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. 2019 Apr 1;10(2):404–418. doi: 10.14336/AD.2018.0512

Table 2.

Studies evaluating immunogenicity of 13-valent conjugate pneumococcal vaccine (PCV13) in adults in sequential dosing.

Study Name Age group Sequential Dosing Interval PCV13/PCV13 (N)1 PCV13/PPV23 (N)1 PCV13PPV23 PCV13 (N)1 PPV23/PCV13 (N)1 Immunogenicity
Jackson 2013b [27] ≥70 years 1 year At 1 yr:
N=391 (372)
- - At 1 yr:
N=404 (373)
1. PCV13/PCV13 had statistically significantly higher OPA titers in 3/13 serotypes (6A, 6B, 23F) compared to PCV13 alone.
2. PCV13/PCV13 had statistically significantly higher OPA titers in 10/13 serotypes (1,4,5,6A,6B,9V,18C,19A,19F,23F) compared to PPV23 alone.
3. PCV13/PCV13 had statistically significantly higher OPA titers in 12/13 serotypes (1,3,4,5,6A, 6B,7F,9V,19A, 19F, 23F) compared to sequential dose of PPV23/PCV13.
4. PPV23/PCV13 OPA titers did not differ statistically compared to PCV13 alone.
Jackson 2013c [28] 50-64 years 4 years For 60-64 yrs: N=108
For 50-59 yrs: N=214 (211)
For 60-64 yrs: N=108 For 60-64-year age group:
1. PCV13/PPV23 had statistically significantly higher OPA titers in 10/13 serotypes (1,3,5,6A,6B,7F,18C,19A,23F) compared to PPV23 alone.
2. PCV13/PPV23 had statistically significantly higher OPA titers in 8 serotypes (1,3,5,9V,18C,19A,19F) compared to PCV13 alone.
3. PCV13/PCV13 had statistically significantly higher OPA titers in 7/13 serotypes (1,4,6A,6B,7F,9V,18C,19A,23F) compared to PCV13 alone.
For 50-59-year-old age group:
1. PCV13/PCV13 had statistically significantly higher OPA titers in 6/13 (1,4,6A,6B,7F,9V,18C,19A,23F) compared to PCV13 alone.
2. PCV13/PCV13 had statistically significantly higher OPA titers in 5/13 serotypes (4,6A,7F,9V,19A) compared to PCV13/PCV13 in 60-64-year age group.
Greenberg 2014 [29] 60-64 years 1 year 160 (133) 267 (237) - 223 (199) 1. PCV13/PPV23 had a statistically significantly higher OPA titers in 7/13 serotypes (3,5,6A, 6B,7F,19F,23F) compared to PPV23 alone.
2. PCV13/PPV23 had a statistically significantly higher OPA titers in 11/13 serotypes (1,3,4,5,6B,7F,9V, 18C,19A,19F,23F) compared to PPV23/PCV13.
3. PCV13/PCV13 had a statistically significantly higher OPA titers in 6/13 serotypes (1,3,6A, 6B,7F,9V) compared to PPV23/PCV13.
4. PCV13/PCV13 had a statistically significantly higher OPA titers in 1/13 serotypes (23F) compared to PCV13 alone.
5. PCV13/PPV23 had a statistically significantly higher OPA titers in 1/13 serotypes (3) compared to PCV13 alone.
6. PPV23/PCV13 OPA titers did not differ statistically compared to PCV13 alone.
Juergens 2014 [30] ≥65 years 1 year At 1 yr:
N=136
At 1 yr:
N=131
At 2 yr:
N=104
- 1. PCV13/PPV23 had a statistically significantly higher OPA titers in 8/13 serotypes (1,3,5,6A, 6B,9V,19F,23F) compared to PPV23 alone.
2. PCV13/PPV23/PCV13 had a statistically significantly higher OPA titers in 3/13 serotypes (6A, 6B,23F) compared to PCV13/PPV23.
3. PCV13/PCV13 had a statistically significantly higher OPA titers in 1/13 serotypes (23F) compared to PCV13 alone.
4. PCV13/PPV23/PCV13 OPA titers did not differ statistically compared to PCV13 alone.

Abbreviations: PCV13 - 13 valent conjugate pneumococcal vaccine; PPV23 - 23 valent pneumococcal polysaccharide vaccine; PLB- Placebo

1

N is for all randomized subjects and those included in the immunogenicity analyses are included in brackets if they differed from original.

2

All OPA GMT ratios are reported at 1 month after vaccination