ClinicalTrials.gg
CompletedNCT03439657Updated Jan 11, 2022Results posted

Immunogenicity and Safety Study of GSK Biologicals' Herpes Zoster Vaccine GSK1437173A When Co-administered With Prevenar13 in Adults Aged 50 Years and Older

A Phase 3 interventional study of HZ/su vaccine GSK1437173A and Prevenar13 in Herpes Zoster, sponsored by GlaxoSmithKline. Completed at 13 sites in 4 countries. Open to participants aged 50 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-11.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention

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Phase
Phase 3
Study type
Interventional
Enrollment
913
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 46 studies testing shingrix in Herpes Zoster — 8 open to participants now, 11 under way, 3 of them phase 3. shingrix · Herpes Zoster.

Enrollment
11th of 46
913 · median 239
Started
2018
with 1 other
Phase 3
22 of 46
2 open now
Registered
21st of 46
by date
Lead sponsor
26 of 46
GlaxoSmithKline

Among the 46 studies testing shingrix in Herpes Zoster, this one is the 11th largest by enrollment, is one of 2 that started in 2018, is one of 22 in phase 3, and was the 21st registered.

Herpes Zoster

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

Browse Herpes Zoster studies →

Open to participants now

8 of the 46 studies testing shingrix in Herpes Zoster are open now, in 5 countries. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 8 open studies →

About shingrix

shingrix: first FDA approval 2017 (Shingrix). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 37 Herpes Zoster studies recruiting now, 26 (70%) set no upper age limit and 6 (16%) stop at 75 or younger; 3 take children under 18; 13 take healthy volunteers.

This study: 50 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 46 studies testing shingrix in Herpes Zoster, or all of them as a file.
02

Study summary

The purpose of this study is to assess immunogenicity and safety of GSK Biologicals' HZ vaccine when its first dose is co-administered with a pneumococcal polysaccharide conjugate vaccine (Prevenar13) in adults aged ≥50 YOA, as compared to the control group where the two HZ/su doses are administered subsequent to Prevenar13.

Read the detailed description

Following the initial approval of the GlaxoSmithKline (GSK) Biologicals' HZ/su vaccine, the protocol was amended to indicate that the trademark is Shingrix. In addition, the term "candidate" vaccine has been replaced by "study" vaccine throughout the protocol.

03

Conditions studied

  • Herpes Zoster

Browse trials for

Keywords

  • HZ
  • Safety
  • Immunogenicity
  • Shingles
  • Adults
  • Prevenar 13
04

Who can participate

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

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

  • Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  • Written obtained from the subject prior to performance of any study specific procedure.
  • A male or female, aged ≥50 YOA at the time of the first vaccination with the study vaccine(s).
  • Female subjects of non- may be enrolled in the study.
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • has practiced adequate 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 2 months after completion of the vaccination series.

Exclusion criteria

Exclusion Criteria:

  • Use of any or non-registered product other than the study vaccines during the period starting 30 days before the first dose of study vaccines (Day -30 to Day 1), or planned use during the study period.
  • Any medical condition that in the judgment of the investigator would make intramuscular (IM) injection unsafe.
  • Use or anticipated use of or other immune-modifying drugs during the period starting six months prior to study start and during the whole study period. This includes chronic administration of (>14 consecutive days of prednisone at a dose of ≥20 mg/day [or equivalent]), long-acting immune modifying agents or immunosuppressive/cytotoxic therapy. Inhaled, topical and intra-articular corticosteroids are allowed.
  • Administration or planned administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first dose and ending 30 days after the last dose of study vaccine administration. This includes any type of vaccine such as (but not limited to) live, inactivated and subunit vaccines.
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product.
  • Previous and/or planned administration of an HZ or VZV vaccine other than the study vaccine during the study period.
  • History of HZ.
  • History of documented pneumococcal infection within 5 previous years.
  • Prior receipt of any pneumococcal vaccine or planned use during the study period, other than the study vaccines.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease or immunosuppressive/cytotoxic therapy.
  • History of any reaction or likely to be exacerbated by any component of the vaccines.
  • Acute disease and/or fever at the time of enrollment.

    • Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study will be the oral cavity.
    • Subjects with a minor illness without fever may, be enrolled at the discretion of the investigator.
  • Administration of immunoglobulins and/or any blood products during the period starting 3 months before the first dose of study vaccine or planned administration during the study period.
  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue precautions before 2 months after the last dose of study vaccine.
  • Any person with cerebrospinal fluid (CSF) leaks, cochlear implants, chronic renal failure, nephrotic syndrome and functional or anatomic asplenia.
  • Any medical condition that in the judgment of the investigator would prevent the subject from participating in the study.
Terms in these criteria, in plain language(7)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
913 participants (actual)

Study arms

  • Experimental
    Co-Ad Group

    Adults aged ≥50 years of age who received the first dose of GSK1437173A and one dose of Prevenar13 at Day 1 and the second dose of GSK1437173A at Month 2. Both vaccines were administered intramuscularly, GSK1437173A was administered in the deltoid muscle of the non-dominant arm, while Prevenar13 was administered in the deltoid muscle of the dominant arm

    Biological: HZ/su vaccine GSK1437173A · Biological: Prevenar13

  • Active comparator
    Control Group

    Adults aged ≥50 years of age who received one dose of Prevenar13 at Day 1, the first dose of GSK1437173A at Month 2 and the second dose of GSK1437173A at Month 4. Both vaccines were administered intramuscularly, GSK1437173A was administered in the deltoid muscle of the non-dominant arm, while Prevenar13 was administered in the deltoid muscle of the dominant arm

    Biological: HZ/su vaccine GSK1437173A · Biological: Prevenar13

Interventions

  • BiologicalHZ/su vaccine GSK1437173A

    Drug page: Shingrix

    2 doses of 0.5 mL of the vaccine in a 0,2 Months schedule. Administered by intramuscular injection into the deltoid muscle of the non-dominant arm.

  • BiologicalPrevenar13

    1 dose of 0.5 mL of the vaccine. Administered by intramuscular injection into the deltoid muscle of the dominant arm.

    Also known as: PCV13

06

What researchers measure

Primary outcomes

  1. Percentage of Subjects With a Vaccine Response for Anti-glycoprotein E (Anti-gE) in Co-Ad Group

    Vaccine response rate (VRR) for Varicella Zoster Virus (VZV) anti-glycoprotein E (gE) humoral immunogenicity was determined by Enzyme Limked Immunosorbent Assay (ELISA). The VRR for anti-gE is defined as the percentage of subjects who had at least: a 4-fold increase in the anti-gE antibodies concentration as compared to the pre-vaccination anti-gE antibodies concentration, for subjects who are seropositive at baseline, or, a 4-fold increase in the anti-gE antibodies concentration as compared to the anti-gE antibodies cut-off value for seropositivity, for subjects who are seronegative at baseline.

    Time frame: One month post-dose 2 (Month 3)

  2. Anti-gE Antibody Concentrations

    Anti-gE antibody concentrations in terms of Geometric Mean concentrations (GMC) were determined by ELISA and expressed as milli-international units per milliliter (mIU/mL)

    Time frame: One month post-dose 2 (at Month 3 for the Co-Ad and Month 5 for the Control group).

  3. Anti-pneumococcal Antibody Titers

    Anti-pneumococcal antibody titers for the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F) were determined by Multiplex Opsonophagocytosis Assay (MOPA)

    Time frame: At one month post-dose 1 (Month 1)

  4. Adjusted Geometric Mean Concentrations (GMCs) for Anti-gE Antibody

    Anti-gE antibody concentrations (GMCs) adjusted for age and baseline concentrations were determined using Analysis Of Covariance (ANCOVA) model. Adjusted GMCs were expressed in milli-international units per milliliter (mIU/mL)

    Time frame: One month post-dose 2 (at Month 3 for the Co-Ad and Month 5 for the Control group).

  5. Adjusted Geometric Mean Titers (GMTs) of Anti-pneumococcal Antibodies

    Geometric mean antibody (anti-pneumococcal antibodies: 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F) titers adjusted for age and baseline concentration were determined using ANCOVA model.

    Time frame: At one month post-dose 1 (Month 1)

Secondary outcomes

  1. Number of Subjects With Any and Grade 3 Solicited Local Symptoms by Vaccine and Dose

    Assessed solicited local symptoms were pain, erythema and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 erythema/swelling = erythema/swelling that had spread beyond 100 millimeters (mm) of injection site. The Co-Ad Group received only 2 vaccine doses.

    Time frame: Within 7 days (Day 1 - 7) after each vaccination

  2. Number of Days With Each Solicited Local Symptoms

    The number of days with any local symptoms had been assessed during the post-vaccination period.

    Time frame: Within 7 days (Day 1 - 7) after each vaccination

  3. Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were fatigue, fever \[defined as oral temperature ≥ 38.0 degrees Celsius (°C)/ 100.4 degrees Fahrenheit (°F)\], GastroIntestinal (GI) symptoms, headache, myalgia and shivering. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: Within 7 days (Day 1 - 7) after each vaccination

  4. Number of Days With Solicited General Symptoms

    The number of days with any general symptoms had been assessed during the post-vaccination period. Assessed solicited general symptoms were fatigue, fever, GastroIntestinal (GI) symptoms, headache, myalgia and shivering.

    Time frame: Within 7 days (Day 1 - 7) after each vaccination

  5. Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AE)

    An unsolicited AE covered 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 and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

    Time frame: Within 30 days (Day 1 to 30) after each vaccination

  6. Number of Subjects With Any and Related Serious Adverse Events (SAE) From Day 1 to 30 Days Post Last Vaccination

    SAEs assessed included medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related SAEs= SAEs assessed by the investigator as causally related to the study vaccination.

    Time frame: From first vaccination at Day 1 up to 30 days post last vaccination

  7. Number of Subjects With Any and Related SAEs From 30 Days Post Last Vaccination up to Study End.

    Serious adverse events (SAEs) assessed included medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related SAEs= SAEs assessed by the investigator as causally related to the study vaccination.

    Time frame: From 30 days post last vaccination up to study end (Month 14 for the Co-Ad group and Month 16 for the Control group)

  8. Number of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs) From Day 1 to 30 Days Post Last Vaccination

    pIMDs assessed were a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which might or might not had an autoimmune aetiology. Related pIMDs= pIMDs assessed by the investigator as causally related to the study vaccination.

    Time frame: From first vaccination at Day 1 up to 30 days post last vaccination.

  9. Number of Subjects With Any pIMDs From 30 Days Post Last Vaccination up to Study End.

    pIMDs assessed were a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which might or might not had an autoimmune aetiology.

    Time frame: From 30 days post last vaccination up to study end (Month 14 for the Co-Ad group and Month 16 for the Control group)

  10. Number of Subjects With Any and Grade 3 Solicited Local Symptoms by Dose

    Assessed solicited local symptoms were pain, erythema and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 erythema/swelling = erythema/swelling that had spread beyond 100 millimeters (mm) of injection site. The Co-Ad Group received only 2 vaccine doses.

    Time frame: Within 7 days (Day 1 - 7) after each vaccination

07

Results

Posted Mar 18, 2021

Participant flow

The study was conducted in 4 countries (Canada, Estonia, Germany \& United States)

Participant flow — Overall Study
MilestoneCo-Ad GroupControl Group
Started449463
Completed442459
Not completed74
Withdrew: Adverse event23
Withdrew: Lost to follow-up10
Withdrew: Protocol violation11
Withdrew: Consent withdrawal, not due to an adverse event30

Outcome measures

PrimaryPercentage of Subjects With a Vaccine Response for Anti-glycoprotein E (Anti-gE) in Co-Ad Group

Vaccine response rate (VRR) for Varicella Zoster Virus (VZV) anti-glycoprotein E (gE) humoral immunogenicity was determined by Enzyme Limked Immunosorbent Assay (ELISA). The VRR for anti-gE is defined as the percentage of subjects who had at least: a 4-fold increase in the anti-gE antibodies concentration as compared to the pre-vaccination anti-gE antibodies concentration, for subjects who are seropositive at baseline, or, a 4-fold increase in the anti-gE antibodies concentration as compared to the anti-gE antibodies cut-off value for seropositivity, for subjects who are seronegative at baseline.

Time frame:
One month post-dose 2 (Month 3)
Reported as:
Number · Percentage of subjects
Percentage of Subjects With a Vaccine Response for Anti-glycoprotein E (Anti-gE) in Co-Ad Group
Percentage of subjectsCo-Ad Group
Percentage of Subjects With a Vaccine Response for Anti-glycoprotein E (Anti-gE) in Co-Ad Group99.1 (97.6 to 99.7)
PrimaryAnti-gE Antibody Concentrations

Anti-gE antibody concentrations in terms of Geometric Mean concentrations (GMC) were determined by ELISA and expressed as milli-international units per milliliter (mIU/mL)

Time frame:
One month post-dose 2 (at Month 3 for the Co-Ad and Month 5 for the Control group).
Reported as:
Geometric mean · mlU/mL
Anti-gE Antibody Concentrations
mlU/mLCo-Ad GroupControl Group
Anti-gE Antibody Concentrations54789.9 (51586.3 to 58192.4)59126.7 (55973.8 to 62457.1)
PrimaryAnti-pneumococcal Antibody Titers

Anti-pneumococcal antibody titers for the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F) were determined by Multiplex Opsonophagocytosis Assay (MOPA)

Time frame:
At one month post-dose 1 (Month 1)
Reported as:
Geometric mean · Titers
Anti-pneumococcal Antibody Titers
TitersCo-Ad GroupControl Group
MOPA-1144.2 (120.5 to 172.6)151.5 (126.0 to 182.1)
MOPA-399.8 (87.2 to 114.1)100.2 (88.0 to 114.1)
MOPA-41127.2 (975.5 to 1302.5)1392.4 (1206.5 to 1607.0)
MOPA-5279.4 (231.2 to 337.7)292.8 (243.5 to 352.1)
MOPA-6A1839.3 (1570.0 to 2154.9)2354.9 (2015.0 to 2752.2)
MOPA-6B1499.4 (1241.2 to 1811.4)2025.9 (1715.5 to 2392.4)
MOPA-7F1981 (1735.2 to 2261.5)2387.5 (2112.7 to 2698.0)
MOPA-9V2541.9 (2219.2 to 2911.7)3049.3 (2693.7 to 3451.9)
MOPA-141752.6 (1505.2 to 2040.6)2096 (1796.6 to 2445.2)
MOPA-18C1450.3 (1262.5 to 1666.1)1606.6 (1402.6 to 1840.4)
MOPA-19A1684.9 (1477.2 to 1921.9)1664.3 (1465.7 to 1889.7)
MOPA-19F712 (617.1 to 821.6)802.4 (696.2 to 924.8)
MOPA-23F758.1 (644.9 to 891.2)925.5 (782.5 to 1094.7)
PrimaryAdjusted Geometric Mean Concentrations (GMCs) for Anti-gE Antibody

Anti-gE antibody concentrations (GMCs) adjusted for age and baseline concentrations were determined using Analysis Of Covariance (ANCOVA) model. Adjusted GMCs were expressed in milli-international units per milliliter (mIU/mL)

Time frame:
One month post-dose 2 (at Month 3 for the Co-Ad and Month 5 for the Control group).
Reported as:
Geometric mean · mlU/mL
Adjusted Geometric Mean Concentrations (GMCs) for Anti-gE Antibody
mlU/mLControl GroupCo-Ad Group
Adjusted Geometric Mean Concentrations (GMCs) for Anti-gE Antibody58526.8 (55248.5 to 61999.7)54634.9 (51546.0 to 57909.0)
Statistical analysis
  • Control Group vs Co-Ad Group · ANCOVA · Gmc ratio: 1.07 · 95% CI 0.99 to 1.16The 95% CI of the group GMCs ratio was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
PrimaryAdjusted Geometric Mean Titers (GMTs) of Anti-pneumococcal Antibodies

Geometric mean antibody (anti-pneumococcal antibodies: 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F) titers adjusted for age and baseline concentration were determined using ANCOVA model.

Time frame:
At one month post-dose 1 (Month 1)
Reported as:
Geometric mean · Titers
Adjusted Geometric Mean Titers (GMTs) of Anti-pneumococcal Antibodies
TitersControl GroupCo-Ad Group
MOPA-1147.1 (123.9 to 174.7)141.2 (118.7 to 167.9)
MOPA-399.6 (88.1 to 112.6)97.3 (86.0 to 110.0)
MOPA-41331.6 (1155.2 to 1535.0)1066.9 (924.2 to 1231.5)
MOPA-5278.9 (234.4 to 331.8)269.1 (225.8 to 320.8)
MOPA-6A2253.8 (1935.6 to 2624.3)1784.4 (1530.2 to 2080.8)
MOPA-6B1967.3 (1661.5 to 2329.3)1445.4 (1219.3 to 1713.4)
MOPA-7F2337.3 (2061.2 to 2650.5)1935.1 (1704.3 to 2197.1)
MOPA-9V2955.8 (2601.9 to 3357.9)2553.5 (2244.2 to 2905.4)
MOPA-141992.3 (1718.5 to 2309.7)1730.7 (1491.3 to 2008.5)
MOPA-18C1558.9 (1363.9 to 1781.9)1403.8 (1226.4 to 1606.8)
MOPA-19A1663.5 (1474.0 to 1877.2)1619.2 (1433.7 to 1828.7)
MOPA-19F760.2 (664.8 to 869.2)696.4 (608.2 to 797.3)
MOPA-23F896.6 (765.0 to 1050.9)748.2 (637.6 to 878.0)
Statistical analysis
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.04 · 95% CI 0.82 to 1.33The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.02 · 95% CI 0.86 to 1.22The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.25 · 95% CI 1.02 to 1.52The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.04 · 95% CI 0.81 to 1.32The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.26 · 95% CI 1.02 to 1.56The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.36 · 95% CI 1.07 to 1.73The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.21 · 95% CI 1.01 to 1.44The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.16 · 95% CI 0.97 to 1.39The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.15 · 95% CI 0.94 to 1.42The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.11 · 95% CI 0.92 to 1.34The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.03 · 95% CI 0.87 to 1.22The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.09 · 95% CI 0.90 to 1.32The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
  • Control Group vs Co-Ad Group · ANCOVA · Gmt ratio: 1.20 · 95% CI 0.96 to 1.50The 95% CI of the group MOPA GMT ratios was computed using an Analysis Of Covariance (ANCOVA) model on the log10 transformation of the concentrations.
SecondaryNumber of Subjects With Any and Grade 3 Solicited Local Symptoms by Vaccine and Dose

Assessed solicited local symptoms were pain, erythema and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 erythema/swelling = erythema/swelling that had spread beyond 100 millimeters (mm) of injection site. The Co-Ad Group received only 2 vaccine doses.

Time frame:
Within 7 days (Day 1 - 7) after each vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms by Vaccine and Dose
ParticipantsCo-Ad GroupControl Group
Any Erythema, GSK1437173A, Dose11200
Grade3 Erythema, GSK1437173A, Dose150
Any Erythema, Prevenar13, Dose14831
Grade3 Erythema, Prevenar13, Dose121
Any Pain, GSK1437173A, Dose13320
Grade3 Pain, GSK1437173A, Dose1250
Any Pain, Prevenar13, Dose1233241
Grade3 Pain, Prevenar13, Dose1119
Any Swelling, GSK1437173A, Dose1690
Grade3 Swelling, GSK1437173A, Dose100
Any Swelling, Prevenar13, Dose13321
Grade3 Swelling, Prevenar13, Dose110
Any Erythema, GSK1437173A, Dose2147128
Grade3 Erythema, GSK1437173A, Dose295
Any Pain, GSK1437173A, Dose2326359
Grade3 Pain, GSK1437173A, Dose22832
Any Swelling, GSK1437173A, Dose27072
Grade3 Swelling, GSK1437173A, Dose212
Any Erythema, GSK1437173A, Dose30123
Grade3 Erythema, GSK1437173A, Dose301
Any Pain, GSK1437173A, Dose30350
Grade3 Pain, GSK1437173A, Dose3041
Any Swelling, GSK1437173A, Dose3060
Grade3 Swelling, GSK1437173A, Dose300
SecondaryNumber of Days With Each Solicited Local Symptoms

The number of days with any local symptoms had been assessed during the post-vaccination period.

Time frame:
Within 7 days (Day 1 - 7) after each vaccination
Reported as:
Median · Days
Number of Days With Each Solicited Local Symptoms
DaysCo-Ad GroupControl Group
Any erythema,Dose13 (2 to 5)2 (1 to 4)
Any pain,Dose13 (2 to 4)2 (1 to 2)
Any swelling, Dose12 (2 to 4)2 (1 to 3)
Any erythema, Dose23 (2 to 4)2 (2 to 4)
Any pain,Dose23 (2 to 4)3 (2 to 4)
Any swelling, Dose23 (2 to 4)2 (1.5 to 4)
Any erythema,Dose3—2 (2 to 3)
Any pain,Dose3—3 (2 to 3)
Any swelling,Dose3—2 (1 to 4)
SecondaryNumber of Subjects With Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were fatigue, fever \[defined as oral temperature ≥ 38.0 degrees Celsius (°C)/ 100.4 degrees Fahrenheit (°F)\], GastroIntestinal (GI) symptoms, headache, myalgia and shivering. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
Within 7 days (Day 1 - 7) after each vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
ParticipantsCo-Ad GroupControl Group
Any Fatigue, Dose116685
Grade3 Fatigue, Dose1215
Related Fatigue, Dose114967
Any Fever, Dose1102
Grade3 Fever, Dose110
Related Fever, Dose180
Any GI symptoms, Dose16137
Grade3 GI symptoms, Dose161
Related GI symptoms, Dose15530
Any Headache, Dose113072
Grade3 Headache, Dose1100
Related Headache, Dose111359
Any Myalgia, Dose1168102
Grade3 Myalgia, Dose1174
Related Myalgia, Dose115086
Any Shivering, Dose1787
Grade3 Shivering, Dose190
Related Shivering, Dose1717
Any Fatigue, Dose2192152
Grade3 Fatigue, Dose22217
Related Fatigue, Dose2177141
Any Fever, Dose2167
Grade3 Fever, Dose222
Related Fever, Dose2102
Any GI symptoms, Dose25747
Grade3 GI symptoms, Dose284
Related GI symptoms, Dose25044
Any Headache, Dose2156115
Grade3 Headache, Dose2187
Related Headache, Dose214399
Any Myalgia, Dose2203174
Grade3 Myalgia, Dose22324
Related Myalgia, Dose2186163
Any Shivering, Dose29550
Grade3 Shivering, Dose2128
Related Shivering, Dose28647
Any Fatigue, Dose30210
Grade3 Fatigue, Dose3027
Related Fatigue, Dose30202
Any Fever, Dose3023
Grade3 Fever, Dose302
Related Fever, Dose3017
Any GI symptoms, Dose3069
Grade3 GI symptoms, Dose303
Related GI symptoms, Dose3063
Any Headache, Dose30180
Grade3 Headache, Dose3023
Related Headache, Dose30168
Any Myalgia, Dose30224
Grade3 Myalgia, Dose3037
Related Myalgia, Dose30215
Any Shivering, Dose30122
Grade3 Shivering, Dose3020
Related Shivering, Dose30117
SecondaryNumber of Days With Solicited General Symptoms

The number of days with any general symptoms had been assessed during the post-vaccination period. Assessed solicited general symptoms were fatigue, fever, GastroIntestinal (GI) symptoms, headache, myalgia and shivering.

Time frame:
Within 7 days (Day 1 - 7) after each vaccination
Reported as:
Median · Days
Number of Days With Solicited General Symptoms
DaysCo-Ad GroupControl Group
Any fatigue,Dose12 (1 to 3)2 (1 to 3)
Any GI symptoms,Dose12 (1 to 2)1 (1 to 2)
Any headache,Dose12 (1 to 3)1 (1 to 2)
Any myalgia,Dose12 (1 to 3)2 (1 to 3)
Any shivering,Dose11 (1 to 2)1 (1 to 3)
Any fever,Dose11 (1 to 1)1 (1 to 1)
Any fatigue,Dose22 (1 to 3)2 (1 to 3)
Any GI symptoms,Dose21 (1 to 2)1 (1 to 2)
Any headache,Dose22 (1 to 3)2 (1 to 3)
Any myalgia,Dose22 (1 to 3)2 (1 to 3)
Any shivering,Dose21 (1 to 2)1 (1 to 2)
Any fever,Dose21 (1 to 1)1 (1 to 3)
Any fatigue,Dose3—2 (1 to 3)
Any GI symptoms,Dose3—1 (1 to 2)
Any headache,Dose3—1.5 (1 to 2)
Any myalgia,Dose3—2 (1 to 3)
Any shivering,Dose3—1 (1 to 2)
Any fever,Dose3—1 (1 to 1)
SecondaryNumber of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AE)

An unsolicited AE covered 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 and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

Time frame:
Within 30 days (Day 1 to 30) after each vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AE)
ParticipantsCo-Ad GroupControl Group
Subjects with any AEs95107
Subjects with Grade 3 AEs913
Subjects with related AEs3525
SecondaryNumber of Subjects With Any and Related Serious Adverse Events (SAE) From Day 1 to 30 Days Post Last Vaccination

SAEs assessed included medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related SAEs= SAEs assessed by the investigator as causally related to the study vaccination.

Time frame:
From first vaccination at Day 1 up to 30 days post last vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Any and Related Serious Adverse Events (SAE) From Day 1 to 30 Days Post Last Vaccination
ParticipantsCo-Ad GroupControl Group
Subjects with any SAEs78
Subjects with related SAEs00
SecondaryNumber of Subjects With Any and Related SAEs From 30 Days Post Last Vaccination up to Study End.

Serious adverse events (SAEs) assessed included medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related SAEs= SAEs assessed by the investigator as causally related to the study vaccination.

Time frame:
From 30 days post last vaccination up to study end (Month 14 for the Co-Ad group and Month 16 for the Control group)
Reported as:
Count of participants · Participants
Number of Subjects With Any and Related SAEs From 30 Days Post Last Vaccination up to Study End.
ParticipantsCo-Ad GroupControl Group
Subjects with any SAEs1010
Subjects with related SAEs00
SecondaryNumber of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs) From Day 1 to 30 Days Post Last Vaccination

pIMDs assessed were a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which might or might not had an autoimmune aetiology. Related pIMDs= pIMDs assessed by the investigator as causally related to the study vaccination.

Time frame:
From first vaccination at Day 1 up to 30 days post last vaccination.
Reported as:
Count of participants · Participants
Number of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs) From Day 1 to 30 Days Post Last Vaccination
ParticipantsCo-Ad GroupControl Group
Subjects with any pIMDs11
Subjects with related pIMDs00
SecondaryNumber of Subjects With Any pIMDs From 30 Days Post Last Vaccination up to Study End.

pIMDs assessed were a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which might or might not had an autoimmune aetiology.

Time frame:
From 30 days post last vaccination up to study end (Month 14 for the Co-Ad group and Month 16 for the Control group)
Reported as:
Count of participants · Participants
Number of Subjects With Any pIMDs From 30 Days Post Last Vaccination up to Study End.
ParticipantsCo-Ad GroupControl Group
Number of Subjects With Any pIMDs From 30 Days Post Last Vaccination up to Study End.10
SecondaryNumber of Subjects With Any and Grade 3 Solicited Local Symptoms by Dose

Assessed solicited local symptoms were pain, erythema and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 erythema/swelling = erythema/swelling that had spread beyond 100 millimeters (mm) of injection site. The Co-Ad Group received only 2 vaccine doses.

Time frame:
Within 7 days (Day 1 - 7) after each vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms by Dose
ParticipantsCo-Ad GroupControl Group
Any Erythema, Dose113131
Grade3 Erythema, Dose171
Any Pain, Dose1347241
Grade3 Pain, Dose1289
Any Swelling, Dose17621
Grade3 Swelling, Dose110
Any Erythema, Dose2147128
Grade3 Erythema, Dose295
Any Pain, Dose2326359
Grade3 Pain, Dose22832
Any Swelling, Dose27072
Grade3 Swelling, Dose212
Any Erythema, Dose30123
Grade3 Erythema, Dose301
Any Pain, Dose30350
Grade3 Pain, Dose3041
Any Swelling, Dose3060
Grade3 Swelling, Dose300

Adverse events

Collected over Solicited AEs: During the 7-day (Days 1 to 7) after each vaccination, Unsolicited AEs: During the 30 day (Days 1 to 30) after any vaccination, SAEs: Throughout the study period [ Day 1 to study end (Month 14 for Co-Ad group and Month-16 for Control Group)]. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Co-Ad Group2/449 (0.4%)16/449 (3.6%)419/449 (93.3%)
Control Group4/463 (0.9%)16/463 (3.5%)427/463 (92.2%)
Most frequent serious events
Showing 10 of 43
Most frequent serious events
EventCo-Ad GroupControl Group
Coronary artery diseaseCardiac disorders2/4491/463
Acute myocardial infarctionCardiac disorders1/4491/463
Angina pectorisCardiac disorders1/4490/463
Angina unstableCardiac disorders1/4490/463
Cardiac failure chronicCardiac disorders1/4490/463
Dressler's syndromeCardiac disorders1/4490/463
Myocardial infarctionCardiac disorders1/4490/463
Stress cardiomyopathyCardiac disorders1/4490/463
Ventricular fibrillationCardiac disorders1/4490/463
Hypertrophic cardiomyopathyCongenital, familial and genetic disorders1/4490/463
Most frequent other events
Showing 10 of 162
Most frequent other events
EventCo-Ad GroupControl Group
Injection site painGeneral disorders389/449406/463
MyalgiaMusculoskeletal and connective tissue disorders260/449284/463
FatigueGeneral disorders243/449261/463
HeadacheNervous system disorders206/449241/463
Injection site erythemaGeneral disorders192/449190/463
ChillsGeneral disorders139/449143/463
Gastrointestinal disorderGastrointestinal disorders102/449119/463
Injection site swellingGeneral disorders108/449117/463
PyrexiaGeneral disorders23/44929/463
ArthralgiaMusculoskeletal and connective tissue disorders5/4498/463

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Co-Ad GroupControl GroupTotal
Mean63.1 ± 8.363.2 ± 8.463.1 ± 8.4
Sex: Female, Male
Sex: Female, Male(Participants)Co-Ad GroupControl GroupTotal
Female259284543
Male190179369
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Co-Ad GroupControl GroupTotal
American Indian Or Alaska Native101
Black Or African American8816
Mixed Origin022
White - Arabic / North African Heritage112
White - Caucasian / European Heritage439452891
08

Study locations

13 sites
  • GSK Investigational Site
    Marlborough, Massachusetts 01752, United States
  • GSK Investigational Site
    Salisbury, North Carolina 28144, United States
  • GSK Investigational Site
    Spartanburg, South Carolina 29303, United States
  • GSK Investigational Site
    Truro, Nova Scotia B2N 1L2, Canada
  • GSK Investigational Site
    Sherbrooke, Quebec J1L 0H8, Canada
  • GSK Investigational Site
    Rakvere, 44316, Estonia
  • GSK Investigational Site
    Tallinn, 10117, Estonia
  • GSK Investigational Site
    Tartu, 50106, Estonia
  • GSK Investigational Site
    Weinheim, Baden-Wuerttemberg 69469, Germany
  • GSK Investigational Site
    Wuerzburg, Bayern 97070, Germany
  • GSK Investigational Site
    Essen, Nordrhein-Westfalen 45355, Germany
  • GSK Investigational Site
    Goch, Nordrhein-Westfalen 47574, Germany
  • GSK Investigational Site
    Mainz, Rheinland-Pfalz 55116, Germany
09

References and documents

Publications

  • Min JY, Mwakingwe-Omari A, Riley M, Molo LY, Soni J, Girard G, Danier J. The adjuvanted recombinant zoster vaccine co-administered with the 13-valent pneumococcal conjugate vaccine in adults aged >/=50 years: A randomized trial. J Infect. 2022 Apr;84(4):490-498. doi: 10.1016/j.jinf.2021.12.033. Epub 2021 Dec 25. PubMed 34963639 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in May 2019, 12 months.

Results were first posted in Mar 2021, 1 year 10 months after primary completion. A results delay was requested in Oct 2019.

Of 33 industry-sponsored phase 3 interventional studies under Herpes Zoster, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 45. This study's 12 months is below that.

Counting every sponsor, half of 40 studies reached it within 16 months; a quarter within 10 and three quarters within 45.

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

Registered
Feb 12, 2018
First posted
Feb 20, 2018
StartActual
Apr 12, 2018
Primary completionActual
May 6, 2019
CompletionActual
Mar 3, 2020
Results delay requested
Oct 25, 2019
Results first posted
Mar 18, 2021
Last update
Jan 11, 2022
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 Jan 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03439657
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Feb 20, 2018
Start date
Apr 12, 2018
Primary completion
May 6, 2019
Completion
Mar 3, 2020
Results posted
Mar 18, 2021
Last update
Jan 11, 2022

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Shingrix · 13-valent pneumococcal vaccine

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