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This clinical trial included two parts, Part A and Part B. The goal of Part A is to evaluate the safety and preliminary immunogenicity of the lyophilized herpes zoster virus mRNA vaccine (HZ mRNA vaccine) in healthy populations aged 40 years and older. The goal of Part B is to select the optimal dosage and schedule in healthy populations aged 50 years and older to support next further study.
This is a randomized, double-blind, controlled study. Part A employed sequential enrollment by age and dosage. All participants received two doses of the study vaccine. Safety observation conducted throughout the study. Humoral and celluar immunity were evaluated.
In Part B, participants randomly received either different dosage study vaccine or active controlled vaccine, with different immunization schedule. Safety observation conducted throughout the study. Humoral and celluar immunity were evaluated. Immune persistence was also evaluated at multiple timepoints after vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low-dose group | Experimental | Participants will receive two doses of lyophilized herpes zoster virus mRNA vaccine (low dosage), with 30 days or 60 days apart |
|
| High-dose group | Experimental | Participants will receive two doses of lyophilized herpes zoster virus mRNA vaccine (high dosage), with 30 days or 60 days apart |
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| Comparator A | Active Comparator | Participants will receive a single dose of saline on day 0 and a single dose of herpes zoster vaccine, live on day 60 |
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| Comparator B | Active Comparator | Participants will receive two doses of recombinant zoster vaccine (CHO cell), with 60 days apart |
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| Comparator C | Placebo Comparator | Participants will receive two doses of saline, with 60 days apart |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low-dose experimental vaccine | Biological | Lyophilized herpes zoster virus mRNA vaccine |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of adverse reactions within 30 days | The incidence of adverse reactions within 0~30 days after each dose vaccination. | 0~30 days after each dose vaccination |
| Seroconversion rate of gE antibody | The seroconversion rate of gE antibody on Day 30 after two doses vaccination. | Day 30 after two doses |
| Geometric mean concentration (GMC) of gE antibody | The GMC of gE antibody on Day 30 after two doses vaccination. | Day 30 after two doses |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse reactions within 0~14 days | The incidence of adverse reactions within 0~14 days after each dose vaccination. | 0~14 days after each dose vaccination |
| Incidence of serious adverse events (SAEs) |
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Inclusion Criteria:
Exclusion Criteria:
A. Hematological parameters: White blood cell count (WBC), hemoglobin (Hb), platelet count (Plt); B. Blood biochemical parameters: Alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), fasting blood glucose (Glu), creatinine (CR); C. Urinalysis parameter: Urine protein (PRO); D. Coagulation parameters: Prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (Fib), international normalized ratio (INR); E. 12-lead electrocardiogram (ECG).
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Na Xie | Contact | 86+1999015105 | xn@xjcdc.com | |
| Jiao Xue | Contact | 86+13899089997 | 64282811@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Na Xie | Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention | Recruiting | Xinjiang | 831100 | China |
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| High-dose experimental vaccine | Biological | Lyophilized herpes zoster virus mRNA vaccine |
|
| Active-controlled vaccine A | Biological | herpes zoster attenuated live vaccine, lyophilized |
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| Active-controlled vaccine B | Biological | Shingrix® |
|
| Placebo group | Other | Saline |
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The incidence of SAEs from the first dose to 12 months after the second dose.
| From the first dose to 12 months after the second dose |
| Incidence of adverse events of special interest(AESI) | The incidence of AESI from the first dose to 12 months after the second dose. | From the first dose to 12 months after the second dose |
| GMC of gE antibody | The GMC of gE antibody on Day 30 or Day 60 after the first dose, and on Day 14、Day 180 and Day 360 after the second dose | On Day 30 or Day 60 after the first dose, and on Day 14、Day 180 and Day 360 after the second dose |
| Geometric mean fold rise (GMFR) of gE antibody | The GMFR of gE antibody on Day 30 or Day 60 after the first dose, and on Day 14 and Day 30 after the second dose | On Day 30 or Day 60 after the first dose, and on Day 14 and Day 30 after the second dose |
| Seroconversion rate of varicella-zoster virus (VZV) antibody | The seroconversion rate of VZV antibody on Day 30 or Day 60 after the first dose, and on Day 14、Day 30、Day 180 and Day 360 after the second dose. | On Day 30 or Day 60 after the first dose, and on Day 14、Day 30、Day 180 and Day 360 after the second dose |
| GMT of VZV antibody | The GMT of VZV antibody on Day 30 or Day 60 after the first dose, and on Day 14、Day 30、Day 180 and Day 360 after the second dose | On Day 30 or Day 60 after the first dose, and on Day 14、Day 30、Day 180 and Day 360 after the second dose |
| GMFR of VZV antibody | The GMFR of VZV antibody on Day 30 or Day 60 after the first dose, and on Day 14 and Day 30 after the second dose | On Day 30 or Day 60 after the first dose, and on Day 14 and Day 30 after the second dose |
| Frequency of CD4/CD8+ T cells secreting gE-specific cytokines | The frequency of CD4/CD8+ T cells secreting gE-specific cytokines (IFN-γ, IL-2, TNF-α, CD40L) on Day 30 or Day 60 after the first dose, and on Day 14、Day 30、Day 180 and Day 360 after the second dose. | On Day 30 or Day 60 after the first dose, and on Day 14、Day 30、Day 180 and Day 360 after the second dose |
| Cellular immune response rate | The cellular immune response rate on Day 30 or Day 60 after the first dose, and on Day 14 and Day 30 after the second dose. | On Day 30 or Day 60 after the first dose, and on Day 14 and Day 30 after the second dose |
| 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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