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This is a randomized, active-controlled, observer-blinded, dose-escalation multi-center trial of 2 doses of an investigational HZ vaccine (Z-1018) in approximately 764 healthy adults.
Part 1 will enroll approximately 440 participants 50 through 69 years of age (YOA) [inclusive] to 1 of 10 arms of Z-1018 or to Shingrix.
Part 2 will enroll approximately 324 participants ≥ 70 YOA to 1 arm of Z-1018 (selected from Part 1) to be administered in a 1:1 randomization ratio with Shingrix. Part 2 only: after completing the 12-month post-vaccination visit, Part 2 participants will be followed for an additional 4 years for immunopersistence and for herpes zoster (HZ) and post herpetic neuralgia (PHN).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Z-1018 A1 (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85. |
|
| Z-1018 A2 (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85. |
|
| Z-1018 B1(a) (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57. |
|
| Z-1018 B2(a) (Part 1 and Part 2) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57. |
|
| Z-1018 B1(b) (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85 |
|
| Z-1018 B2(b) (Part 1) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Z-1018 | Biological | Formulation for injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 and Part 2: Percentage of participants with solicited local and systemic post-injection reactions (PIRs) | Solicited local and systemic post-injection reactions (PIRs) | Up to 7 days following each dose |
| Part 1 and Part 2: Percentage of participants with Adverse events (AEs) | Adverse events (AEs) | 28 days following each dose |
| Part 1 and Part 2: Percentage of participants with serious adverse events (SAEs), medically-attended adverse events (MAEs), and immune-mediated adverse events of special interest (imAESIs) | Serious adverse events (SAEs) Medically-attended adverse events (MAEs) Immune-mediated adverse events of special interest (imAESIs) | Day 1 through 12 months after the last dose of study injection |
| Part 2: Vaccine response | Composite vaccine response rate in glycoprotein E (gE) -specific CD4+ T cells and anti-gE IgG antibodies in the Per Protocol (PP) population | 4 weeks after the second study injection |
| Part 2: Anti-gE IgG antibody concentration | Geometric mean concentration (GMC) and geometric mean ratio of IgG antibodies to varicella-zoster virus (VZV) antigen-gE in the Per Protocol (PP) population | 4 weeks after the second study injection |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: GMC of IgG antibodies to VZV antigen-gE 4 weeks after the second study injection | GMC to VZV gE in the Per Protocol (PP) population | 4 weeks after the second study injection |
| Part 1: Geometric mean ratio (GMR) of IgG antibodies to VZV antigen gE |
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Inclusion Criteria:
Exclusion Criteria:
History of HZ
Previous vaccination against varicella (chicken pox) or HZ
Febrile illness within 7 days of the first trial injection (defined as at least 1 measured body temperature of ≥ 38°C, regardless of route of measurement)
Confirmed SARS-CoV-2/COVID-19 infection as assessed during Screening within 7 days of first trial injection.
If female of childbearing potential, is pregnant (known before or established at the time of screening), breastfeeding, or planning a pregnancy or to breastfeed
Known or suspected immunodeficiency (including but not limited to HIV/AIDS), or immunocompromised state, as assessed by medical history, past or current laboratory studies, and/or physical examination
History of sensitivity to any component of the trial vaccines
Has received the following prior to Day 1 trial injection:
a) ≤ 14 days: i) Any licensed or authorized inactivated vaccines (including vaccines containing mRNA or CpG)
b) ≤ 28 days: i) Any live vaccine ii) Systemic corticosteroids (≥ 20 mg/ day of prednisone or equivalent for more than 14 consecutive days) or other immunomodulators or immune suppressive medication, with the exception of inhaled steroids iii) Any investigational medicinal agent
c) ≤ 90 days: i) Granulocyte or granulocyte-macrophage colony-stimulating factor ii) Immunoglobulins or any blood products (receipt of certain monoclonal antibodies may on a case-by-case basis be non-exclusionary if approved via consultation with Sponsor Medical Monitor) iii) Antisense oligonucleotides iv) Drugs/investigational agents with very long half-lives (defined as ≥ 60 days) (eg, radioactive iodine-125, amiodarone, nirsevimab, and evinacumab) v) Infusion of blood products
d) ≤ 6 months before Day 1 (or likely to require during the trial period): i) chronic administration of immunosuppressants or other immune-modifying drugs
e) At any time: DNA plasmids or other genetic therapy intended to integrate permanently into host cells
Is undergoing chemotherapy or expected to receive chemotherapy during the trial period; and/or has a diagnosis of cancer within the last 5 years other than squamous cell or basal cell carcinoma of the skin
History or current evidence of any condition, therapy, laboratory abnormality, or other finding that might confound the results of the trial, interfere with the participant's participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating investigator
Underlying chronic medical condition requiring ongoing follow-up and monitoring by a healthcare provider that might affect the immune response to vaccine (eg, diabetes mellitus, chronic kidney disease)
Known psychiatric or substance abuse disorder that would interfere with cooperation with the requirements of the trial
Current or historical autoimmune disease
Any skin condition and/or tattoo on both arms that may interfere with the evaluation of safety at the injection site, in the opinion of the treating investigator
Any other finding that the Investigator considers will make the participant unsuitable for the trial or unable to comply with the trial requirements
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| Name | Affiliation | Role |
|---|---|---|
| Robert Janssen, MD | Dynavax Technologies Corporation | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Paratus Clinical Research Western Syndney | Blacktown | New South Wales | 2148 | Australia | ||
| Emeritus Research |
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Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85 |
|
| Z-1018 Formulation C1(a) (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57. |
|
| Z-1018 Formulation C2(a) (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57. |
|
| Z-1018 Formulation C1(b) (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85. |
|
| Z-1018 Formulation C2(b) (Part 1) | Experimental | Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85. |
|
| Shingrix (Part 1 and Part 2) | Experimental | Participants will receive a dose of Shingrix by intramuscular (IM) injection on Day 1 and Day 57, or Day 1 and Day 85. |
|
| Shingrix | Biological | Formulation for injection |
|
Geometric mean ratio (GMR) of IgG antibodies to VZV antigen gE in the Per Protocol (PP) population |
| 4 weeks after the second study injection |
| Part 1: Geometric mean fold increase (GMFI) of IgG antibodies to VZV antigen gE | Geometric mean fold increase (GMFI) of IgG antibodies to VZV antigen gE in the Per Protocol (PP) population | 4 weeks after the second study injection |
| Part 1 and Part 2: Vaccine response rate (VRR) for anti-gE IgG antibodies to VZV antigen gE | Vaccine response rate (VRR) for anti-gE IgG antibodies to VZV antigen gE in the Per Protocol (PP) population | 4 weeks after the second study injection |
| Part 2: VRR for gE-specific CD4+ T cells | VRR for gE-specific CD4+ T cells in the Per Protocol (PP) population | 4 weeks after second study injection |
| Botany |
| New South Wales |
| 2019 |
| Australia |
| Canopy Clinical Northern Beaches | Brookvale | New South Wales | 2100 | Australia |
| Paratus Clinical Research Central Coast | Kanwal | New South Wales | 2259 | Australia |
| Sutherland Shire Clinical Research | Miranda | New South Wales | 2228 | Australia |
| Innovate Clinical Research | Waitara | New South Wales | 2077 | Australia |
| Canopy Clinical Wollongong | Wollongong | New South Wales | 2500 | Australia |
| Paratus Clinical Research Brisbane | Herston | Queensland | 4006 | Australia |
| Veritus Research | Bayswater | Victoria | 3153 | Australia |
| Emeritus Research | Camberwell | Victoria | 3124 | Australia |
| Doherty Clinical Trials Limited | East Melbourne | Victoria | 3002 | Australia |
| Optimal Clinical Trials Ltd - North | Auckland | 0632 | New Zealand |
| Optimal Clinical Trials Ltd - Central | Auckland | 1010 | New Zealand |
| New Zealand Clinical Research | Christchurch | 8011 | New Zealand |
| Momentum Wellington | Wellington | 0621 | New Zealand |
| Momentum Clinical Research Kapiti | Wellington | 5036 | New Zealand |
| ID | Term |
|---|---|
| D006562 | Herpes Zoster |
| D000079263 | Vaccine-Preventable Diseases |
| ID | Term |
|---|---|
| D000073618 | Varicella Zoster Virus Infection |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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