Herpes ZosterPhase 3NCT01610414
Study to Evaluate Efficacy, Safety, and Immunogenicity of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Vaccine GSK1437173A
A Phase 3 study testing Herpes Zoster vaccine GSK1437173A in people with Herpes Zoster, run by GlaxoSmithKline at 178 sites in 28 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of GSK Biologicals' vaccine GSK1437173A in the prevention of Herpes zoster (HZ) in autologous haematopoietic cell transplant recipients 18 years of age and older. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Herpes Zoster
- What is being tested?
- Herpes Zoster vaccine GSK1437173A
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,877 participants
- Where
- 178 sitesin 28 countries
- Study dates
- 13 Jul 2012to 1 Feb 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Study entry (enrollment) occurs at the Pre-vaccination visit.
- Subjects who the investigator believes can and will comply with the requirements of the protocol.
- Written informed consent obtained from the subject.
- A male or female aged 18 years or older at the time of study entry.
- Has undergone or will undergo autologous HCT within 50-70 days prior to the first vaccination with the study vaccine/placebo, and there are no plans for additional HCTs.
- Female subjects of non-childbearing potential may be enrolled in the study. For this study population, non-childbearing potential is defined as current tubal ligation, hysterectomy, ovariectomy or post-menopause.
- OR Female subjects of childbearing potential may be enrolled in the study, if the subject has practiced adequate contraception for 30 days prior to vaccination with the study vaccine/placebo, and has a negative pregnancy test on the day of vaccination, and has agreed to continue adequate contraception during the entire treatment period and for 12 months after completion of the vaccination series (i.e., until Month 13).
Who cannot join
- Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine/placebo, or planned use during the study period. However, the investigational use of a registered or non-registered product to treat the subject's underlying disease for which the HCT was undertaken, or a complication of the underlying disease, is allowed.
- Previous vaccination against HZ or varicella within the 12 months preceding the first dose of study vaccine/placebo.
- Planned administration during the study of a HZ vaccine other than the study vaccine.
- Occurrence of a varicella or HZ episode by clinical history within the 12 months preceding the first dose of study vaccine/placebo.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine or study material and equipment.
- Prophylactic antiviral therapy with activity against Varicella Zoster Virus (VZV) expected to last more than 6 months after transplantation.
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- Administration and/or planned administration of a vaccine not foreseen by the study protocol between HCT and 30 days after the last dose of study vaccine/placebo. However, licensed non-replicating vaccines may be administered up to 8 days prior to dose 1and/or 2, and/or at least 14 days after any dose of study vaccine/placebo.
- HIV infection by clinical history.
- Pregnant or lactating female.
- Female planning to become pregnant or planning to discontinue contraceptive precautions (if of childbearing potential) before Month 13 (i.e., one year after the last dose of study vaccine/placebo).
Trial locations and contacts
178 sites in 28 countries.
178 sites in 28 countries
Spain24 sites
GSK Investigational Site
A Coruña, 15006
GSK Investigational Site
Badalona/Barcelona, 08916
GSK Investigational Site
Barcelona, 08025
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
León, 24008
GSK Investigational Site
Madrid, 28009
GSK Investigational Site
Madrid, 28033
GSK Investigational Site
Madrid, 28034
GSK Investigational Site
Madrid, 28040
GSK Investigational Site
Madrid, 28041
GSK Investigational Site
Madrid, 28050
GSK Investigational Site
Madrid, 28911
GSK Investigational Site
Madrid
GSK Investigational Site
Majadahonda (Madrid), 28222
GSK Investigational Site
Málaga, 29010
GSK Investigational Site
Murcia, 30008
GSK Investigational Site
Murcia (El Palmar), 30120
GSK Investigational Site
Oviedo, 33006
GSK Investigational Site
Pozuelo de Alarcón/Madrid, 28223
GSK Investigational Site
San Sebastián, 20014
GSK Investigational Site
Santander, 39008
GSK Investigational Site
Valencia, 46010
GSK Investigational Site
Valencia, 46026
United States23 sites
GSK Investigational Site
Aurora, Colorado, 80045
GSK Investigational Site
Boston, Massachusetts, 02111
GSK Investigational Site
Boston, Massachusetts, 02114
GSK Investigational Site
Boston, Massachusetts, 02115
GSK Investigational Site
Chapel Hill, North Carolina, 27599
GSK Investigational Site
Cleveland, Ohio, 44195
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Detroit, Michigan, 48201
GSK Investigational Site
Duarte, California, 91010
GSK Investigational Site
Durham, North Carolina, 27705
GSK Investigational Site
Hackensack, New Jersey, 07601
GSK Investigational Site
Lexington, Kentucky, 40536
GSK Investigational Site
Marshfield, Wisconsin, 54449
GSK Investigational Site
Minneota, Minnesota, 55455
GSK Investigational Site
New York, New York, 10021
GSK Investigational Site
Philadelphia, Pennsylvania, 19104
GSK Investigational Site
Philadelphia, Pennsylvania, 19107
GSK Investigational Site
Rochester, Minnesota, 55905
GSK Investigational Site
San Francisco, California, 94143
GSK Investigational Site
Seattle, Washington, 98108
GSK Investigational Site
Seattle, Washington, 98109-1024
GSK Investigational Site
Syracuse, New York, 13210
GSK Investigational Site
Westwood, Kansas, 66205
Germany13 sites
GSK Investigational Site
Bayreuth, Bavaria, 95445
GSK Investigational Site
Berlin, 10117
GSK Investigational Site
Berlin, 12200
GSK Investigational Site
Berlin, 12351
GSK Investigational Site
Bonn, North Rhine-Westphalia, 53127
GSK Investigational Site
Eschweiler, North Rhine-Westphalia, 52249
GSK Investigational Site
Heidelberg, Baden-Wurttemberg, 69120
GSK Investigational Site
Kiel, Schleswig-Holstein, 24105
GSK Investigational Site
Mannheim, Baden-Wurttemberg, 68167
GSK Investigational Site
Munich, Bavaria, 81545
GSK Investigational Site
Münster, North Rhine-Westphalia, 48149
GSK Investigational Site
Velbert, North Rhine-Westphalia, 42551
GSK Investigational Site
Würzburg, Bavaria, 97080
Japan12 sites
GSK Investigational Site
Fukuoka, 811-1395
GSK Investigational Site
Gunma, 377-0280
GSK Investigational Site
Hiroshima, 737-0023
GSK Investigational Site
Hiroshima, 739-0651
GSK Investigational Site
Hyōgo, 650-0047
GSK Investigational Site
Kumamoto, 860-0008
GSK Investigational Site
Nagasaki, 856-8562
GSK Investigational Site
Niigata, 951-8566
GSK Investigational Site
Okayama, 700-8558
GSK Investigational Site
Okayama, 701-1192
GSK Investigational Site
Shizuoka, 411-8777
GSK Investigational Site
Tokyo, 113-8677
Australia9 sites
GSK Investigational Site
Box Hill, Victoria, 3128
GSK Investigational Site
Darlinghurst, New South Wales, 2010
GSK Investigational Site
East Melbourne, Victoria, 3002
GSK Investigational Site
Heidelberg, Victoria, 3084
GSK Investigational Site
Hobart, Tasmania, 7000
GSK Investigational Site
Parkville, Victoria, 3050
GSK Investigational Site
Waratah, New South Wales, 2298
GSK Investigational Site
Westmead, New South Wales, 2145
GSK Investigational Site
Woodville, South Australia, 5011
South Korea9 sites
GSK Investigational Site
Daegu, 700-721
GSK Investigational Site
Incheon, 405-760
GSK Investigational Site
Jellanamdo, 519-809
GSK Investigational Site
Jeonju, 561-712
GSK Investigational Site
Kyunggi-do, 410-769
GSK Investigational Site
Seoul, 110-744
GSK Investigational Site
Seoul, 120-752
GSK Investigational Site
Seoul, 135-710
GSK Investigational Site
Seoul, 137-701
Belgium8 sites
GSK Investigational Site
Antwerp, 2060
GSK Investigational Site
Bruges, 8000
GSK Investigational Site
Brussels, 1000
GSK Investigational Site
Ghent, 9000
GSK Investigational Site
Hasselt, 3500
GSK Investigational Site
Jette, 1090
GSK Investigational Site
Leuven, 3000
GSK Investigational Site
Liège, 4000
Italy8 sites
GSK Investigational Site
Aviano (PN), Friuli Venezia Giulia, 33081
GSK Investigational Site
Cona (FE), Emilia-Romagna, 44124
GSK Investigational Site
Meldola (FC), Emilia-Romagna, 47014
GSK Investigational Site
Novara, Piedmont, 28100
GSK Investigational Site
Ravenna, Emilia-Romagna
GSK Investigational Site
Rimini, Emilia-Romagna, 47900
GSK Investigational Site
Rozzano (MI), Lombardy, 20089
GSK Investigational Site
Udine, Friuli Venezia Giulia, 33100
United Kingdom8 sites
GSK Investigational Site
Airdrie, Lanarkshire, ML6 0JS
GSK Investigational Site
Bournemouth, BH7 7DW
GSK Investigational Site
Cottingham, HU16 5JQ
GSK Investigational Site
Headington, Oxford, OX3 7LE
GSK Investigational Site
Leeds, LS9 7TF
GSK Investigational Site
Manchester, M13 9WL
GSK Investigational Site
Manchester, M20 4BX
GSK Investigational Site
Swindon, Wiltshire, SN3 6BB
France7 sites
GSK Investigational Site
Clermont-Ferrand, 63003
GSK Investigational Site
Créteil, 94010
GSK Investigational Site
Grenoble, 38043
GSK Investigational Site
Marseille, 13273
GSK Investigational Site
Montpellier, 34295
GSK Investigational Site
Pessac, 33604
GSK Investigational Site
Rouen, 76038
Russia7 sites
GSK Investigational Site
Moscow, 105 229
GSK Investigational Site
Moscow, 125101
GSK Investigational Site
Novosibirsk, 630099
GSK Investigational Site
Petrozavodsk, 185019
GSK Investigational Site
Saint Petersburg, 194291
GSK Investigational Site
Saint Petersburg, 197110
GSK Investigational Site
St'Petersburg, 191024
Canada6 sites
GSK Investigational Site
Montreal, Quebec, H2L 4M1
GSK Investigational Site
Québec, Quebec, G1J 1Z4
GSK Investigational Site
Saint John, New Brunswick, E2L 4L2
GSK Investigational Site
Saskatoon, Saskatchewan, S7N 4H4
GSK Investigational Site
Toronto, Ontario, M5G 2M9
GSK Investigational Site
Vancouver, British Columbia, V5Z 1M9
Greece5 sites
GSK Investigational Site
Athens, 106 76
GSK Investigational Site
Athens, 115 27
GSK Investigational Site
Athens, 11527
GSK Investigational Site
Athens, 151 23
GSK Investigational Site
Thessaloniki, 57010
Turkey (Türkiye)5 sites
GSK Investigational Site
Ankara, 06100
GSK Investigational Site
Ankara, 06500
GSK Investigational Site
Ankara
GSK Investigational Site
Istanbul, 34481
GSK Investigational Site
Izmir
Czechia4 sites
GSK Investigational Site
Hradec Králové
GSK Investigational Site
Olomouc, 775 20
GSK Investigational Site
Prague, 100 34
GSK Investigational Site
Prague, 128 08
South Africa4 sites
GSK Investigational Site
Groenkloof, 0181
GSK Investigational Site
Moreleta Park, Pretoria, 0001
GSK Investigational Site
Parktown, Gauteng, 2193
GSK Investigational Site
Plumstead, Western Province
Taiwan4 sites
GSK Investigational Site
Kaohsiung City, 833
GSK Investigational Site
Taichung, 404
GSK Investigational Site
Taichung, 40705
GSK Investigational Site
Taoyuan Hsien, 333
Finland3 sites
GSK Investigational Site
Helsinki, 00029
GSK Investigational Site
Tampere, 33520
GSK Investigational Site
Turku, 20520
New Zealand3 sites
GSK Investigational Site
Christchurch, 8011
GSK Investigational Site
Grafton, 1003
GSK Investigational Site
Wellington, 6021
Poland3 sites
GSK Investigational Site
Gliwice, 44-101
GSK Investigational Site
Krakow, 30510
GSK Investigational Site
Warsaw, 02-776
Romania3 sites
GSK Investigational Site
Bucharest, 022328
GSK Investigational Site
Bucharest, 030171
GSK Investigational Site
Târgu Mureş, 540042
Hong Kong2 sites
GSK Investigational Site
Hong Kong
GSK Investigational Site
Tuenmen
Israel2 sites
GSK Investigational Site
Hafia, 31096
GSK Investigational Site
Jerusalem, 91120
Malaysia2 sites
GSK Investigational Site
Kuala Lumpur, 56000
GSK Investigational Site
Kuala Selangor, 68000 Ampang
About this study
Official title: Observer-blind Study to Evaluate Efficacy, Safety, and Immunogenicity of GSK Biologicals' Herpes Zoster Vaccine GSK1437173A
The purpose of this study is to evaluate the efficacy of GSK Biologicals' vaccine GSK1437173A in the prevention of Herpes zoster (HZ) in autologous haematopoietic cell transplant recipients 18 years of age and older. To this end, the study will evaluate vaccine efficacy (VE) of the GSK1437173A vaccine, administered on a 2-dose schedule, compared to placebo in reducing the risk of developing HZ in this population.
- Conditions
- Herpes Zoster
- Being tested
- Herpes Zoster vaccine GSK1437173A, Placebo
- Keywords
- Observer-blind, Efficacy, Immunogenicity, Vaccination, Safety, Adult autologous haematopoietic cell transplant recipients, Herpes Zoster
- Medical subject headings
- Herpes Zoster
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Herpes Zoster vaccine GSK1437173ABiological
2 doses administered intramuscularly (IM) in deltoid region of non-dominant arm
PlaceboBiological
2 doses administered IM in deltoid region of non-dominant arm
| Study group | Role | What they receive |
|---|---|---|
| GSK1437173A Group | Experimental | Subjects received 2 doses of the candidate HZ vaccine GSK 1437173A, administered intramuscularly (IM) in deltoid region of non-dominant arm, according to a 0, 1 Month schedule. Receives: Biological: Herpes Zoster vaccine GSK1437173A |
| Placebo Group | Placebo comparator | Subjects received 2 doses of placebo (saline solution), administered intramuscularly (IM) in deltoid region of non-dominant arm, according to a 0, 1 Month schedule. Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With Confirmed Herpes Zoster (HZ) Episode
A suspected case of HZ was defined as (1) a new rash characteristic of HZ (e.g., unilateral, dermatomal and accompanied by pain broadly defined to include allodynia, pruritus or other sensations), or a vesicular rash suggestive of VZV infection regardless of the distribution, and no alternative diagnosis; or (2) a clinical presentation (symptoms and/or signs) and specific laboratory findings* suggestive of VZV infection in the absence of characteristic HZ or VZV rash.
A suspected case of HZ was confirmed either: by Polymerase Chain Reaction (PCR) or by the HZ Ascertainment Committee (HZAC), consisting of physicians with HZ expertise.
Measured: From Month 0 until the cut-off date for final analysis (median follow-up was of 21 months)
Secondary outcomes (11)
Duration of 'Worst' HZ-associated Pain
Duration of HZ-associated pain rated as 3 or greater on the 'worst pain' Zoster Brief Pain Inventory (ZBPI) question, following the onset of a confirmed HZ rash over the entire pain reporting period in subjects with confirmed HZ; presented as T (day) [=the sum of follow-up period (for subjects without severe worst pain T is 1, for subjects with severe worst pain T is the duration of severe worst pain) expressed in days].
Measured: From Month 0 until study end (4 years approximately), from the onset of a confirmed HZ rash over the entire pain reporting period
Number of Subjects With Confirmed HZ-associated Complications
This analysis excluded complications that were linked to a confirmed HZ case that occurred after the start of the relapse treatment.
Measured: From Month 0 until the cut-off date for final analysis (median follow-up was of 21 months)
Number of Subjects With Postherpetic Neuralgia (PHN)
This analysis excluded PHN episodes that were linked to a confirmed HZ case that occurred after the start of the relapse treatment.
Measured: From Month 0 until study end (21 months median follow-up)
Antigen-glycoprotein E (gE) Antibody Concentrations in a Sub-cohort of Subjects
Anti-gE antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA), presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL). The seropositivity cut-off value was greater than or equal to (≥) 97 mIU/mL.
Measured: At Months 0, 1, 2, 13 and 25
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.
Measured: During the 7-day (Days 0-6) post-vaccination period following each dose and across doses
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Assessed solicited general symptoms were fatigue, gastrointestinal symptoms, headache, myalgia, shivering and fever [defined as axillary/tympanic temperature equal to or above 37.5 degrees Celsius (°C) or rectal temperature equal to or above 38.0 °C]. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination.
Measured: During the 7-day (Days 0-6) post-vaccination period following each dose and across doses
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.
Measured: During the 30-day (Days 0-29) post-vaccination period
Number of Subjects With Any and Related Potential Immune Mediated Diseases (pIMDs)
Potential immune-mediated diseases (pIMDs) are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.
Measured: From Month 0 up to 365 days post last vaccination
Number of Subjects With Any Relapse
Relapse was defined as the occurrence of the underlying malignancy or disease for which the HCT was undertaken.
Measured: From Month 0 until study end (approximate median of 29 months follow-up - minimum 1 year and maximum 4 years)
Number of Subjects With Any Serious Adverse Events (SAEs) and Related SAEs to GSK Study Vaccine/Placebo
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or is a congenital anomaly/birth defect in the offspring of a study subject. This enpoint also presents SAES related to the GSK study vaccine/placebo.
Measured: From Month 0 until 365 days post last vaccination (approximate median of 29 months follow-up - minimum 1 year and maximum 4 years)
Number of Subjects With Fatal SAEs and SAEs Related to Study Participation or to a GSK Concomitant Medication or Vaccination
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or is a congenital anomaly/birth defect in the offspring of a study subject. This endpoint presents fatal SAEs and SAEs related to study participation or to a concurrent GSK medication/vaccine.
Measured: From the Pre-vaccination visit (Up to 110 days prior Month 0) until study end (approximate median of 29 months follow-up minimum 1 year and maximum 4 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jun 2012 (estimated)
- Study start13 Jul 2012
- Primary completion4 Nov 2016
- Study completion1 Feb 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Herpes ZosterStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,877 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01610414
- Sponsor's protocol ID
- 115523
- Other IDs
- 2012-000138-20
- Status last verified
- Dec 2017
- First submitted
- 31 May 2012
- Last updated
- 23 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Matthews S, Curran D, Sabater Cabrera E, Boutry C, Lecrenier N, Cunningham AL, Schmader K. An Analysis of How Herpes Zoster Pain Affects Health-related Quality of Life of Placebo Patients From 3 Randomized Phase III Studies. Clin J Pain. 2023 Aug 1;39(8):386-393. doi: 10.1097/AJP.0000000000001129.
PubMed 37166199Kim JH, Johnson R, Kovac M, Cunningham AL, Amakrane M, Sullivan KM, Dagnew AF, Curran D, Schuind A. Adjuvanted recombinant zoster vaccine decreases herpes zoster-associated pain and the use of pain medication across 3 randomized, placebo-controlled trials. Pain. 2023 Apr 1;164(4):741-748. doi: 10.1097/j.pain.0000000000002760. Epub 2022 Aug 19.
PubMed 36066965Curran D, Matthews S, Rowley SD, Young JH, Bastidas A, Anagnostopoulos A, Barista I, Chandrasekar PH, Dickinson M, El Idrissi M, Heras I, Milliken ST, Monserrat Coll J, Navarro Matilla MB, Oostvogels L, Piatkowska-Jakubas B, Quiel D, Sabry W, Schwartz S, Selleslag DLD, Sullivan KM, Theunissen K, Yegin ZA, Yeh SP, Zaja F, Szer J; ZOE-HSCT Study group collaborators. Recombinant Zoster Vaccine Significantly Reduces the Impact on Quality of Life Caused by Herpes Zoster in Adult Autologous Hematopoietic Stem Cell Transplant Recipients: A Randomized Placebo-Controlled Trial (ZOE-HSCT). Biol Blood Marrow Transplant. 2019 Dec;25(12):2474-2481. doi: 10.1016/j.bbmt.2019.07.036. Epub 2019 Aug 5.
PubMed 31394276Bastidas A, de la Serna J, El Idrissi M, Oostvogels L, Quittet P, Lopez-Jimenez J, Vural F, Pohlreich D, Zuckerman T, Issa NC, Gaidano G, Lee JJ, Abhyankar S, Solano C, Perez de Oteyza J, Satlin MJ, Schwartz S, Campins M, Rocci A, Vallejo Llamas C, Lee DG, Tan SM, Johnston AM, Grigg A, Boeckh MJ, Campora L, Lopez-Fauqued M, Heineman TC, Stadtmauer EA, Sullivan KM; ZOE-HSCT Study Group Collaborators. Effect of Recombinant Zoster Vaccine on Incidence of Herpes Zoster After Autologous Stem Cell Transplantation: A Randomized Clinical Trial. JAMA. 2019 Jul 9;322(2):123-133. doi: 10.1001/jama.2019.9053.
PubMed 31287523
Study at a glance
From the registry record, last updated by the sponsor on 23 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Observer-blind Study to Evaluate Efficacy, Safety, and Immunogenicity of GSK Biologicals' Herpes Zoster Vaccine GSK1437173A
- ClinicalTrials.gov ID
- NCT01610414
- Acronym / sponsor ID
- 115523
- Conditions
- Herpes Zoster
- Keywords
- Observer-blind, Efficacy, Immunogenicity, Vaccination, Safety, Adult autologous haematopoietic cell transplant recipients, Herpes Zoster
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,877 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 13 Jul 2012 (actual)
- Primary completion
- 4 Nov 2016 (actual)
- Study completion
- 1 Feb 2017 (actual)
- First posted
- 4 Jun 2012 (estimated)
- Results
- Posted 23 Jan 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy of GSK Biologicals' vaccine GSK1437173A in the prevention of Herpes zoster (HZ) in autologous haematopoietic cell transplant recipients 18 years of age and older. To this end, the study will evaluate vaccine efficacy (VE) of the GSK1437173A vaccine, administered on a 2-dose schedule, compared to placebo in reducing the risk of developing HZ in this population.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GSK1437173A Group | Experimental | Biological: Herpes Zoster vaccine GSK1437173ASubjects received 2 doses of the candidate HZ vaccine GSK 1437173A, administered intramuscularly (IM) in deltoid region of non-dominant arm, according to a 0, 1 Month schedule. |
| Placebo Group | Placebo comparator | Biological: PlaceboSubjects received 2 doses of placebo (saline solution), administered intramuscularly (IM) in deltoid region of non-dominant arm, according to a 0, 1 Month schedule. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Study entry (enrollment) occurs at the Pre-vaccination visit.
- Subjects who the investigator believes can and will comply with the requirements of the protocol.
- Written informed consent obtained from the subject.
- A male or female aged 18 years or older at the time of study entry.
- Has undergone or will undergo autologous HCT within 50-70 days prior to the first vaccination with the study vaccine/placebo, and there are no plans for additional HCTs.
Key exclusion criteria (10 listed)
- Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine/placebo, or planned use during the study period. However, the investigational use of a registered or non-registered product to treat the subject's underlying disease for which the HCT was undertaken, or a complication of the underlying disease, is allowed.
- Previous vaccination against HZ or varicella within the 12 months preceding the first dose of study vaccine/placebo.
- Planned administration during the study of a HZ vaccine other than the study vaccine.
- Occurrence of a varicella or HZ episode by clinical history within the 12 months preceding the first dose of study vaccine/placebo.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine or study material and equipment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Herpes Zoster vaccine GSK1437173A2 doses administered intramuscularly (IM) in deltoid region of non-dominant arm | Biological | GSK1437173A Group |
| Placebo2 doses administered IM in deltoid region of non-dominant arm | Biological | Placebo Group |
Primary outcome
Number of Subjects With Confirmed Herpes Zoster (HZ) Episode
Time frame: From Month 0 until the cut-off date for final analysis (median follow-up was of 21 months)
A suspected case of HZ was defined as (1) a new rash characteristic of HZ (e.g., unilateral, dermatomal and accompanied by pain broadly defined to include allodynia, pruritus or other sensations), or a vesicular rash suggestive of VZV infection regardless of the distribution, and no alternative diagnosis; or (2) a clinical presentation (symptoms and/or signs) and specific laboratory findings* suggestive of VZV infection in the absence of characteristic HZ or VZV rash. A suspected case of HZ was confirmed either: by Polymerase Chain Reaction (PCR) or by the HZ Ascertainment Committee (HZAC), consisting of physicians with HZ expertise.
11 secondary outcomes
Duration of 'Worst' HZ-associated Pain
Time frame: From Month 0 until study end (4 years approximately), from the onset of a confirmed HZ rash over the entire pain reporting period
Number of Subjects With Confirmed HZ-associated Complications
Time frame: From Month 0 until the cut-off date for final analysis (median follow-up was of 21 months)
Number of Subjects With Postherpetic Neuralgia (PHN)
Time frame: From Month 0 until study end (21 months median follow-up)
Antigen-glycoprotein E (gE) Antibody Concentrations in a Sub-cohort of Subjects
Time frame: At Months 0, 1, 2, 13 and 25
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Time frame: During the 7-day (Days 0-6) post-vaccination period following each dose and across doses
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Time frame: During the 7-day (Days 0-6) post-vaccination period following each dose and across doses
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
Time frame: During the 30-day (Days 0-29) post-vaccination period
Number of Subjects With Any and Related Potential Immune Mediated Diseases (pIMDs)
Time frame: From Month 0 up to 365 days post last vaccination
Number of Subjects With Any Relapse
Time frame: From Month 0 until study end (approximate median of 29 months follow-up - minimum 1 year and maximum 4 years)
Number of Subjects With Any Serious Adverse Events (SAEs) and Related SAEs to GSK Study Vaccine/Placebo
Time frame: From Month 0 until 365 days post last vaccination (approximate median of 29 months follow-up - minimum 1 year and maximum 4 years)
Number of Subjects With Fatal SAEs and SAEs Related to Study Participation or to a GSK Concomitant Medication or Vaccination
Time frame: From the Pre-vaccination visit (Up to 110 days prior Month 0) until study end (approximate median of 29 months follow-up minimum 1 year and maximum 4 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37166199Matthews S, Curran D, Sabater Cabrera E, Boutry C, Lecrenier N, Cunningham AL, Schmader K. An Analysis of How Herpes Zoster Pain Affects Health-related Quality of Life of Placebo Patients From 3 Randomized Phase III Studies. Clin J Pain. 2023 Aug 1;39(8):386-393. doi: 10.1097/AJP.0000000000001129.
- Derived from this study: PubMed 36066965Kim JH, Johnson R, Kovac M, Cunningham AL, Amakrane M, Sullivan KM, Dagnew AF, Curran D, Schuind A. Adjuvanted recombinant zoster vaccine decreases herpes zoster-associated pain and the use of pain medication across 3 randomized, placebo-controlled trials. Pain. 2023 Apr 1;164(4):741-748. doi: 10.1097/j.pain.0000000000002760. Epub 2022 Aug 19.
- Derived from this study: PubMed 31394276Curran D, Matthews S, Rowley SD, Young JH, Bastidas A, Anagnostopoulos A, Barista I, Chandrasekar PH, Dickinson M, El Idrissi M, Heras I, Milliken ST, Monserrat Coll J, Navarro Matilla MB, Oostvogels L, Piatkowska-Jakubas B, Quiel D, Sabry W, Schwartz S, Selleslag DLD, Sullivan KM, Theunissen K, Yegin ZA, Yeh SP, Zaja F, Szer J; ZOE-HSCT Study group collaborators. Recombinant Zoster Vaccine Significantly Reduces the Impact on Quality of Life Caused by Herpes Zoster in Adult Autologous Hematopoietic Stem Cell Transplant Recipients: A Randomized Placebo-Controlled Trial (ZOE-HSCT). Biol Blood Marrow Transplant. 2019 Dec;25(12):2474-2481. doi: 10.1016/j.bbmt.2019.07.036. Epub 2019 Aug 5.
- Derived from this study: PubMed 31287523Bastidas A, de la Serna J, El Idrissi M, Oostvogels L, Quittet P, Lopez-Jimenez J, Vural F, Pohlreich D, Zuckerman T, Issa NC, Gaidano G, Lee JJ, Abhyankar S, Solano C, Perez de Oteyza J, Satlin MJ, Schwartz S, Campins M, Rocci A, Vallejo Llamas C, Lee DG, Tan SM, Johnston AM, Grigg A, Boeckh MJ, Campora L, Lopez-Fauqued M, Heineman TC, Stadtmauer EA, Sullivan KM; ZOE-HSCT Study Group Collaborators. Effect of Recombinant Zoster Vaccine on Incidence of Herpes Zoster After Autologous Stem Cell Transplantation: A Randomized Clinical Trial. JAMA. 2019 Jul 9;322(2):123-133. doi: 10.1001/jama.2019.9053.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
178 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Herpes Zoster vaccine GSK1437173A in people with Herpes Zoster, run by GlaxoSmithKline at 178 sites in 28 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 178 sites in Spain, United States, Germany, Japan, Australia and 23 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Jan 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Subjects With Confirmed Herpes Zoster (HZ) Episode (time frame: From Month 0 until the cut-off date for final analysis (median follow-up was of 21 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01610414, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2018.