The comparator was PFE’s Prevnar-13, which is effectively an obsolete product now that PFE has Prevnar-20, which has protection for seven additional serotypes.
Vaxneuvance narrowly missed non-inferiority to Prevnar-13 on serotype 6A; it’s unlikely, IMO, that this one miss will prevent regulatory approval. (Non-inferiority in this trial was predefined as the lower bound of the 2-sided 95% CI on effect size being >0.50.)
The real issue for MRK’s Vaxneuvance is that PFE’s new Prevnar-20 looks set to capture the lion’s share of the market for next-generation pneumococcal vaccines.
“The efficient-market hypothesis may be the foremost piece of B.S. ever promulgated in any area of human knowledge!”