Clinical trial

Systems Biology of Zoster Vaccine Recombinant, Adjuvanted (SHINGRIX)

Name
IRB00105838
Description
The purpose of the study is to better understand how the immune system responds to the new herpes zoster (shingles) vaccine (Shingrix®). The study will be looking at certain markers in the blood after vaccination with Shingrix®.
Trial arms
Trial start
2019-11-14
Estimated PCD
2023-04-03
Trial end
2023-10-30
Status
Completed
Phase
Early phase I
Treatment
Shingrix®
A zoster vaccine recombinant, adjuvanted, recently approved by the FDA for prevention of herpes zoster (shingles) in adults aged 50 years and older. It is given in two doses (0.5 mL each): at 0 and 2 to 6 months.
Arms:
Older Group, Younger Group
Size
38
Primary endpoint
Change in innate immune signatures
Baseline, Days 1, 7, 60, 61, 67
Eligibility criteria
Inclusion Criteria: 1. Subject must be able to understand and provide informed consent. 2. Adults aged 50-60 years, or community dwelling adults aged 70 years and above. Exclusion Criteria: 1. Inability or unwillingness of a subject to give written informed consent or comply with study protocol. 2. Receipt of immune products: * Receipt of blood products within 6 months prior of the first dose of the study Zoster vaccine or expected receipt through 6 months after vaccination with the second dose of the study Zoster vaccine. * Receipt of any vaccine within 4 weeks prior to vaccination with any of the two doses of the study Zoster vaccine or expected receipt within 4 weeks after vaccination with any of the two doses of the study Zoster vaccine. * Receipt of any Zoster or varicella vaccines at any time prior to study entry. 3. Subject taking any non-topical antiviral therapy with activity against herpes viruses, including but not limited to acyclovir, famciclovir, valacyclovir, and ganciclovir 3 days prior to each vaccination or 14 days after. 4. Prior history of shingles. 5. Presence of certain co morbidities or immunosuppressive states such as: * Chronic medical problems including (but not limited to) insulin-dependent diabetes, severe (at the discretion of the investigator or study physician) heart, lung, liver, or kidney diseases; auto immune diseases; severe gastrointestinal diseases; and uncontrolled hypertension. * Impaired immune function or chronic infections including (but not limited to) HIV, hepatitis B or C, tuberculosis, organ transplant, cancer, current and or expected receipt of chemotherapy, radiation therapy, steroids \[i.e., \> 20 mg of prednisone given daily or on alternative days for 2 weeks or more in the past 90 days); (nasal (less than 1mg/day of fluticasone equivalent inhaled corticosteroid is allowable) and topical steroids are allowed)\], antitumor necrosis factor agents, or any other immunosuppressive therapy, anatomic or functional asplenia, congenital immunodeficiency. 6. Conditions that could affect the safety of the subjects such as: * Severe reactions to prior vaccinations. * History of anaphylactic/anaphylactoid reaction to any component of the vaccines. * History of bleeding disorders. 7. Any acute illness, including any fever (\> 100.4 F \[\> 38.0 C\], regardless of the route) within 3 days prior to study entry. 8. Social, occupational, or any other condition that in the opinion of the investigator might interfere with compliance with the study and vaccine evaluation. 9. Alcohol or drug abuse and psychiatric conditions that in the opinion of the investigator would preclude compliance with the trial or interpretation of safety or endpoint data. 10. Use of investigational drugs within 12 months of participation. 11. Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator or study physician, may pose additional risks from participation in the study, may interfere with the subject's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study. 12. Women of childbearing potential.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Single center, open label mechanistic study in which older adult subjects will receive Zoster vaccine recombinant, adjuvanted Vaccination will occur on Day 0 and Day 60. There will be no randomization, study participant or clinical study personnel blinding, or masking.', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 38, 'type': 'ACTUAL'}}
Updated at
2024-06-06

1 organization

1 product

4 indications

Organization
Emory University
Product
Shingrix®
Indication
Herpes Zoster
Indication
Herpes zoster
Indication
Varicella