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NCT03798691

Immunogenicity of Herpes Zoster Subunit Vaccine in Inflammatory Bowel Disease Patients Treated With Vedolizumab

Completed Phase 4 Results posted Last updated 2 April 2025
What this trial tests

Phase 4 trial testing Shingrix in Inflammatory Bowel Diseases in 33 participants. Completed in 10 September 2024.

Timeline
28 May 2019
Primary endpoint
12 October 2023
10 September 2024

Quick facts

Lead sponsorUniversity of Wisconsin, Madison
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment33
Start date28 May 2019
Primary completion12 October 2023
Estimated completion10 September 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Wisconsin, Madison

Who can join

Adults 18 to 70, any sex, with Inflammatory Bowel Diseases or Crohn Disease. 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.

Change in Cell Mediated Immunity Primary · It will be measured from pre-immunization to 1 month after receiving second dose of booster vaccine post-immunization.

The primary objective will be the change in cell mediated immunity (CMI) as measured by ELISPOT from pre-immunization to one month after receiving second dose of vaccine.

Pre-Vaccine
GroupValue95% CI
Vedolizumab335 – 58
Anti-TNF Monotherapy3313 – 88
One month after series completion of two dose series
GroupValue95% CI
Vedolizumab3317 – 91
Anti-TNF Monotherapy5036 – 193
Percent of Participants With Sustained Cell Mediated Immunity Measured Via ELISPOT After Immunization. Secondary · Baseline to 6 months post-immunization 2nd dose of vaccine.

Sustained change in CMI at 6 months will be assessed after receiving a second dose of booster vaccine post-immunization. CMI will be measured via ELISPOT

GroupValue95% CI
Vedolizumab15
Anti-TNF Monotherapy15
Percent of Participants With a Change in Antibody Concentration Post Immunization Secondary · pre-immunization to one month 2nd dose post-immunization

A secondary outcome will be the change in varicella zoster virus (VZV) antibody concentration comparing pre-immunization to post immunization antibody concentration.

GroupValue95% CI
Vedolizumab15
Anti-TNF Monotherapy15
Percent of Participants With a Change in Antibody Concentration That is Sustained at 6 Months Secondary · Baseline to 6 months post-immunization

Sustained change in VZV antibody concentration at 6 months after receiving a second dose of booster vaccine post-immunization will be assessed.

GroupValue95% CI
Vedolizumab15
Anti-TNF Monotherapy15
Number of Participants Who Experienced Vaccine Related Adverse Events After Dose 1 Secondary · Dose 1 (Month 0)

To evaluate for adverse effects following immunization patients will receive phone calls from study personnel to ascertain vaccine-related adverse effects. Dose and Schedule: Two doses (0.5 mL each) administered intramuscularly according to the following schedule: A first dose at Month 0 followed by a second dose administered anytime between 2 and 6 months later.

Any Systemic Adverse Effect
GroupValue95% CI
Vedolizumab Dose 1: Grade 17
Vedolizumab Dose 1: Grade 21
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 16
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Headaches
GroupValue95% CI
Vedolizumab Dose 1: Grade 16
Vedolizumab Dose 1: Grade 20
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 13
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Plugged ear
GroupValue95% CI
Vedolizumab Dose 1: Grade 11
Vedolizumab Dose 1: Grade 20
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 10
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Intermittent fever/chills
GroupValue95% CI
Vedolizumab Dose 1: Grade 13
Vedolizumab Dose 1: Grade 20
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 12
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Lymphadenopathy
GroupValue95% CI
Vedolizumab Dose 1: Grade 10
Vedolizumab Dose 1: Grade 20
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 11
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Congestion
GroupValue95% CI
Vedolizumab Dose 1: Grade 10
Vedolizumab Dose 1: Grade 20
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 11
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Fatigue
GroupValue95% CI
Vedolizumab Dose 1: Grade 15
Vedolizumab Dose 1: Grade 20
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 12
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Myalgias/joint pain
GroupValue95% CI
Vedolizumab Dose 1: Grade 12
Vedolizumab Dose 1: Grade 21
Vedolizumab Dose 1: Grade 30
Vedolizumab Dose 1: Grade 40
Anti-TNF Monotherapy Dose 1: Grade 11
Anti-TNF Monotherapy Dose 1: Grade 20
Anti-TNF Monotherapy Dose 1: Grade 30
Anti-TNF Monotherapy Dose 1: Grade 40
Number of Participants Who Experienced Vaccine Related Adverse Events After Dose 2 Secondary · Dose 2 (anytime from Month 2 to Month 6)

To evaluate for adverse effects following immunization patients will receive phone calls from study personnel to ascertain vaccine-related adverse effects. Dose and Schedule: Two doses (0.5 mL each) administered intramuscularly according to the following schedule: A first dose at Month 0 followed by a second dose administered anytime between 2 and 6 months later.

Any Systemic Adverse Effect
GroupValue95% CI
Vedolizumab Dose 2: Grade 15
Vedolizumab Dose 2: Grade 21
Vedolizumab Dose 2: Grade 32
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 13
Anti-TNF Monotherapy Dose 2: Grade 23
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Headaches
GroupValue95% CI
Vedolizumab Dose 2: Grade 13
Vedolizumab Dose 2: Grade 20
Vedolizumab Dose 2: Grade 30
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 11
Anti-TNF Monotherapy Dose 2: Grade 21
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Plugged ear
GroupValue95% CI
Vedolizumab Dose 2: Grade 10
Vedolizumab Dose 2: Grade 20
Vedolizumab Dose 2: Grade 30
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 10
Anti-TNF Monotherapy Dose 2: Grade 20
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Intermittent fever/chills
GroupValue95% CI
Vedolizumab Dose 2: Grade 14
Vedolizumab Dose 2: Grade 20
Vedolizumab Dose 2: Grade 31
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 11
Anti-TNF Monotherapy Dose 2: Grade 22
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Lymphadenopathy
GroupValue95% CI
Vedolizumab Dose 2: Grade 10
Vedolizumab Dose 2: Grade 20
Vedolizumab Dose 2: Grade 30
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 10
Anti-TNF Monotherapy Dose 2: Grade 20
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Congestion
GroupValue95% CI
Vedolizumab Dose 2: Grade 10
Vedolizumab Dose 2: Grade 20
Vedolizumab Dose 2: Grade 30
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 10
Anti-TNF Monotherapy Dose 2: Grade 20
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Fatigue
GroupValue95% CI
Vedolizumab Dose 2: Grade 14
Vedolizumab Dose 2: Grade 21
Vedolizumab Dose 2: Grade 30
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 11
Anti-TNF Monotherapy Dose 2: Grade 21
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Myalgias/joint pain
GroupValue95% CI
Vedolizumab Dose 2: Grade 16
Vedolizumab Dose 2: Grade 20
Vedolizumab Dose 2: Grade 31
Vedolizumab Dose 2: Grade 40
Anti-TNF Monotherapy Dose 2: Grade 11
Anti-TNF Monotherapy Dose 2: Grade 20
Anti-TNF Monotherapy Dose 2: Grade 30
Anti-TNF Monotherapy Dose 2: Grade 40
Number of Participants Experiencing a Change in Disease Activity Post Immunization Reported Secondary · at the baseline visit and one month after receipt of each vaccine

The Simple Clinical Colitis Activity Index (SCCAI) will be used to measure disease activity. It is a questionnaire with six subscore topics with scores defined by UC signs and symptoms from 0 to 4 for a range of scores from 0 to 17. Total scores are interpreted as: Remission = score of 0 to 4 points, Mild Activity = score of 5 to 7 points, Moderate Activity = Score of 8 to 16 points, and Severe Activity = Score of \> 16 points. Number of participants experiencing a change will be reported.

baseline
GroupValue95% CI
Vedolizumab0
Anti-TNF Monotherapy0
1 month post-dose 1
GroupValue95% CI
Vedolizumab0
Anti-TNF Monotherapy0
1 month post-dose 2
GroupValue95% CI
Vedolizumab0
Anti-TNF Monotherapy0

Adverse events — posted to ClinicalTrials.gov

Time frame: up to 12 months post second dose (approximately 425 days on study). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Vedolizumab: Dose 1
Serious: 0/15 (0%)
Deaths: 0/15
Anti-TNF Monotherapy: Dose 1
Serious: 0/15 (0%)
Deaths: 0/15
Vedolizumab: Dose 2
Serious: 0/15 (0%)
Deaths: 0/15
Anti-TNF Monotherapy: Dose 2
Serious: 0/15 (0%)
Deaths: 0/15
Vedolizumab: 6 Months Post Follow up
Serious: 0/15 (0%)
Deaths: 0/15
Anti-TNF Monotherapy: 6 Months Post Follow up
Serious: 0/15 (0%)
Deaths: 0/15
Vedolizumab: 12 Months Post Follow up
Serious: 0/14 (0%)
Deaths: 0/14
Anti-TNF Monotherapy: 12 Months Post Follow up
Serious: 0/15 (0%)
Deaths: 0/15
Other adverse events (12 terms — click to expand)

ReactionSystemVedolizumab: Dose 1Anti-TNF Monotherapy: Dose 1Vedolizumab: Dose 2Anti-TNF Monotherapy: Dose 2Vedolizumab: 6 Months Post…Anti-TNF Monotherapy: 6 Mo…Vedolizumab: 12 Months Pos…Anti-TNF Monotherapy: 12 M…
Pain or SorenessSkin and subcutaneous tissue disorders
Myalgias or Joint PainMusculoskeletal and connective tissue disorders
HeadacheGeneral disorders
Intermittent Fever or ChillsGeneral disorders
FatigueGeneral disorders
ErythemaSkin and subcutaneous tissue disorders
SwellingSkin and subcutaneous tissue disorders
Plugged EarGeneral disorders
LymphadenopathyGeneral disorders
CongestionGeneral disorders
PruritusSkin and subcutaneous tissue disorders
WarmthSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03798691 adverse events section.

Sponsor's own description

Inflammatory bowel disease (IBD) is a chronic inflammatory state of the gastrointestinal tract affecting 1.6-3.1 million people in the United States. Patients with IBD are treated with immunosuppressants that increase their risk of herpes zoster (HZ), also known as shingles. Those with IBD have a two-fold increased risk for HZ compared to age matched controls. Because most IBD patients are treated with systemic immunosuppressants, which are an independent risk factor for HZ, the live attenuated HZ vaccine was not recommended. However, the release of the new inactivated HZ vaccine, Shingrix (GlaxoSmithKline), presents new opportunities for preventive care.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Immunogenicity and Safety of Recombinant Herpes Zoster Vaccine in Patients With Inflammatory Bowel Disease on Vedolizumab or Anti-Tumor Necrosis Factor Therapy.
    Caldera F, Mogallapalli H, Abusalim AR, Farraye FA, et al · · 2025 · cited 1× · PMID 40995992 · DOI 10.14309/ctg.0000000000000924

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Other trials of Shingrix

Trials testing the same drug.

Other recruiting trials for Inflammatory Bowel Diseases

Currently open trials in the same condition.

Other University of Wisconsin, Madison 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/NCT03798691.

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