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NCT03702231

Response to the SHINGRIX Varicella Zoster Virus (VZV) Vaccine in Chronic Lymphocytic Leukemia (CLL) and CLL Treated With Bruton's Tyrosine Kinase Inhibitor (BTK-I)

Completed Phase 2 Results posted Last updated 4 August 2023
What this trial tests

Phase 2 trial testing Zoster Vaccine Recombinant, Adjuvanted in Safety and Tolerability in 116 participants. Completed in 12 July 2023.

Timeline
7 December 2018
Primary endpoint
9 September 2020
12 July 2023

Quick facts

Lead sponsorNational Heart, Lung, and Blood Institute (NHLBI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment116
Start date7 December 2018
Primary completion9 September 2020
Estimated completion12 July 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Who can join

Adults 18 to 99, any sex, with Safety and Tolerability or Compare SHINGRIX Vaccine Response Rates. 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 Participants With Varicella Zoster Virus (VZV) Seroprotective Titer Primary · 6 months after the first vaccine administration

Determine the rate of varicella zoster virus (VZV) seroprotective titer achievement in participants following completion of the SHINGRIX 2-dose vaccine series in Chronic Lymphocytic Leukemia (CLL) patients that are treatment naive or receiving therapy with a Bruton Tyrosine Kinase (BTK) Inhibitor (Ibrutinib or Acalabrutinib). The response criteria for achieving serologic response against VZV following the SHINGRIX vaccine are based on a validated luciferase immunoprecipitation assay detecting VZV antiglycoprotein E antibody. The primary endpoint is serologic response defined as ≥ four-fold ris

GroupValue95% CI
Chronic Lymphocytic Leukemia Patients That Are Treatment Naive43
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Ibrutinib11
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Acalabrutinib9
Number of Participants That Experienced Serious Adverse Events Following the SHINGRIX Vaccine Among Chronic Lymphocytic Leukemia Patients. Secondary · 6 months after the first vaccine administration

Determine the safety and tolerability of the SHINGRIX vaccine among Chronic Lymphocytic Leukemia (CLL) patients who are treatment naïve or receiving a Brutons-tyrosine kinase inhibitor (BTK-I) (Ibrutinib or Acalabrutinib).

GroupValue95% CI
Chronic Lymphocytic Leukemia Patients That Are Treatment Naive1
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Ibrutinib0
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Acalabrutinib0
Number of Participants That Did Not Complete Study Due to Intolerance of the SHINGRIX Vaccine Among Chronic Lymphocytic Leukemia Patients. Secondary · 6 months after the first vaccine administration

Determine the tolerability of the SHINGRIX vaccine among Chronic Lymphocytic Leukemia (CLL) patients who are treatment naïve or receiving a Brutons-tyrosine kinase inhibitor (BTK-I) (Ibrutinib or Acalabrutinib).

GroupValue95% CI
Chronic Lymphocytic Leukemia Patients That Are Treatment Naive0
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Ibrutinib0
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Acalabrutinib0

Adverse events — posted to ClinicalTrials.gov

Time frame: Events will be collected for 7 days following the first and second vaccine dose. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Chronic Lymphocytic Leukemia Patients That Are Treatment Naive
Serious: 1/58 (2%)
Deaths: 0/58
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Ibrutinib
Serious: 0/30 (0%)
Deaths: 0/30
Chronic Lymphocytic Leukemia Patients Receiving Treatment With Acalabrutinib
Serious: 0/28 (0%)
Deaths: 0/28

Serious adverse events (1 terms)

ReactionSystemChronic Lymphocytic Leukem…Chronic Lymphocytic Leukem…Chronic Lymphocytic Leukem…
Lung InfectionInfections and infestations
Other adverse events (17 terms — click to expand)

ReactionSystemChronic Lymphocytic Leukem…Chronic Lymphocytic Leukem…Chronic Lymphocytic Leukem…
PainGeneral disorders
Injection site reactionGeneral disorders
HeadacheNervous system disorders
MyalgiaMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
Flu like symptomsGeneral disorders
ChillsGeneral disorders
NauseaGastrointestinal disorders
Vaccination site lymphadenopathyGeneral disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
FeverGeneral disorders
NauseaGastrointestinal disorders
Edema limbsGeneral disorders
MyalgiaGeneral disorders
Vaccination complicationGeneral disorders
DizzinessNervous system disorders
HeadacheGeneral disorders

Most-reported serious reactions: Lung Infection.

Data from ClinicalTrials.gov NCT03702231 adverse events section.

Sponsor's own description

Background: People who have cancer tend to get sick more often. This is in part because of the cancer treatments they get. Because of this, they may get shingles. Scientists had thought people with chronic lymphocytic leukemia (CLL) should not get the shingles vaccine. Now there is a new shingles vaccine that is not live and cannot cause shingles. The new shingles vaccine may protect people with weak immune systems from getting shingles. This is currently shown to be safe to give people 50 years and older to prevent shingles. Researchers want to test how safe the vaccine is and how it works in people with CLL. Objective: To learn how a new shingles vaccine works in people who have chronic lymphocytic leukemia or small lymphocytic lymphoma (SLL). Eligibility: Adults ages 18 years and older with CLL or SLL who are not being treated for CLL or who are getting certain treatments. Design: Participants will be screened with a chart review or through another protocol. Visit 1 At visit 1, participants may have a pregnancy test, blood test, or physical exam. Pregnant participants cannot be in the study. Eligible participants will get the shingles vaccine as an injection. Participants will receive a diary and write down any symptoms they have for 7 days after the vaccines. Visit 2 Visit 2 will be 3 months later. Participants will have blood taken and get another dose of the vaccine. Participants will receive a diary and write down any symptoms they have for 7 days after the vaccines. Visit 3 Visit 3 will be 3 months after visit 2. Participants will have blood taken. Participants may be able to get an additional vaccine the same day as the shingles vaccine.

Publications & conference data

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

  1. Cancer vaccines as promising immuno-therapeutics: platforms and current progress.
    Liu J, Fu M, Wang M, Wan D, et al · · 2022 · cited 497× · PMID 35303904 · DOI 10.1186/s13045-022-01247-x
  2. Effect of Bruton tyrosine kinase inhibitor on efficacy of adjuvanted recombinant hepatitis B and zoster vaccines.
    Pleyer C, Ali MA, Cohen JI, Tian X, et al · · 2021 · cited 109× · PMID 33259596 · DOI 10.1182/blood.2020008758
  3. Therapeutic cancer vaccines: From biological mechanisms and engineering to ongoing clinical trials.
    Sobhani N, Scaggiante B, Morris R, Chai D, et al · · 2022 · cited 57× · PMID 35759856 · DOI 10.1016/j.ctrv.2022.102429
  4. BTK inhibitors impair humoral and cellular responses to recombinant zoster vaccine in CLL.
    Pleyer C, Laing KJ, Ali MA, McClurkan CL, et al · · 2022 · cited 22× · PMID 35157769 · DOI 10.1182/bloodadvances.2021006574
  5. Recent Findings on Therapeutic Cancer Vaccines: An Updated Review.
    Sheikhlary S, Lopez DH, Moghimi S, Sun B. · · 2024 · cited 8× · PMID 38672519 · DOI 10.3390/biom14040503

Verify or expand the search:

Other trials of Zoster Vaccine Recombinant, Adjuvanted

Trials testing the same drug.

Other recruiting trials for Safety and Tolerability

Currently open trials in the same condition.

Other National Heart, Lung, and Blood Institute (NHLBI) trials

Trials by the same sponsor.

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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/NCT03702231.

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