTrials.gov/NCT03731182 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood Adv JT - Blood advances JID - 101698425 RN - 0 (Antibodies, Bacterial) RN - 0 (Immunoglobulin G) RN - 0 (Pneumococcal Vaccines) RN - 0 (Vaccines, Conjugate) SB - IM MH - Adult MH - Child MH - Humans MH - *Anemia, Sickle Cell MH - Antibodies, Bacterial MH - Immunoglobulin G MH - *Pneumococcal Infections/prevention & control/chemically induced MH - *Pneumococcal Vaccines/adverse effects MH - *Vaccines, Conjugate/adverse effects MH - Adolescent PMC - PMC9979710 COIS- Conflict-of-interest disclosure: R.T.W., M.P., G.B., Q.S., K.F., R.M., G.T., R.L., and L.M. are employees of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ, and may hold stock in Merck & Co, Inc, Rahway, NJ. K.B. was an employee of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ at the time of the study, may hold stock in Merck & Co, Inc, Rahway, NJ, and is currently employed by Affinivax Inc. D.J. has received i) speaker honoraria from Pfizer, GlaxoSmithKline, Janssen, Sanofi, Abbott, and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ, ii) honoraria as a clinical trial investigator from Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ, iii) honoraria as a clinical trial investigator from GlaxoSmithKline, Takeda, and Janssen outside the submitted work, and iv) an institutional research grant from Pfizer outside the submitted work. R.D. reports grants or contracts from Pfizer, Medimmune, and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ; consulting fees from Pfizer, Biondvax, MeMed, and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ; serving on advisory boards of Pfizer, Biondvax, and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ; providing expert testimony for Pfizer; and participating on an advisory board for Pfizer, Biondvax, and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ. P.R. has served on vaccine advisory boards for Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ, Pfizer, and GlaxoSmithKline, and received institutional grant funding from GlaxoSmithKline and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, NJ, outside the submitted work. The remaining authors declare no competing financial interests. EDAT- 2022/11/17 06:00 MHDA- 2023/02/08 06:00 PMCR- 2022/11/21 CRDT- 2022/11/16 14:23 PHST- 2022/09/30 00:00 [accepted] PHST- 2022/05/09 00:00 [received] PHST- 2022/11/17 06:00 [pubmed] PHST- 2023/02/08 06:00 [medline] PHST- 2022/11/16 14:23 [entrez] PHST- 2022/11/21 00:00 [pmc-release] AID - 493243 [pii] AID - 10.1182/bloodadvances.2022008037 [doi] PST - ppublish SO - Blood Adv. 2023 Feb 14;7(3):414-421. doi: 10.1182/bloodadvances.2022008037.