ClinicalTrials.gg
TerminatedNCT02444936Updated Sep 23, 2026Results posted

ZOSTAVAX in Persons Imminently Receiving Chemotherapy for Solid Organ Tumors

A Phase 4 interventional study of ZOSTAVAX in Shingles, sponsored by Louis Stokes VA Medical Center. Terminated. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Louis Stokes VA Medical Center · Phase 4, Interventional, and Basic science

Why this study was terminated
unable to obtain samples of key groups to do any analysis.
Phase
Phase 4
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
50 Years and older
Sex
All
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Study summary

This study evaluates if the shingles vaccine works in those persons that receive it before they receive chemotherapy for solid organ tumors. Half of the participants will receive the ZOSTAVAX shingle vaccine and half of the participants will not received anything.

Read the detailed description

This study is a single blind randomized clinical trial measuring the immunologic efficacy of ZOSTAVAX vs. no vaccine in 60 adults with solid organ tumors before, during and after chemotherapy. The personnel performing the laboratory studies will be blinded to vaccine vs. no vaccine. In a pilot study of an FDA approved vaccine that is being used within the parameters of the package insert and ACIP recommendations, placebo vaccine is not required to access our key primary immunologic endpoint.

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Conditions studied

  • Shingles

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Keywords

  • solid tumor
  • chemotherapy
  • vaccine
03

In context

Herpes Zoster

299 studies on the registry are indexed under Herpes Zoster; 55 are open to participants now.

This study's enrollment of 22 is below the median of 160 across 247 interventional studies indexed under Herpes Zoster.

Browse Herpes Zoster studies →

Lead sponsor

Louis Stokes VA Medical Center is the lead sponsor of 15 studies on the registry; 5 are open to participants now.

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

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Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Solid organ tumor patients that have at least 14 days between entry into the study with ZOSTAVAX vaccination and initial therapy for their that will include chemotherapy alone or surgery with subsequent chemotherapy plus or minus radiation therapy
  • A plan for chemotherapy that at the onset at least an anticipated stop date within 3-6 months of our sample collection phase of the study

Exclusion criteria

Exclusion Criteria:

  • Prior history of HZ or shingles vaccine
  • Systemic chemotherapy \< 3 months prior to enrollment
  • Any history of hematologic , /AIDS, hematopoietic stem cell transplant, or other cellular immunodeficiency state
  • Those receiving immunomodulating drugs at the time of vaccination such as prednisone methotrexate, azathioprine, mercaptopurine, or other biologics including TNF-alpha inhibitors
  • Widespread tumor with bone marrow involvement
  • Indefinite duration palliative chemotherapy subjects

    • Inability to communicate with the study staff or bring unable to consent for themselves
    • History of anaphylactic/anaphylactiod reaction to gelatin, neomycin, or other components of the vaccine
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Active comparator
    ZOSTAVAX

    ZOSTAVAX shingles vaccine Zoster vaccine live Single 0.65mL subcutaneous injection

    Drug: ZOSTAVAX

  • No intervention
    Control

    There is no drug given in this arm.

Interventions

  • Shingles vaccine

    Also known as: Voster vaccine live

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What researchers measure

Primary outcomes

  1. Measuring the Efficacy of ZOSTAVAX in Chemotherapy Patients (Changes in ZOSTAVAX-specific IFN-gamma Spot Forming Units Will be Measured by ELISPOT)

    To examine the cellular immunologic efficacy as measured by IFN-gamma assays of ZOSTAVAX given to individuals with solid organ tumors at least 14 days prior to initiation of chemotherapy or surgery and then chemotherapy. Changes in ZOSTAVAX-specific IFN-gamma spot forming units will be measured by ELISPOT.

    Time frame: 3 years

  2. Measuring the Safety of ZOSTAVAX Given to Chemotherapy Patients (Vaccine Report Card (VRC) to Document Injection-site Adverse Experiences, Systemic Clinical Adverse Experiences (AEs), Concomitant Medications, and Oral Temperatures

    To asses the safety of ZOSTAVAX given to subjects that will receive chemotherapy or surgery and then chemotherapy for solid organ tumor at least 14 days after vaccination. Safety and tolerability data will be collected for all subjects throughout the study. Each subject will be given a Vaccine Report Card (VRC) to document injection-site adverse experiences, systemic clinical adverse experiences (AEs), concomitant medications, and oral temperatures (only if feeling feverish) noted during the 14-day post-vaccination period. Participants will be asked to notify the study personnel immediately if any unexpected or serious adverse experience (SAE) occurs. At all study visits subjects will be asked about any unreported SAEs. All AEs and SAEs will be recorded on an AE/SAE case report form and relationship to study vaccine will be determined by the site investigator.

    Time frame: 3 years

07

Results

Posted Apr 6, 2018
Limitations and caveats
No lab analysis done. Enrollment too poor and slow and unable to analyze any data. The study was terminated.

Participant flow

Participant flow — Overall Study
MilestoneZOSTAVAXControl
Started1012
Completed1012
Not completed00

Outcome measures

PrimaryMeasuring the Efficacy of ZOSTAVAX in Chemotherapy Patients (Changes in ZOSTAVAX-specific IFN-gamma Spot Forming Units Will be Measured by ELISPOT)

To examine the cellular immunologic efficacy as measured by IFN-gamma assays of ZOSTAVAX given to individuals with solid organ tumors at least 14 days prior to initiation of chemotherapy or surgery and then chemotherapy. Changes in ZOSTAVAX-specific IFN-gamma spot forming units will be measured by ELISPOT.

Time frame:
3 years
Reported as:
Count of participants · Participants
Measuring the Efficacy of ZOSTAVAX in Chemotherapy Patients (Changes in ZOSTAVAX-specific IFN-gamma Spot Forming Units Will be Measured by ELISPOT)
ParticipantsZOSTAVAXControl
Measuring the Efficacy of ZOSTAVAX in Chemotherapy Patients (Changes in ZOSTAVAX-specific IFN-gamma Spot Forming Units Will be Measured by ELISPOT)00
PrimaryMeasuring the Safety of ZOSTAVAX Given to Chemotherapy Patients (Vaccine Report Card (VRC) to Document Injection-site Adverse Experiences, Systemic Clinical Adverse Experiences (AEs), Concomitant Medications, and Oral Temperatures

To asses the safety of ZOSTAVAX given to subjects that will receive chemotherapy or surgery and then chemotherapy for solid organ tumor at least 14 days after vaccination. Safety and tolerability data will be collected for all subjects throughout the study. Each subject will be given a Vaccine Report Card (VRC) to document injection-site adverse experiences, systemic clinical adverse experiences (AEs), concomitant medications, and oral temperatures (only if feeling feverish) noted during the 14-day post-vaccination period. Participants will be asked to notify the study personnel immediately if any unexpected or serious adverse experience (SAE) occurs. At all study visits subjects will be asked about any unreported SAEs. All AEs and SAEs will be recorded on an AE/SAE case report form and relationship to study vaccine will be determined by the site investigator.

Time frame:
3 years
Reported as:
Count of participants · Participants
Measuring the Safety of ZOSTAVAX Given to Chemotherapy Patients (Vaccine Report Card (VRC) to Document Injection-site Adverse Experiences, Systemic Clinical Adverse Experiences (AEs), Concomitant Medications, and Oral Temperatures
ParticipantsZOSTAVAXControl
Measuring the Safety of ZOSTAVAX Given to Chemotherapy Patients (Vaccine Report Card (VRC) to Document Injection-site Adverse Experiences, Systemic Clinical Adverse Experiences (AEs), Concomitant Medications, and Oral Temperatures20

Adverse events

Collected over We collected the data for the one month after giving the vaccine.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ZOSTAVAX2/10 (20%)0/10 (0%)2/10 (20%)
Control4/12 (33.3%)0/12 (0%)0/12 (0%)
Most frequent other events
Most frequent other events
EventZOSTAVAXControl
mild injection sorenessMusculoskeletal and connective tissue disorders2/100/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)ZOSTAVAXControlTotal
<=18 years000
Between 18 and 65 years257
>=65 years8715
Age, Continuous
Age, Continuous(years)ZOSTAVAXControlTotal
Mean65.7 ± 6.664 ± 9.864.7 ± 8.3
Sex: Female, Male
Sex: Female, Male(Participants)ZOSTAVAXControlTotal
Female000
Male101222
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ZOSTAVAXControlTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White101121
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)ZOSTAVAXControlTotal
United States101222
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Study locations

No study locations are listed for this record.

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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2015 to primary completion in May 2018, 36 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 7, 2015
First posted
May 15, 2015
StartActual
May 1, 2015
Primary completionActual
May 1, 2018
CompletionActual
May 1, 2018
Results first posted
Apr 6, 2018
Last update
Sep 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, 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
NCT02444936
Lead sponsor
Louis Stokes VA Medical Center
Collaborators
Duke University
Responsible party
David Canaday (Associate Director of Research, GRECC, Louis Stokes VA Medical Center) — Principal investigator
First posted
May 15, 2015
Start date
May 1, 2015
Primary completion
May 1, 2018
Completion
May 1, 2018
Results posted
Apr 6, 2018
Last update
Sep 23, 2026

Study contacts

David H. Canaday, MD
principal investigator · Cleveland VA

Oversight

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

Not currently enrolling

This study is terminated, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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