Clinical Trial of Recombinant Herpes Zoster Vaccine (ZFA01 Adjuvant, CHO Cells)
Randomized, Multi-cohort, Controlled Phase I/II Clinical Trials Evaluating the Safety, Tolerability and Immunogenicity of Recombinant Herpes Zoster Vaccine (ZFA01 Adjuvant, CHO Cell) for Vaccination in Healthy Subjects Aged 40 Years and Above
A seamless Phase I/II trial evaluating the immunogenicity and safety of a recombinant herpes zoster ZFA01 adjuvanted vaccine (CHO cell) in healthy adults aged ≥40 years. Phase I (n=100): randomized, blinded, placebo-controlled, age/dose escalation across 4 cohorts. Phase II (n=400): randomized, open-label, active-controlled, with 1:1 or 1:1:1 allocation to two experimental groups and a positive control group across three age strata.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
- Biológico: Low-dose adjuvanted recombinant zoster vaccine
- Biológico: High-dose adjuvanted recombinant zoster vaccine (0 and 30 days schedule)
- Biológico: Low-dose adjuvant placebo
- Biológico: High-dose adjuvant placebo
- Biológico: High-dose adjuvanted recombinant zoster vaccine (0 and 60 days schedule)
- Biológico: Zoster Vaccine Recombinant, Adjuvanted
Descripción detallada
This trial adopts a seamless Phase I/II trial design, conducted in two stages: Phase I and Phase II. Phase I is an age/dose escalation stage, employing a randomized, blinded, placebo-controlled design to observe the safety of the vaccine. Phase II further expands the trial population to investigate the safety and immunogenicity of different immunization schedules, employing a randomized, open-label, active-controlled design with blinded assessment during the serological testing phase. The primary objective is to evaluate the immunogenicity and safety of the recombinant herpes zoster ZFA01 adjuvanted vaccine (CHO cell) in healthy populations aged 40 years and older.
Phase I evaluates the tolerability of different adjuvant doses in trial participants, enrolling a total of 100 participants in two age groups: 40-59 years and 60 years and older. Participants are enrolled in an age-escalation sequence (40-59 years → 60 years and older) and a dose-escalation sequence (from low-dose adjuvanted vaccine to high-dose adjuvanted vaccine), assigned to 4 cohorts at a 4:1 ratio.
Phase II aims to demonstrate the immunogenicity and safety of the vaccine in the target population, enrolling a total of 400 trial participants. Among them, 100 participants aged 40-49 years are randomized at a 1:1 ratio to experimental group 1 and experimental group 2; 210 participants aged 50-69 years and 90 participants aged 70 years and older are randomized at a 1:1:1 ratio to experimental group 1, experimental group 2, and the positive control group.
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 2
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Yi Mo, Principal Investigator
- Número de teléfono: +86-13788686968
- Correo electrónico: moyi0415@qq.com
Ubicaciones de estudio
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Nanning
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Guangxi, Nanning, Porcelana, 530022
- Reclutamiento
- Guangxi Zhuang Autonomous Region People's Hospital
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Contacto:
- Huijuan Li
- Número de teléfono: 18877168857
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Guangxi, Nanning, Porcelana, 530028
- Reclutamiento
- Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention
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Contacto:
- Yi Mo
- Número de teléfono: 13788686968
- Correo electrónico: moyi0415@qq.com
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
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Study participants must meet all of the following inclusion criteria:
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Aged 40 years or older, permanent residents; (2) Voluntarily participate in this study and sign the informed consent form; (3) Able to comply with the requirements of the clinical study protocol.
Exclusion Criteria:Study participants with any of the following conditions shall not be enrolled in the study:
- Pre-vaccination laboratory test parameters with clinically meaningful abnormalities as specified in the protocol (Phase I only); (2) History of varicella vaccination or herpes zoster vaccination (including marketed vaccines and investigational vaccines); (3) Current herpes zoster infection or history of herpes zoster; (4) Close contact with varicella/herpes zoster patients within 30 days prior to the first dose; (5) Use of blood products or immunoglobulins within 3 months prior to the first dose, or planned use of blood products or immunoglobulins during the study period; (6) Use of other investigational or unregistered products (drugs or vaccines) within 1 month prior to the first dose, or planned participation in other clinical trials during this study; (7) Immunodeficiency or impairment, including but not limited to: primary immunodeficiency diseases, active autoimmune diseases (e.g., systemic lupus erythematosus, active rheumatoid arthritis, severe psoriasis, etc.), HIV infection, asplenia or functional asplenia, lymphoma, leukemia, etc.; (8) Receipt of immunosuppressive agents or other immunomodulators within 3 months prior to the first dose or planned use during the study period, such as long-term systemic corticosteroid therapy (oral/intravenous prednisone or equivalent for a total duration of more than 2 weeks), steroid pulse therapy (inhaled or topical use is not restricted), chemotherapy, radiotherapy, anti-rejection therapy after organ transplantation, etc.; (9) Allergy to any component of the investigational vaccine, or history of severe reactions to any vaccine or drug, e.g., urticaria, eczema, dyspnea, angioedema, etc.; (10) Presence of major diseases or major potential diseases that may interfere with or preclude completion of the study (e.g., severe cardiovascular and cerebrovascular diseases: cor pulmonale, pulmonary edema, uncontrolled hypertension [systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg], myocardial infarction/stroke within the past 12 months, NYHA Class III/IV; severe hepatic or renal diseases: e.g., decompensated cirrhosis, renal insufficiency on dialysis or imminently requiring dialysis, etc.; diabetes with severe complications; history of major organ transplantation; active malignancy, etc.); (11) Thrombocytopenia or other coagulation disorders (which may constitute contraindications to intramuscular injection); (12) Pregnant or lactating women; (13) Inability to ensure effective contraception from the time of signing informed consent to 3 months after completion of full vaccination series (effective contraceptive measures include: oral/injectable/implantable contraceptives, intrauterine devices, barrier methods (male/female condoms) with spermicides, partner surgical sterilization, or complete abstinence); (14) History of severe or active psychiatric and neurological diseases, including but not limited to: uncontrolled epilepsy, progressive neuropathy, history of Guillain-Barré syndrome, demyelinating diseases, post-encephalitis/myelitis with significant functional impairment, etc.; (15) Any other condition judged by the investigator as potentially affecting study evaluation, making the participant unsuitable for participation in this study.
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Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación Secuencial
- Enmascaramiento: Cuadruplicar
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Experimental: Phase I clinical trial - low-dose adjuvanted vaccine group
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 30-day interval. Main components: 50 μg of varicella-zoster virus glycoprotein E (gE) per 0.5 mL, and 375 μg of ZFA01 adjuvant per 0.5 mL. |
0.5 mL per dose, containing 50 μg varicella-zoster virus glycoprotein E (gE) plus 375 μg adjuvant, intramuscular administration, 2 doses at Day 0 and Day 30. |
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Experimental: Phase I clinical trial - High-dose adjuvanted vaccine group
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 30-day interval. Main components: 50 μg of varicella-zoster virus glycoprotein E (gE) per 0.5 mL, and 750 μg of ZFA01 adjuvant per 0.5 mL. |
0.5 mL per dose, containing 50 μg varicella-zoster virus glycoprotein E (gE) plus 750 μg adjuvant, intramuscular administration, 2 doses at Day 0 and Day 30. |
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Comparador de placebos: Phase I clinical trial - Low-dose adjuvant placebo group
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 30-day interval. Main component: 375 μg of ZFA01 adjuvant per 0.5 mL. |
0.5 mL per dose, containing 375 μg adjuvant only, no varicella-zoster virus glycoprotein E (gE), intramuscular administration, 2 doses at Day 0 and Day 30. |
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Comparador de placebos: Phase I clinical trial - High-dose adjuvant placebo group
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 30-day interval. Main component: 750 μg of ZFA01 adjuvant per 0.5 mL. |
0.5 mL per dose, containing 750 μg adjuvant only, no varicella-zoster virus glycoprotein E (gE), intramuscular administration, 2 doses at Day 0 and Day 30. |
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Experimental: Phase II clinical trial - adjuvanted vaccine group 1
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 30-day interval. Main components: 50 μg of varicella-zoster virus glycoprotein E (gE) per 0.5 mL, and 750 μg of ZFA01 adjuvant per 0.5 mL. |
0.5 mL per dose, containing 50 μg varicella-zoster virus glycoprotein E (gE) plus 375 μg adjuvant, intramuscular administration, 2 doses at Day 0 and Day 30. |
|
Experimental: Phase II clinical trial - adjuvanted vaccine group 2
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 60-day interval. Main components: 50 μg of varicella-zoster virus glycoprotein E (gE) per 0.5 mL, and 750 μg of ZFA01 adjuvant per 0.5 mL. |
0.5 mL per dose, containing 50 μg varicella-zoster virus glycoprotein E (gE) plus 750 μg adjuvant, intramuscular administration, 2 doses at Day 0 and Day 60. |
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Comparador de placebos: Phase II clinical trial - positive control group (GlaxoSmithKline Biologicals SA)
Subjects will receive 2 doses of the recombinant herpes zoster adjuvanted vaccine at a 60-day interval. Main component: 50 μg of varicella-zoster virus glycoprotein E (gE) per 0.5 mL. Main components: 50 μg of Quillaja saponaria saponin QS-21 per 0.5 mL, 50 μg of 3-O-desacyl-4'-monophosphoryl lipid A per 0.5 mL, 1 mg of dioleoylphosphatidylcholine per 0.5 mL, and 0.25 mg of cholesterol per 0.5 mL. |
0.5 mL per dose, containing 50 μg varicella-zoster virus glycoprotein E (gE), adjuvanted with AS01B, intramuscular administration, 2 doses at Day 0 and Day 60. |
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Safety Endpoints(1):Occurrence of all AEs
Periodo de tiempo: within 30 days after each dose of vaccination
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Occurrence of all adverse events (AEs) within 30 days after each dose of vaccination (number of episodes, number of cases, incidence rate, severity, and relationship to the investigational vaccine):
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within 30 days after each dose of vaccination
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Safety Endpoints(2):Occurrence of all SAEs
Periodo de tiempo: from the first dose up to 12 months after completion of the full vaccination series
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Occurrence of all SAEs from the first dose up to 12 months after completion of the full vaccination series (number of cases, number of episodes, incidence rate, and relationship to the investigational vaccine). |
from the first dose up to 12 months after completion of the full vaccination series
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Safety Endpoints(3):Occurrence of all pIMDs
Periodo de tiempo: from the first dose up to 12 months after completion of the full vaccination series
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Occurrence of all potential immune-mediated disorders (pIMDs) from the first dose up to 12 months after completion of the full vaccination series (number of episodes, number of cases, incidence rate, severity, and relationship to the investigational vaccine). |
from the first dose up to 12 months after completion of the full vaccination series
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Immunogenicity Endpoints (1): GMTs of VZV gE antibody and VZV antibody
Periodo de tiempo: at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series
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Humoral Immunity: (1) GMTs of VZV gE antibody and VZV antibody at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series |
at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series
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Immunogenicity Endpoints (2): GMIs of VZV gE antibody and VZV antibody
Periodo de tiempo: at 30 days, 6 months, and 12 months after completion of full vaccination series
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Humoral Immunity: (2) GMIs of VZV gE antibody and VZV antibody at 30 days, 6 months, and 12 months after completion of full vaccination series |
at 30 days, 6 months, and 12 months after completion of full vaccination series
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Immunogenicity Endpoints (3): Seropositivity rates of VZV gE antibody and VZV antibody
Periodo de tiempo: at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series
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Humoral Immunity: (3) Seropositivity rates of VZV gE antibody and VZV antibody at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series |
at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series
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Immunogenicity Endpoints (4): Seroconversion rates of VZV gE antibody and VZV antibody.
Periodo de tiempo: at 30 days after completion of full vaccination series
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Humoral Immunity: (4) Seroconversion rates of VZV gE antibody and VZV antibody at 30 days after completion of full vaccination series |
at 30 days after completion of full vaccination series
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Immunogenicity Endpoints (5): Detection frequency of CD4²⁺ T cells secreting at least two gE-specific cytokines (IFN-γ, IL-2, TNF-α, CD40L, IL-17A)
Periodo de tiempo: at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series
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Cellular immunity: Detection frequency of CD4²⁺ T cells secreting at least two gE-specific cytokines (IFN-γ, IL-2, TNF-α, CD40L, IL-17A) at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series. |
at pre-first dose, 30 days after completion of full vaccination series, and 6 and 12 months after completion of full vaccination series
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Percentage of Participants With Clinically Significant Serum Chemistry Laboratory Abnormalities
Periodo de tiempo: Pre-vaccination (Baseline), Day 4 after the first dose
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Proportion of participants with clinically meaningful abnormalities in serum chemistry parameters, including alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), fasting glucose (GLU), creatinine (CRE), assessed according to CTCAE v5.0 criteria, compared with pre-vaccination baseline. |
Pre-vaccination (Baseline), Day 4 after the first dose
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Percentage of Participants With Clinically Significant Hematology Laboratory Abnormalities
Periodo de tiempo: Pre-vaccination (Baseline), Day 4 after the first dose
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Proportion of participants with clinically meaningful abnormalities in hematology parameters, including hemoglobin (HGB), red blood cell count (RBC), white blood cell count (WBC), platelet count (PLT), assessed according to CTCAE v5.0 criteria, compared with pre-vaccination baseline. |
Pre-vaccination (Baseline), Day 4 after the first dose
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Percentage of Participants With Clinically Significant Urinalysis Laboratory Abnormalities
Periodo de tiempo: Pre-vaccination (Baseline), Day 4 after the first dose
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Proportion of participants with clinically meaningful abnormalities in urinalysis parameters, including urine protein (PRO), urine red blood cell (RBC), assessed according to CTCAE v5.0 criteria, compared with pre-vaccination baseline. |
Pre-vaccination (Baseline), Day 4 after the first dose
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Percentage of Participants With Clinically Significant Coagulation Laboratory Abnormalities
Periodo de tiempo: Pre-vaccination (Baseline), Day 4 after the first dose
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Proportion of participants with clinically meaningful abnormalities in coagulation parameters, including prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (FIB), international normalized ratio (INR), assessed according to CTCAE v5.0 criteria, compared with pre-vaccination baseline. |
Pre-vaccination (Baseline), Day 4 after the first dose
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
Otros números de identificación del estudio
- LKM-2025-HZV02
Información sobre medicamentos y dispositivos, documentos del estudio
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Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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