Evaluation Of Clostridium Difficile Vaccine Lot Consistency In Healthy Adults 65 To 85 Years Of Age
Condition: Clostridium Difficile Associated Disease
MeSH terms: Clostridium Infections
Intervention: Clostridium difficile vaccine; placebo
Intervention description: Toxoid based Clostridium difficile vaccine; Normal saline solution
Phase: Phase 3
Study type: Interventional
Primary purpose: Prevention
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Enrollment: 1317.0
Sex: All
Minimum age: 65 Years
Maximum age: 85 Years
Healthy volunteers: Accepts Healthy Volunteers
Keywords: Clostridium Difficile; vaccine

Summary:

      This study will investigate a Clostridium difficile vaccine in healthy adults 65 to 85 years
      of age, who will each receive 3 doses of vaccine. The study will assess the lot consistency,
      safety, and tolerability of the vaccine, and also look at the subjects' immune response to
      the vaccine.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Evidence of a personally signed and dated informed consent document.

          -  Willing and able to comply with study procedures.

          -  Healthy adults 65 to 85 years of age.

          -  Male subjects or female subjects who are not of childbearing potential.

          -  Ability to be contacted by telephone during study participation.

        Exclusion Criteria:

          -  Investigator site staff members directly involved in the conduct of the study and
             their family members, site staff members otherwise supervised by the investigator, or
             subjects who are Pfizer employees, including their family members, directly involved
             in the conduct of the study.

          -  Participation in other studies involving investigational drug(s)/vaccine(s) within 28
             days prior to study entry through conclusion of the study.

          -  Previous administration of an investigational C difficile vaccine or C difficile
             monoclonal antibody therapy.

          -  Proven or suspected prior episode of C difficile infection.

          -  Unstable chronic medical condition or disease requiring significant change in therapy
             or hospitalization for worsening disease within 8 weeks before receipt of
             investigational product.

          -  Serious chronic medical disorders, including metastatic malignancy, severe chronic
             obstructive pulmonary disease (COPD) requiring supplemental oxygen, end-stage renal
             disease with or without dialysis, clinically unstable cardiac disease.

          -  Any bleeding disorder or anticoagulant therapy that would contraindicate intramuscular
             injection.

          -  Any contraindication to vaccination or vaccine components, including previous
             anaphylactic reaction to any vaccine or vaccine-related components.

          -  Subjects who may be unable to respond to vaccination due to:

               -  Congenital or acquired immunodeficiency.

               -  Receipt of systemic corticosteroids (greater than or equal to 20 mg/day of
                  prednisone or equivalent) for greater than or equal to 14 days within 28 days of
                  enrollment.

               -  Receipt of chronic systemic treatment with other known immunosuppressant
                  medications, or radiotherapy, within 6 months of enrollment.

               -  Underlying bone marrow disorder treated within the past year, such as
                  myelodysplasia, myeloma, or myeloproliferative disorder, treated within the past
                  year, or any history of bone marrow transplant.

               -  Malignancy that required treatment with chemotherapy (including the use of
                  adjunctive and hormonal therapy), immunotherapy, radiation therapy, or
                  antineoplastic target therapies within the past 24 months.

          -  Receipt of blood products or immunoglobulins within 6 months before enrollment through
             conclusion of the study.

          -  Residence in a nursing home or other long-term care facility, or requirement for
             semiskilled nursing care or assisted living. An ambulatory subject who lives in an
             autonomous manner in a retirement home or village is eligible for the trial.

          -  A known infection with human immunodeficiency virus (HIV).

          -  Other acute or chronic medical or psychiatric condition including recent (within the
             past year) or active suicidal ideation or behavioral or laboratory abnormality that
             may increase the risk associated with study participation or investigational product
             administration or may interfere with the interpretation of study results.

          -  Female subjects of childbearing potential; pregnant female subjects; breastfeeding
             female subjects; fertile male subjects who are unwilling or unable to use a highly
             effective method of contraception as outlined in this protocol for the duration of the
             study and for at least 28 days after the last dose of investigational product.