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RecruitingNCT05596526MSHINGVAXUpdated Apr 10, 2024

Immunogenicity of the Recombinant Zoster Vaccine in Multiple Sclerosis Patients

A Phase 4 interventional study of recombinant zoster vaccine in Shingles and Zoster, sponsored by Prof Patrice Lalive. Recruiting at 1 site in Switzerland. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-10.

Sponsored by Prof Patrice Lalive · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as recruiting.
  • Started Dec 2022; still recruiting 3 years 10 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The purpose of this study is to provide evidence as to whether RZV is immunogenic with an acceptable safety profile in Multiple Sclerosis patients on anti-CD20 treatment.

Read the detailed description

In this monocentric study, we will assess the immunogenicity and safety of two doses of the adjuvanted recombinant Zoster vaccine (RZV, or Shingrix®) in Multiple sclerosis patients treated with anti-CD20 (ocrelizumab, group 1) compared to healthy controls (group 2).

Participants will receive Shingrix® on Day0 and Day60; immunological response will be assessed on Day 0, 1, Day 60, 61, Day90 and Day360.

Unsolicited Adverse events of special interest (AESI) will be collected throughout the study period; patients reported outcomes (PROs) will be declared for one week after each vaccination. Safety of MS patients will be monitored through EDSS scoring and MRI before and 1 month after vaccination (D90) and at day 180 and 360 (EDSS scoring only)

02

Conditions studied

  • Shingles
  • Zoster

Keywords

  • RZV vaccine
  • Multiple Sclerosis
  • Immune response
  • Safety
03

In context

Herpes Zoster

360 studies on the registry are indexed under Herpes Zoster; 60 are open to participants now.

This study's planned enrollment of 100 is below the median of 250 across 299 interventional studies indexed under Herpes Zoster.

Browse Herpes Zoster studies →

Lead sponsor

This is the only study on the registry with Prof Patrice Lalive as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

For MS patients:

  • 18 years and above
  • Diagnosed with relapsing MS according to McDonald Criteria (2017)
  • Not already vaccinated by RZV and willing to be vaccinated with RZV.
  • At least 1 year on anti-CD20 treatment: 2 initial infusions of Ocrelizumab 300 mg (2 weeks apart), one infusion of Ocrelizumab 600 mg 6 months apart, one infusion of Ocrelizumab 600 mg 12 months after initial infusions
  • Informed consent as documented by signature

For healthy controls

  • Aged 50 to 59
  • Not already vaccinated by RZV and willing to be vaccinated with RZV
  • Informed consent as documented by signature

Exclusion criteria

Exclusion Criteria:

  • Recent MS relapse in the 6 weeks preceding planned vaccination
  • Ongoing signs of febrile or non-febrile infection at the time of vaccination
  • Recent pregnancy with delivery in the six months preceding vaccination and/or planned pregnancy in the six months following RZV vaccination
  • Immunosuppression from the following: HIV infection, current active systemic auto-immune disease (other than MS), current malignant neoplasm; primary immunodeficiency; recent solid or bone-marrow transplant or any transplant still requiring immunosuppressive therapy; conditions requiring medication with immunosuppressive drugs
  • Having received a vaccine in the last month
  • Having received a shingles vaccine within one year
  • Presented with herpes zoster in the previous year
  • Contra-indication to RZV
  • Unable to provide informed consent or inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia.
  • Participation in another study with investigational drug within the 30 days preceding and during the present study.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    MS patients on anti-CD20

    Participants aged 18 and above will receive two doses of the recombinant Zoster vaccine (Shingrix®)

    Biological: recombinant zoster vaccine

  • Experimental
    Healthy controls

    Healthy participants aged 50 to 59 will receive two doses of the recombinant Zoster vaccine (Shingrix®)

    Biological: recombinant zoster vaccine

Interventions

  • Biologicalrecombinant zoster vaccine

    Shingrix® vaccine will be administered in two vaccinations on Day0 and Day60

    Also known as: Shingrix®

06

What researchers measure

Primary outcomes

  1. Geometric mean titer (GMT) of glycoprotein E (gE)-specific total IgG

    gE-specific total Immunoglobulin(Ig)G titers is determined by gE-specific ELISA from sera samples

    Time frame: day 90

Secondary outcomes

  1. Vaccine safety - AESI 7 days

    Incidence adverse events of special interest (AESI) in the 7 days following each vaccination (reactogenicity) collected in a diary card

    Time frame: 7 days

  2. Vaccine safety - SAE 360 days

    Incidence of serious adverse events (SAE) throughout the study period

    Time frame: day 360

  3. Vaccine safety -pIMDs

    Incidence of potential immune mediated disorders (pIMDs) throughout the study period

    Time frame: day 360

  4. Vaccine safety-relapse in MS patients

    Incidence of relapse in MS patients during a follow-up of 3 months after the first dose (d90) compared to the year preceding vaccination with RZV

    Time frame: day 90

  5. Vaccine immunogenicity - CD4+ T cells per million of T cells, measured at D90

    Mean of gE-specific CD4+ T cells expressing at least 2 activation markers (i.e. CD40 ligand, interferon-gamma, IL-2 or TNF-alpha) per million of T cells, measured at D90

    Time frame: Day 90

07

Study locations

1 of 1 sites recruiting
  • University Hospitals of Geneva
    Geneva,, 1205, Switzerland
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05596526
Lead sponsor
Prof Patrice Lalive
Responsible party
Prof Patrice Lalive (Professor, University Hospital, Geneva) — Sponsor-investigator
First posted
Oct 27, 2022
Start date
Dec 1, 2022
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Apr 10, 2024

Study contacts

Arnaud Didierlaurent, Pr
Contact
arnaud.didierlaurent@hcuge.ch
+41 22 37 95781
Patrice Lalive, Pr
Contact
patrice.lalive@hcuge.ch
+41 22 3728318
Patrice Lalive, Pr
principal investigator · University Hospitals of Geneva
Arnaud Didierlaurent, Pr
study director · University Hospitals of Geneva

Oversight

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

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