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Safety and Immunogenicity of Different Dosing Schedules of GlaxoSmithkline (GSK) Biologicals' Herpes Zoster (HZ) Vaccine in Adults 50 Years of Age or Older

20 septembre 2018 mis à jour par: GlaxoSmithKline

Open-label Study to Evaluate the Safety and Immunogenicity of GSK Biologicals' Herpes Zoster Vaccine GSK1437173A in Adults Aged 50 Years or Older

The purpose of this study is to assess the safety and immunogenicity of the GSK Biologicals' HZ vaccine 1437173A administered on either a 0,2-; 0,6- or 0,12-month schedule in adults aged 50 years or above, as the immunogenicity of the HZ vaccine administered at intervals longer than two months is not known.

Aperçu de l'étude

Statut

Complété

Les conditions

Description détaillée

Subjects in each group will be stratified by age with a minimum of 35 subjects in each stratum (50-59 years of age (YOA) stratum, 60-69 YOA stratum and ≥ 70 YOA stratum).

Type d'étude

Interventionnel

Inscription (Réel)

354

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

      • Tartu, Estonie, 50106
        • GSK Investigational Site
    • California
      • Spring Valley, California, États-Unis, 91978
        • GSK Investigational Site
    • Kansas
      • Wichita, Kansas, États-Unis, 67207
        • GSK Investigational Site
    • Pennsylvania
      • Uniontown, Pennsylvania, États-Unis, 15401
        • GSK Investigational Site

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

50 ans et plus (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  • A male or female aged 50 years or older at the time of the first vaccination.
  • Written informed consent obtained from the subject.
  • Female subjects of non-childbearing potential may be enrolled in the study.

    • Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause.
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • has practiced adequate contraception for 30 days prior to vaccination, and
    • has a negative pregnancy test on the day of vaccination, and
    • has agreed to continue adequate contraception during the entire treatment period and for two months after completion of the vaccination series.

Exclusion Criteria:

  • Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose. For corticosteroids, a prednisone dose of < 20 mg/day, or equivalent, is allowed. Inhaled, topical and intra-articular corticosteroids are allowed.
  • Administration or planned administration of a live vaccine in the period starting 30 days before and ending 30 days after either dose of study vaccine.
  • Administration or planned administration of a non-replicating vaccine within eight days prior to or within 14 days after either dose of study vaccine.
  • Administration of long-acting immune-modifying drugs (e.g. infliximab) within six months prior to the first vaccine dose or expected administration at any time during the study period.
  • Previous vaccination against varicella or HZ (either registered product or participation in a previous vaccine study).
  • Planned administration during the study of an HZ or varicella vaccine (including an investigational or non-registered vaccine) other than the study vaccine.
  • History of HZ.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine(s).
  • Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease (e.g. malignancy, human immunodeficiency virus [HIV] infection) or immunosuppressive/cytotoxic therapy (e.g. medications used during cancer chemotherapy, organ transplantation or to treat autoimmune disorders).
  • Acute disease and/or fever at the time of enrolment.

    • Fever is defined as temperature ≥ 37.5°C (99.5°F) for oral, axillary or tympanic route, or ≥ 38.0°C (100.4°F) for rectal route. The preferred route for recording temperature in this study will be oral.
    • Subjects with a minor illness (such as mild diarrhoea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period.
  • Significant underlying illness that, in the opinion of the investigator, would be expected to prevent completion of the study.
  • Any other condition that, in the opinion of the investigator, might interfere with the evaluations required by the study.
  • Pregnant or lactating female.
  • Female planning to become pregnant during the entire treatment period and for two months after completion of the vaccination series, or planning to discontinue contraceptive precautions (if of childbearing potential).

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: HZ/su-0,2 Group
Subjects will receive HZ/su vaccine on a 0,2-month schedule.
2 doses administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
Expérimental: HZ/su-0,6 Group
Subjects will receive HZ/su vaccine on a 0,6-month schedule.
2 doses administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
Expérimental: HZ/su-0,12 Group
Subjects will receive HZ/su vaccine on a 0,12-month schedule.
2 doses administered intramuscularly (IM) in the deltoid region of the non-dominant arm.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Number of Subjects With Vaccine Response to Anti-glycoprotein E (Anti-gE) Antibodies as Determined by the Enzyme-linked Immunosorbent Assay (ELISA).
Délai: At one month (M1) after Dose 2

Vaccine response was defined as: for initially seronegative subjects, antibody concentration at post-vaccination ≥ 4 fold the cut-off for Anti-gE (4x97 mIU/mL); for initially seropositive subjects, antibody concentration at post-vaccination ≥ 4 fold the pre-vaccination antibody concentration.

The objective required a comparison of VRR between 0,6-months and 0,12-months schedules.

At one month (M1) after Dose 2
Concentrations of Antibodies Against Anti-gE as Determined by ELISA.
Délai: At one month (M1) after Dose 2
At one month (M1) after Dose 2

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Concentrations of Antibodies Against Anti-gE as Determined by ELISA.
Délai: Prior (PRE) to vaccination and twelve (M12) post Dose 2
Prior (PRE) to vaccination and twelve (M12) post Dose 2
Number of Subjects With Solicited Local Symptoms.
Délai: During the 7 day period (Days 0-6) following each dose (D)
Solicited local symptoms assessed include pain, redness and swelling. "Grade 3 pain" was defined as crying when limb was moved/spontaneously painful. "Grade 3 swelling/redness" was defined as swelling/redness larger than (>) 100 millimeters (mm). "Any" is defined as incidence of the specified symptom regardless of intensity.
During the 7 day period (Days 0-6) following each dose (D)
Number of Subjects With Solicited General Symptoms.
Délai: During the 7 day period (Days 0-6) following each dose (D)
Assessed solicited general symptoms were Fatigue, Gastrointestinal (meaning nausea, vomiting, diarrhoea and/or abdominal pain), Headache, Myalgia, Shivering and Temperature (temperature higher than [≥] 37.5 degrees Celsius [°C]). "Any" = occurrence of the specified solicited general symptom, regardless of intensity or relationship to vaccination. "Related" = occurrence of the specified symptom assessed by the investigators as causally related to vaccination. "Grade 3 Fatigue" = fatigue that prevented normal activity. "Grade 3 Gastrointestinal" = gastrointestinal that prevented normal every day activities. "Grade 3 Headache" = headache that prevented normal activity. "Grade 3 Myalgia" = myalgia that prevented normal activity. "Grade 3 Shivering" = shivering that prevented normal activity. "Grade 3 Temperature" = temperature higher than (>) 39.0°C.
During the 7 day period (Days 0-6) following each dose (D)
Number of Subjects With Unsolicited Adverse Events (AEs).
Délai: During the 30 Days (Day 0-29) following vaccination
An adverse event (AE) is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
During the 30 Days (Day 0-29) following vaccination
Number of Subjects With Serious Adverse Events (SAEs).
Délai: From first vaccination up to one month (30 Days) post last vaccination
SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity.
From first vaccination up to one month (30 Days) post last vaccination
Number of Subjects With SAE(s).
Délai: Starting from 30 Days post last vaccine administration up to study end at Month 24
SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity.
Starting from 30 Days post last vaccine administration up to study end at Month 24
Number of Days With Solicited Local Symptoms.
Délai: During the 7 Days (Day 0-6) following vaccination
Each dose was abbreviated as follows: D1 = Dose 1, D2 = Dose 2.
During the 7 Days (Day 0-6) following vaccination
Number of Days With Solicited General Symptoms.
Délai: During the 7 Days (Day 0-6) following vaccination
Each dose was abbreviated as follows: D1 = Dose 1, D2 = Dose 2.
During the 7 Days (Day 0-6) following vaccination
Number of Subjects With Potential Immune-mediated Diseases (pIMDs).
Délai: From Dose 1 up to one month (30 days) following the last vaccine dose administration (Dose 2)
pIMDs are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.
From Dose 1 up to one month (30 days) following the last vaccine dose administration (Dose 2)
Number of Subjects With pIMDs.
Délai: From one month (30 Days) following the last vaccine administration up to study end at Month 24
pIMDs are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.
From one month (30 Days) following the last vaccine administration up to study end at Month 24

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

12 mars 2013

Achèvement primaire (Réel)

22 mai 2014

Achèvement de l'étude (Réel)

8 avril 2015

Dates d'inscription aux études

Première soumission

13 décembre 2012

Première soumission répondant aux critères de contrôle qualité

13 décembre 2012

Première publication (Estimation)

17 décembre 2012

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

18 octobre 2018

Dernière mise à jour soumise répondant aux critères de contrôle qualité

20 septembre 2018

Dernière vérification

1 juin 2018

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

OUI

Description du régime IPD

IPD for this study will be made available via the Clinical Study Data Request site.

Délai de partage IPD

IPD is available via the Clinical Study Data Request site (click on the link provided below)

Critères d'accès au partage IPD

Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Type d'informations de prise en charge du partage d'IPD

  • PROTOCOLE D'ÉTUDE
  • SÈVE
  • CIF
  • RSE

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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