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A double-blind randomized controlled trial on the safety and immunogenicity of the recombinant subunit herpes zoster vaccine, Shingrix, in patients with rheumatic diseases undergoing immunosuppressive or biologic/targeted DMARD therapies
A double-blind randomized controlled trial on the safety and immunogenicity of the recombinant subunit herpes zoster vaccine, Shingrix, in patients with rheumatic diseases undergoing immunosuppressive or biologic/targeted DMARD therapies.
Duration of study: 60 weeks
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| vaccine | Active Comparator | Shingrix vaccine |
|
| placebo | Placebo Comparator | normal saline injection (0.5mL) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| recombinant subunit herpes zoster vaccine | Biological | vaccine administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| humoral immune response to Shingrix | proportion of patients with 4x fold increase in anti-gE antibody titer | week 12 (compared with baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Humoral immune response | proportion of patients with 4x fold increase in anti-gE antibody titer | week 52 |
| adverse events | solicited | 7 days after injection |
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Inclusion criteria for patients:
Patients with a diagnosis of rheumatic or immune-mediated diseases eg. SLE, RA, PSA, SpA, inflammatory myopathies, ANCA-related and large vessel vasculitides
Age ≥18 years
Stable or reducing doses of any the following immunosuppressive regimens within 4 weeks of study entry:
Female patients with reproductive potential are allowed to participate in this study provided that they are willing to practice contraception for until at least 12 months after vaccination
Willing to comply with all study procedures
Exclusion criteria for patients:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chi Chiu Mok, MD, FRCP | Contact | 852-37677518 | ccmok2006@gmail.com | |
| Becky Fong | Contact | 852-24685111 | becky_fongls@yahoo.com.hk |
| Name | Affiliation | Role |
|---|---|---|
| Chi Chiu Mok | Tuen Mun Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Medicine, Tuen Mun Hospital | Hong Kong | China |
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| ID | Term |
|---|---|
| D006562 | Herpes Zoster |
| D012216 | Rheumatic Diseases |
| ID | Term |
|---|---|
| D000073618 | Varicella Zoster Virus Infection |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
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double-blind randomized controlled trial
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double-blind for the identity of the drugs
| adverse events | unsolicited | 4 weeks after injection |
| flares of underlying diseases | disease flares | week 26 and 60 |
| herpes zoster infection | herpes zoster infection | week 60 |
| cell mediated response to vaccine | in 40 patients (20 from each arm); number of IFNγ-secreting CD4+ T cell colonies on ELISPOT assay | week 12 from baseline |
| D007239 | Infections |
| D009140 | Musculoskeletal Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |