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The purpose of this clinical study is to evaluate the safety and immunogenicity of receiving two doses of recombinant herpes zoster vaccine (CHO cells) (RHZV) in healthy individuals aged 40 years and above. This study will be conducted in 2 substudies: Substudy A (Phase I) and Substudy B (Phase â…¡).
There are two parts of the study.
Substudy A:
This substudy is the Phase I portion of the study. In this substudy, participants will receive 1 of 2 RHZV candidates (different dose levels) or the approved shingles vaccine (positive control) or adjuvant controls or normal saline intramuscularly. Participants will be divided into 2 age groups: 40-49 years old and ≥ 50 years old. Participants will receive vaccinations on days 0 and 60. Participants will complete a 12-month safety follow-up after two doses of vaccination, and they will take part in this study for about 14 months.
Substudy B:
This substudy is the Phase Ⅱ portion of the study. In this part of the study, participants will also receive 1 of 2 RHZV candidates (different dose levels) or the approved shingles vaccine (positive control) or normal saline intramuscularly. Participants will be divided into 3 age groups: 40-49 years old, 50-69 years old and ≥ 70 years old. Participants will receive vaccinations on days 0 and 60. Some group(s) will continue into persistence-of-immunity (overtime assessment of effect of vaccine) portion of the study. Those participants will be involved in this study for up to 2 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SubStudy A (SSA): Group 1 | Experimental | Recombinant herpes zoster vaccine with low-dose adjuvant |
|
| SSA: Group 2 | Experimental | Recombinant herpes zoster vaccine with high-dose adjuvant |
|
| SSA:Control group 1 | Placebo Comparator | Low-dose adjuvant |
|
| SSA:Control group 2 | Placebo Comparator | High-dose adjuvant |
|
| SSA: Positive control | Active Comparator | Shingrix (GSK) |
|
| SSA: Placebo group | Placebo Comparator | Normal saline |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant herpes zoster vaccine with low-dose adjuvant | Biological | Candidate 1, Dose Level 1, Intramuscular injection, 0, 2 months schedule |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of immediate Adverse Events (AEs) | The occurrence of any adverse events within 30 minutes after each dose of vaccination. | 30min after each dose of vaccination |
| Percentage of solicited Adverse Events | Adverse events defined by the protocol that occurred to the participant during 0-14 days after each dose of vaccination. | 14 days after each dose of vaccination |
| Serious Adverse Events (SAE) | That is serious adverse events, any serious adverse events that occurred to the participant during the study period. | 12 months after the last dose |
| Percentage of unsolicited Adverse Events | Other adverse events that occurred among participants within 0-28/30 days after each vaccination, in addition to the solicited adverse events. | 28 or 30 days after each dose of vaccination |
| Geometric Mean Concentration (GMC) of Anti-glycoprotein E (gE) Antibodies | GMC levels o of Anti-gE Antibodies in participants after receiving 2 doses of vaccine. | 30 days after the last dose of vaccination |
| Geometric Mean Titer (GMT) of Anti-VZV Antibodies | GMT levels o of Anti-VZV Antibodies in participants after receiving 2 doses of vaccine. | 30 days after the last dose of vaccination |
| Positive rate of Anti-gE Antibodies |
| Measure | Description | Time Frame |
|---|---|---|
| SSB: Cellular immune level | Levels of glycoprotein E (gE)-specific CD4+/CD8+ T cells expressing 2 or more markers of activation. | 30 days, 6 months, 12months and 24 months after the last dose of vaccination |
| SSB:Humoral immunogenicity level |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chaorong Xu | Contact | 02162800991 | xuchaorong@sinopharm.com |
| Name | Affiliation | Role |
|---|---|---|
| Yeqing Tong | Hubei Provincial Center for Disease Control and Prevention | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hubei Provincial Center for Disease Control and Prevention | Recruiting | Wuhan | Hubei | China |
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|
| SubStudy B (SSB): Group 3 | Experimental | Recombinant herpes zoster vaccine with low-dose adjuvant |
|
| SSB: Group 4 | Experimental | Recombinant herpes zoster vaccine with high-dose adjuvant |
|
| SSB: Positive control | Active Comparator | Shingrix (GSK) |
|
| SSB: Placebo group | Placebo Comparator | Normal saline |
|
| Recombinant herpes zoster vaccine with high-dose adjuvant | Biological | Candidate 2, Dose Level 2, Intramuscular injection, 0, 2 months schedule |
|
| Low-dose adjuvant | Biological | Adjuvant control 1, Dose Level 1, Intramuscular injection, 0, 2 months schedule |
|
| High-dose adjuvant | Biological | Adjuvant control 2, Dose Level 2, Intramuscular injection, 0, 2 months schedule |
|
| Shingrix (GSK) | Biological | Positive control, Intramuscular injection, 0, 2 months schedule |
|
| Normal Saline | Biological | Placebo control, Intramuscular injection, 0, 2 months schedule |
|
The proportion of individuals in the study population who have achieved Anti-gE antibody positive after immunization.
| 30 days after the last dose of vaccination |
| Positive rate of Anti-VZV Antibodies | The proportion of individuals in the study population who have achieved Anti-VZV antibody positive after immunization. | 30 days after the last dose of vaccination |
| Seroconversion rate of Anti-gE Antibodies | The proportion of individuals in the study population who have achieved Anti-gE antibody seroconversion after immunization. | 30 days after the last dose of vaccination |
| Seroconversion rate of Anti-VZV Antibodies | The proportion of individuals in the study population who have achieved Anti-VZV antibody seroconversion after immunization. | 30 days after the last dose of vaccination |
Levels of GMC (Anti-gE antibody), GMT (Anti-VZV antibody), positive rate and seroconversion rate after receiving 2 doses of vaccine.
| 6 months, 12months and 24 months after the last dose of vaccination |
| ID | Term |
|---|---|
| D006562 | Herpes Zoster |
| ID | Term |
|---|---|
| D000073618 | Varicella Zoster Virus Infection |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D000277 | Adjuvants, Pharmaceutic |
| C023768 | halofantrine |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D010592 | Pharmaceutic Aids |
| D004364 | Pharmaceutical Preparations |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
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