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NCT07282665PHASE3RecruitingAccepts Healthy Volunteers

A Study to Learn About a Clostridioides Difficile Vaccine in People 65 Years of Age and Older

Pfizer

Start Date

12/10/2025

Completion Date

6/7/2029

Summary

The purpose of the study is to learn about how effective, safe, and tolerable the Clostridioides difficile (C. difficile) vaccine is in decreasing the number of C. difficile infections (pCDI) in adults 65 years of age or older. The participants will receive either the C. difficile vaccine or placebo (saline). A placebo does not contain any active ingredients. The vaccines will be given as a shot into the upper arm muscle. This study looks at the number of diarrhea (loose stools) events related to a C. difficile infection, so the length of the study can change. If these events happen quickly, the study may finish sooner; if they happen slowly, it could take longer. Sometimes, the study might stop early if the vaccine clearly works or clearly doesn't. Participants will stay in the study until enough events have occurred to answer the main question. On average, each person is expected to take part for up to about three and a half years. During this time, participants will have 3 planned clinical visits and 3 planned phone visits. After these visits, more scheduled clinic visits will happen every year until the end of study. Besides the scheduled study visits, if at any time during the study a participant has 3 or more loose stools in 24 hours, they will be asked to save the next one (the fourth or later) and contact the study site. The study site will check to see if it could be a C. difficile infection. This check may happen at the clinic or through a phone or video call.

Eligibility Criteria

Age Range: 65 years to No maximum

Who Can Join the Study (Inclusion Criteria): • People with recent or future planned contact with healthcare systems or who have recently received antibiotics. Who Cannot Join the Study (Exclusion Criteria): * Anyone who has had CDI before. * Anyone who has had surgery to remove part of their small or large intestine. * Anyone who often has diarrhea (meaning three or more loose stools in a day, more than once a month). * Anyone who has already received a vaccine or special antibody treatment for C. difficile. * Anyone who has had a serious allergic reaction to a vaccine or to any part of the study vaccines. * Anyone who might not respond well to the vaccine because their immune system is weak (either from a disease or from treatment). * Anyone with cancer that has spread, kidney failure, or another serious health problem.

Interventions

BIOLOGICAL

C.difficile vaccine

OTHER

Saline Placebo

Interested in This Trial?

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Conditions

Clostridioides Difficile Associated Disease

Locations

North Alabama Research Center

Athens, Alabama 35611

United States

Lakeview Clinical Research

Guntersville, Alabama 35976

United States

Medical Affiliated Research Center

Huntsville, Alabama 35801

United States

Epic Medical Research-Sun City

Sun City, Arizona 85351

United States

Applied Research Center of Arkansas

Little Rock, Arkansas 72205

United States

Kaiser Permanente Daly City

Daly City, California 94015

United States

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California 90027

United States

Kaiser Permanente Oncology Pharmacy #014C

Los Angeles, California 90027

United States

Sacramento VA Medical Center

Mather, California 95655

United States

Kaiser Permanente Oakland

Oakland, California 94611

United States

Kaiser Permanente Ontario Medical Center

Ontario, California 91761

United States

Southern California Permanente Medical Group

Pasadena, California 91101

United States

Kaiser Permanente Roseville

Roseville, California 95661

United States

Kaiser Permanente Sacramento

Sacramento, California 95815

United States

Kaiser Permanente South Sacramento

Sacramento, California 95823

United States

Velocity Clinical Research, San Bernardino

San Bernardino, California 92408

United States

Kaiser Permanente - San Diego Medical Center

San Diego, California 92123

United States

Kaiser Permanente Viewridge Medical Office

San Diego, California 92123

United States

Kaiser Permanente San Jose

San Jose, California 95119

United States

Carbon Health - San Mateo - Hillsdale Mall

San Mateo, California 94403

United States

Kaiser Permanente Santa Clara

Santa Clara, California 95051

United States

Med Partners, Inc. dba Premiere Medical Center of Burbank, Inc.

Toluca Lake, California 91602

United States

Kaiser Permanente Walnut Creek

Walnut Creek, California 94596

United States

Diablo Clinical Research, Inc.

Walnut Creek, California 94598

United States

GW Vaccine Research Unit

Washington D.C., District of Columbia 20037

United States

The GW Medical Faculty Associates

Washington D.C., District of Columbia 20037

United States

Bay Pines VA Healthcare System

Bay Pines, Florida 33744

United States

Proactive Clinical Research,LLC

Fort Lauderdale, Florida 33308

United States

Indago Research & Health Center, Inc

Hialeah, Florida 33012

United States

Clinical Neuroscience Solutions, Inc. dba CNS Healthcare

Jacksonville, Florida 32256

United States

M3 Wake Research - Lake City

Lake City, Florida 32055

United States

South Florida Research Organization

Medley, Florida 33166

United States

Care Research Inc

Miami, Florida 33130

United States

Entrust Clinical Research

Miami, Florida 33176

United States

Charisma Medical and Research Center

Miami Lakes, Florida 33014

United States

Palm Springs Community Health Center

Miami Lakes, Florida 33014

United States

Innovation Medical Research Center

Palmetto Bay, Florida 33157

United States

Angels Clinical Research Institute

Tampa, Florida 33614

United States

Emory Steiner Building Research Center

Atlanta, Georgia 30303

United States

Emory University Woodruff Extension Building (WEB)

Atlanta, Georgia 30303

United States

Centricity Research Columbus Georgia Multispecialty

Columbus, Georgia 31904

United States

The Hope Clinic of Emory University

Decatur, Georgia 30030

United States

Velocity Clinical Research, Savannah

Savannah, Georgia 31406

United States

DM Clinical Research - Chicago

Melrose Park, Illinois 60160

United States

Accellacare - McFarland

Ames, Iowa 50010

United States

McFarland Clinic, PC

Ames, Iowa 50010

United States

Velocity Clinical Research, Sioux City

Sioux City, Iowa 51106

United States

AMR Clinical

Newton, Kansas 67114

United States

Ochsner Medical Complex - The Grove

Baton Rouge, Louisiana 70836

United States

Ochsner Clinic Foundation - Kenner Clinical Trials Unit

Kenner, Louisiana 70065

United States

Ochsner Lafayette General Medical Center

Lafayette, Louisiana 70503

United States

Johns Hopkins Bloomberg School of Public Health

Baltimore, Maryland 21205

United States

Revive Research Institute, Inc.

Southfield, Michigan 48075

United States

DM Clinical Research - Detroit

Southfield, Michigan 48076

United States

Washington University School of Medicine

St Louis, Missouri 63110

United States

Sundance Clinical Research

St Louis, Missouri 63141

United States

Velocity Clinical Research, Grand Island

Grand Island, Nebraska 68803

United States

University of Nebraska Medical Center

Omaha, Nebraska 68105

United States

Velocity Clinical Research, Omaha

Omaha, Nebraska 68134

United States

University Of Nebraska Medical Center

Omaha, Nebraska 68198

United States

Renown Center for Advanced Medicine

Reno, Nevada 89502

United States

Renown Regional Medical Center

Reno, Nevada 89502

United States

University Health

Reno, Nevada 89519

United States

Hackensack Meridian Health Hackensack University Medical Center

Hackensack, New Jersey 07601

United States

HMH David Jurist Research Building

Hackensack, New Jersey 07601

United States

HMH Hackensack University Medical Center

Hackensack, New Jersey 07601

United States

Hackensack Meridian Jersey Shore University Medical Center

Neptune City, New Jersey 07753

United States

HOPE Tower at Jersey Shore University Medical Center

Neptune City, New Jersey 07753

United States

Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey 08901

United States

South Jersey Infectious Disease

Somers Point, New Jersey 08244

United States

Albuquerque Clinical Trials, Inc.

Albuquerque, New Mexico 87102

United States

NYU Langone Health

Brooklyn, New York 11220

United States

Upstate Global Health Institute

East Syracuse, New York 13057

United States

Mount Sinai Queens

Long Island City, New York 11102

United States

North Shore University Hospital

Manhasset, New York 11030

United States

Northwell Health Infectious Disease

Manhasset, New York 11030

United States

NYU Langone Health

Mineola, New York 11501

United States

Northern Westchester Hospital

Mount Kisco, New York 10549

United States

NYU Langone Health

New York, New York 10016

United States

Mount Sinai West

New York, New York 10019

United States

Mount Sinai Morningside

New York, New York 10025

United States

Icahn School of Medicine at Mount Sinai

New York, New York 10029

United States

Columbia University Irving Medical Center

New York, New York 10032

United States

Rochester Clinical Research, LLC

Rochester, New York 14609

United States

Phelps Hospital Geriatric Medicine & Improvement Science

Sleepy Hollow, New York 10591

United States

Montefiore Medical Center

The Bronx, New York 10467

United States

James J. Peters VA Medical Center

The Bronx, New York 10468

United States

Accellacare - Cary

Cary, North Carolina 27518

United States

Duke Vaccine and Trials Unit

Durham, North Carolina 27703

United States

Medication Management

Greensboro, North Carolina 27405

United States

Accellacare - Hickory

Hickory, North Carolina 28601

United States

Atrium Health Wake Forest Baptist Infectious Disease-High Point

High Point, North Carolina 27262

United States

Accellacare - Raleigh

Raleigh, North Carolina 27609

United States

Duke University Health System

Raleigh, North Carolina 27609

United States

Raleigh Medical Group P.A.

Raleigh, North Carolina 27609

United States

Accellacare - Salisbury

Salisbury, North Carolina 28144

United States

Accellacare - Wilmington

Wilmington, North Carolina 28401

United States

Wilmington Health, PLLC

Wilmington, North Carolina 28401

United States

Accellacare - Winston-Salem

Winston-Salem, North Carolina 27103

United States

Wake Forest Baptist Health

Winston-Salem, North Carolina 27157

United States

CTI Clinical Research Center

Cincinnati, Ohio 45212

United States

VA Northeast Ohio Healthcare System Louis Stokes Cleveland VA Medical Center

Cleveland, Ohio 44106

United States

Kaiser Permanente Center for Health Research

Portland, Oregon 97227

United States

Capital Area Research, LLC

Camp Hill, Pennsylvania 17011

United States

DM Clinical Research - Philadelphia

Philadelphia, Pennsylvania 19107

United States

Walker Family Care

Little River, South Carolina 29566

United States

Trial Management Associates, LLC

Myrtle Beach, South Carolina 29572

United States

Trial Management Associates

Myrtle Beach, South Carolina 29572

United States

Velocity Clinical Research, Spartanburg

Spartanburg, South Carolina 29303

United States

New Phase Research and Development

Knoxville, Tennessee 37909

United States

Clinical Neuroscience Solutions Inc.

Memphis, Tennessee 38119

United States

The Vanderbilt Vaccine Research Program Clinic at The Village at Vanderbilt

Nashville, Tennessee 37212

United States

Vanderbilt Investigational Drug Service (IDS)

Nashville, Tennessee 37232

United States

Vanderbilt University Medical Center

Nashville, Tennessee 37232

United States

Vanderbilt Vaccine Research Program Laboratory

Nashville, Tennessee 37232

United States

Vanderbilt Vaccine Research Program

Nashville, Tennessee 37232

United States

Family Health Watch - KeyPoint Clinical Research

Dallas, Texas 75237

United States

KeyPoint Clinical Research

Dallas, Texas 75240

United States

North Texas Infectious Diseases Consultants, P.A

Dallas, Texas 75246

United States

Cedar Health Research - Euless

Euless, Texas 76040

United States

Baylor College of Medicine

Houston, Texas 77030

United States

Memorial Hermann Hospital - TMC

Houston, Texas 77030

United States

The University of Texas Health Science Center at Houston

Houston, Texas 77030

United States

UT Physicians

Houston, Texas 77030

United States

DM Clinical Research- Cyfair

Houston, Texas 77065

United States

Mercury Clinical Research - Santa Clara Family Clinic

Houston, Texas 77087

United States

Dynamed Clinical Research, LP d/b/a DM Clinical Research

Tomball, Texas 77375

United States

Northwest Houston Heart Center

Tomball, Texas 77375

United States

J. Lewis Research, Inc. / Foothill Family Clinic South

Salt Lake City, Utah 84121

United States

The University of Vermont Medical Center Inc.

Burlington, Vermont 05401

United States

UVM Larner College of Medicine MMG/VCT

Burlington, Vermont 05401

United States

Clinical Research Partners, LLC

Richmond, Virginia 23226

United States

Providence Regional Medical Center Everett

Everett, Washington 98201

United States

Kaiser Permanente Washington Health Research Institute (KPWHRI)

Seattle, Washington 98101

United States

University of Washington - Harborview Medical Center

Seattle, Washington 98104

United States

Clinica Del Niño Y La Madre

Mar del Plata, Buenos Aires 7600

Argentina

Fundación Huésped

Buenos Aires, Buenos Aires F.D. 1427

Argentina

Equipo Ciencia

Buenos Aires, Buenos Aires F.D. C1428BNF

Argentina

Clinica Privada del Sol S.A

Córdoba, Córdoba Province X5000IIH

Argentina

CDC Centro Médico

Lujan de Cuyo, Mendoza Province 5505

Argentina

Sanatorio Sagrado Corazón

Buenos Aires, 1039

Argentina

Centro Medico Barrio Parque

Buenos Aires, 1425

Argentina

Investigaciones Clínicas Salta (ICSAL)

Salta, A4400

Argentina

Kojunkai Daido Clinic

Nagoya, Aichi-ken 457-8511

Japan

Kamiiida daiichi General Hospital

Nagoya, Aichi-ken 462-0802

Japan

Aso Iizuka Hospital

Iizuka-shi, Fukuoka 820-8505

Japan

Seishinkai Inoue Hospital

Itoshima, Fukuoka 819-1104

Japan

Japan Community Healthcare Organization Kyushu Hospital

Kitakyushu-shi, Fukuoka 806-8501

Japan

Fukuoka Shinmizumaki Hospital

Onga-gun, Fukuoka 807-0051

Japan

Koga General Hospital

Koga, Ibaraki 306-0041

Japan

Japanese Red Cross Kumamoto Hospital

Kumamoto, Kumamoto 861-8520, 862-8520

Japan

National Hospital Organization Nagasaki Medical Center

Ōmura, Nagasaki 856-8562

Japan

Nanbu Tokushukai Hospital

Shimajiri, Okinawa 901-0417

Japan

Nozaki Tokushukai Hospital

Daitō, Osaka 547-0074

Japan

Tokyo-Eki Center-building Clinic

Chuo-ku, Tokyo 103-0027

Japan

Newquay Health Centre

Newquay, Cornwall TR7 1RU

United Kingdom

Royal Devon & Exeter Hospital

Exeter, Devon EX2 5DW

United Kingdom

Knowle House Surgery

Plymouth, Devon PL5 3JB

United Kingdom

Brunel Medical Practice (St Marychurch)

Torquay, Devon TQ1 4QX

United Kingdom

Panthera Biopartners - Preston

Preston, England PR2 9QB

United Kingdom

Synexus Scotland Clinical Research Centre

Glasgow, Glasgow CITY ML4 3NJ

United Kingdom

Southampton General Hospital

Southampton, Hampshire SO16 6YD

United Kingdom

Layton Medical Centre

Blackpool, Lancashire FY3 7EN

United Kingdom

Panthera Biopartners - Manchester

Rochdale, Manchester OL11 4AU

United Kingdom

Panthera Clinic - York

York, North Yorkshire YO24 4LJ

United Kingdom

Lakeside Surgery

Corby, Northamptonshire NN17 2UR

United Kingdom

Ormeau Clinical Trials

Belfast, Northern Ireland BT2 8BG

United Kingdom

Cheadle Community Hospital

Cheadle, Staffordshire ST10 1NS

United Kingdom

Synexus Midlands Clinical Research Centre

Birmingham, WEST Midlands B15 2SQ

United Kingdom

North Wales Clinical Research Facility

Wrexham, Wrexham [wrecsam Gb-wrc] LL13 7YP

United Kingdom

Panthera Biopartners - Glasgow

Glasgow, G51 4RY

United Kingdom

Manchester Royal Infirmary

Manchester, M13 9WU

United Kingdom

Synexus Manchester Clinical Research Centre

Manchester, M15 6SE

United Kingdom

Panthera Biopartners - Sheffield

Sheffield, S2 5FX

United Kingdom