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CompletedNCT01460719Updated Mar 11, 2019Results posted

A Study to Evaluate the Safety and Immunogenicity of Inactivated Varicella-Zoster Virus (VZV) Vaccine in Adults With Hematologic Malignancies (HM) Receiving Treatment With Anti-Cluster of Differentiation (CD) 20 Monoclonal Antibodies (V212-013)

A Phase 1 interventional study of V212 in Herpes Zoster, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-11.

Sponsored by Merck Sharp & Dohme LLC · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

An open-label, multicenter study to evaluate the safety and immunogenicity of inactivated VZV vaccine (V212) in participants with hematologic malignancies (HM) who are currently receiving anti-CD20 monoclonal antibodies. The primary hypothesis is that vaccination with V212 vaccine will elicit significant VZV-specific immune responses at \~28 days after vaccination 4. The statistical criterion for significance requires that the lower bound of the 2-sided 90% confidence interval of the geometric mean fold rise in immune response in V212 recipients is >1.0.

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Conditions studied

  • Herpes Zoster
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In context

Herpes Zoster

360 studies on the registry are indexed under Herpes Zoster; 60 are open to participants now.

This study's enrollment of 80 is below the median of 250 across 299 interventional studies indexed under Herpes Zoster.

Browse Herpes Zoster studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosed with a HM and is receiving treatment with anti-CD20 monoclonal antibodies and is not likely to undergo hematopoietic cell transplant (HCT).
  • Has a predicted life expectancy of ≥ 12 months.
  • Has prior history of varicella or antibodies to VZV due to exposure to the disease in a country where the disease is common.
  • All female participants of childbearing potential must have a negative serum or urine pregnancy test.

Exclusion criteria

Exclusion Criteria:

  • A history of allergic reaction to any vaccine component (including gelatin) or an anaphylactic/anaphylactoid reaction to neomycin.
  • Prior history of HZ within 1 year of enrollment.
  • Prior receipt of any varicella or zoster vaccine.
  • Participant is pregnant or breastfeeding or expecting to conceive within the period of 2 weeks prior to enrollment throughout 6 months after last vaccination dose.
  • Any live virus vaccine administered or scheduled in the period from 4 weeks prior to Dose 1 through 28 days postvaccination dose 4.
  • Any inactivated vaccine administered or scheduled within the period from 7 days prior to, through 7 days following, any dose of study vaccine.
  • Participant is currently participating or has participated in a study with an investigational anti-CD20 monoclonal antibody within 3 months of signing informed consent.
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Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    V212

    Participants receive V212 as a 0.5 mL subcutaneous injection in a four-dose regimen, approximately 30 days apart, preferably in the deltoid area of the arm, alternating arms for each dose.

    Biological: V212

Interventions

  • BiologicalV212

    V212 viral antigen for HZ

    Also known as: Inactivated Varicella-Zoster (VZV) vaccine

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What researchers measure

Primary outcomes

  1. Geometric Mean Fold Rise (GMFR) of the VZV-specific Immune Responses Measured by VZV Interferon-gamma (IFN-γ) Enzyme-linked Immunospot (ELISPOT)

    The VZV ELISPOT assay detects IFN-γ-secreting, VZV-specific cells from peripheral blood mononuclear cells (PBMCs). The unit of measure of the assay is ELISPOT cell count / 10\^6 PBMCs, and is expressed as geometric mean count (GMC). The GMFR is GMC at \~28 days after Vaccination 4 / GMC on Day 1.

    Time frame: Prevaccination (Day 1) and ~28 days after Vaccination 4 (~Day 118)

  2. Percentage of Participants With an Adverse Event

    An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with any AE was summarized.

    Time frame: Up to ~28 days after Vaccination 4 (~Day 118)

  3. Percentage of Participants With an Injection-site Adverse Event

    An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with any injection-site AE was summarized.

    Time frame: Up to 5 days after any vaccination

  4. Percentage of Participants With a Systemic Adverse Event

    An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with any systemic AE was summarized.

    Time frame: Up to ~28 days after Vaccination 4 (~Day 118)

  5. Percentage of Participants With a Serious Adverse Event

    A serious AE (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs an inpatient hospitalization, is a congenital anomaly or birth defect, is an overdose, is a cancer, or is another important medical event. The percentage of participants with any SAE was summarized.

    Time frame: Up to ~28 days after Vaccination 4 (~Day 118)

  6. Percentage of Participants With a Vaccine-related Serious Adverse Event

    A serious AE (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs an inpatient hospitalization, is a congenital anomaly or birth defect, is an overdose, is a cancer, or is another important medical event. The percentage of participants with any SAE that was deemed by the investigator to be possibly, probably, or definitely related to study vaccine was summarized.

    Time frame: Up to ~28 days after Vaccination 4 (~Day 118)

  7. Percentage of Participants With Study Vaccination Withdrawn Due to an Adverse Event

    An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with study vaccine withdrawn due to an AE was summarized.

    Time frame: Up to Vaccination 4 (~Day 90)

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Results

Posted Mar 11, 2019

Participant flow

A total of 88 participants were screened and 80 were enrolled.

Participant flow — Overall Study
MilestoneV212
Started80
Vaccination 1 (day 1)80
Vaccination 2 (~day 30)78
Vaccination 3 (~day 60)78
Vaccination 4 (~day 90)78
Completed78
Not completed2
Withdrew: Adverse event1
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryGeometric Mean Fold Rise (GMFR) of the VZV-specific Immune Responses Measured by VZV Interferon-gamma (IFN-γ) Enzyme-linked Immunospot (ELISPOT)

The VZV ELISPOT assay detects IFN-γ-secreting, VZV-specific cells from peripheral blood mononuclear cells (PBMCs). The unit of measure of the assay is ELISPOT cell count / 10\^6 PBMCs, and is expressed as geometric mean count (GMC). The GMFR is GMC at \~28 days after Vaccination 4 / GMC on Day 1.

Time frame:
Prevaccination (Day 1) and ~28 days after Vaccination 4 (~Day 118)
Reported as:
Geometric mean · Ratio
Geometric Mean Fold Rise (GMFR) of the VZV-specific Immune Responses Measured by VZV Interferon-gamma (IFN-γ) Enzyme-linked Immunospot (ELISPOT)
RatioV212
Geometric Mean Fold Rise (GMFR) of the VZV-specific Immune Responses Measured by VZV Interferon-gamma (IFN-γ) Enzyme-linked Immunospot (ELISPOT)4.34 (3.01 to 6.24)
Statistical analysis
  • V212 · Single longitudinal regression model · p = <0.001Adjustments made for pre-vaccination values
PrimaryPercentage of Participants With an Adverse Event

An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with any AE was summarized.

Time frame:
Up to ~28 days after Vaccination 4 (~Day 118)
Reported as:
Number · Percentage of participants
Percentage of Participants With an Adverse Event
Percentage of participantsV212
Percentage of Participants With an Adverse Event85.0
PrimaryPercentage of Participants With an Injection-site Adverse Event

An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with any injection-site AE was summarized.

Time frame:
Up to 5 days after any vaccination
Reported as:
Number · Percentage of participants
Percentage of Participants With an Injection-site Adverse Event
Percentage of participantsV212
Percentage of Participants With an Injection-site Adverse Event43.8
PrimaryPercentage of Participants With a Systemic Adverse Event

An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with any systemic AE was summarized.

Time frame:
Up to ~28 days after Vaccination 4 (~Day 118)
Reported as:
Number · Percentage of participants
Percentage of Participants With a Systemic Adverse Event
Percentage of participantsV212
Percentage of Participants With a Systemic Adverse Event73.8
PrimaryPercentage of Participants With a Serious Adverse Event

A serious AE (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs an inpatient hospitalization, is a congenital anomaly or birth defect, is an overdose, is a cancer, or is another important medical event. The percentage of participants with any SAE was summarized.

Time frame:
Up to ~28 days after Vaccination 4 (~Day 118)
Reported as:
Number · Percentage of participants
Percentage of Participants With a Serious Adverse Event
Percentage of participantsV212
Percentage of Participants With a Serious Adverse Event15.0
PrimaryPercentage of Participants With a Vaccine-related Serious Adverse Event

A serious AE (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs an inpatient hospitalization, is a congenital anomaly or birth defect, is an overdose, is a cancer, or is another important medical event. The percentage of participants with any SAE that was deemed by the investigator to be possibly, probably, or definitely related to study vaccine was summarized.

Time frame:
Up to ~28 days after Vaccination 4 (~Day 118)
Reported as:
Number · Percentage of participants
Percentage of Participants With a Vaccine-related Serious Adverse Event
Percentage of participantsV212
Percentage of Participants With a Vaccine-related Serious Adverse Event1.3
PrimaryPercentage of Participants With Study Vaccination Withdrawn Due to an Adverse Event

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the product is also an adverse experience. The percentage of participants with study vaccine withdrawn due to an AE was summarized.

Time frame:
Up to Vaccination 4 (~Day 90)
Reported as:
Number · Percentage of participants
Percentage of Participants With Study Vaccination Withdrawn Due to an Adverse Event
Percentage of participantsV212
Percentage of Participants With Study Vaccination Withdrawn Due to an Adverse Event1.3

Adverse events

Collected over Up to Day 140. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
V2121/80 (1.3%)12/80 (15%)67/80 (83.8%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventV212
Febrile neutropeniaBlood and lymphatic system disorders4/80
NeutropeniaBlood and lymphatic system disorders2/80
PneumoniaInfections and infestations2/80
DiarrhoeaGastrointestinal disorders1/80
NauseaGastrointestinal disorders1/80
PyrexiaGeneral disorders1/80
CandidiasisInfections and infestations1/80
SalmonellosisInfections and infestations1/80
Subdural haematomaInjury, poisoning and procedural complications1/80
Hodgkin's diseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/80
Most frequent other events
Showing 10 of 113
Most frequent other events
EventV212
Injection site painGeneral disorders26/80
Injection site erythemaGeneral disorders25/80
Injection site swellingGeneral disorders21/80
PyrexiaGeneral disorders20/80
DiarrhoeaGastrointestinal disorders10/80
HeadacheNervous system disorders7/80
NeutropeniaBlood and lymphatic system disorders6/80
Arthropod biteInjury, poisoning and procedural complications6/80
CoughRespiratory, thoracic and mediastinal disorders6/80
Oropharyngeal painRespiratory, thoracic and mediastinal disorders6/80

Baseline characteristics

Age, Continuous
Age, Continuous(Years)V212
Mean61.0 ± 11.3
Sex: Female, Male
Sex: Female, Male(Participants)V212
Female43
Male37
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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Parrino J, McNeil SA, Lawrence SJ, Kimby E, Pagnoni MF, Stek JE, Zhao Y, Chan IS, Kaplan SS. Safety and immunogenicity of inactivated varicella-zoster virus vaccine in adults with hematologic malignancies receiving treatment with anti-CD20 monoclonal antibodies. Vaccine. 2017 Mar 27;35(14):1764-1769. doi: 10.1016/j.vaccine.2016.10.055. Epub 2017 Mar 3. PubMed 28268074 ↗

Individual participant data

Plan to share: Yes — https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01460719
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Oct 27, 2011
Start date
Jan 24, 2012
Primary completion
Sep 25, 2012
Completion
Sep 25, 2012
Results posted
Mar 11, 2019
Last update
Mar 11, 2019

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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