CClinicalTrials.gg
CompletedNCT01505647Updated Apr 12, 2017Results posted

Safety and Immunogenicity of Zoster Vaccine (ZOSTAVAX™) Made With an Alternative Manufacturing Process (AMP) (V211-042 AM1)

A Phase 3 interventional study of Zoster Vaccine, Live (AMP) and Zoster Vaccine, Live in Herpes Zoster and Shingles, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 50 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-04-12.

Sponsored by Merck Sharp & Dohme LLC · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
498
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

This study will determine whether ZOSTAVAX™ made with an alternative manufacturing process [ZOSTAVAX™ (AMP)] is well tolerated and immunogenic, and has a comparable immune response to ZOSTAVAX™.

02

Conditions studied

  • Herpes Zoster
  • Shingles

Browse trials for

03

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 498 is above 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.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • No fever on day of vaccination
  • History of varicella or residence in a VZV-endemic area for ≥30 years
  • Females of reproductive potential must have a negative pregnancy test and must agree to use acceptable methods of birth control

Exclusion criteria

Exclusion Criteria:

  • History of hypersensitivity reaction to any vaccine component
  • Prior receipt of any varicella or zoster vaccine
  • Prior history of herpes zoster
  • Have recently had another vaccination
  • Pregnant or breastfeeding
  • Use of immunosuppressive therapy
  • Known or suspected immune dysfunction
  • Concomitant antiviral therapy
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
498 participants (actual)

Study arms

  • Experimental
    ZOSTAVAX™ (AMP)

    ZOSTAVAX™ manufactured with an alternative process

    Biological: Zoster Vaccine, Live (AMP)

  • Active comparator
    ZOSTAVAX™

    ZOSTAVAX™ manufactured with the current process

    Biological: Zoster Vaccine, Live

Interventions

  • BiologicalZoster Vaccine, Live (AMP)

    One approximately 0.65-mL injection subcutaneously on Day 1

  • BiologicalZoster Vaccine, Live

    One approximately 0.65-mL injection subcutaneously on Day 1

    Also known as: ZOSTAVAX™, V211

06

What researchers measure

Primary outcomes

  1. Geometric Mean Titer (GMT) of Varicella-Zoster Virus (VZV) Antibody

    VZV antibody titers were determined by glycoprotein enzyme-linked immunosorbent assay (gpELISA)

    Time frame: Day 1 and Week 6 postvaccination

  2. Geometric Mean Fold Rise (GMFR) in VZV Antibody Titers

    VZV antibody titers were determined by gpELISA. The GMFR reports the geometric mean of the ratio of individual participant VZV antibody titers at Week 6 / Day 1 (Baseline).

    Time frame: Day 1 (Baseline) to Week 6 postvaccination

Secondary outcomes

  1. Number of Participants With One or More Adverse Experiences (AEs)

    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 study vaccine is also an adverse experience.

    Time frame: Day 1 to Day 42 postvaccination

  2. Number of Participants With One or More Serious Adverse Experience (SAE) Day 1 to 42 Postvaccination

    An SAE is defined as any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement

    Time frame: Day 1 to Day 42 postvaccination

  3. Number of Participants With One or More Serious Adverse Experience Day 1 to 182 Postvaccination

    An SAE is defined as any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement

    Time frame: Day 1 to Day 182 postvaccination

07

Results

Posted Jul 3, 2013

Participant flow

Day 1 Through Day 42 Follow-up
Participant flow — Day 1 Through Day 42 Follow-up
MilestoneZOSTAVAX™ (AMP)ZOSTAVAX™
Started332166
Vaccinated331166
Completed329166
Not completed30
Withdrew: Lost to follow-up10
Withdrew: Physician decision10
Withdrew: Withdrawal by subject10
Day 43 Through Day 182 Follow-up
Participant flow — Day 43 Through Day 182 Follow-up
MilestoneZOSTAVAX™ (AMP)ZOSTAVAX™
Started329166
Completed328163
Not completed13
Withdrew: Death01
Withdrew: Lost to follow-up12

Outcome measures

PrimaryGeometric Mean Titer (GMT) of Varicella-Zoster Virus (VZV) Antibody

VZV antibody titers were determined by glycoprotein enzyme-linked immunosorbent assay (gpELISA)

Time frame:
Day 1 and Week 6 postvaccination
Reported as:
Geometric mean · Units/mL
Geometric Mean Titer (GMT) of Varicella-Zoster Virus (VZV) Antibody
Units/mLZOSTAVAX™ (AMP)ZOSTAVAX™
Day 1 postvaccination; n = 330, 166235.7 (211.7 to 262.5)208.2 (176.4 to 245.7)
Week 6 postvaccination; n = 320, 164532.6 (489.2 to 579.9)457.1 (403.3 to 518.0)
Statistical analysis
  • ZOSTAVAX™ (AMP) vs ZOSTAVAX™ · Longitudinal regression model · p = <0.001 (The threshold for statistical significance is 0.025 (1-sided). The P-value was not adjusted.) · Gmt ratio: 1.08 · 95% CI 0.98 to 1.20The analyzed GMT ratio, 95% confidence interval, and P-value were based on a longitudinal regression model adjusting for age and vaccination group
PrimaryGeometric Mean Fold Rise (GMFR) in VZV Antibody Titers

VZV antibody titers were determined by gpELISA. The GMFR reports the geometric mean of the ratio of individual participant VZV antibody titers at Week 6 / Day 1 (Baseline).

Time frame:
Day 1 (Baseline) to Week 6 postvaccination
Reported as:
Geometric mean · Ratio
Geometric Mean Fold Rise (GMFR) in VZV Antibody Titers
RatioZOSTAVAX™ (AMP)ZOSTAVAX™
Geometric Mean Fold Rise (GMFR) in VZV Antibody Titers2.3 (2.1 to 2.4)2.2 (2.0 to 2.5)
Statistical analysis
  • ZOSTAVAX™ (AMP) · t-test, 1 sided · p = <0.001 (The threshold for statistical significance is 0.025 (1-sided). The P-value was not adjusted.)
SecondaryNumber of Participants With One or More Adverse Experiences (AEs)

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 study vaccine is also an adverse experience.

Time frame:
Day 1 to Day 42 postvaccination
Reported as:
Number · Participants
Number of Participants With One or More Adverse Experiences (AEs)
ParticipantsZOSTAVAX™ (AMP)ZOSTAVAX™
Number of Participants With One or More Adverse Experiences (AEs)20599
SecondaryNumber of Participants With One or More Serious Adverse Experience (SAE) Day 1 to 42 Postvaccination

An SAE is defined as any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement

Time frame:
Day 1 to Day 42 postvaccination
Reported as:
Number · Participants
Number of Participants With One or More Serious Adverse Experience (SAE) Day 1 to 42 Postvaccination
ParticipantsZOSTAVAX™ (AMP)ZOSTAVAX™
Number of Participants With One or More Serious Adverse Experience (SAE) Day 1 to 42 Postvaccination12
SecondaryNumber of Participants With One or More Serious Adverse Experience Day 1 to 182 Postvaccination

An SAE is defined as any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement

Time frame:
Day 1 to Day 182 postvaccination
Reported as:
Number · Participants
Number of Participants With One or More Serious Adverse Experience Day 1 to 182 Postvaccination
ParticipantsZOSTAVAX™ (AMP)ZOSTAVAX™
Number of Participants With One or More Serious Adverse Experience Day 1 to 182 Postvaccination48

Adverse events

Collected over Serious Adverse Events: Day 1 to Day 182 postvaccination; Other Adverse Events: Day 1 to Day 42 postvaccination. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ZOSTAVAX™ (AMP)—4/330 (1.2%)186/330 (56.4%)
ZOSTAVAX™—8/166 (4.8%)85/166 (51.2%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventZOSTAVAX™ (AMP)ZOSTAVAX™
Bile duct stoneHepatobiliary disorders0/3301/166
Traumatic liver injuryInjury, poisoning and procedural complications0/3301/166
Cardiac failure congestiveCardiac disorders0/3301/166
VertigoEar and labyrinth disorders0/3301/166
Gastrointestinal haemorrhageGastrointestinal disorders0/3301/166
Ileus paralyticGastrointestinal disorders0/3301/166
CholangitisHepatobiliary disorders0/3301/166
Gallbladder perforationHepatobiliary disorders0/3301/166
Enterocolitis infectiousInfections and infestations0/3301/166
ConcussionInjury, poisoning and procedural complications0/3301/166
Most frequent other events
Most frequent other events
EventZOSTAVAX™ (AMP)ZOSTAVAX™
Injection-site painGeneral disorders146/33068/166
Injection-site erythemaGeneral disorders135/33066/166
Injection-site swellingGeneral disorders106/33053/166
Injection-site pruritusGeneral disorders22/33013/166

Baseline characteristics

Age, Continuous
Age, Continuous(years)ZOSTAVAX™ (AMP)ZOSTAVAX™Total
Mean62.9 ± 7.162.4 ± 7.062.8 ± 7.1
Sex: Female, Male
Sex: Female, Male(Participants)ZOSTAVAX™ (AMP)ZOSTAVAX™Total
Female19699295
Male13667203
08

Study locations

No study locations are listed for this record.

09

References and documents

Individual participant data

Plan to share: Yes — http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01505647
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jan 6, 2012
Start date
Apr 2012
Primary completion
Jul 2012
Completion
Nov 2012
Results posted
Jul 3, 2013
Last update
Apr 12, 2017

Oversight

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

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This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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