Secondary Outcome(s)
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Mean Levels of Anti-KLH Antibody: Ig M
[Time Frame: Immediately prior to first KLH administration and 4, 8, and 12 weeks after first KLH administration]
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Mean Levels of Anti-KLH Antibody: Immunoglobulin (Ig) G
[Time Frame: Immediately prior to first KLH administration and 4, 8, and 12 weeks after first KLH administration]
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Mean Level of Anti-Pneumococcal Antibody
[Time Frame: Immediately prior to 23-PPV and 4 and 8 weeks after 23-PPV]
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MRI Parameters: Categorical Number of Gd-enhancing T1 Lesions
[Time Frame: Baseline]
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Mean Levels of Anti-Tetanus Antibody
[Time Frame: Immediately prior to and at 4 and 8 weeks after TT vaccine]
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MRI Parameters: Cortical Grey Matter Volume
[Time Frame: Baseline]
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MRI Parameters: Number of Gadolinium (Gd)-Enhancing T1 Lesions
[Time Frame: Baseline]
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MRI Parameters: Number of T2 Lesions
[Time Frame: Baseline]
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Percentage of Participants With 2-Fold Increase in Strain-Specific HI Titers
[Time Frame: 4 weeks after seasonal influenza vaccine administration]
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Percentage of Participants With Positive Response Against >/=12 Pneumococcal Serotypes
[Time Frame: 4 weeks after 23-PPV]
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MRI Parameters: Total Number of Lesions
[Time Frame: Baseline]
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Percentage of Participants With Positive Response Against Individual Pneumococcal Serotypes in 13-PCV
[Time Frame: 8 weeks after 23-PPV, which was 4 weeks after Group A1 participants received 13-PCV]
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Percentage of Participants With Seroprotection
[Time Frame: 4 weeks after seasonal influenza vaccine administration]
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Strain-Specific Geometric Mean Titer Levels
[Time Frame: Baseline and Week 4]
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MRI Parameters: Normalized Brain Volume
[Time Frame: Baseline]
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Ratio of Strain-Specific Geometric Mean Titer Levels Postvaccination to Prevaccination
[Time Frame: Immediately prior to and 4 weeks after influenza vaccine]
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MRI Parameters: Categorical Number of T2 Lesions
[Time Frame: Baseline]
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Percentage of Participants With 4-Fold Increase in Strain-Specific HI Titers
[Time Frame: 4 weeks after seasonal influenza vaccine administration]
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Percentage of Participants With Adverse Events (AEs), Serious AEs, or AEs Leading to Study Discontinuation
[Time Frame: During ISP (24 weeks for Group A and 12 weeks for Group B)]
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Percentage of Participants With Positive Response Against >/=2 Pneumococcal Serotypes
[Time Frame: 4 weeks after 23-PPV]
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MRI Parameters: Volume of T2 Lesions: White Matter Volume
[Time Frame: Baseline]
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Percentage of Participants With Seroconversion
[Time Frame: 4 weeks after influenza immunization]
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Mean Levels of Anti-Pneumococcal Antibody
[Time Frame: Immediately prior to and 4 weeks after 23-PPV]
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Percentage of Participants With Tetanus Antibody Titer >/=0.2 IU/mL or 2-Fold Increase in Tetanus Antibody Titers
[Time Frame: 4 weeks after TT vaccine]
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Total Immunoglobulin
[Time Frame: Days 1, 85, and 169]
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Cellular Immune Response Assessed by Flow Cytometry
[Time Frame: Days 1, 15, 85, 112, 140 and 169]
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MRI Parameters: T1 Unenhancing Lesion Volume
[Time Frame: Baseline]
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Percentage of Participants With Anti-Drug Antibody Formation
[Time Frame: Up to 24 Weeks (ISP)]
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Percentage of Participants With Positive Response to TT Vaccine Measured 4 Weeks After TT Vaccine
[Time Frame: 4 weeks after TT vaccine]
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Magnetic Resonance Imaging (MRI) Parameters: Volume of T2 Lesions
[Time Frame: Baseline]
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Percentage of Participants With Positive Response Against Individual Pneumococcal Serotypes in 23-PPV
[Time Frame: 4 weeks after 23-PPV]
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