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OpenTrials
Completed

NCT Number: NCT04169009

Persistence of Protection by Shingrix

The study plans to learn more about how the shingles vaccine, Shingrix (SRX), successfully prevents shingles in older people. Two vaccines are currently approved by the Food and Drug Administration (FDA) to prevent shingles. Zostavax is a live virus vaccine which has been available since 2006 and prevents shingles about 50% of the time, though it is less effective the older a person is when they receive it. Shingrix, which was approved by the FDA in 2017, is not a live virus, but has an additive in the vaccine to boost immune response. It is about 97% effective at preventing shingles regardless of a person's age and so far has been effective for at least 4 years after vaccination. Because Zostavax has live virus in it, giving a "challenge" dose of Zostavax - vOka varicella zoster virus - to people who have received both vaccines (Zostavax or Shingrix) in the past, will allow researchers to learn more about how the body works to prevent shingles and how any shingles vaccination helps protect against shingles.

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Key information

Age range

50 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Clinical Trials Center at University of Colorado Anschutz Medical Center

Aurora, Colorado, 80045, United States

About this study

The primary endpoint of this study was the area under the concentration/time curve of quantitative VZV DNA in plasma. However, all the VZV DNA measurements were below the lower limit of quantitation of the assay. Due to this unexpected outcome, we performed a qualitative analysis of presence or absence of VZV DNA in plasma at Day ≥3 after the vOka challenge.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 50-85
  • General good health
  • Women of non-childbearing potential must be postmenopausal or have undergone hysterectomy or bilateral oophorectomy
  • ARM 1 ONLY: Documented evidence of immunization with ZVL or SRX at least 5 years previously
  • ARM 2 ONLY; Documented evidence of immunization with ZVL 6-12 months prior to enrollment
  • ARM 3 ONLY: Have never received any shingles vaccination

Exclusion criteria

  • Prior history of herpes zoster (HZ)
  • Blood products received in the 3 months prior to study enrollment or planned for the subsequent week for Arm 1; Arm 2 requires same exclusion; Arm 3 extends the exclusion to the week after the vOka challenge, which is 6 months after completing SRX administration.
  • Significant immune suppressive illness or therapy
  • Concomitant vaccine received within 2 (inactive) or 4 (live) weeks prior to the study or during the first week of the study.
  • Women of childbearing potential.
  • Pregnancy or breastfeeding.
  • Participation in a concurrent clinical study in which the subject will be exposed to and investigational product during the period starting 7 days before the first dose of study vaccine through the completion of the study.

Treatment and study plan

Zostavax

Biological

Intradermal injection of Zostavax

Shingrix

Biological

Given to subjects in Arm 4 who've never had a herpes zoster vaccine

Primary outcomes

  1. Magnitude of Varicella-Zoster Virus (VZV) DNAemia

    Time frame: Until VZV DNA is undetectable in the blood, measured up to Day 7

    Varicella-Zoster Virus (VZV) DNAemia will be measured by polymerase chain reaction (PCR) as a surrogate for viremia over the first 7 days after vOka intradermal (ID) challenge. The outcome measure will be the area under the concentration time curve of the VZV DNAemia expressed in DNA copies/ml of blood.

Sponsors and collaborators

Lead sponsor

University of Colorado, Denver

Other

Collaborators

  • National Institute of Allergy and Infectious Diseases (NIAID)

Registry information

Official study title

Persistence of Protection Conferred by Shingrix Against Herpes Zoster

Important dates

Study start
2020
Primary completion
2023
Study completion
2024
First posted
Nov 19, 2019
Registry last updated
Oct 15, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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