Evidence map›Paper›PMID 40036340›Full record

Trial reportThe Journal of infectious diseases2025

A Phase 2b Trial Evaluating the Safety, Tolerability, and Immunogenicity of a 6-Valent Group B Streptococcus Vaccine Administered Concomitantly With Tetanus, Diphtheria, and Acellular Pertussis Vaccine in Healthy Nonpregnant Female Individuals.

William B Smith, William Seger, Richard Chawana, Zahra Skogeby, Natalie C Silmon de Monerri, Ye Feng, Michelle Gaylord, Babalwa Jongihlati, Johannes Beeslaar, Julie M Skinner and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04766086 (A PHASE 2B, PLACEBO-CONTROLLED, RANDOMIZED, OBSERVER-BLINDED TRIAL TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A MULTIVALENT GROUP B STREPTOCOCCUS VACCINE WHEN ADMINISTERED CONCOMITANTLY WITH TETANUS, DIPHTHERIA, AND ACELLULAR PERTUSSIS VACCINE), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04766086 phase2completednot on this map

A phase 2b, placebo-controlled, randomized, observer-blinded trial to evaluate the safety, tolerability, and immunogenicity of a multivalent group b streptococcus vaccine when administered concomitantly with tetanus, diphtheria, and acellular pertussis vaccine (tdap) in healthy nonpregnant women 18 through 49 years of age

TypeinterventionalSponsorPfizerRan2022 to 2023Enrolled306ConditionsGroup B Streptococcus InfectionsArmsMultivalent Group B streptococcus vaccine, Tetanus, diphtheria, and acellular pertussis vaccine, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

William B SmithAlliance for Multispecialty Research, Knoxville, Tennessee, USA.ORCID 0000-0002-6907-9031
William SegerAvacare, Fort Worth, Texas, USA.
Richard ChawanaVaccine Clinical Research and Development Pfizer Inc, Johannesburg, Gauteng, South Africa.
Zahra SkogebyVaccine Clinical Research and Development Pfizer Ltd, Marlow, United Kingdom.
Natalie C Silmon de MonerriVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Ye FengVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Michelle GaylordVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Babalwa JongihlatiVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Johannes BeeslaarVaccine Clinical Research and Development Pfizer Ltd, Marlow, United Kingdom.
Julie M SkinnerVaccine Clinical Research and Development Pfizer Ltd, Marlow, United Kingdom.
Kara BickhamVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Annaliesa S AndersonVaccine Research and Development, Pfizer, Pearl River, New York, USA.

Funding

Pfizer Inc
6 · The paper itself

Abstract

backgroundMaternal group B Streptococcus (GBS) infection is associated with substantial risk of preterm birth and infant mortality. Preventive approaches to protect infants from GBS infection are needed.

methodsIn this phase 2b randomized study, healthy nonpregnant 18- to 49-year-old females were randomized 1:1:1 to receive the investigational 6-valent GBS polysaccharide conjugate vaccine (GBS6) and concomitant tetanus, diphtheria, and acellular pertussis vaccine (Tdap) (GBS6 + Tdap), GBS6 and placebo (GBS6 + placebo), or Tdap and placebo (Tdap + placebo). Primary safety endpoints included reactogenicity events within 7 days and adverse events (AEs) through 1 month after vaccination. Primary immunogenicity objectives were to describe immune responses induced by GBS6 + Tdap versus Tdap + placebo and versus GBS6 + placebo for pertussis, tetanus, and diphtheria Tdap antigens and the 6 GBS6 antigens.

resultsOverall, 304 participants received study vaccination. Most reactogenicity events were mild or moderate in severity and balanced across vaccine groups. Frequency of AEs was ≤8.1% across vaccine groups. One month after vaccination, the proportion of participants achieving antibody concentrations ≥0.1 IU/mL for tetanus and diphtheria antigens was 100% in both the GBS6 + Tdap and Tdap + placebo groups. Immune responses to pertussis antigens were lower in the GBS6 + Tdap group compared to the Tdap + placebo group, with geometric mean ratios <0.6. No consistent effect on immune responses against each of the GBS6 serotypes after concomitant administration with Tdap was observed.

conclusionsGBS6 and Tdap administered concomitantly and alone were safe and well tolerated in healthy nonpregnant individuals. Similar immune responses were observed for Tdap when administered with GBS6 or when administered alone. These results will likely inform future studies in pregnant individuals. Clinical Trials Registration. NCT04766086.

Indexed as

Diphtheria-Tetanus-acellular Pertussis VaccinesImmunogenicity, VaccineStreptococcal InfectionsStreptococcal VaccinesStreptococcus agalactiaeAdolescentAdultAntibodies, BacterialDouble-Blind MethodFemaleHealthy VolunteersHumansMiddle AgedVaccines, ConjugateYoung AdultAntibodies, BacterialDiphtheria-Tetanus-acellular Pertussis VaccinesStreptococcal VaccinesVaccines, Conjugategroup B StreptococcusimmunogenicitysafetyTdap vaccines co-administrationvaccines

Identifiers

PMID40036340
PMCPMC12247796

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.