A Phase 2 interventional study of Investigational varicella vaccine low potency and Investigational varicella vaccine medium potency in Chickenpox, sponsored by GlaxoSmithKline. Completed at 51 sites in 6 countries. Open to participants aged 12 Months to 15 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-28.
Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Prevention
The purpose of this study is to assess immune response and safety of various potencies of an investigational chickenpox vaccine given to healthy children 12 to 15 months of age.
The study aims to demonstrate the immunogenicity of the investigational VNS vaccine at three potencies (VNS_Low, VNS_Med, and VNS_High) compared to the licensed varicella vaccine, Varivax (VV), as a first dose for children aged 12 to 15 months in the US. To ensure more representative data, participants in the VV group are randomized into two lots (VV_Lot1 and VV_Lot2), which are analyzed as pooled lots throughout the study. Besides assessing immunogenicity, the study also seeks to generate safety data.
In the US, participants will receive additional vaccines: a measles, mumps, and rubella vaccine (MMR), a hepatitis A vaccine (Havrix), and a 13-valent pneumococcal conjugate vaccine (Prevnar 13). Participants outside the US will receive an MMR vaccine (M-M-R II or M-M-RVaxPro, depending on the country), Havrix, and, in some cases, Prevnar 13, but only in countries where it's recommended for children 12-15 months according to local immunization schedules.
At the end of the study, or shortly after, GSK provided re-vaccination with a dose of Varivax (VV) to participants who did not meet the pre-specified seroresponse threshold of anti-gE antibody concentration was greater than or equal to (>=) 300 mIU/mL. Additionally, a second dose of VV and/or Havrix was offered to participants in non-US countries where local health departments do not routinely provide varicella and/or hepatitis A vaccines.
Exclusion Criteria:
Medical Conditions
Prior and Concomitant Therapy
Medical Conditions
Prior and Concomitant Therapy
Any other age appropriate vaccine may be given starting at Visit 3 and anytime thereafter.
Prior/Concurrent Clinical Study Experience
Other Exclusions
Participants with the following high-risk individuals in their household:
Participants received 1 dose of an investigational varicella vaccine (VNS) of low potency, 1 dose of a measles, mumps, and rubella (MMR) vaccine, 1 dose of a hepatitis A vaccine (Havrix) and 1 dose of a13 valent pneumococcal conjugate vaccine (Prevnar 13) on Day 1.
Biological: Investigational varicella vaccine low potency · Biological: Measles, mumps, and rubella vaccine · Biological: Hepatitis A vaccine · Biological: 13-valent pneumococcal conjugate vaccine
Participants received 1 dose of VNS vaccine of medium potency, 1 dose of MMR vaccine, 1 dose of Havrix vaccine, and 1 dose of Prevnar 13 vaccine on Day 1.
Biological: Investigational varicella vaccine medium potency · Biological: Measles, mumps, and rubella vaccine · Biological: Hepatitis A vaccine · Biological: 13-valent pneumococcal conjugate vaccine
Participants received 1 dose of VNS vaccine of high potency, 1 dose of MMR vaccine, 1 dose of Havrix vaccine, and 1 dose of Prevnar 13 vaccine on Day 1.
Biological: Investigational varicella vaccine high potency · Biological: Measles, mumps, and rubella vaccine · Biological: Hepatitis A vaccine · Biological: 13-valent pneumococcal conjugate vaccine
Participants received 1 dose of a licensed varicella vaccine (VV) of Lot 1 or 1 dose of a licensed vaccine (VV) of Lot 2, 1 dose of MMR vaccine, 1 dose of Havrix vaccine, and 1 dose of Prevnar 13 vaccine on Day 1.
Biological: Licensed varicella vaccine Lot 1 · Biological: Licensed varicella vaccine Lot 2 · Biological: Measles, mumps, and rubella vaccine · Biological: Hepatitis A vaccine · Biological: 13-valent pneumococcal conjugate vaccine
1 dose of a low-potency investigational varicella vaccine administered subcutaneously.
1 dose of a medium-potency investigational varicella vaccine administered subcutaneously.
1 dose of a high-potency investigational varicella vaccine administered subcutaneously.
1 dose of a licensed varicella vaccine of Lot 1 administered subcutaneously.
1 dose of a licensed varicella vaccine of Lot 2 administered subcutaneously.
1 dose of a measles, mumps, and rubella vaccine administered subcutaneously.
1 dose of a hepatitis A vaccine administered intramuscularly.
1 dose of a 13-valent pneumococcal conjugate vaccine administered intramuscularly.
Concentrations of Anti-varicella Zoster Virus (VZV) Glycoprotein E (gE) Antibodies
Concentrations of anti-VZV gE antibodies were presented as Geometric Mean Concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL) for each group.
Time frame: At Day 43
Percentage of Participants With Seroresponse to VZV gE
Seroresponse was defined as the percentage of participants for whom the post-dose of anti VZV gE antibody concentration was greater than or equal to (\>=) 300 mIU/mL for each group.
Time frame: At Day 43
Number of Participants Reporting Each Solicited Administration Site Events
Assessed solicited administration site events included injection site redness, pain and swelling.
Time frame: Day 1 (post dose) to Day 4
Number of Participants Reporting Each Solicited Systemic Events
Solicited systemic events included fever, varicella like rash (including injection site varicella-like rash), and general rash (not varicella-like) after the administration of all vaccines for each group. Fever was defined as temperature \>= 38.0 °C (100.4°F) by any route (the preferred location for measuring temperature is the axilla). A typical varicella-like rash manifests as a rash/lesion that may appear within several weeks after the varicella vaccination. Lesions may contain spots, bumps, blisters, or crusts. Includes injection site varicella-like rash.
Time frame: Day 1 (post dose) to Day 43
Number of Participants Reporting Each Solicited Systemic Events
Solicited systemic events included drowsiness, loss of appetite, and irritability after the administration of all vaccines for each group.
Time frame: Day 1 (post dose) to Day 15
Number of Participants Reporting Unsolicited Adverse Events
Unsolicited adverse events (AEs) included any AE reported in addition to solicited events during the study, or any "solicited" symptoms with onset outside of the specified period of follow-up for solicited symptoms; these were assessed for each group after the administration of all vaccines. Unsolicited AEs included both serious and non-serious AEs.
Time frame: Day 1 (post dose) to Day 43
Number of Participants Reporting Serious Adverse Events (SAEs)
A SAE was defined as an AE which was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, or other situations that were considered serious per medical or scientific judgment.
Time frame: From Day 1 to Day 181 (Study end)
Out of 800 participants enrolled, 9 participants discontinued before receiving the vaccination and therefore only 791 participants were included in the Exposed Set and started the study.
| Milestone | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Started | 203 | 195 | 203 | 190 |
| Completed | 197 | 190 | 193 | 185 |
| Not completed | 6 | 5 | 10 | 5 |
| Withdrew: Lost to follow-up | 6 | 3 | 7 | 3 |
| Withdrew: Withdrawal by subject | 0 | 2 | 3 | 1 |
| Withdrew: Other | 0 | 0 | 0 | 1 |
Concentrations of anti-VZV gE antibodies were presented as Geometric Mean Concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL) for each group.
| mlU/ml | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Concentrations of Anti-varicella Zoster Virus (VZV) Glycoprotein E (gE) Antibodies | 960 (843 to 1093) | 1071 (952 to 1204) | 1555 (1407 to 1718) | 1284 (1136 to 1453) |
Seroresponse was defined as the percentage of participants for whom the post-dose of anti VZV gE antibody concentration was greater than or equal to (\>=) 300 mIU/mL for each group.
| Percentage of participants | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Percentage of Participants With Seroresponse to VZV gE | 93.6 (88.78 to 96.75) | 96.2 (91.97 to 98.60) | 98.7 (95.50 to 99.85) | 98.1 (94.65 to 99.61) |
Assessed solicited administration site events included injection site redness, pain and swelling.
| Participants | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Injection site pain | 76 | 64 | 70 | 57 |
| Redness at injection site | 24 | 23 | 35 | 23 |
| Swelling at injection site | 14 | 11 | 15 | 12 |
Solicited systemic events included fever, varicella like rash (including injection site varicella-like rash), and general rash (not varicella-like) after the administration of all vaccines for each group. Fever was defined as temperature \>= 38.0 °C (100.4°F) by any route (the preferred location for measuring temperature is the axilla). A typical varicella-like rash manifests as a rash/lesion that may appear within several weeks after the varicella vaccination. Lesions may contain spots, bumps, blisters, or crusts. Includes injection site varicella-like rash.
| Participants | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Fever | 49 | 48 | 59 | 44 |
| Any varicella-like rash | 33 | 31 | 35 | 29 |
| Any general rash | 66 | 51 | 68 | 59 |
Solicited systemic events included drowsiness, loss of appetite, and irritability after the administration of all vaccines for each group.
| Participants | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Any drowsiness | 86 | 68 | 93 | 80 |
| Any loss of appetite | 69 | 57 | 71 | 60 |
| Any irritability | 112 | 94 | 112 | 109 |
Unsolicited adverse events (AEs) included any AE reported in addition to solicited events during the study, or any "solicited" symptoms with onset outside of the specified period of follow-up for solicited symptoms; these were assessed for each group after the administration of all vaccines. Unsolicited AEs included both serious and non-serious AEs.
| Participants | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Number of Participants Reporting Unsolicited Adverse Events | 67 | 53 | 64 | 61 |
A SAE was defined as an AE which was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, or other situations that were considered serious per medical or scientific judgment.
| Participants | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| Number of Participants Reporting Serious Adverse Events (SAEs) | 2 | 4 | 4 | 6 |
Collected over SAEs were collected from Day 1 to Day 181 (Study end), solicited administration site events from Day 1 to Day 4, solicited systemic events (drowsiness, loss of appetite and irritability) from Day 1 to Day 15, solicited systemic events and unsolicited AEs (fever, varicella-like rash [including injection site varicella like rash] and general rash [not varicella-like]) from Day 1 to Day 43. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| VNS_Low Group | 0/203 (0%) | 2/203 (1%) | 173/203 (85.2%) |
| VNS_Med Group | 0/195 (0%) | 4/195 (2.1%) | 165/195 (84.6%) |
| VNS_High Group | 0/203 (0%) | 4/203 (2%) | 178/203 (87.7%) |
| VV_Lot1 and Lot2 Pooled Group | 0/190 (0%) | 6/190 (3.2%) | 158/190 (83.2%) |
| Event | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| BronchiolitisInfections and infestations | 0/203 | 0/195 | 0/203 | 2/190 |
| Respiratory syncytial virus bronchiolitisInfections and infestations | 0/203 | 2/195 | 0/203 | 1/190 |
| Adenovirus infectionInfections and infestations | 0/203 | 0/195 | 0/203 | 1/190 |
| Croup infectiousInfections and infestations | 0/203 | 0/195 | 0/203 | 1/190 |
| Respiratory syncytial virus infectionInfections and infestations | 1/203 | 0/195 | 1/203 | 1/190 |
| DehydrationMetabolism and nutrition disorders | 0/203 | 0/195 | 0/203 | 1/190 |
| HypoxiaRespiratory, thoracic and mediastinal disorders | 0/203 | 0/195 | 0/203 | 1/190 |
| Viral infectionInfections and infestations | 0/203 | 1/195 | 0/203 | 0/190 |
| DyskinesiaNervous system disorders | 0/203 | 1/195 | 0/203 | 0/190 |
| InfluenzaInfections and infestations | 0/203 | 0/195 | 1/203 | 0/190 |
| Event | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group |
|---|---|---|---|---|
| IrritabilityPsychiatric disorders | 113/203 | 94/195 | 112/203 | 110/190 |
| SomnolenceNervous system disorders | 87/203 | 68/195 | 93/203 | 80/190 |
| Rashes, eruptions and exanthems NECSkin and subcutaneous tissue disorders | 76/203 | 64/195 | 75/203 | 72/190 |
| Administration site painGeneral disorders | 76/203 | 65/195 | 70/203 | 57/190 |
| Decreased appetiteMetabolism and nutrition disorders | 71/203 | 57/195 | 71/203 | 60/190 |
| PyrexiaGeneral disorders | 49/203 | 48/195 | 59/203 | 44/190 |
| Administration site erythemaGeneral disorders | 24/203 | 23/195 | 35/203 | 23/190 |
| Administration site swellingGeneral disorders | 14/203 | 11/195 | 15/203 | 12/190 |
| Upper respiratory tract infectionInfections and infestations | 11/203 | 6/195 | 13/203 | 10/190 |
| NasopharyngitisInfections and infestations | 2/203 | 3/195 | 4/203 | 9/190 |
| Age, Categorical(Participants) | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group | Total |
|---|---|---|---|---|---|
| <=18 years | 203 | 195 | 203 | 190 | 791 |
| Between 18 and 65 years | 0 | 0 | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group | Total |
|---|---|---|---|---|---|
| Female | 114 | 102 | 101 | 107 | 424 |
| Male | 89 | 93 | 102 | 83 | 367 |
| Race/Ethnicity, Customized(Participants) | VNS_Low Group | VNS_Med Group | VNS_High Group | VV_Lot1 and Lot2 Pooled Group | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 75 | 71 | 74 | 73 | 293 |
| Not Hispanic nor Latino | 128 | 124 | 128 | 117 | 497 |
| Missing | 0 | 0 | 1 | 0 | 1 |
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Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.
Supporting information: Study protocol, Sap, Icf, Csr
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