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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02388165
Other study ID # B3451002
Secondary ID 2014-002644-4061
Status Terminated
Phase Phase 2
First received
Last updated
Start date July 2, 2015
Est. completion date June 27, 2019

Study information

Verified date November 2020
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purposes of the clinical trial are to determine whether the SA4Ag vaccine can prevent postoperative Staphylococcus aureus infections in patients who are undergoing elective spinal fusion surgery, and to evaluate the safety of SA4Ag in patients who are undergoing elective spinal surgery.


Recruitment information / eligibility

Status Terminated
Enrollment 3450
Est. completion date June 27, 2019
Est. primary completion date June 26, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years to 85 Years
Eligibility Inclusion Criteria: - Subject must be scheduled to undergo an elective open posterior spinal fusion procedures with multilevel instrumentation, 10 to 60 days after study vaccination. - Subject must be available for the entire duration of the study, and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures including completion of the electronic diary for 10 days after study vaccination. - Aged 18 to <86 years old Exclusion Criteria: - Planned spinal fusion procedure requiring separate operations performed on separate days (ie, staged procedure). - Surgical indication of malignancy, infection or acute or emergency trauma. - History of major surgery within 3 months prior to enrollment, or anticipated major surgery other than the Index Surgical Procedure between study enrollment and completion of study participation. - History of any spinal surgery performed within 6 months prior to study enrollment. - History of any previous spinal surgery resulting in postoperative BSI or SSI. - Congenital or acquired immunodeficiency disorder, rheumatologic disorder or other illness requiring chronic treatment with known immunosuppressant medications, including monoclonal antibodies within a year of enrollment or the use of systemic corticosteroids for > 14 days within 30 days prior to enrollment. - History of leukemia, lymphoma, underlying bone marrow disorder or history of bone marrow transplant.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Staphylococcus aureus 4-Antigen (SA4Ag) Vaccine
SA4Ag vaccine reconstituted in 0.5mL water for injection. Administered via IM injection, once 10 to 60 days prior to surgery
Other:
Placebo
Vaccine excipients reconstituted in 0.5mL water for injections. Administered via IM injection given 10 to 60 days prior to surgery

Locations

Country Name City State
Austria Tirol Kliniken Innsbruck
Austria Tirol Kliniken GmbH Innsbruck
Bulgaria MHAT "Sveta Marina" EAD Varna
Canada Foothills Medical Centre Calgary Alberta
Canada Foothills Medical Centre, University of Calgary Calgary Alberta
Canada Montreal General Hospital Research Institute of the MUHC- MGH Pharmacy Research Montreal Quebec
Canada Montreal Neurological Hospital Research Pharmacy Montreal Quebec
Canada Montreal Neurological Institute and Hospital Montreal Quebec
Canada The Ottawa Hospital, Civic Campus Ottawa Ontario
Canada St, Michael's Hospital - St. Michael's Pharmacy Toronto Ontario
Canada St. Michael's Hospital Toronto Ontario
Canada St. Michael's Hospital Toronto Ontario
Canada Toronto Western Hospital Toronto Ontario
France CHU Pellegrin Tripode Bordeaux
France CHU Pellegrin, Pharmacie Bordeaux
France CHU de Dijon Dijon
France CHU de Dijon Dijon
France CHU Hopital d'Enfants Dijon
France AP-HM Hopital Nord Marseille Cedex 20
France AP-HM La Timone - Hopital adultes Marseille Cedex 5
France CHU de Nantes - Hotel Dieu Nantes Cedex 1
France CHU de Nimes Nimes Cedex 9
France CHU de Nimes Nîmes Cedex 9
France CHU de Nimes - Caremeau Nîmes Cedex 9
France CIC Cochin/Pasteur (CIC 1417) Paris
France Service de Chirurgie Orthopedique et Traumatologie Paris
France Service de Pharmacie Paris
France CHU de Rennes Rennes
France CHU de Rennes - Hopital Pontchaillou Rennes, Cedex 9
France Unite d'investigation clinique Rennes, Cedex 9
France Hopital Nord-CHU Saint Etienne Saint Priest en Jarez
France Hopital Civil Strasbourg
France Hopitaux Universitaires de Strasbourg Strasbourg
Germany Charite- University Medicine Berlin Berlin
Germany Charite- University Medicine Berlin Berlin
Germany Uniklinik Koeln Koeln
Germany Klinikum rechts der Isar Munchen
Germany Klinikum rechts der Isar, Technische Universitat Munchen Munchen
Germany St. Franziskus Hospital Munster Munster
Hungary Orszagos Gerincgyogyaszati Kozpont Budapest
Japan Hakodate Central General Hospital Hakodate Hokkaido
Japan Seirei Hamamatsu General Hospital Hamamatsu Shizuoka
Japan Saiseikai Kawaguchi General Hospital Kawaguchi Saitama
Japan Japan Organization of Occupational Health and Safety, Kanto Rosai Hospital Kawasaki Kanagawa
Japan National Hospital Organization Murayama Medical Center Musashimurayama Tokyo
Japan Musashino Red Cross Hospital Musashino Tokyo
Japan Japan Community Health care Organization Osaka Hospital Osaka
Japan National Hospital Organization Hokkaido Medical Center Sapporo Hokkaido
Japan Nagasaki Rosai Hospital Sasebo Nagasaki
Japan Shimonoseki City Hospital Shimonoseki-shi Yamaguchi
Spain Hospital Universitario Fundacion Alcorcon Alcorcon Madrid
Spain Hospital Universitari Germans Trias i Pujol Badalona Barcelona
Spain Hospital Clinic de Barcelona Barcelona
Spain Hospital Universitari Vall d'Hebron Barcelona
Spain Hospital Ramon Y Cajal Madrid
Spain Hospital Clínico Universitario Santiago de Compostela Santiago de Compostela A Coruna
Spain Hospital Universitario Virgen del Rocio Sevilla
Spain Hospital Universitario Politecnico La Fe Valencia
Spain Hospital Clinico Universitario de Valladolid Valladolid
Spain Pharmacy Service of Hospital Clinico de Valladolid Valladolid
Sweden GHP Stockholm Spine Center Upplands Vasby
United Kingdom Pharmacy Store Middlesbrough Cleveland
United Kingdom Pharmacy Store, Main Pharmacy Middlesbrough Cleveland
United Kingdom South Tees Hospitals NHS Foundation Trust Middlesbrough Cleveland
United Kingdom The James Cook University Hospital Middlesbrough Cleveland
United Kingdom Centre for Spinal Studies and Surgery Nottingham
United Kingdom Salford Royal NHS Foundation Trust Salford Greater Manchester
United Kingdom Southampton General Hospital Southampton
United States Abington Jefferson Health Abington Pennsylvania
United States Abington Jefferson Health-Pharmacy Department Abington Pennsylvania
United States University Of Michigan Hospitals Ann Arbor Michigan
United States University of Michigan Investigational Pharmacy Ann Arbor Michigan
United States Clinical Alliance for Research and Education - Infectious Diseases, LLC (CARE-ID) Annandale Virginia
United States AAMC Research Pharmacy Annapolis Maryland
United States Anne Arundel Health System Research Institute (AAHSRI) Annapolis Maryland
United States Anne Arundel Medical Center Infusion Center Annapolis Maryland
United States Anne Arundel Medical Center Laboratory Annapolis Maryland
United States Anne Arundel Medical Group Orthopedics and Sports Medicine Specialists Annapolis Maryland
United States Emory Orthopaedics & Spine Center Atlanta Georgia
United States Emory University Clinic Atlanta Georgia
United States University of Colorado Clinical & Translational Research Center Clinic Aurora Colorado
United States University of Colorado Denver, School of Medicine Aurora Colorado
United States University of Colorado Department of Pharmacy AIP 2, Pharmacy Bulk Storage Aurora Colorado
United States University of Colorado Hospital Aurora Colorado
United States Austin Infectious Disease Consultants Austin Texas
United States Dell Seton Medical Center at The University of Texas Austin Texas
United States Employee Wellness Center Austin Texas
United States Seton Medical Center Austin Austin Texas
United States Seton Spine and Scoliosis Center Austin Texas
United States St. David's Medical Center Austin Texas
United States St. David's Neuroscience and Spine Institute Austin Texas
United States St. David's North Austin Medical Center Austin Texas
United States Wellness Brain and Spine Austin Texas
United States Department of Orthopedic Surgery, The Johns Hopkins Outpatient Center Baltimore Maryland
United States John Hopkins Bayview Medical Center Baltimore Maryland
United States John Hopkins Hospital Baltimore Maryland
United States Johns Hopkins Bayview Medical Center Baltimore Maryland
United States The Johns Hopkins Hospital Investigational Drug Service Baltimore Maryland
United States University of Maryland Medical Systems, Department of Neurosurgery Baltimore Maryland
United States University of Maryland Medical Systems, Investigational Drug Services Baltimore Maryland
United States University of Maryland, Medical Systems, Oriole Park Baltimore Maryland
United States Clinical Office - Jason Cuellar M.D. Beverly Hills California
United States The University of Alabama at Birmingham Birmingham Alabama
United States Bingham Memorial Hospital Blackfoot Idaho
United States Brigham and Women's Hospital Boston Massachusetts
United States Brigham and Women's Hospital Investigational Drug Services (IDS) Boston Massachusetts
United States Massachusetts General Hospital Boston Massachusetts
United States Massachusetts General Hospital, Clinical Research Pharmacy Boston Massachusetts
United States Boulder Community Health Boulder Colorado
United States Boulder Community Health - Foothills Hospital Boulder Colorado
United States Justin Parker Neurological Institute Boulder Colorado
United States Anne Arundel Medical Group Orthopedics and Sports Medicine Specialists Bowie Maryland
United States Rothman Institute-Chalfont Office Chalfont Pennsylvania
United States Carolina Neurosurgery and Spine Associates, P.A. Charlotte North Carolina
United States Novant Health Charlotte Orthopedic Hospital/Presbyterian Orthopedic Hospital Charlotte North Carolina
United States OrthoCarolina Charlotte North Carolina
United States OrthoCarolina Ballantyne Charlotte North Carolina
United States OrthoCarolina Hip & Knee Center Charlotte North Carolina
United States OrthoCarolina Pineville Charlotte North Carolina
United States University of Virginia Health System Charlottesville Virginia
United States Rush University Medical Center Chicago Illinois
United States Rush University Medical Center (RUMC) / Midwest Orthopedics at Rush University Medical Center (RUMC) Chicago Illinois
United States Rush University Medical Center Pharmacy Chicago Illinois
United States Rush University Medical Center Professional Office Building Infusion Pharmacy Chicago Illinois
United States University of Illinois Hospital and Health Sciences System Chicago Illinois
United States University of Illinois Hospital and Health Sciences System - Hospital Pharmacy Services Chicago Illinois
United States The Christ Hospital Cincinnati Ohio
United States The Lindner Center for Research and Education at The Christ Hospital Cincinnati Ohio
United States Cleveland Clinic Foundation - Investigation Pharmacy Cleveland Ohio
United States Cleveland Clinic Foundation Center for Spine Health Cleveland Ohio
United States Orthopedic One Columbus Ohio
United States Remington-Davis, Inc. Columbus Ohio
United States Riverside Methodist Hospital Pharmacy Columbus Ohio
United States Detroit Receiving Hospital, Heart Hospital, Harper Hospital at Detroit Michigan
United States Dublin Methodist Hospital Dublin Ohio
United States Duke University Hospital Durham North Carolina
United States Duke University Hospital, IDS Pharmacy Durham North Carolina
United States Inova Fair Oaks Hospital Fairfax Virginia
United States Inova Medical Group Fairfax Virginia
United States Inova Fairfax Hospital Falls Church Virginia
United States Inova Neurosciences Research Falls Church Virginia
United States Neurosurgical Specialist of Texas Fredericksburg Texas
United States Blodgett Hospital Grand Rapids Michigan
United States Butterworth Hospital Grand Rapids Michigan
United States Orthopaedic Associates of Michigan - Research Grand Rapids Michigan
United States Northwell Health Physician Partners- Department of Neurosurgery Spine @Great Neck Great Neck New York
United States Milton S. Hershey Medical Center Pharmacy Hershey Pennsylvania
United States Penn State College of Medicine and Penn State Hershey Milton S. Hershey Medical Center Hershey Pennsylvania
United States Baylor College of Medicine Houston Texas
United States Baylor College of Medicine - McNair Campus Houston Texas
United States CHI St. Luke's Health Baylor College of Medicine Medical Center Houston Texas
United States Hermann Drive Surgical Hospital Houston Texas
United States Mermorial Hermann - Memorial City Medical Center Houston Texas
United States NYU Langone Huntington Medical Group Huntington Station New York
United States Bingham Memorial Specialty Clinic Idaho Falls Idaho
United States Brent H. Greenwald, M.D. Neurological Surgery Idaho Falls Idaho
United States Eastern Idaho Regional Medical Center Idaho Falls Idaho
United States Mountain View Hospital Idaho Falls Idaho
United States Snake River Research, PLLC Idaho Falls Idaho
United States University of Iowa Hospitals and Clinics Iowa City Iowa
United States UHS Neurosurgery Johnson City New York
United States UHS Wilson Medical Center Johnson City New York
United States Bronson Methodist Hospital Kalamazoo Michigan
United States Bronson Spine and Scoliosis Specialists Kalamazoo Michigan
United States University of Kansas Hospital Kansas City Kansas
United States University of Kansas Medical Center Kansas City Kansas
United States University Medical Center of Southern Nevada Las Vegas Nevada
United States University of Colorado Hospital, Lone Tree Health Center Lone Tree Colorado
United States Memorial Orthopaedic Surgical Group Long Beach California
United States Cedars-Sinai Medical Center Los Angeles California
United States Cedars-Sinai Medical Center - Investigational Drug Los Angeles California
United States Clinical Office Los Angeles California
United States IDS Pharmacy-USC Norris Comprehensive Cancer Center and Hospital Los Angeles California
United States Keck Hospital of USC Los Angeles California
United States Ronald Reagan Med Center - University of California, Los Angeles (UCLA) Los Angeles California
United States Ronald Reagan UCLA Medical Center Los Angeles California
United States The Spine Center at Cedars-Sinai, Mark Goodson Building, Cedars-Sinai Medical Center Los Angeles California
United States UCLA CTRC Outpatient Unit Los Angeles California
United States USC Spine Center Los Angeles California
United States USC/Department of Neurological Surgery Los Angeles California
United States Norton Healthcare Pharmacy Louisville Kentucky
United States Norton Hospital Louisville Kentucky
United States Norton Leatherman Spine Center Louisville Kentucky
United States Northwell Health Physician Partners- Department of Neurosurgery Spine @Lynbrook Lynbrook New York
United States North Shore University Hospital Manhasset New York
United States The Feinstein Institute for Medical Research Manhasset New York
United States The Rothman Institute Marlton, NJ Office Marlton New Jersey
United States OrthoCarolina Matthews Matthews North Carolina
United States OrthoVirginia McLean Virginia
United States Holmes Regional Medical Center Melbourne Florida
United States Melbourne Regional Medical Center Melbourne Florida
United States The B.A.C.K. Center Melbourne Florida
United States University of Miami Hospital Miami Florida
United States University of Miami Hospital and Clinics and Research Pharmacy Miami Florida
United States Allina Health - Abbott Northwestern Hospital / Minneapolis Minnesota
United States Twin Cities Spine Surgeons dba Twin Cities Spine Center Minneapolis Minnesota
United States HackensackUMC Mountainside Hospital Montclair New Jersey
United States WVU Medicine JW Ruby Memorial Hospital Morgantown West Virginia
United States WVU Medicine JW Ruby Memorial Hospital In-Patient Pharmacy Morgantown West Virginia
United States WVU Medicine Physician Office Center Morgantown West Virginia
United States WVU Medicine Physician Office Center Orthopaedic Surgery Morgantown West Virginia
United States WVU Medicine Spine Center Morgantown West Virginia
United States Meridian Hospitals Corp c/o Jersey Shore University Medical Center Neptune New Jersey
United States Yale New Haven Hospital New Haven Connecticut
United States Yale New Haven Hospital - Investigational Drug Services New Haven Connecticut
United States Yale New Haven Hospital - St. Raphael campus New Haven Connecticut
United States Yale-New Haven Hospital Spine Center New Haven Connecticut
United States Ycci-Csru New Haven Connecticut
United States Ochsner Baptist Medical Center New Orleans Louisiana
United States Ochsner Clinic Foundation New Orleans Louisiana
United States Hospital for Special Surgery New York New York
United States Icahn School of Medicine at Mount Sinai New York New York
United States Kimmel Pavillion New York New York
United States lcahn School of Medicine at Mount Sinai New York New York
United States NYU Langone Health Orthopedic Center New York New York
United States NYU Langone Health Orthopedic Hospital New York New York
United States NYU Langone Health Tisch Hospital New York New York
United States NYU Langone Madison Ave. Orthopedics New York New York
United States NYU Langone Seaport Orthopaedics New York New York
United States The Clinical Research Unit at Mount Sinai New York New York
United States Ambulatory Care Center Newark New Jersey
United States Cancer Center, Rutgers, The State University of New Jersey-New Jersey Medical School Newark New Jersey
United States Doctors Office Center-Rutgers, The State University of New Jersey-New Jersey Medical School Newark New Jersey
United States University Hospital Newark New Jersey
United States University Hospital - Pharmacy Newark New Jersey
United States Sentara Medical Group DBA Sentara Neurosurgery Specialists Norfolk Virginia
United States Sentara Norfolk General Hospital Norfolk Virginia
United States Kaiser Permanente Pediatric Clinic Oakland California
United States Kaiser Permanente Vaccine Study Center Oakland California
United States Anne Arundel Medical Group Orthopedics and Sports Medicine Specialists Odenton Maryland
United States University of California Irvine Medical Center Orange California
United States Florida Hospital Orlando Orlando Florida
United States Florida Hospital Orlando - Florida Hospital Investigational Drug Pharmacy Orlando Florida
United States Neuroscience ACS Research Orlando Florida
United States Anne Arundel Medical Group Orthopedics and Sports Medicine Specialists Pasadena Maryland
United States Investigational Drug Service Pharmacy Philadelphia Pennsylvania
United States Jefferson Hospital For Neuroscience Philadelphia Pennsylvania
United States The Rothman Institute Philadelphia Pennsylvania
United States Thomas Jefferson University Philadelphia Pennsylvania
United States Thomas Jefferson University Hospital Philadelphia Pennsylvania
United States Thomas Jefferson University Hospital - Pre-Admission Testing Center Philadelphia Pennsylvania
United States Thomas Jefferson University Hospital, Cardiovascular Associates Philadelphia Pennsylvania
United States Barrow Brain and Spine Phoenix Arizona
United States St. Joseph's Hospital and Medical Center Phoenix Arizona
United States Allegheny General Hospital Pittsburgh Pennsylvania
United States Upmc (Puh/Muh) Pittsburgh Pennsylvania
United States UPMC Presbyterian Pittsburgh Pennsylvania
United States Baylor Scott & White Medical Center Plano Texas
United States Bingham Memorial Family Medicine & Specialty Clinic Pocatello Idaho
United States Physicians & Surgeons Clinic Pocatello Idaho
United States OHSU Research Pharmacy Portland Oregon
United States Oregon Health and Sciences University Portland Oregon
United States VCU Medical Center Investigational Drug Service Richamond Virginia
United States VCU Health Richmond Virginia
United States VCU Health Ambulatory Care Center Richmond Virginia
United States VCU Heatlh Neuroscience Orthopedic and Wellness Center Richmond Virginia
United States Carilion Assessment, Registration and Education for Surgery (C.A.R.E.S) Roanoke Virginia
United States Carilion Clinic - Department of Pharmacy Roanoke Virginia
United States Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke Virginia
United States Carilion Clinic Riverside 3 Roanoke Virginia
United States Carilion Roanoke Memorial Hospital Roanoke Virginia
United States Mayo Clinic Rochester Minnesota
United States Mayo Clinic Hospital, Methodist Campus Rochester Minnesota
United States Mayo Clinic Hospital, Methodist Campus Rochester Minnesota
United States Mayo Clinic Rochester, Methodist Hospital Campus Rochester Minnesota
United States Michigan Orthopaedic & Spine Surgeons Rochester Hills Michigan
United States Seton Brain and Spine Institute Williamson Round Rock Texas
United States Seton Medical Center Williamson Round Rock Texas
United States St. David's Round Rock Medical Center Round Rock Texas
United States Beaumont Orthopaedic Center Royal Oak Michigan
United States William Beaumont Hospital Royal Oak Michigan
United States Barnes Jewish Center for Advanced Medicine Saint Louis Missouri
United States Barnes Jewish Hospital Saint Louis Missouri
United States Barnes Jewish Pharmacy Saint Louis Missouri
United States Barnes-Jewish Pharmacy Saint Louis Missouri
United States Center for Outpatient Health Saint Louis Missouri
United States Washington University Saint Louis Missouri
United States University of California, San Francisco San Francisco California
United States Santa Monica UCLA Medical Center & Orthopaedic Hospital Santa Monica California
United States UCLA Santa Monica Infectious Disease Santa Monica California
United States UCLA Spine Center Santa Monica California
United States Gulfcoast Research Institute, LLC Sarasota Florida
United States Greenbaum Surgical Specialty Hospital Scottsdale Arizona
United States HonorHealth Scottsdale Osborn Medical Center Scottsdale Arizona
United States Virginia Mason Medical Center Seattle Washington
United States The Rothman Institute Washington Township, NJ Office Sewell New Jersey
United States Spine Institute of Louisiana Shreveport Louisiana
United States Michigan Orthopaedic Institute Southfield Michigan
United States Scott & White Memorial Hospital Temple Texas
United States Scott & White Memorial Hospital and Clinic Temple Texas
United States Scott & White Memorial Hospital and Clinic (Scott & White Roney Bone & Joint Institute) Temple Texas
United States Harbor-UCLA Medical Center Torrance California
United States LA BioMed at Harbor-UCLA Medical Center Torrance California
United States LA BioMed at Harbor-UCLA Medical Center Torrance California
United States LA BioMed, Harbor-UCLA Medical Center Torrance California
United States Beaumont Health-Troy Troy Michigan
United States Emory Orthopaedics & Spine Hospital Tucker Georgia
United States Michigan Orthopaedic Institute West Bloomfield Michigan
United States Rothman Institute-Willow Grove Office Willow Grove Pennsylvania
United States UMass Memorial Medical Center Worcester Massachusetts
United States UMass Memorial Medical Center- Clinical Research Center Worcester Massachusetts
United States University of Massachusetts Medical Center Memorial Campus Worcester Massachusetts

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Austria,  Bulgaria,  Canada,  France,  Germany,  Hungary,  Japan,  Spain,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Postoperative Staphylococcus (S.) Aureus Bloodstream Infection (BSI) And/or Surgical-site Infection (SSI-Including Deep Incisional or Organ/Space) Occurred Within 90 Days After Spinal Surgery BSI: clinical infection involved a recognized pathogen (S. aureus) cultured from 1 or more blood cultures or a commensal organism cultured from 2 or more blood cultures whether primary or secondary to infection at another site. SSI: infection at a surgical incision. Types of SSI in this outcome measure: Deep incisional SSI: infection involved deep soft tissues of incision (example [e.g.] fascial and muscle layers), Organ/space SSI: infection involved any part of body excluding skin incision, fascia or muscle layers, that was opened or manipulated during operative procedure. Overall number of participants with postoperative BSI and/or SSI (including deep incisional or organ/space), caused by S. aureus, occurred within 90 days of post elective open posterior spinal fusion surgery with multilevel instrumentation, as confirmed by event adjudication committee (EAC) have been reported. A participant may have met criteria for both BSI and SSI (deep incisional or organ/space). Day of surgery (Day 1) up to Day 90
Primary Percentage of Participants With Local Reactions Within 10 Days After Vaccination Local reactions were recorded using an electronic diary (e-diary). Local reactions included redness, swelling and pain at the injection site. Redness and swelling were categorized as mild (2.5 to 5.0 centimeters [cm]), moderate (5.5 to 10.0 cm) and, severe (greater than or equal to [>=] 10.5 cm). Pain at the injection site was defined as mild (did not interfere with activity), moderate (interfered with activity), and severe (prevented daily activity). Participants may be represented in more than 1 row. Here, "Any" for redness, swelling, pain at the injection site represents any grade of these local reactions among mild, moderate or severe. Within 10 days after Vaccination
Primary Percentage of Participants With Systemic Reactions Within 10 Days After Vaccination Systemic reactions included fever, fatigue, headache, diarrhea, vomiting, muscle pain and joint pain, were recorded using an e-diary. Fever was graded as 38.0 to 38.4 degree Celsius (C), 38.5 to 38.9 degree C, 39.0 to 40.0 degree C and greater than (>) 40.0 degree C. Vomiting was graded as mild (1-2 times in 24 hours), moderate (>2 times in 24 hours) and severe (required intravenous hydration). Diarrhea was graded as mild (2-3 loose stools in 24 hours), moderate (4-5 loose stools in 24 hours) and severe (>=6 loose stools in 24 hours). Headache, fatigue, muscle pain and joint pain were graded as mild (no interference with activity), moderate (some interference with activity) and severe (prevented daily routine activity). Participants may be represented in more than 1 row. Here "any" for fever, fatigue, headache, vomiting, diarrhea, muscle pain, joint pain represents any grade of these systemic reactions among mild, moderate or severe. Within 10 days after Vaccination
Primary Number of Participants With Adverse Events (AEs) From Vaccination Until The Day of Surgery (Day 1) An adverse event (AE) was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. AEs including serious as well non-serious AEs. From vaccination up to Day of surgery (Day 1) (10-60 days after vaccination)
Primary Number of Participants With Adverse Events (AEs) From Vaccination Until First Postoperative Evaluation on Day 42 An AE was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. AEs including serious as well non-serious AEs. From vaccination until Day 42 after surgery (52-102 days after vaccination)
Primary Number of Participants With Adverse Events (AEs) From The Day of Surgery (Day 1) Until First Postoperative Evaluation on Day 42 An AE was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. AEs including serious as well non-serious AEs. Day of surgery (Day 1) up to Day 42 after surgery
Primary Number of Participants With Newly Diagnosed Chronic Medical Disorders From First Postoperative Evaluation on Day 42 Until Last Postoperative Evaluation on Day 180 A newly diagnosed chronic medical disorder was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects. Day 42 up to Day 180 (up to 138 days)
Primary Number of Participants With Serious Adverse Events (SAEs) From Vaccination Until Last Postoperative Evaluation on Day 180 An AE was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability/incapacity, congenital anomaly. From vaccination up to Day 180 after surgery (190-240 days after vaccination)
Primary Number of Participants With Serious Adverse Events (SAEs) From Vaccination Until Day of Surgery (Day 1) An AE was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability/incapacity, congenital anomaly. From vaccination up to Day of surgery (Day 1) (10-60 days after vaccination)
Primary Number of Participants With Serious Adverse Events (SAEs) From The Day of Surgery (Day 1) Until Last Postoperative Evaluation on Day 180 An AE was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability/incapacity, congenital anomaly. Day of surgery (Day 1) up to Day 180 after surgery
Secondary Number of Participants With Postoperative S. Aureus Blood Stream Infection (BSI) And/or Surgical-site Infection (SSI-Including Deep Incisional or Organ/Space) Occurred Within 180 Days After Surgery BSI: clinical infection involved a recognized pathogen (S. aureus) cultured from 1 or more blood cultures or a commensal organism cultured from 2 or more blood cultures whether primary or secondary to infection at another site. SSI: infection at a surgical incision. Types of SSI in this outcome measure: Deep incisional SSI: infection involved deep soft tissues of incision (e.g. fascial and muscle layers), Organ/space SSI: infection involved any part of body excluding skin incision, fascia or muscle layers, that was opened or manipulated during operative procedure. Overall number of participants with postoperative BSI and/or SSI (including deep incisional or organ/space), caused by S. aureus, occurred within 180 days of post elective open posterior spinal fusion surgery with multilevel instrumentation, as confirmed by EAC have been reported. A participant may have met criteria for both BSI and SSI (deep incisional or organ/space). Day of surgery (Day 1) up to Day 180 after surgery
Secondary Number of Participants With Any Postoperative S. Aureus Surgical-site Infection (SSI-Superficial, Deep Incisional or Organ/Space) Occurred Within 90 Days After Surgery SSI: infection at a surgical incision. Types of SSI in this outcome measure: Superficial SSI: Infection involved only skin and subcutaneous tissue of the incision, Deep incisional SSI: infection involved deep soft tissues of incision (e.g. fascial and muscle layers), Organ/space SSI: infection involved any part of body, excluding skin incision, fascia, or muscle layers, that was opened or manipulated during operative procedure. Overall number of participants with postoperative SSI (including superficial, deep incisional and/or organ/space SSI) caused by S. aureus, occurred within 90 days after elective open posterior spinal fusion surgery with multilevel instrumentation as confirmed by EAC have been reported. Day of surgery (Day 1) up to Day 90 after surgery
Secondary Number of Participants With Any Postoperative S. Aureus Surgical-site Infection (SSI-Superficial, Deep Incisional or Organ/Space) Occurred Within 180 Days After Surgery SSI: infection at a surgical incision. Types of SSI in this outcome measure: Superficial SSI: Infection involved only skin and subcutaneous tissue of the incision, Deep incisional SSI: infection involved deep soft tissues of incision (e.g. fascial and muscle layers), Organ/space SSI: infection involved any part of body, excluding skin incision, fascia, or muscle layers, that was opened or manipulated during operative procedure. Overall number of participants with postoperative SSI (including superficial, deep incisional and/or organ/space SSI) caused by S. aureus, occurred within 180 days after elective open posterior spinal fusion surgery with multilevel instrumentation as confirmed by EAC have been reported. Day of surgery (Day 1) up to Day 180 after surgery