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CompletedNCT04869982Updated Jan 20, 2025Results posted

Efficacy, Immunogenicity and Safety Study of GSKs Recombinant Zoster Vaccine Shingrix (GSK1437173A) in Chinese Adults Aged ≥50 Years

A Phase 4 interventional study of RZV and Placebo in Herpes Zoster, sponsored by GlaxoSmithKline. Completed at 6 sites in China. Open to participants aged 50 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-20.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
6,138
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

The purpose of this study was to assess vaccine efficacy (VE), ability to generate immune response and safety of two doses of the recombinant subunit zoster vaccine (RZV) for prevention of Herpes Zoster (HZ) in Chinese adults aged 50 years and older.

02

Conditions studied

  • Herpes Zoster

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 6,138 is above the median of 250 across 299 interventional studies indexed under Herpes Zoster.

Browse Herpes Zoster studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) 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

  • Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol who, in the opinion of the investigator, can and will comply, with the requirements of the protocol.
  • Written or witnessed/thumb printed informed consent obtained from the participant/participant's LAR prior to performance of any study specific procedure.
  • A male or female aged 50 years or older at the time of the first vaccination.
  • Medically stable participants as established by medical history and history-directed clinical examination before entering into the study.
  • Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as current bilateral tubal ligation or occlusion, hysterectomy, bilateral ovariectomy or post-menopause.
  • Female participants 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
    • 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:

Medical conditions

  • Any other condition that, in the opinion of the investigator, might interfere with the evaluations required by the study.
  • History of HZ.
  • Significant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine or study materials and equipment.
  • Acute clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality as determined by physical examination or laboratory screening tests.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease or immunosuppressive/cytotoxic therapy.

Prior/Concomitant therapy

  • Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before the first dose of study vaccine (Day -29 to Day 1), or planned use during the study period.
  • Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before each dose and ending 30 days after the last dose of vaccine administration. However, licensed pneumococcal vaccines and inactivated and subunit influenza vaccines (without adjuvant for seasonal or pandemic flu) may be co- administered with any dose of study vaccine.
  • Previous vaccination against varicella or HZ.
  • Administration of long-acting immune-modifying drugs at any time during the study period.
  • Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 3 months before the first dose of study vaccine up to one month post dose 2 (Month 3).
  • Planned or chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the first vaccine. For corticosteroids, this will mean prednisone ≥20mg/day, or equivalent, is not allowed. Inhaled, intra-articular and topical steroids are allowed.

Prior/Concurrent clinical study experience

  • 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.

Other exclusions

  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions within 2 months of last vaccination.
  • History of current/chronic alcohol consumption and/or drug abuse.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
6,138 participants (actual)

Study arms

  • Experimental
    RZV Group

    Participants randomized to the RZV Group were scheduled to receive two doses of RZV, one at Day 1 and one at Month 2.

    Biological: RZV

  • Placebo comparator
    Placebo Group

    Participants randomized to the Placebo Group were scheduled to receive two doses of placebo, one at Day 1 and one at Month 2.

    Drug: Placebo

Interventions

  • BiologicalRZV

    2 doses of RZV in 0, 2 months schedule, administered intramuscularly in the deltoid region of the non-dominant arm

  • DrugPlacebo

    2 doses of placebo in 0, 2 months schedule, administered intramuscularly in the deltoid region of the non-dominant arm

06

What researchers measure

Primary outcomes

  1. Incidence Rate of Confirmed Herpes Zoster (HZ) Cases

    A suspected case of HZ was defined as a new unilateral rash accompanied by pain (broadly defined to include allodynia, pruritus or other sensations) and no alternative diagnosis. A confirmed case of HZ was diagnosed by Polymerase Chain Reaction (PCR) or by the HZ Ascertainment Committee (HZAC) determination. The incidence rate (n/T) of confirmed HZ cases, expressed in terms of 1000 person-years rate, was calculated as the number of participants reporting at least one confirmed HZ case (n) in a group, over the sum of follow-up period expressed in years (T) in the same group, and multiplied by 1000.

    Time frame: From Month 3 (30 days after the second vaccination) up to study end (duration of approximately 2 years)

Secondary outcomes

  1. Incidence Rate of Confirmed HZ Cases, by Age Category

    A suspected case of HZ was defined as a new unilateral rash accompanied by pain (broadly defined to include allodynia, pruritus or other sensations) and no alternative diagnosis. A confirmed case of HZ was diagnosed by PCR or by the HZAC determination. The incidence rate (n/T) of confirmed HZ cases, expressed in terms of 1000 person-years rate, was calculated as the number of participants reporting at least one confirmed HZ case (n) in a group, over the sum of follow-up period expressed in years (T) in the same group, and multiplied by 1000. The age categories assessed were 50-69 and greater than or equal to (\>=) 70 years of age (YOA).

    Time frame: From Month 3 (30 days after the second vaccination) up to study end (duration of approximately 2 years)

  2. Number of Participants With Any and at Least Grade 3 Solicited Local Adverse Events (AEs) (as Per GSK's Standard Grading Scale) and With Solicited Local AEs Resulting in a Medically Attended Visit

    Assessed solicited local AEs included erythema, pain and swelling at injection site. The intensity of a solicited local AE was scored at GSK by using GSK's standard grading scale as follows: Any AE = occurrence of the event regardless of intensity grade. At least Grade 3 AE = occurrence of an at least Grade 3 or Grade 4 event (Grade 4 defined for some solicited AEs collected in the study as required by Chinese grading scale). Maximum of Grade 3 and 4 was considered as Grade 3 for all applicable solicited symptoms in GSK standard grading table. AE resulting in a medically attended visit = event for which the participant received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

    Time frame: Within 7 days after each vaccination (occurring at Day 1 and Month 2)

  3. Number of Participants With Any, at Least Grade 3 (as Per GSK's Standard Grading Scale) and Related Solicited General AEs and With Solicited General AEs Resulting in a Medically Attended Visit

    Assessed solicited general AEs included fatigue, fever, gastrointestinal symptoms (nausea, vomiting and/or abdominal pain) headache, myalgia, and shivering. The intensity of a solicited general AE was scored at GSK by using GSK's standard grading scale as follows: Any AE = occurrence of the event regardless of intensity grade or relation to vaccination. At least Grade 3 AE = occurrence of an at least Grade 3 or Grade 4 event (Grade 4 defined for some solicited AEs collected in the study as required by Chinese grading scale). Maximum of Grade 3 and 4 was considered as Grade 3 for all applicable solicited symptoms in GSK standard grading table. Related AE = event assessed by the investigator as related to vaccination. AE resulting in a medically attended visit = event for which the participant received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

    Time frame: Within 7 days after each vaccination (occurring at Day 1 and Month 2)

  4. Number of Participants With at Least One Unsolicited AE, at Least One Grade 3 Unsolicited AE, at Least One Related Unsolicited AE, at Least One Grade 3 Related Unsolicited AE and With at Least One Medically Attended Unsolicited AE

    An unsolicited AE was defined as any AE reported in addition to those solicited during the clinical study, or any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms. At least one unsolicited AE = at least one event regardless of intensity grade or relation to study vaccination. At least one Grade 3 unsolicited AE = at least one event that prevented normal, everyday activities. At least one related unsolicited AE = at least one event assessed by the investigator as related to the study vaccination. At least one Grade 3 related unsolicited AE = at least one event that prevented normal, everyday activities assessed by the investigator as related to the study vaccination. At least one medically attended unsolicited AE = at least one event for which the participant received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

    Time frame: Within 30 days after any vaccination (occurring at Day 1 and Month 2)

  5. Number of Participants With at Least One Serious Adverse Event (SAE) and With at Least One Related SAE From First Vaccination (Day 1) up to 30 Days Post Last Vaccination

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one SAE = at least one SAE regardless of relation to study vaccination. At least one related SAE = at least one SAE assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to 30 days post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)

  6. Number of Participants With at Least One SAE and With at Least One Related SAE From First Vaccination (Day 1) up to 12 Months Post Last Vaccination

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one SAE = at least one SAE regardless of relation to study vaccination. At least one related SAE = at least one SAE assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)

  7. Number of Participants With at Least One Related SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one related SAE = at least one SAE assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to study end (duration of approximately 2 years)

  8. Number of Participants With at Least One SAE Related to Study Participation or to GlaxoSmithKline Concomitant Medication/Vaccine

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. SAEs related to study participation (and not to the study vaccine) or to GSK concomitant medication/vaccine were assessed.

    Time frame: From the time the participant consented to participate in the study (Day 1) up to study end (duration of approximately 2 years)

  9. Number of Participants With at Least One Fatal SAE and at Least One Related Fatal SAE From First Vaccination (Day 1) up to 30 Days Post Last Vaccination

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one fatal SAE = at least one fatal SAE regardless of relation to study vaccination. At least one related fatal SAE = at least one fatal SAE assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to 30 days post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)

  10. Number of Participants With at Least One Fatal SAE and With at Least One Related Fatal SAE From First Vaccination (Day 1) up to 12 Months Post Last Vaccination

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one fatal SAE = at least one fatal SAE regardless of relation to study vaccination. At least one related fatal SAE = at least one fatal SAE assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)

  11. Number of Participants With at Least One Related Fatal SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)

    An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one related fatal SAE = at least one fatal SAE assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to study end (duration of approximately 2 years)

  12. Number of Participants With at Least One Potential Immune-mediated Disease (pIMD) and at Least One Related pIMD From First Vaccination (Day 1) up to 30 Days Post Last Vaccination

    pIMDs were defined as a subset of AEs that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have had an autoimmune aetiology. At least one pIMD = at least one pIMD regardless of relation to vaccination. At least one related pIMD = at least one pIMD assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to 30 days post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)

  13. Number of Participants With at Least One pIMD and at Least One Related pIMD From First Vaccination (Day 1) up to 12 Months Post Last Vaccination

    pIMDs were defined as a subset of AEs that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have had an autoimmune aetiology. At least one pIMD = at least one pIMD regardless of relation to study vaccination. At least one related pIMD = at least one related pIMD assessed by the investigator as related to the study vaccination.

    Time frame: From first vaccination (Day 1) up to 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)

  14. Number of Participants With at Least One Related Serious pIMD From 12 Months Post Last Vaccination up to Study End (Duration of Approximately 1 Year)

    pIMDs were defined as a subset of AEs that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have had an autoimmune aetiology. At least one related serious pIMD = at least one serious pIMD assessed by the investigator as related to the study vaccination.

    Time frame: From 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses) up to study end (duration of approximately 1 year)

07

Results

Posted Sep 19, 2024

Participant flow

The study was conducted at 6 centers in China.

Participant flow — Overall Study
MilestoneRZV GroupPlacebo Group
Started30643064
Completed30403048
Not completed2416
Withdrew: Consent withdrawal, not due to a (s)ae72
Withdrew: Migrated / moved from the study area11
Withdrew: Adverse event requiring expedited reporting1311
Withdrew: Unsolicited non-serious adverse event11
Withdrew: Solicited adverse event21

Outcome measures

PrimaryIncidence Rate of Confirmed Herpes Zoster (HZ) Cases

A suspected case of HZ was defined as a new unilateral rash accompanied by pain (broadly defined to include allodynia, pruritus or other sensations) and no alternative diagnosis. A confirmed case of HZ was diagnosed by Polymerase Chain Reaction (PCR) or by the HZ Ascertainment Committee (HZAC) determination. The incidence rate (n/T) of confirmed HZ cases, expressed in terms of 1000 person-years rate, was calculated as the number of participants reporting at least one confirmed HZ case (n) in a group, over the sum of follow-up period expressed in years (T) in the same group, and multiplied by 1000.

Time frame:
From Month 3 (30 days after the second vaccination) up to study end (duration of approximately 2 years)
Reported as:
Number · Cases per 1000 person-years
Incidence Rate of Confirmed Herpes Zoster (HZ) Cases
Cases per 1000 person-yearsRZV GroupPlacebo Group
Incidence Rate of Confirmed Herpes Zoster (HZ) Cases0.08.2
Statistical analysis
  • RZV Group vs Placebo Group · Poisson · p = <0.0001 (All p-values reported were related to the null hypothesis test VE = 0.) · Ve (1-rr): 100 · 95% CI 89.82 to 100The CI for VE is derived from the exact CI from RR.
SecondaryIncidence Rate of Confirmed HZ Cases, by Age Category

A suspected case of HZ was defined as a new unilateral rash accompanied by pain (broadly defined to include allodynia, pruritus or other sensations) and no alternative diagnosis. A confirmed case of HZ was diagnosed by PCR or by the HZAC determination. The incidence rate (n/T) of confirmed HZ cases, expressed in terms of 1000 person-years rate, was calculated as the number of participants reporting at least one confirmed HZ case (n) in a group, over the sum of follow-up period expressed in years (T) in the same group, and multiplied by 1000. The age categories assessed were 50-69 and greater than or equal to (\>=) 70 years of age (YOA).

Time frame:
From Month 3 (30 days after the second vaccination) up to study end (duration of approximately 2 years)
Reported as:
Number · Cases per 1000 person-years
Incidence Rate of Confirmed HZ Cases, by Age Category
Cases per 1000 person-yearsRZV GroupPlacebo Group
50-69 YOA0.07.4
>=70 YOA0.011.4
SecondaryNumber of Participants With Any and at Least Grade 3 Solicited Local Adverse Events (AEs) (as Per GSK's Standard Grading Scale) and With Solicited Local AEs Resulting in a Medically Attended Visit

Assessed solicited local AEs included erythema, pain and swelling at injection site. The intensity of a solicited local AE was scored at GSK by using GSK's standard grading scale as follows: Any AE = occurrence of the event regardless of intensity grade. At least Grade 3 AE = occurrence of an at least Grade 3 or Grade 4 event (Grade 4 defined for some solicited AEs collected in the study as required by Chinese grading scale). Maximum of Grade 3 and 4 was considered as Grade 3 for all applicable solicited symptoms in GSK standard grading table. AE resulting in a medically attended visit = event for which the participant received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

Time frame:
Within 7 days after each vaccination (occurring at Day 1 and Month 2)
Reported as:
Count of participants · Participants
Number of Participants With Any and at Least Grade 3 Solicited Local Adverse Events (AEs) (as Per GSK's Standard Grading Scale) and With Solicited Local AEs Resulting in a Medically Attended Visit
ParticipantsRZV GroupPlacebo Group
Any Erythema, post-vaccination at Day 160014
At least Grade 3 Erythema, post-vaccination at Day 1250
Medically attended visit Erythema, post-vaccination at Day 180
Any Pain, post-vaccination at Day 12045217
At least Grade 3 Pain, post-vaccination at Day 1783
Medically attended visit Pain, post-vaccination at Day 1180
Any Swelling, post-vaccination at Day 170518
At least Grade 3 Swelling, post-vaccination at Day 1190
Medically attended visit Swelling, post-vaccination at Day 1110
Any Erythema, post-vaccination at Month 23759
At least Grade 3 Erythema, post-vaccination at Month 270
Medically attended visit Erythema, post-vaccination at Month 240
Any Pain, post-vaccination at Month 2125599
At least Grade 3 Pain, post-vaccination at Month 2310
Medically attended visit Pain, post-vaccination at Month 2101
Any Swelling, post-vaccination at Month 23888
At least Grade 3 Swelling, post-vaccination at Month 250
Medically attended visit Swelling, post-vaccination at Month 250
SecondaryNumber of Participants With Any, at Least Grade 3 (as Per GSK's Standard Grading Scale) and Related Solicited General AEs and With Solicited General AEs Resulting in a Medically Attended Visit

Assessed solicited general AEs included fatigue, fever, gastrointestinal symptoms (nausea, vomiting and/or abdominal pain) headache, myalgia, and shivering. The intensity of a solicited general AE was scored at GSK by using GSK's standard grading scale as follows: Any AE = occurrence of the event regardless of intensity grade or relation to vaccination. At least Grade 3 AE = occurrence of an at least Grade 3 or Grade 4 event (Grade 4 defined for some solicited AEs collected in the study as required by Chinese grading scale). Maximum of Grade 3 and 4 was considered as Grade 3 for all applicable solicited symptoms in GSK standard grading table. Related AE = event assessed by the investigator as related to vaccination. AE resulting in a medically attended visit = event for which the participant received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

Time frame:
Within 7 days after each vaccination (occurring at Day 1 and Month 2)
Reported as:
Count of participants · Participants
Number of Participants With Any, at Least Grade 3 (as Per GSK's Standard Grading Scale) and Related Solicited General AEs and With Solicited General AEs Resulting in a Medically Attended Visit
ParticipantsRZV GroupPlacebo Group
Any Fatigue, post-vaccination at Day 11070131
At least Grade 3 Fatigue, post-vaccination at Day 1563
Related Fatigue, post-vaccination at Day 11058127
Medically attended visit Fatigue, post-vaccination at Day 1202
Any Fever, post-vaccination at Day 126014
At least Grade 3 Fever, post-vaccination at Day 1120
Related Fever, post-vaccination at Day 125914
Medically attended visit Fever, post-vaccination at Day 1103
Any Gastrointestinal symptoms, post-vaccination at Day 133151
At least Grade 3 Gastrointestinal symptoms, post-vaccination at Day 1111
Related Gastrointestinal symptoms, post-vaccination at Day 132244
Medically attended visit Gastrointestinal symptoms, post-vaccination at Day 185
Any Headache, post-vaccination at Day 174674
At least Grade 3 Headache, post-vaccination at Day 1371
Related Headache, post-vaccination at Day 173869
Medically attended visit Headache, post-vaccination at Day 1162
Any Myalgia, post-vaccination at Day 160255
At least Grade 3 Myalgia, post-vaccination at Day 1322
Related Myalgia, post-vaccination at Day 159355
Medically attended visit Myalgia, post-vaccination at Day 161
Any Shivering, post-vaccination at Day 135112
At least Grade 3 Shivering, post-vaccination at Day 160
Related Shivering, post-vaccination at Day 134712
Medically attended visit Shivering, post-vaccination at Day 171
Any Fatigue, post-vaccination at Month 279744
At least Grade 3 Fatigue, post-vaccination at Month 2320
Related Fatigue, post-vaccination at Month 279344
Medically attended visit Fatigue, post-vaccination at Month 2100
Any Fever, post-vaccination at Month 22846
At least Grade 3 Fever, post-vaccination at Month 2140
Related Fever, post-vaccination at Month 22836
Medically attended visit Fever, post-vaccination at Month 271
Any Gastrointestinal symptoms, post-vaccination at Month 219020
At least Grade 3 Gastrointestinal symptoms, post-vaccination at Month 211
Related Gastrointestinal symptoms, post-vaccination at Month 218619
Medically attended visit Gastrointestinal symptoms, post-vaccination at Month 272
Any Headache, post-vaccination at Month 257526
At least Grade 3 Headache, post-vaccination at Month 2200
Related Headache, post-vaccination at Month 257326
Medically attended visit Headache, post-vaccination at Month 2102
Any Myalgia, post-vaccination at Month 246421
At least Grade 3 Myalgia, post-vaccination at Month 2200
Related Myalgia, post-vaccination at Month 246421
Medically attended visit Myalgia, post-vaccination at Month 280
Any Shivering, post-vaccination at Month 23344
At least Grade 3 Shivering, post-vaccination at Month 2120
Related Shivering, post-vaccination at Month 23334
Medically attended visit Shivering, post-vaccination at Month 250
SecondaryNumber of Participants With at Least One Unsolicited AE, at Least One Grade 3 Unsolicited AE, at Least One Related Unsolicited AE, at Least One Grade 3 Related Unsolicited AE and With at Least One Medically Attended Unsolicited AE

An unsolicited AE was defined as any AE reported in addition to those solicited during the clinical study, or any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms. At least one unsolicited AE = at least one event regardless of intensity grade or relation to study vaccination. At least one Grade 3 unsolicited AE = at least one event that prevented normal, everyday activities. At least one related unsolicited AE = at least one event assessed by the investigator as related to the study vaccination. At least one Grade 3 related unsolicited AE = at least one event that prevented normal, everyday activities assessed by the investigator as related to the study vaccination. At least one medically attended unsolicited AE = at least one event for which the participant received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

Time frame:
Within 30 days after any vaccination (occurring at Day 1 and Month 2)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Unsolicited AE, at Least One Grade 3 Unsolicited AE, at Least One Related Unsolicited AE, at Least One Grade 3 Related Unsolicited AE and With at Least One Medically Attended Unsolicited AE
ParticipantsRZV GroupPlacebo Group
At least one unsolicited AE12497
At least one Grade 3 unsolicited AE810
At least one related unsolicited AE3117
At least one Grade 3 related unsolicited AE01
At least one medically attended unsolicited AE(s)6453
SecondaryNumber of Participants With at Least One Serious Adverse Event (SAE) and With at Least One Related SAE From First Vaccination (Day 1) up to 30 Days Post Last Vaccination

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one SAE = at least one SAE regardless of relation to study vaccination. At least one related SAE = at least one SAE assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to 30 days post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Serious Adverse Event (SAE) and With at Least One Related SAE From First Vaccination (Day 1) up to 30 Days Post Last Vaccination
ParticipantsRZV GroupPlacebo Group
At least one SAE3236
At least one related SAE01
SecondaryNumber of Participants With at Least One SAE and With at Least One Related SAE From First Vaccination (Day 1) up to 12 Months Post Last Vaccination

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one SAE = at least one SAE regardless of relation to study vaccination. At least one related SAE = at least one SAE assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)
Reported as:
Count of participants · Participants
Number of Participants With at Least One SAE and With at Least One Related SAE From First Vaccination (Day 1) up to 12 Months Post Last Vaccination
ParticipantsRZV GroupPlacebo Group
At least one SAE8893
At least one related SAE01
SecondaryNumber of Participants With at Least One Related SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one related SAE = at least one SAE assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to study end (duration of approximately 2 years)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Related SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)
ParticipantsRZV GroupPlacebo Group
Number of Participants With at Least One Related SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)01
SecondaryNumber of Participants With at Least One SAE Related to Study Participation or to GlaxoSmithKline Concomitant Medication/Vaccine

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. SAEs related to study participation (and not to the study vaccine) or to GSK concomitant medication/vaccine were assessed.

Time frame:
From the time the participant consented to participate in the study (Day 1) up to study end (duration of approximately 2 years)
Reported as:
Count of participants · Participants
Number of Participants With at Least One SAE Related to Study Participation or to GlaxoSmithKline Concomitant Medication/Vaccine
ParticipantsRZV GroupPlacebo Group
Number of Participants With at Least One SAE Related to Study Participation or to GlaxoSmithKline Concomitant Medication/Vaccine00
SecondaryNumber of Participants With at Least One Fatal SAE and at Least One Related Fatal SAE From First Vaccination (Day 1) up to 30 Days Post Last Vaccination

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one fatal SAE = at least one fatal SAE regardless of relation to study vaccination. At least one related fatal SAE = at least one fatal SAE assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to 30 days post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Fatal SAE and at Least One Related Fatal SAE From First Vaccination (Day 1) up to 30 Days Post Last Vaccination
ParticipantsRZV GroupPlacebo Group
At least one fatal SAE32
At least one related fatal SAE00
SecondaryNumber of Participants With at Least One Fatal SAE and With at Least One Related Fatal SAE From First Vaccination (Day 1) up to 12 Months Post Last Vaccination

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one fatal SAE = at least one fatal SAE regardless of relation to study vaccination. At least one related fatal SAE = at least one fatal SAE assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Fatal SAE and With at Least One Related Fatal SAE From First Vaccination (Day 1) up to 12 Months Post Last Vaccination
ParticipantsRZV GroupPlacebo Group
At least one fatal SAE119
At least one related fatal SAE00
SecondaryNumber of Participants With at Least One Related Fatal SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)

An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or was considered medically significant. At least one related fatal SAE = at least one fatal SAE assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to study end (duration of approximately 2 years)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Related Fatal SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)
ParticipantsRZV GroupPlacebo Group
Number of Participants With at Least One Related Fatal SAE From First Vaccination (Day 1) up to Study End (Duration of Approximately 2 Years)00
SecondaryNumber of Participants With at Least One Potential Immune-mediated Disease (pIMD) and at Least One Related pIMD From First Vaccination (Day 1) up to 30 Days Post Last Vaccination

pIMDs were defined as a subset of AEs that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have had an autoimmune aetiology. At least one pIMD = at least one pIMD regardless of relation to vaccination. At least one related pIMD = at least one pIMD assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to 30 days post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Potential Immune-mediated Disease (pIMD) and at Least One Related pIMD From First Vaccination (Day 1) up to 30 Days Post Last Vaccination
ParticipantsRZV GroupPlacebo Group
At least one pIMD22
At least one related pIMD00
SecondaryNumber of Participants With at Least One pIMD and at Least One Related pIMD From First Vaccination (Day 1) up to 12 Months Post Last Vaccination

pIMDs were defined as a subset of AEs that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have had an autoimmune aetiology. At least one pIMD = at least one pIMD regardless of relation to study vaccination. At least one related pIMD = at least one related pIMD assessed by the investigator as related to the study vaccination.

Time frame:
From first vaccination (Day 1) up to 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses)
Reported as:
Count of participants · Participants
Number of Participants With at Least One pIMD and at Least One Related pIMD From First Vaccination (Day 1) up to 12 Months Post Last Vaccination
ParticipantsRZV GroupPlacebo Group
At least one pIMD23
At least one related pIMD00
SecondaryNumber of Participants With at Least One Related Serious pIMD From 12 Months Post Last Vaccination up to Study End (Duration of Approximately 1 Year)

pIMDs were defined as a subset of AEs that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have had an autoimmune aetiology. At least one related serious pIMD = at least one serious pIMD assessed by the investigator as related to the study vaccination.

Time frame:
From 12 months post last vaccination (last vaccination administered at Day 1 for participants who received only 1 dose and at Month 2 for participants who received 2 doses) up to study end (duration of approximately 1 year)
Reported as:
Count of participants · Participants
Number of Participants With at Least One Related Serious pIMD From 12 Months Post Last Vaccination up to Study End (Duration of Approximately 1 Year)
ParticipantsRZV GroupPlacebo Group
Number of Participants With at Least One Related Serious pIMD From 12 Months Post Last Vaccination up to Study End (Duration of Approximately 1 Year)00

Adverse events

Collected over Solicited local and general AEs: during the 7-day (Day 1 to Day 7) follow-up period after any vaccination; Unsolicited AEs: during the 30-day (Day 1 to Day 30) follow-up period after any vaccination; All-cause mortality and SAEs: from first vaccination (Day 1) up to study end (duration of approximately 2 years).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
RZV Group13/3,064 (0.4%)90/3,064 (2.9%)2,337/3,064 (76.3%)
Placebo Group11/3,064 (0.4%)94/3,064 (3.1%)485/3,064 (15.8%)
Most frequent serious events
Showing 10 of 166
Most frequent serious events
EventRZV GroupPlacebo Group
Cerebral infarctionNervous system disorders24/306418/3064
Arteriosclerosis coronary arteryCardiac disorders8/30644/3064
HypertensionVascular disorders8/30644/3064
PneumoniaInfections and infestations5/30646/3064
Chronic gastritisGastrointestinal disorders4/30643/3064
Rib fractureInjury, poisoning and procedural complications4/30643/3064
Spinal osteoarthritisMusculoskeletal and connective tissue disorders1/30644/3064
Angina unstableCardiac disorders3/30641/3064
Atrial fibrillationCardiac disorders3/30641/3064
Cardiac failureCardiac disorders3/30641/3064
Most frequent other events
Showing 10 of 101
Most frequent other events
EventRZV GroupPlacebo Group
Administration site painGeneral disorders2203/3064280/3064
FatigueGeneral disorders1326/3064161/3064
HeadacheNervous system disorders1001/306494/3064
Administration site swellingGeneral disorders855/306424/3064
MyalgiaMusculoskeletal and connective tissue disorders811/306471/3064
Administration site erythemaGeneral disorders762/306421/3064
ChillsGeneral disorders544/306414/3064
PyrexiaGeneral disorders457/306421/3064
Gastrointestinal disorder (Gastrointestinal disorders444/306467/3064
DizzinessNervous system disorders25/30649/3064

Baseline characteristics

Age, Continuous
Age, Continuous(Years)RZV GroupPlacebo GroupTotal
Mean62.4 ± 7.862.4 ± 7.862.4 ± 7.8
Sex: Female, Male
Sex: Female, Male(Participants)RZV GroupPlacebo GroupTotal
Female186818723740
Male119611922388
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)RZV GroupPlacebo GroupTotal
Asian - East Asian Heritage306430646128
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Study locations

6 sites
  • GSK Investigational Site
    Huaian, Jiangsu 223005, China
  • GSK Investigational Site
    Lianyungang, 222100, China
  • GSK Investigational Site
    Shanghai, 200001, China
  • GSK Investigational Site
    Shanghai, 200051, China
  • GSK Investigational Site
    Shanghai, 200090, China
  • GSK Investigational Site
    Shanghai, 201620, China
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References and documents

Publications

  • Alexandra Echeverria Proano D, Zhu F, Sun X, Zoco J, Soni J, Parmar N, Ali SO; Zoster-076 Study Group. Efficacy, reactogenicity, and safety of the adjuvanted recombinant zoster vaccine for the prevention of herpes zoster in Chinese adults >/= 50 years: A randomized, placebo-controlled trial. Hum Vaccin Immunother. 2024 Dec 31;20(1):2351584. doi: 10.1080/21645515.2024.2351584. Epub 2024 Jun 5. PubMed 38838170 ↗

Study documents

  • Study protocol · Nov 23, 2020
  • Statistical analysis plan · May 10, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf

Supporting information: Study protocol, Sap, Icf, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2025, 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
NCT04869982
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 3, 2021
Start date
May 14, 2021
Primary completion
Apr 20, 2023
Completion
Apr 20, 2023
Results posted
Sep 19, 2024
Last update
Jan 20, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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