Last reviewed · How we verify

NCT01165229

Study to Evaluate Efficacy, Safety and Immunogenicity of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster (HZ) Vaccine GSK1437173A in Adults Aged 70 Years and Older

Completed Phase 3 Results posted Last updated 27 April 2020
What this trial tests

Phase 3 trial testing Herpes Zoster Vaccine GSK1437173A in Herpes Zoster in 14,819 participants. Completed in 24 July 2015.

Timeline
2 August 2010
Primary endpoint
24 July 2015
24 July 2015

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment14,819
Start date2 August 2010
Primary completion24 July 2015
Estimated completion24 July 2015
Sites213 locations across France, Hong Kong, Finland, Italy, Japan, Sweden, Taiwan, Estonia

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

70 and older, any sex, with Herpes Zoster or Herpes Zoster Vaccine. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Subjects With Any Episodes of Herpes Zoster (HZ) Primary · During the entire study period (3 to 5 year period following Day 0)

Confirmed HZ cases during the study in the modified total vaccinated cohort (mTVc).

GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group17
Zoster-022 GSK1437173A >=80YOA Group6
Zoster-022 GSK1437173A >=70YOA Group23
Zoster-022 Placebo 70-79YOA Group169
Zoster-022 Placebo >=80YOA Group54
Zoster-022 Placebo >=70YOA Group223
Outcome Measure for the Pooled Analysis of Combined Data From Studies ZOSTER-006 (NCT01165177) and ZOSTER-022 (NCT01165229): Number of Subjects With Post-herpetic Neuralgia (PHN) Primary · During the entire study period (3 to 5 year period following Day 0)

Incidence of PHN calculated using the mTVc during the entire study period in subjects ≥ 70 years of age (YOA).

GroupValue95% CI
Zoster-022/006 Pooled GSK1437173A 70-79YOA Group2
Zoster-022/006 Pooled GSK1437173A >=80YOA Group2
Zoster-022/006 Pooled GSK1437173A >=70YOA Group4
Zoster-022/006 Pooled Placebo 70-79YOA Group29
Zoster-022/006 Pooled Placebo >=80YOA Group7
Zoster-022/006 Pooled Placebo >=70YOA Group36
Outcome Measure for the Pooled Analysis of Combined Data From Studies Zoster-006 (NCT01165177) and Zoster-022 (NCT01165229): Number of Subjects With Confirmed HZ Primary · During the entire study period (3 to 5 year period following Day 0)

Occurrence of confirmed HZ during the entire study period in subjects ≥ 70 YOA.

GroupValue95% CI
Zoster-022/006 Pooled GSK1437173A 70-79YOA Group19
Zoster-022/006 Pooled GSK1437173A >=80YOA Group6
Zoster-022/006 Pooled GSK1437173A >=70YOA Group25
Zoster-022/006 Pooled Placebo 70-79YOA Group216
Zoster-022/006 Pooled Placebo >=80YOA Group68
Zoster-022/006 Pooled Placebo >=70YOA Group284
Number of Subjects With Post-herpetic Neuralgia (PHN) Secondary · During the entire study period (3 to 5 year period following Day 0)

PHN cases in the mTVc.

GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group2
Zoster-022 GSK1437173A >=80YOA Group2
Zoster-022 GSK1437173A >=70YOA Group4
Zoster-022 Placebo 70-79YOA Group22
Zoster-022 Placebo >=80YOA Group6
Zoster-022 Placebo >=70YOA Group28
Number of Days With Severe 'Worst' HZ-associated Pain Secondary · During the entire study period (3 to 5 year period following Day 0)

Duration of severe 'worst' HZ-associated pain following the onset of a confirmed HZ rash over the entire pain reporting period as measured by the Zoster Brief Pain Inventory (ZBPI) in subjects with confirmed HZ.

GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group21.8± 31.41
Zoster-022 GSK1437173A >=80YOA Group98.7± 57.73
Zoster-022 GSK1437173A >=70YOA Group34.6± 45.54
Zoster-022 Placebo 70-79YOA Group47.9± 100.08
Zoster-022 Placebo >=80YOA Group50.4± 106.51
Zoster-022 Placebo >=70YOA Group48.5± 101.40
Number of Subjects With Confirmed HZ Episode Related Mortality and Hospitalizations Secondary · During the entire study period (3 to 5 year period following Day 0)

The number of subjects with confirmed HZ related mortality and hospitalizations were tabulated.

Mortality
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group0
Zoster-022 Placebo >=80YOA Group0
Zoster-022 Placebo >=70YOA Group0
Hospitalization
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group3
Zoster-022 Placebo >=80YOA Group2
Zoster-022 Placebo >=70YOA Group5
Mortality or hospitalization
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group3
Zoster-022 Placebo >=80YOA Group2
Zoster-022 Placebo >=70YOA Group5
Number of Subjects With Overall Mortality and HZ-related Mortality Secondary · During the entire study period (3 to 5 year period following Day 0)

The number of subjects with overall mortality and HZ related mortality were tabulated. Evaluation of VE in the reduction of overall and HZ related mortality as per study objective was not performed due to low number of events reported.

GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group0
Zoster-022 Placebo >=80YOA Group0
Zoster-022 Placebo >=70YOA Group0
Number of Subjects With Confirmed HZ Episode Related Hospitalizations Secondary · During the entire study period (3 to 5 year period following Day 0)

Incidence of overall and HZ-related hospitalizations during the study.

GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group3
Zoster-022 Placebo >=80YOA Group2
Zoster-022 Placebo >=70YOA Group5
Number of Subjects With HZ Related Complications Secondary · During the entire study period (3 to 5 year period following Day 0)

Incidence of HZ complications during the study in subjects with confirmed HZ.

At least one complication
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group1
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group1
Zoster-022 Placebo 70-79YOA Group6
Zoster-022 Placebo >=80YOA Group4
Zoster-022 Placebo >=70YOA Group10
HZ vasculitis
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group0
Zoster-022 Placebo >=80YOA Group0
Zoster-022 Placebo >=70YOA Group0
Disseminated Disease
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group0
Zoster-022 Placebo >=80YOA Group2
Zoster-022 Placebo >=70YOA Group2
Ophthalmic Disease
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group1
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group1
Zoster-022 Placebo 70-79YOA Group4
Zoster-022 Placebo >=80YOA Group2
Zoster-022 Placebo >=70YOA Group6
Neurologic Disease
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group3
Zoster-022 Placebo >=80YOA Group0
Zoster-022 Placebo >=70YOA Group3
Visceral Disease
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group0
Zoster-022 Placebo >=80YOA Group0
Zoster-022 Placebo >=70YOA Group0
Stroke
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group0
Zoster-022 Placebo 70-79YOA Group0
Zoster-022 Placebo >=80YOA Group0
Zoster-022 Placebo >=70YOA Group0
Number of Subjects Receiving Pain Medication Associated With HZ Secondary · During the entire study period (3 to 5 year period following Day 0)

Incidence of use of pain medications throughout the study

At least 1 pain medication
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group7
Zoster-022 GSK1437173A >=80YOA Group3
Zoster-022 GSK1437173A >=70YOA Group10
Zoster-022 Placebo 70-79YOA Group123
Zoster-022 Placebo >=80YOA Group37
Zoster-022 Placebo >=70YOA Group160
1 pain medication only
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group5
Zoster-022 GSK1437173A >=80YOA Group0
Zoster-022 GSK1437173A >=70YOA Group5
Zoster-022 Placebo 70-79YOA Group43
Zoster-022 Placebo >=80YOA Group17
Zoster-022 Placebo >=70YOA Group60
2 pain medications only
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group0
Zoster-022 GSK1437173A >=80YOA Group1
Zoster-022 GSK1437173A >=70YOA Group1
Zoster-022 Placebo 70-79YOA Group30
Zoster-022 Placebo >=80YOA Group4
Zoster-022 Placebo >=70YOA Group34
3 pain medications or more
GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group2
Zoster-022 GSK1437173A >=80YOA Group2
Zoster-022 GSK1437173A >=70YOA Group4
Zoster-022 Placebo 70-79YOA Group50
Zoster-022 Placebo >=80YOA Group16
Zoster-022 Placebo >=70YOA Group66
Number of Days With Pain Medication Associated With HZ Secondary · During the entire study period (3 to 5 year period following Day 0)

Incidence of reduction of duration of pain medication associated with HZ throughout the study.

GroupValue95% CI
Zoster-022 GSK1437173A 70-79YOA Group38.7± 56.44
Zoster-022 GSK1437173A >=80YOA Group274.7± 337.00
Zoster-022 GSK1437173A >=70YOA Group109.5± 200.88
Zoster-022 Placebo 70-79YOA Group218.6± 593.80
Zoster-022 Placebo >=80YOA Group135.0± 207.31
Zoster-022 Placebo >=70YOA Group199.3± 530.60
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Secondary · Within the 7-day (Days 0-6) post-vaccination period following each dose and across doses

Occurrence, intensity of each solicited local symptom within 7 days (Days 0-6) after each vaccination, in subjects included in the 7-day diary card subset; Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = Significant pain at rest that prevented everyday normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.

Any Pain, Dose 1
GroupValue95% CI
Zoster-022 GSK1437173A Group297
Zoster-022 Placebo Group26
Grade 3 Pain, Dose 1
GroupValue95% CI
Zoster-022 GSK1437173A Group12
Zoster-022 Placebo Group1
Any Redness, Dose 1
GroupValue95% CI
Zoster-022 GSK1437173A Group143
Zoster-022 Placebo Group3
Grade 3 Redness, Dose 1
GroupValue95% CI
Zoster-022 GSK1437173A Group9
Zoster-022 Placebo Group0
Any Swelling, Dose 1
GroupValue95% CI
Zoster-022 GSK1437173A Group85
Zoster-022 Placebo Group2
Grade 3 Swelling, Dose 1
GroupValue95% CI
Zoster-022 GSK1437173A Group2
Zoster-022 Placebo Group0
Any Pain, Dose 2
GroupValue95% CI
Zoster-022 GSK1437173A Group282
Zoster-022 Placebo Group23
Grade 3 Pain, Dose 2
GroupValue95% CI
Zoster-022 GSK1437173A Group12
Zoster-022 Placebo Group0

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited symptoms: within 7 days (Days 0-6) after vaccination; Unsolicited adverse events: within 30 days (Days 0-29) after vaccination; Serious Adverse Events (SAEs): during the entire study period (3 to 5 year period following Day 0).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Zoster-022 GSK1437173A Group
Serious: 1153/6950 (17%)
Deaths: 426/6950
Zoster-022 Placebo Group
Serious: 1214/6950 (17%)
Deaths: 459/6950

Serious adverse events (955 terms)

ReactionSystemZoster-022 GSK1437173A GroupZoster-022 Placebo Group
PneumoniaInfections and infestations
Cardiac failureCardiac disorders
Atrial fibrillationCardiac disorders
Myocardial infarctionCardiac disorders
Cerebrovascular accidentNervous system disorders
Cardiac failure congestiveCardiac disorders
DeathGeneral disorders
Acute myocardial infarctionCardiac disorders
Coronary artery diseaseCardiac disorders
Urinary tract infectionInfections and infestations
SepsisInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Cardiac arrestCardiac disorders
Lung neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Chest painGeneral disorders
SyncopeNervous system disorders
Transient ischaemic attackNervous system disorders
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute kidney injuryRenal and urinary disorders
Cerebral infarctionNervous system disorders
Myocardial ischaemiaCardiac disorders
CholecystitisHepatobiliary disorders
Other adverse events (9 terms — click to expand)

ReactionSystemZoster-022 GSK1437173A GroupZoster-022 Placebo Group
Injection site painGeneral disorders
Injection site erythemaGeneral disorders
Injection site swellingGeneral disorders
HeadacheNervous system disorders
PyrexiaGeneral disorders
FatigueGeneral disorders
PainGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
ChillsGeneral disorders

Most-reported serious reactions: Pneumonia, Cardiac failure, Atrial fibrillation, Myocardial infarction, Cerebrovascular accident, Cardiac failure congestive, Death, Acute myocardial infarction.

Data from ClinicalTrials.gov NCT01165229 adverse events section.

Sponsor's own description

The purpose of this observer-blind study is to evaluate the efficacy, safety and immunogenicity of GSK Biologicals' candidate Herpes Zoster (HZ) vaccine in adults aged ≥ 70 years. Two studies (Zoster-006 \[NCT01165177\] and Zoster-022 \[NCT01165229\]) will be conducted concurrently to evaluate efficacy of GSK1437173A vaccine. A pooled analysis of data from both studies combined will be conducted contingent on each study achieving its objectives. This protocol posting also deals with the outcome measures related to the pooled analysis.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Efficacy of the Herpes Zoster Subunit Vaccine in Adults 70 Years of Age or Older.
    Cunningham AL, Lal H, Kovac M, Chlibek R, et al · · 2016 · cited 740× · PMID 27626517 · DOI 10.1056/nejmoa1603800
  2. Immune Responses to a Recombinant Glycoprotein E Herpes Zoster Vaccine in Adults Aged 50 Years or Older.
    Cunningham AL, Heineman TC, Lal H, Godeaux O, et al · · 2018 · cited 153× · PMID 29529222 · DOI 10.1093/infdis/jiy095
  3. Impact of disease-modifying antirheumatic drugs on vaccine immunogenicity in patients with inflammatory rheumatic and musculoskeletal diseases.
    Friedman MA, Curtis JR, Winthrop KL. · · 2021 · cited 93× · PMID 34493491 · DOI 10.1136/annrheumdis-2021-221244
  4. Long-term Protection Against Herpes Zoster by the Adjuvanted Recombinant Zoster Vaccine: Interim Efficacy, Immunogenicity, and Safety Results up to 10 Years After Initial Vaccination.
    Strezova A, Diez-Domingo J, Al Shawafi K, Tinoco JC, et al · · 2022 · cited 80× · PMID 36299530 · DOI 10.1093/ofid/ofac485
  5. The Adjuvanted Recombinant Zoster Vaccine Confers Long-Term Protection Against Herpes Zoster: Interim Results of an Extension Study of the Pivotal Phase 3 Clinical Trials ZOE-50 and ZOE-70.
    Boutry C, Hastie A, Diez-Domingo J, Tinoco JC, et al · · 2022 · cited 77× · PMID 34283213 · DOI 10.1093/cid/ciab629
  6. Safety profile of the adjuvanted recombinant zoster vaccine: Pooled analysis of two large randomised phase 3 trials.
    López-Fauqued M, Campora L, Delannois F, El Idrissi M, et al · · 2019 · cited 53× · PMID 30935742 · DOI 10.1016/j.vaccine.2019.03.043
  7. Persistence of immune response to an adjuvanted varicella-zoster virus subunit vaccine for up to year nine in older adults.
    Schwarz TF, Volpe S, Catteau G, Chlibek R, et al · · 2018 · cited 50× · PMID 29461919 · DOI 10.1080/21645515.2018.1442162
  8. Efficacy and serious adverse events profile of the adjuvanted recombinant zoster vaccine in adults with pre-existing potential immune-mediated diseases: a pooled post hoc analysis on two parallel randomized trials.
    Dagnew AF, Rausch D, Hervé C, Zahaf T, et al · · 2021 · cited 47× · PMID 32910152 · DOI 10.1093/rheumatology/keaa424

Verify or expand the search:

Other trials of Herpes Zoster Vaccine GSK1437173A

Trials testing the same drug.

Other recruiting trials for Herpes Zoster

Currently open trials in the same condition.

Other GlaxoSmithKline trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01165229.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing