Herpes ZosterNCT03563183
A Study to Assess Frailty of Subjects During ZOSTER-006 and ZOSTER-022
An observational study of Herpes Zoster, run by GlaxoSmithKline at 169 sites in 18 countries.
Trial summary
As part of the ZOSTER-006 and ZOSTER-022 pivotal trials of the HZ/su vaccine, all study participants completed quality of life (QoL) questionnaires. The only questionnaires encoded into the data base were those from participants who developed a suspected shingles episode during the study. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Herpes Zoster
- What is being tested?
- Encoding of data collected in Zoster 006 and Zoster 022 studies
- Type of treatment
- Vaccines
- How many people
- 26,976 participants
- Where
- 169 sitesin 18 countries
- Study dates
- 5 Jun 2018to 30 Apr 2019
- Phase
- Observational
- 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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: All subjects enrolled in the Zoster 006 and Zoster 022 studies
Who may be able to join
- All subjects who participated in the Zoster 006 and Zoster 022 trials.
- Subjects who died or were lost to follow-up during ZOSTER-006 and ZOSTER-022 will be considered for enrolment in ZOSTER-064 and their data/questionnaires up to that point will be used.
Who cannot join
- Subjects who were excluded from all analyses from ZOSTER-006 and ZOSTER-022. This will include any subject eliminated following deviations from GCP compliance.
- Subjects who developed a suspected HZ case during ZOSTER-006 and ZOSTER-022 (since their QoL questionnaires were encoded in the eCRF for ZOSTER-006 and ZOSTER-022).
Trial locations and contacts
169 sites in 18 countries.
169 sites in 18 countries
Germany36 sites
GSK Investigational Site
Berlin, 10629
GSK Investigational Site
Berlin, 10717
GSK Investigational Site
Berlin, 10787
GSK Investigational Site
Berlin, 12157
GSK Investigational Site
Berlin, 13347
GSK Investigational Site
Cologne, North Rhine-Westphalia, 51069
GSK Investigational Site
Dachau, Bavaria, 85221
GSK Investigational Site
Deggingen, Baden-Wurttemberg, 73326
GSK Investigational Site
Dresden, Saxony, 01097
GSK Investigational Site
Duelmen, Lower Saxony, 48249
GSK Investigational Site
Essen, North Rhine-Westphalia, 45355
GSK Investigational Site
Essen, North Rhine-Westphalia, 45359
GSK Investigational Site
Flörsheim, Hesse, 65439
GSK Investigational Site
Frankfurt am Main, Hesse, 60389
GSK Investigational Site
Freiberg, Saxony, 09599
GSK Investigational Site
Goch, North Rhine-Westphalia, 47574
GSK Investigational Site
Güglingen, Baden-Wurttemberg, 74363
GSK Investigational Site
Hamburg, 20251
GSK Investigational Site
Hamburg, 22143
GSK Investigational Site
Hamburg, 22415
GSK Investigational Site
Künzing, Bavaria, 94550
GSK Investigational Site
Leipzig, Saxony, 04315
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23554
GSK Investigational Site
Magdeburg, 39120
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55116
GSK Investigational Site
Mannheim, Baden-Wurttemberg, 68161
GSK Investigational Site
Munich, Bavaria, 80339
GSK Investigational Site
Pirna, Saxony, 01796
GSK Investigational Site
Rednitzhembach, Bavaria, 91126
GSK Investigational Site
Rhaunen, Rhineland-Palatinate, 55624
GSK Investigational Site
Tübingen, Baden-Wurttemberg, 72074
GSK Investigational Site
Wallerfing, Bavaria, 94574
GSK Investigational Site
Wangen, Baden-Wurttemberg, 88239
GSK Investigational Site
Weinheim, Baden-Wurttemberg, 69469
GSK Investigational Site
Witten, North Rhine-Westphalia, 58455
GSK Investigational Site
Würzburg, Bavaria, 97070
United States31 sites
GSK Investigational Site
Beachwood, Ohio, 44122
GSK Investigational Site
Bristol, Tennessee, 37620
GSK Investigational Site
Cary, North Carolina, 27518
GSK Investigational Site
Charlotte, North Carolina, 28209
GSK Investigational Site
Clearwater, Florida, 33761
GSK Investigational Site
DeLand, Florida, 32720
GSK Investigational Site
Greer, South Carolina, 29651
GSK Investigational Site
Hickory, North Carolina, 28601
GSK Investigational Site
Jacksonville, Florida, 32205
GSK Investigational Site
Jacksonville, Florida, 32216
GSK Investigational Site
Kansas City, Missouri, 64114
GSK Investigational Site
Meridian, Idaho, 83642
GSK Investigational Site
Mesa, Arizona, 85213
GSK Investigational Site
Mt Pleasant, North Carolina, 29464
GSK Investigational Site
Murray, Utah, 84123
GSK Investigational Site
Newport News, Virginia, 23606
GSK Investigational Site
Phoenix, Arizona, 85018
GSK Investigational Site
Phoenix, Arizona, 85020
GSK Investigational Site
Pleasant Hills, Pennsylvania, 15236
GSK Investigational Site
Renton, Washington, 98057
GSK Investigational Site
Richmond, Virginia, 23294
GSK Investigational Site
Salisbury, North Carolina, 28144
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
Spring Valley, California, 91978
GSK Investigational Site
Uniontown, Pennsylvania, 15401
GSK Investigational Site
Wadsworth, Ohio, 44281
GSK Investigational Site
West Palm Beach, Florida, 33409
GSK Investigational Site
Wichita, Kansas, 67207
GSK Investigational Site
Wilmington, North Carolina, 28401
GSK Investigational Site
Winchester, Virginia, 22601
GSK Investigational Site
Winston-Salem, North Carolina, 27103
Canada14 sites
GSK Investigational Site
Bay Roberts, Newfoundland and Labrador, A0A 1G0
GSK Investigational Site
Gatineau, Quebec, J8Y 6S8
GSK Investigational Site
Halifax, Nova Scotia, B3K 6R8
GSK Investigational Site
Mirabel, Quebec, J7J 2K8
GSK Investigational Site
Pointe-Claire, Quebec, H9R 4S3
GSK Investigational Site
Québec, Quebec, G1E 7G9
GSK Investigational Site
Québec, Quebec, G1W 4R4
GSK Investigational Site
Sherbrooke, Quebec, J1H 2G2
GSK Investigational Site
Toronto, Ontario, M4S 1Y2
GSK Investigational Site
Toronto, Ontario, M9W 4L6
GSK Investigational Site
Truro, Nova Scotia, B2N 1L2
GSK Investigational Site
Vancouver, British Columbia, V5Z 1M9
GSK Investigational Site
Victoria, British Columbia, V8V 3M9
GSK Investigational Site
Woodstock, Ontario, N4S 5P5
France14 sites
GSK Investigational Site
Angers, 49000
GSK Investigational Site
Angers, 49100
GSK Investigational Site
Château-Gontier, 53200
GSK Investigational Site
Cherbourg, 50100
GSK Investigational Site
Clermont-Ferrand, 63003
GSK Investigational Site
Laval, 53000
GSK Investigational Site
Montrevault, 49110
GSK Investigational Site
Muret, 31600
GSK Investigational Site
Mûrs-Erigné, 49610
GSK Investigational Site
Nantes, 44277
GSK Investigational Site
Rosiers-d'Égletons, 19300
GSK Investigational Site
Saint-Cyr-sur-Loire, 37540
GSK Investigational Site
Segré, 49500
GSK Investigational Site
Tours, 37100
Spain12 sites
GSK Investigational Site
Alcover( Tarragona), 43460
GSK Investigational Site
Balenyà (Barcelona), 08550
GSK Investigational Site
Barcelona, 08025
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Centelles (Barcelona), 08540
GSK Investigational Site
La Roca Del Valles (Barcelona), 08430
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Majadahonda( Madrid, 28222
GSK Investigational Site
Marid, 28040
GSK Investigational Site
Peralada( Girona), 17491
GSK Investigational Site
Valencia, 46020
GSK Investigational Site
Vic/ Barcelona, 08500
Sweden10 sites
GSK Investigational Site
Borås, SE-506 30
GSK Investigational Site
Eskilstuna, SE-631 88
GSK Investigational Site
Gothenburg, SE-413 45
GSK Investigational Site
Jönköping, SE-551 85
GSK Investigational Site
Karlskrona, SE-371 41
GSK Investigational Site
Linköping, SE-581 85
GSK Investigational Site
Malmö, SE-211 52
GSK Investigational Site
Örebro, SE-703 62
GSK Investigational Site
Uppsala, SE-751 85
GSK Investigational Site
Vällingby, SE-162 68
South Korea8 sites
GSK Investigational Site
Gangwon-do, 26426
GSK Investigational Site
Gyeonggi-do, 14584
GSK Investigational Site
Gyeonggi-do, 15355
GSK Investigational Site
Incheon, 400-711
GSK Investigational Site
Seoul, 06273
GSK Investigational Site
Seoul, 06351
GSK Investigational Site
Seoul, 07441
GSK Investigational Site
Seoul, 08308
Italy7 sites
GSK Investigational Site
Chieti, Abruzzo, 66013
GSK Investigational Site
Cuneo, Piedmont, 12100
GSK Investigational Site
Genoa, Liguria, 16132
GSK Investigational Site
Monza, Lombardy, 20900
GSK Investigational Site
Pescara, Abruzzo, 65100
GSK Investigational Site
Rome, Lazio, 00133
GSK Investigational Site
Rome, Lazio, 00163
Japan7 sites
GSK Investigational Site
Fukuoka, 810-0021
GSK Investigational Site
Fukuoka, 812-0025
GSK Investigational Site
Fukuoka, 813-8588
GSK Investigational Site
Kanagawa, 224-8503
GSK Investigational Site
Tokyo, 141-0001
GSK Investigational Site
Tokyo, 142-8666
GSK Investigational Site
Tokyo, 154-0024
United Kingdom7 sites
GSK Investigational Site
Atherstone, Warwickshire, CV9 1EU
GSK Investigational Site
Bangor, BT19 1NB
GSK Investigational Site
Belfast, BT7 2EB
GSK Investigational Site
Bradford on Avon, Wiltshire, BA15 1DQ
GSK Investigational Site
Broughshane, BT42 4JP
GSK Investigational Site
Liverpool, L22 0LG
GSK Investigational Site
Newtonabbey, BT37 9QW
Brazil6 sites
GSK Investigational Site
Belo Horizonte, Minas Gerais, 30150-221
GSK Investigational Site
Curitiba, Paraná, 80810-050
GSK Investigational Site
Curitiba/PR, 80240-280
GSK Investigational Site
São Paulo, 04023-900
GSK Investigational Site
São Paulo, 04266-010
GSK Investigational Site
São Paulo, 05403-000
Australia5 sites
GSK Investigational Site
Maroubra, New South Wales, 2035
GSK Investigational Site
Sherwood, Queensland, 4075
GSK Investigational Site
Umina, New South Wales, 2257
GSK Investigational Site
Westmead, New South Wales, 2145
GSK Investigational Site
Wollongong, New South Wales, 2522
Taiwan4 sites
GSK Investigational Site
Taichung, 40447
GSK Investigational Site
Taipei, 100
GSK Investigational Site
Taipei, 112
GSK Investigational Site
Taoyuan County, 333
Estonia2 sites
GSK Investigational Site
Tallinn, 13619
GSK Investigational Site
Tartu, 50106
Hong Kong2 sites
GSK Investigational Site
Kwun Tong
GSK Investigational Site
Shatin
Mexico2 sites
GSK Investigational Site
Durango, 34000
GSK Investigational Site
Zapopan, Jalisco, Jalisco, 45190
About this study
Official title: Observational Study to Assess Frailty of Subjects During ZOSTER-006 and ZOSTER-022 and HZ Efficacy, Immunogenicity and Safety of HZ/su by Frailty Status
As part of the ZOSTER-006 and ZOSTER-022 pivotal trials of the HZ/su vaccine, all study participants completed quality of life (QoL) questionnaires. The only questionnaires encoded into the data base were those from participants who developed a suspected shingles episode during the study.
The purpose of this study is to allow for the encoding and analysis of questionnaires for all subjects enrolled in ZOSTER-006 and ZOSTER-022. The aim is to assess the baseline frailty of subjects enrolled in these studies and to investigate whether this population is representative of the general population.
Read the detailed description
As part of the study procedure, each subject enrolled in studies Zoster-006 and Zoster-022 was asked to complete two quality of life (QoL) questionnaires named respectively SF-36 and EQ-5D at predefined study time points. These questionnaires were to provide relevant information about the quality of life (functional status, ability to socialize, mental health, etc.) of subjects before they develop shingles Extracting some elements of the Quality of Life questionnaires (QoL), EQ-5D and SF-36, completed by all study subjects at baseline, and combining them with other medical history data allows attributing of frailty scores.
Analyses pertaining to efficacy, safety and immunogenicity as per frailty score might be performed according to the methodology used in the ZOSTER-006 and ZOSTER-022 studies.
Additionally, the data collected can be used to assess if some physical, physiological and/or psychological characteristics reported by the subjects before the onset of HZ would be predictive of HZ.
- Conditions
- Herpes Zoster
- Being tested
- Encoding of data collected in Zoster 006 and Zoster 022 studies
- Keywords
- immunogenicity, Herpes Zoster, efficacy, safety, frailty, Shingles vaccine
- Medical subject headings
- Herpes Zoster, Frailty
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Encoding of data collected in Zoster 006 and Zoster 022 studiesOther
Not applicable (disease epidemiology study)
| Study group | Role | What they receive |
|---|---|---|
| Overall Group | Adults aged ≥50 years of age in the Zoster-064 TVC who received herpes zoster subunit (HZ/su) vaccine or Placebo in Zoster-006/022 study Receives: Other: Encoding of data collected in Zoster 006 and Zoster 022 studies |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects by Frailty Status, at Baseline
Frailty status was measured in relation to the accumulation of deficits using a Frailty Index (FI) adapted from the model proposed by Mitnitski et al. [Mitnitski, 2001]. The different aspects of frailty composing the FI were assessed through the medical history and components of the Short Form 36 Questionnaire (SF-36) and EuroQol (EQ)-5D questionnaires recorded pre-vaccination Dose 1 (in the study ZOSTER-006[NCT01165177] and ZOSTER-022[NCT01165229]).
If the FI was less than or equal to 0.08, the subject was classified as Non-Frail. If the score was greater than 0.08 but less than or equal to 0.25, the subject was classified as pre-frail. If the score was greater than 0.25, the subject was classified as Frail. Subjects without a FI score were classified as unknown.
Measured: At Baseline (Month 0)
Secondary outcomes (13)
Distribution of Short Form 36 (SF-36) Questionnaire Scale Scores, by Country
The mean and standard deviation of the SF-36 Questionnaire scale scores are presented for each time point. The SF-36 is a multi-purpose health survey with 36 questions underlying the construction of 8 scales [Ware, 2001]: Physical Functioning (PF), Role Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role Emotional (RE) and Mental Health (MH).
All but one of the 36 items (self-reported health transition) are used to score the eight SF-36 scales. Each item is used in scoring only one scale. Scale scores are constructed following the summated ratings and standardized SF-36 scoring algorithms. The SF-36 scores range from 0 to 100, with high scores indicating high levels of functioning/quality of life.
Measured: At Month 0, 14, 26 and 38
Distribution of EuroQol (EQ)-5D Questionnaire Scale Scores, by Country
The EQ-5D questionnaire is a generic measure of health status that provides a simple descriptive profile and a single index value. The EQ-5D defines health in terms of mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each item has 3 possible responses (No symptoms, Moderate symptoms, Extreme symptoms). The 5 items are then combined to generate health profiles that are subsequently converted to a continuous single index utility score using a one to one matching. Country or region-specific value sets are used for the score conversion. The scores range from less than 0 (where 0 is the value of a health state equivalent to dead) to 1 (the value of full health), with higher scores indicating higher health utility.
The EQ-5D also contains a visual analogue scale (VAS). The VAS records the respondent's self-rated health on a vertical scale, ranging from 0(worst imaginable health state) to 100(best imaginable health state).
Measured: At Month 0, 14, 26 and 38
Incidence Rate (Per 1000 Person-years) of Confirmed Herpes Zoster (HZ) Cases, by Frailty Status
Incidence rate (IR) of confirmed Herpes zoster (HZ) cases with 95% Confidence Interval (CI) calculated as the number of cases per 1000 person-years : numerator = number of confirmed HZ cases reported during the follow-up (FU) period at risk; denominator = total Person-years at risk, i.e. sum of FU periods at risk expressed in years until first confirmed HZ cases or occurrence of treatment for relapse. A suspected HZ case defined as (1) new rash characteristic of HZ (e.g., unilateral, dermatomal and accompanied by pain broadly defined to include allodynia, pruritus or other sensations), or vesicular rash suggestive of Varicella Zoster Virus (VZV) infection regardless of the distribution, and no alternative diagnosis; or (2) clinical presentation and specific laboratory findings suggestive of VZV infection in the absence of HZ or VZV rash. A suspected case of HZ was confirmed either by PCR or by the HZ Ascertainment Committee (HZAC), consisting of physicians with HZ expertise.
Measured: During the entire study period (3 to 5 year period following Day 0)
Herpes Zoster Burden of Illness Score, by Frailty Status
Zoster Brief Pain Inventory (ZBPI) Burden of Illness (BOI) score was calculated as the sum of the ZBPI worst pain scores for all subjects in the group divided by the total follow-up time (Person-years). HZ Burden of Illness score for subjects was calculated from the Zoster Brief Pain Inventory (ZBPI), for each confirmed HZ cases responding to the "worst pain" question in both ZOSTER-006 and ZOSTER-022, and defined as the area under the curve of confirmed HZ-associated pain plotted against time during the 182-day period after the onset of the case. Subjects who developed HZ presented "burden-of-illness" scores ranging from 0 up to, theoretically, 1820. A score of 0 is recorded for subjects in whom HZ did not develop during the study period. Subjects who had a confirmed Zoster episode but who did not have at least 1 ZBPI assessment were excluded from the analysis.
Measured: During the entire study period (3 to 5 year period following Day 0)
Number of Subjects With Any and Grade 3 Solicited Local Symptoms, by Frailty Status
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: Within 7 days (Days 0-6) after each vaccination
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms, by Frailty Status
Assessed solicited general symptoms were, fatigue, fever [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)], headache, myalgia, shivering and gastro-intestinal (GI) symptoms(nausea, vomiting, diarrhoea and/or abdominal pain) Any = occurrence of the symptom regardless of 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: Within 7 days (Days 0-6) after each vaccination
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs), by Frailty Status
An unsolicited AE covered 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: Within 30 days (Days 0 - 29) after each vaccination
Number of Subjects With Any and Related Serious Adverse Events (SAEs), by Frailty Status
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Related SAEs were those considered vaccine-related by the investigator.
Measured: From Month 0 to Month 14
Number of Subjects With SAEs Related to Study Participation or to a Concurrent GSK Medication/Vaccine, by Frailty Status
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Related SAEs throughout the entire study period by frailty status were reported for SAEs considered related to study participation or to a concurrent GSK medication/vaccine.
Measured: During the entire study period (3 to 5 year period following Day 0)
Number of Subjects With Any Fatal Serious Adverse Events (SAEs), by Frailty Status
Serious adverse events (SAEs) assessed include medical occurrences that result in death.
Measured: During the entire study period (3 to 5 year period following Day 0)
Number of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs), by Frailty Status
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. Related = pIMDs assessed by the investigator as related to the vaccination.
Measured: During the entire study period (3 to 5 year period following Day 0)
Anti-glycoprotein E (Anti-gE) Antibody (Ab) Concentrations, by Frailty Status, in a Subset of Subjects
Anti-gE Ab concentrations as determined by Enzyme-linked Immunosorbent Assay (ELISA), in a subset of subjects. The assay cut-off is 97 milli-international units (mIU)/mL.
Measured: Pre-vaccination at Month 0, and post second dose at Months 3, 14, 26 and 38
Anti-Varicella Zoster Virus (Anti-VZV) Antibody (Ab) Concentrations, by Frailty Status, in a Subset of Subjects
Anti-VZV Ab concentrations as determined by Enzyme-linked Immunosorbent Assay (ELISA), in a subset of subjects. The assay cut-off is 25 mIU/mL.
Measured: Pre-vaccination at Month 0, and post second dose at Months 3, 14, 26 and 38
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jun 2018
- Study start5 Jun 2018
- Primary completion30 Apr 2019
- Study completion30 Apr 2019
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 (1)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
- Observational
- Observational model
- Other
- Time perspective
- Retrospective
- Enrolment
- 26,976 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
- NCT03563183
- Sponsor's protocol ID
- 204878
- Status last verified
- Apr 2020
- First submitted
- 4 Jun 2018
- Last updated
- 30 Apr 2020
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
Publications
Curran D, Kim JH, Matthews S, Dessart C, Levin MJ, Oostvogels L, Riley ME, Schmader KE, Cunningham AL, McNeil SA, Schuind AE, Andrew MK; Zoster-064 Study Group. Recombinant Zoster Vaccine Is Efficacious and Safe in Frail Individuals. J Am Geriatr Soc. 2021 Mar;69(3):744-752. doi: 10.1111/jgs.16917. Epub 2020 Nov 16.
PubMed 33197294
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Observational Study to Assess Frailty of Subjects During ZOSTER-006 and ZOSTER-022 and HZ Efficacy, Immunogenicity and Safety of HZ/su by Frailty Status
- ClinicalTrials.gov ID
- NCT03563183
- Acronym / sponsor ID
- 204878
- Conditions
- Herpes Zoster
- Keywords
- immunogenicity, Herpes Zoster, efficacy, safety, frailty, Shingles vaccine
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 26,976 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 5 Jun 2018 (actual)
- Primary completion
- 30 Apr 2019 (actual)
- Study completion
- 30 Apr 2019 (actual)
- First posted
- 20 Jun 2018 (actual)
- Results
- Posted 30 Apr 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
As part of the ZOSTER-006 and ZOSTER-022 pivotal trials of the HZ/su vaccine, all study participants completed quality of life (QoL) questionnaires. The only questionnaires encoded into the data base were those from participants who developed a suspected shingles episode during the study.
The purpose of this study is to allow for the encoding and analysis of questionnaires for all subjects enrolled in ZOSTER-006 and ZOSTER-022. The aim is to assess the baseline frailty of subjects enrolled in these studies and to investigate whether this population is representative of the general population.
Detailed description
As part of the study procedure, each subject enrolled in studies Zoster-006 and Zoster-022 was asked to complete two quality of life (QoL) questionnaires named respectively SF-36 and EQ-5D at predefined study time points. These questionnaires were to provide relevant information about the quality of life (functional status, ability to socialize, mental health, etc.) of subjects before they develop shingles Extracting some elements of the Quality of Life questionnaires (QoL), EQ-5D and SF-36, completed by all study subjects at baseline, and combining them with other medical history data allows attributing of frailty scores.
Analyses pertaining to efficacy, safety and immunogenicity as per frailty score might be performed according to the methodology used in the ZOSTER-006 and ZOSTER-022 studies.
Additionally, the data collected can be used to assess if some physical, physiological and/or psychological characteristics reported by the subjects before the onset of HZ would be predictive of HZ.
Study design
- Observational model
- Other
- Time perspective
- Retrospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Overall Group | – | Other: Encoding of data collected in Zoster 006 and Zoster 022 studiesAdults aged ≥50 years of age in the Zoster-064 TVC who received herpes zoster subunit (HZ/su) vaccine or Placebo in Zoster-006/022 study |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All subjects enrolled in the Zoster 006 and Zoster 022 studies
Key inclusion criteria (2 listed)
- All subjects who participated in the Zoster 006 and Zoster 022 trials.
- Subjects who died or were lost to follow-up during ZOSTER-006 and ZOSTER-022 will be considered for enrolment in ZOSTER-064 and their data/questionnaires up to that point will be used.
Key exclusion criteria (2 listed)
- Subjects who were excluded from all analyses from ZOSTER-006 and ZOSTER-022. This will include any subject eliminated following deviations from GCP compliance.
- Subjects who developed a suspected HZ case during ZOSTER-006 and ZOSTER-022 (since their QoL questionnaires were encoded in the eCRF for ZOSTER-006 and ZOSTER-022).
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 |
|---|---|---|
| Encoding of data collected in Zoster 006 and Zoster 022 studiesNot applicable (disease epidemiology study) | Other | Overall Group |
Primary outcome
Number of Subjects by Frailty Status, at Baseline
Time frame: At Baseline (Month 0)
Frailty status was measured in relation to the accumulation of deficits using a Frailty Index (FI) adapted from the model proposed by Mitnitski et al. [Mitnitski, 2001]. The different aspects of frailty composing the FI were assessed through the medical history and components of the Short Form 36 Questionnaire (SF-36) and EuroQol (EQ)-5D questionnaires recorded pre-vaccination Dose 1 (in the study ZOSTER-006[NCT01165177] and ZOSTER-022[NCT01165229]). If the FI was less than or equal to 0.08, the subject was classified as Non-Frail. If the score was greater than 0.08 but less than or equal to 0.25, the subject was classified as pre-frail. If the score was greater than 0.25, the subject was classified as Frail. Subjects without a FI score were classified as unknown.
13 secondary outcomes
Distribution of Short Form 36 (SF-36) Questionnaire Scale Scores, by Country
Time frame: At Month 0, 14, 26 and 38
Distribution of EuroQol (EQ)-5D Questionnaire Scale Scores, by Country
Time frame: At Month 0, 14, 26 and 38
Incidence Rate (Per 1000 Person-years) of Confirmed Herpes Zoster (HZ) Cases, by Frailty Status
Time frame: During the entire study period (3 to 5 year period following Day 0)
Herpes Zoster Burden of Illness Score, by Frailty Status
Time frame: During the entire study period (3 to 5 year period following Day 0)
Number of Subjects With Any and Grade 3 Solicited Local Symptoms, by Frailty Status
Time frame: Within 7 days (Days 0-6) after each vaccination
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms, by Frailty Status
Time frame: Within 7 days (Days 0-6) after each vaccination
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs), by Frailty Status
Time frame: Within 30 days (Days 0 - 29) after each vaccination
Number of Subjects With Any and Related Serious Adverse Events (SAEs), by Frailty Status
Time frame: From Month 0 to Month 14
Number of Subjects With SAEs Related to Study Participation or to a Concurrent GSK Medication/Vaccine, by Frailty Status
Time frame: During the entire study period (3 to 5 year period following Day 0)
Number of Subjects With Any Fatal Serious Adverse Events (SAEs), by Frailty Status
Time frame: During the entire study period (3 to 5 year period following Day 0)
Number of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs), by Frailty Status
Time frame: During the entire study period (3 to 5 year period following Day 0)
Anti-glycoprotein E (Anti-gE) Antibody (Ab) Concentrations, by Frailty Status, in a Subset of Subjects
Time frame: Pre-vaccination at Month 0, and post second dose at Months 3, 14, 26 and 38
Anti-Varicella Zoster Virus (Anti-VZV) Antibody (Ab) Concentrations, by Frailty Status, in a Subset of Subjects
Time frame: Pre-vaccination at Month 0, and post second dose at Months 3, 14, 26 and 38
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Apr 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33197294Curran D, Kim JH, Matthews S, Dessart C, Levin MJ, Oostvogels L, Riley ME, Schmader KE, Cunningham AL, McNeil SA, Schuind AE, Andrew MK; Zoster-064 Study Group. Recombinant Zoster Vaccine Is Efficacious and Safe in Frail Individuals. J Am Geriatr Soc. 2021 Mar;69(3):744-752. doi: 10.1111/jgs.16917. Epub 2020 Nov 16.
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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
169 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Herpes Zoster, run by GlaxoSmithKline at 169 sites in 18 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 2 inclusion and 2 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 30 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 169 sites in Germany, United States, Canada, France, Spain and 13 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Apr 2020). 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 by Frailty Status, at Baseline (time frame: At Baseline (Month 0)). 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 NCT03563183, 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 30 Apr 2020.