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Herpes ZosterPhase 3NCT02581410

Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine (GSK1437173A) in Adults ≥ 65 Years of Age With and Without Zostavax® Vaccination at Least 5 Years Earlier

A Phase 3 study testing GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A) in people with Herpes Zoster, run by GlaxoSmithKline at 32 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the immunogenicity and safety of GSK Biologicals' HZ/su vaccine in adults ≥ 65 years of age with and without Zostavax® vaccination at least 5 years earlier. Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Herpes Zoster
What is being tested?
GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
430 participants
Where
32 sitesUnited States
Study dates
15 Dec 2015to 1 Aug 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 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  • A male or female ≥ 65 years of age at the time of the first vaccination.
  • Written informed consent obtained from the subject prior to performing any study specific procedure.
  • For the No prev-Zvax group only:
  • No previous vaccination with Zostavax.
  • For the Prev-Zvax group only:
  • Previous vaccination with Zostavax ≥ 5 calendar years earlier.
  • Documentation indicating the date of previous Zostavax vaccination will be required.

Who cannot join

  • Previous vaccination with Zostavax < 5 calendar years earlier and/or anyone that ever received more than a single dose of Zostavax.
  • Previous vaccination against VZV, administration of HZ/su vaccine or any other investigational or non-registered HZ vaccine (except Zostavax for the Prev-Zvax group).
  • Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before the first dose of study vaccine, or planned use during the study period.
  • Chronic administration (defined as > 14 consecutive days) of immunosuppressants or other immune-modifying drugs in the period starting 6 months prior to the first dose of vaccine. (For corticosteroids, a prednisone dose of < 20 mg/day, or equivalent, is allowed.) Inhaled, topical and intra-articular corticosteroids are allowed.
  • Administration of long-acting immune-modifying drugs (e.g., infliximab) in the period starting 6 months prior to the first vaccine dose or expected administration at any time during the study period.
  • Administration or planned administration of a live vaccine in the period starting 30 days before the first dose of study vaccine and ending 30 days after the last dose of study vaccine, or, administration or planned administration of a non-replicating vaccine in the period starting 8 days prior to and ending 14 days after either dose of study vaccine.
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  • Current participation in or planned concurrent participation in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.
  • Planned administration of an HZ vaccine (including an investigational or non-registered vaccine) other than the study vaccine during the entire study.
  • History of HZ or any suspected HZ between the screening visit and Visit 1.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine/product.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease (e.g., malignancy, human immunodeficiency virus [HIV] infection) or immunosuppressive/cytotoxic therapy (e.g., medications used during cancer chemotherapy, organ transplantation or to treat autoimmune disorders).
  • Acute disease and/or fever at the time of enrolment.
  • Fever is defined as temperature ≥ 37.5°C (99.5°F) by oral route, axillary or tympanic setting, or ≥ 38.0°C/100.4°F on rectal setting. The recommended route for recording temperature in this study will be oral.
  • Subjects with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator.
  • Administration of immunoglobulins and/or any blood products in the period starting 3 months preceding the first dose of study vaccine or planned administration during the study period.
  • Significant underlying illness that, in the opinion of the investigator, would be expected to prevent completion of the study.
  • Any other condition that, in the opinion of the investigator, might interfere with the evaluations required by the study.
  • Any condition which, in the judgment of the investigator, would make intramuscular (IM) injection unsafe.

Trial locations and contacts

32 sites in 1 country.

32 sites in 1 country

United States32 sites
  • GSK Investigational Site

    Auburn, Maine, 04210

  • GSK Investigational Site

    Binghamton, New York, 13901

  • GSK Investigational Site

    Boise, Idaho, 83642

  • GSK Investigational Site

    Charlotte, North Carolina, 28209

  • GSK Investigational Site

    Cleveland, Ohio, 44122

  • GSK Investigational Site

    Columbia, Maryland, 21045

  • GSK Investigational Site

    Corvallis, Oregon, 97330

  • GSK Investigational Site

    Daly City, California, 94015

  • GSK Investigational Site

    Eau Claire, Wisconsin, 54701

  • GSK Investigational Site

    Elkridge, Maryland, 21075

  • GSK Investigational Site

    Endwell, New York, 13760

  • GSK Investigational Site

    Erie, Pennsylvania, 16506

  • GSK Investigational Site

    Erie, Pennsylvania, 16508

  • GSK Investigational Site

    Huntsville, Alabama, 35802

  • GSK Investigational Site

    Layton, Utah, 84041

  • GSK Investigational Site

    Lenexa, Kansas, 66219

  • GSK Investigational Site

    Los Gatos, California, 95032

  • GSK Investigational Site

    Marlborough, Massachusetts, 01752

  • GSK Investigational Site

    Marshfield, Wisconsin, 54449

  • GSK Investigational Site

    Mt. Pleasant, South Carolina, 29464

  • GSK Investigational Site

    Newport News, Virginia, 23606

  • GSK Investigational Site

    Newton, Kansas, 67114

  • GSK Investigational Site

    Oakland, California, 94612

  • GSK Investigational Site

    Philadelphia, Pennsylvania, 19107

  • GSK Investigational Site

    Roseville, California, 95661

  • GSK Investigational Site

    Salt Lake City, Utah, 84109

  • GSK Investigational Site

    Salt Lake City, Utah, 84121

  • GSK Investigational Site

    Santa Rosa, California, 95405

  • GSK Investigational Site

    South Jordan, Utah, 84095

  • GSK Investigational Site

    Spartanburg, South Carolina, 29303

  • GSK Investigational Site

    Uniontown, Pennsylvania, 15401

  • GSK Investigational Site

    Wichita, Kansas, 67207

Other trials in United States

About this study

Official title: Immunogenicity and Safety Study of GSK Biologicals' Herpes Zoster Vaccine GSK1437173A in Adults ≥ 65 Years of Age With and Without Zostavax® Vaccination at Least 5 Years Earlier

The purpose of this study is to evaluate the immunogenicity and safety of GSK Biologicals' HZ/su vaccine in adults ≥ 65 years of age with and without Zostavax® vaccination at least 5 years earlier.

Read the detailed description

The study will evaluate two parallel groups of 200 adults ≥ 65 YOA; one group (Prev-Zvax) with a previous Zostavax® vaccination at least 5 years earlier, versus the other group without a previous Zostavax® vaccination (No prev-Zvax). The goal of this study is to generate immunogenicity, safety and reactogenicity data for the respective vaccines.

Conditions
Herpes Zoster
Being tested
GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A)
Keywords
Zostavax®, ≥ 65 years of age, Herpes Zoster, Shingles, Immunogenicity, Safety
Medical subject headings
Herpes Zoster

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A)Biological

    2 doses administered by intramuscular (IM) injection into the deltoid muscle of the non-dominant arm.

Study groups in NCT02581410
Study groupRoleWhat they receive
GSK1437173A GroupExperimentalSubjects ≥ 65 years of age who received Zostavax vaccine ≥ 5 years earlier and received 2 doses of the HZ/su vaccine (first dose given at Month 0 and second dose given 2 months later) in this study.
Receives: Biological: GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A)
Control GroupActive comparatorSubjects ≥ 65 years of age who never received Zostavax vaccine and received 2 doses of the HZ/su vaccine (first dose given at Month 0 and second dose given 2 months later) in this study.
Receives: Biological: GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Anti-glycoprotein E (Anti-gE) Antibody (Ab) Concentrations

    Varicella Zoster Virus (VZV) gE Ab.Immunoglobulin G (IgG) was determined by Enzyme Linked Immunosorbent Assay (ELISA). Concentrations are presented as geometric mean concentrations (GMCs), expressed in milliinternational units per millilitre (mIU/mL). Geometric mean antibody concentrations were adjusted for group-matching variable.

    Measured: One month after dose 2, at Month 3

  2. Number of Subjects With Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = Occurrence of the symptom regardless of its intensity grade. Grade 3 pain = Significant pain at rest that prevented normal everyday activities. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.

    Measured: During the 7-day (Days 0-6) period after each dose.

  3. Number of Days With Solicited Local Symptoms

    Solicited local symptoms were assessed during the 7-day (Days 0-6) period after each dose.

    Measured: During the 7-day (Days 0-6) period after each dose.

  4. Number of Subjects With Solicited General Symptoms

    Assessed solicited general symptoms were fatigue, gastrointestinal symptoms (included nausea, vomiting, diarrhea and/or abdominal pain), headache, myalgia, shivering and fever [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)] . Any = Occurrence of the symptom regardless of its intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

    Measured: During the 7-day (Days 0-6) period after each dose.

  5. Number of Days With Solicited General Symptoms

    Solicited general symptoms were assessed during the 7-day (Days 0-6) period after each dose.

    Measured: During the 7-day (Days 0-6) period after each dose.

  6. Number of Subjects With Any, Grade 3 and Related Unsolicited Symptoms (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) period after each dose.

  7. Number of Subjects With Any and Related Serious Adverse Events (SAEs)

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Related SAE = SAE assessed by the investigator as related to the vaccination.

    Measured: From first vaccination (Month 0) up to 30 days post last vaccination (Month 3)

  8. Number of Subjects With Any Potential Immune-mediated Diseases (pIMDs)

    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 first vaccination (Month 0) up to 30 days post last vaccination (Month 3)

Secondary outcomes (4)
  1. Anti-gE Ab Concentrations

    VZV gE IgG antibody concentrations were determined by ELISA. Concentrations are presented as geometric mean concentrations (GMCs), expressed in milliinternational units per millilitre (mIU/mL).

    Measured: At Months 0, 1, 3 and 14.

  2. Frequencies of gE-specific Cluster of Differentiation 4 (CD4+) T-cells

    gE-specific CD4+ T-cells, expressing at least two activation markers (from among interferon gamma [IFN-γ], interleukin-2 [IL-2], tumour necrosis factor alpha [TNF-α] and cluster of differentiation 40-ligand [CD40L]), as determined by in vitro Intracellular Cytokine Staining (ICS).

    Measured: At Months 0, 1, 3 and 14.

  3. Number of Subjects With Any and Related SAEs

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Related SAE = SAE assessed by the investigator as related to the vaccination.

    Measured: From 30 days post last vaccination (Month 3) until study end at Month 14

  4. Number of Subjects With Any pIMDs

    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 30 days post last vaccination (Month 3) until study end at Month 14

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Oct 2015 (estimated)
  2. Study start15 Dec 2015
  3. Primary completion30 Aug 2016
  4. Study completion1 Aug 2017

Resources

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
430 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02581410
Sponsor's protocol ID
201198
Status last verified
Jul 2018
First submitted
19 Oct 2015
Last updated
28 Aug 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Dagnew AF, Klein NP, Herve C, Kalema G, Di Paolo E, Peterson J, Salaun B, Schuind A. The Adjuvanted Recombinant Zoster Vaccine in Adults Aged >/=65 Years Previously Vaccinated With a Live-Attenuated Herpes Zoster Vaccine. J Infect Dis. 2021 Oct 13;224(7):1139-1146. doi: 10.1093/infdis/jiaa083.

    PubMed 32103273
  • Grupping K, Campora L, Douha M, Heineman TC, Klein NP, Lal H, Peterson J, Vastiau I, Oostvogels L. Immunogenicity and Safety of the HZ/su Adjuvanted Herpes Zoster Subunit Vaccine in Adults Previously Vaccinated With a Live Attenuated Herpes Zoster Vaccine. J Infect Dis. 2017 Dec 12;216(11):1343-1351. doi: 10.1093/infdis/jix482.

    PubMed 29029122

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GSK Biologicals Herpes Zoster subunit (HZ/su) vaccine (GSK 1437173A) in people with Herpes Zoster, run by GlaxoSmithKline at 32 sites in United States.

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 8 inclusion and 18 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 28 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States. 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. 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 26 Sep 2017). 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?

Anti-glycoprotein E (Anti-gE) Antibody (Ab) Concentrations (time frame: One month after dose 2, at Month 3). The study lists 8 primary outcomes in all. 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 NCT02581410, which also lists 2 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 28 Aug 2018.

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