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Prevention of : Herpes-ZosterPhase 3NCT00561080

Immunogenicity and Safety of a 1-dose Regimen of a Zoster Vaccine Versus Different 2-dose Regimens in Participants ≥ 70 Years of Age. (V211-043)

A Phase 3 study testing Zostavax in people with Prevention of : Herpes-Zoster, run by Merck Sharp & Dohme LLC.

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

Primary objective: Immunogenicity To demonstrate that a second dose of ZOSTAVAX® elicits higher varicella-zoster virus (VZV) antibody titres than a first dose of ZOSTAVAX® whether given as a 0-1 month schedule or as a 0-3 month schedule in subjects ≥70 years of age as measured at 4 weeks post-vaccination Secondary… Read more about this study

Who is it for?
Ages 70 years and olderHealthy volunteers can take part
Conditions the study is for
Prevention of : Herpes-Zoster
What is being tested?
Zostavax
Could I receive a placebo?
No, everyone receives an active treatment
How many people
759 participants
Where
No sites listed yet
Study dates
26 Oct 2007to 3 Jun 2009
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 70 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Age ≥ 70 years
  • Varicella history-positive or residence for > 30 years in a country with endemic VZV infection
  • Signed informed consent form prior to any study procedure

Who cannot join

  • Febrile illness within the last 72 hours before the first vaccination
  • Prior herpes-zoster episode clinically diagnosed by a physician
  • Prior receipt of varicella or zoster vaccine
  • Exposure to varicella or herpes-zoster within the 4 weeks prior to the first vaccination
  • Significant underlying illness preventing completion of the study vaccination schedules,
  • Known active tuberculosis,
Show all 12Show fewer
  • Immune deficiency disorder, including active neoplastic disease within the prior 5 years,
  • Immune function impairment caused by medical condition or immunosuppressive therapy, or any other cause,
  • Receipt of any inactivated vaccine within the 2 weeks prior to the first vaccination,
  • Receipt of any other live vaccine within the 4 weeks prior to the first vaccination,
  • Receipt of immunoglobulins or blood-derived products within the 5 months prior to the first vaccination,
  • Concomitant use of non-topical antiviral therapy

About this study

Official title: An Open-label, Randomised, Comparative, Multi-centre Study of the Immunogenicity and Safety of a 1-dose Regimen and Different 2-dose Regimens of a Zoster Vaccine (Live), ZOSTAVAX ®, in Subjects ≥ 70 Years of Age

Primary objective:

Immunogenicity To demonstrate that a second dose of ZOSTAVAX® elicits higher varicella-zoster virus (VZV) antibody titres than a first dose of ZOSTAVAX® whether given as a 0-1 month schedule or as a 0-3 month schedule in subjects ≥70 years of age as measured at 4 weeks post-vaccination

Read more

Secondary objectives Immunogenicity

  • To summarise the VZV antibody titres at 4 weeks post-vaccination after a 1-dose regimen and 4 weeks post-vaccination after each dose of each 2-doses regimen of ZOSTAVAX®.
  • To compare the VZV antibody titres at 12 months after completion of a 1-dose regimen with the VZV antibody titres at 12 months after completion of each 2-doses regimen of ZOSTAVAX®
  • To summarise the VZV antibody titres at 24 and 36 months after completion of a 1-dose regimen and at 24 and 36 months after completion of each 2-doses regimen of ZOSTAVAX®
Being tested
Zostavax

What participants receive

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

  • ZostavaxBiological

    Also called Zoster vaccine live

Study groups in NCT00561080
Study groupRoleWhat they receive
Single Dose of ZostavaxExperimentalZostavax 0.65mL intramuscular injection administered on Day 0
Receives: Biological: Zostavax
Zostavax - Day 0 and Month 1ExperimentalZostavax 0.65mL intramuscular injection administered on Day 0 and Month 1
Receives: Biological: Zostavax
Zostavax - Day 0 and Month 3ExperimentalZostavax 0.65mL intramuscular injection administered on Day 0 and Month 3
Receives: Biological: Zostavax

What is being measured

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

  1. Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3

    Blood samples taken at 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via Glycoprotein Enzyme Linked Immunosorbent Assay (gpELISA).

    Measured: 4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)

Secondary outcomes (22)
  1. Geometric Mean Titer (GMT) of VZV Antibodies 4 Weeks After Vaccination: Group 1

    Blood sample taken at 4 weeks post vaccination to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA.

    Measured: 4 weeks post-dose (Month 1)

  2. Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3

    Blood sample taken at predose (Day 0) and 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA. The GMFR was calculated following each vaccination as GMT Post-dose/GMT Pre-vaccination

    Measured: Predose and 4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)

  3. Geometric Mean Titre of VZV Antibodies 12 Months Post-last Dose

    Blood sample taken at 1 year post last vaccination to determine the geometric mean titer (GMT) of varicella antibodies via gpELISA.

    Measured: 1 year post final dose for Groups 1, 2, and 3 (Group 1: Month 12; Group 2: 13 Month 13; and Group 3: Month 15)

  4. Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 12 Months Post-dose 1 in Group 1 And From Pre-Vaccination To 12 Months Post-dose 2 in Groups 2 and 3

    Blood sample taken at predose and 1 year post last vaccination to determine the GMFR of varicella antibodies via gpELISA. Geometric mean fold rise was calculated for each arm as GMT 12-month post last dose divided by pre-vaccination GMT.

    Measured: predose 1 and 1 year post-last dose (Group 1: Month 12; Group 2: 13 Month 13; and Group 3: Month 15)

  5. Geometric Mean Titre (GMT) of VZV Antibodies 24 and 36 Months Post-dose 1 in Group 1 and the 24 and 36 Months Post-dose 2 in Groups 2 and 3

    Blood sample taken at 36 months post last-vaccination to determine the geometric mean titer (GMT) of varicella antibodies via gpELISA.

    Measured: 24 and 36 months post-last dose

  6. Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 24 And 36 Months Post-dose 1 in Group 1 and From Pre-vaccination To 24 And 36 Months Post-dose 2 in Groups 2 and 3

    Blood samples were to be taken at predose and 24 months post- last vaccination in Groups 1 , 2, and 3 to determine the GMFR of varicella antibodies via gpELISA. Geometric mean fold rise was to be calculated for each arm as GMT 24-month post last dose divided by pre-vaccination GMT.

    Measured: Predose 1 and 24 and 36 months post-last dose

  7. Percentage of Participants Who Reported a Solicited Injection Site Reaction : Post-dose 1

    Participants entered data into daily dairy card regarding previously identified possible injection site reactions of erythema, injection site swelling or injection site pain

    Measured: up to 4 days after 1st vaccination

  8. Percentage of Participants Who Reported a Solicited Injection Site Reaction: Post-dose 2

    Participants entered data into daily dairy card regarding previously identified possible injection site reactions of erythema, injection site swelling or injection site pain

    Measured: up to 4 days after 2nd vaccination

  9. Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 1

    The percentage of participants who reported an injection site reaction that was not specifically prompted by the diary card within 28 day of 1st vaccination was recorded.

    Measured: up to 28 days after 1st of study drug

  10. Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 2

    The percentage of participants that reported an injection site reaction that was not specifically prompted by the diary card within 28 days post-dose 2 was recorded.

    Measured: up to 28 days post-dose 2

  11. Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-dose 1

    Percentage of participants who reported herpes zoster or zoster-like rash following the 1st dose of vaccine were recorded.

    Measured: up to 28 days post-dose 1

  12. Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-Dose 2

    Percentage of participants who reported herpes zoster or zoster-like rash following the 2nd dose of vaccine were recorded.

    Measured: up to 28 days post-dose 2

  13. Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 1

    Percentage of participants that reported varicella or varicella-like rash following the 1st dose of vaccine were recorded.

    Measured: up to 28 days post-dose 1

  14. Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 2

    Percentage of participants that reported varicella or varicella-like rash following the 2nd dose of vaccine were recorded.

    Measured: up to 28 days post-dose 2

  15. Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 1

    An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) were summarized

    Measured: up to 28 days after 1st vaccination

  16. Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 2

    An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) were summarized,

    Measured: up to 28 days after 2nd vaccination

  17. Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 1

    An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) and were reported as at least possibly related to the vaccine were summarized

    Measured: up to 28 days after 1st vaccination

  18. Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 2

    An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) and were reported as at least possibly related to the vaccine were summarized,

    Measured: up to 28 days after 2nd vaccination

  19. Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 1

    A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement. The percentage of participants who reported an SAE within 28 days of 1st dose of vaccine were recorded.

    Measured: up to 28 days after 1st vaccination

  20. Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 2

    A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement. The percentage of participants who reported an SAE within 28 days of 1st dose of vaccine were recorded.

    Measured: up to 28 days after 2nd vaccination

  21. Percentage of Participants Who Reported a Vaccine-related Serious Adverse Event

    A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement. The percentage of participants who reported an SAE during the entire study period that was considered at least possibly -related to the vaccine were recorded.

    Measured: up to end of study (approximately 15 months)

  22. Percentage of Participants Who Died During the Study

    The number of participants who died for any reason during the study was summarized.

    Measured: up to end of study (approximately 15 months)

Timeline

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

  1. First posted20 Nov 2007 (estimated)
  2. Study start26 Oct 2007
  3. Primary completion3 Jun 2009
  4. Study completion3 Jun 2009

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
759 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00561080
Sponsor's protocol ID
V211-043
Other IDs
X06-Z-305, 2007-000744-28
Status last verified
Dec 2018
First submitted
19 Nov 2007
Last updated
11 Jan 2019
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Publications

  • Vesikari T, Hardt R, Rumke HC, Icardi G, Montero J, Thomas S, Sadorge C, Fiquet A. Immunogenicity and safety of a live attenuated shingles (herpes zoster) vaccine (Zostavax(R)) in individuals aged >/= 70 years: a randomized study of a single dose vs. two different two-dose schedules. Hum Vaccin Immunother. 2013 Apr;9(4):858-64. doi: 10.4161/hv.23412. Epub 2013 Jan 14.

    PubMed 23319176

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Zostavax in people with Prevention of : Herpes-Zoster, run by Merck Sharp & Dohme LLC.

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 3 inclusion and 12 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 11 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

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 22 Dec 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?

Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3 (time frame: 4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)). 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 NCT00561080, which also lists 1 linked publication.

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 11 Jan 2019.

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