A Phase 3 interventional study of RSVPreF3 OA investigational vaccine and HZ/su vaccine in Respiratory Syncytial Viruses and Respiratory Syncytial Virus Infections, sponsored by GlaxoSmithKline. Completed at 27 sites in 2 countries. Open to participants aged 50 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-01.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention
To assess the ability of RSVPreF3 OA investigational vaccine to generate an immune response when given in combination with HZ/su vaccine and its safety in older adults, aged >=50 years of age.
360 studies on the registry are indexed under Herpes Zoster; 60 are open to participants now.
This study's enrollment of 530 is above the median of 250 across 299 interventional studies indexed under Herpes Zoster.
Browse Herpes Zoster studies →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.
Female participants of childbearing potential may be enrolled in the study, if the participant:
Exclusion Criteria:
Planned or actual administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first study intervention administration and ending 30 days after the last study intervention administration.
o In the case of COVID-19 and inactivated/subunit/split influenza vaccines, this time window can be decreased to 14 days before and after each study intervention administration provided COVID-19 vaccine use is in line with local governmental recommendations.
Participants received both herpes zoster recombinant subunit (HZ/su) vaccine and respiratory syncytial virus prefusion protein 3 older adult (RSVPreF3 OA) vaccine on Day 1 followed by second dose of HZ/su vaccine on Day 61.
Biological: RSVPreF3 OA investigational vaccine · Biological: HZ/su vaccine
Participants received HZ/su vaccine on Day 1 and RSVPreF3 OA vaccine on Day 31 followed by second dose of HZ/su vaccine on Day 61.
Biological: RSVPreF3 OA investigational vaccine · Biological: HZ/su vaccine
One dose of RSVPreF3 OA investigational vaccine given intramuscularly on Day 1 (Coadministration group) or Day 31 (Control group).
Also known as: Respiratory Syncytial Virus PreFusion protein 3 Older Adults vaccine
Two doses of HZ/su vaccine given intramuscularly on Day 1 and Day 61.
Also known as: Herpes Zoster recombinant subunit vaccine, Shingrix
Adjusted Geometric Mean Concentration (GMC) of Anti-glycoprotein E (gE) Antibodies at 1 Month Post-second Dose of HZ/su Vaccination
Anti-gE antibodies were measured with enzyme linked immunosorbent assay (ELISA) and the results were expressed as GMC, in milli international units per milliliter (mIU/mL).
Time frame: At 1 month post-second dose of HZ/su vaccination (Day 91)
Adjusted Geometric Mean Titers (GMT) of Respiratory Syncytial Virus-A (RSV-A) Neutralizing Titers [Estimated Dilution 60 (ED60)] at 1 Month After the RSVPreF3 OA Vaccination
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
Time frame: At Day 31 for Co-administration Group and at Day 61 for Control Group
Adjusted GMTs of RSV-B Neutralizing Titers (ED60) at 1 Month After the RSVPreF3 OA Vaccination
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
Time frame: At Day 31 for Co-administration Group and at Day 61 for Control Group
Percentage of Participants With Seropositivity at Pre-vaccination and 1 Month Post-second Dose of HZ/su Vaccination
Seropositivity was defined as the percentage of participants whose antibody concentration was greater than or equal to the assay cut-off value (97 mIU/mL).
Time frame: Pre-vaccination (Day 1) and 1 month post-second dose of HZ/su vaccination (Day 91)
GMC of Anti-glycoprotein Antibodies at Pre-vaccination and 1 Month Post-second Dose of HZ/su Vaccination
Anti-gE antibodies were measured with ELISA and the results were expressed as GMC.
Time frame: Pre-vaccination (Day 1) and 1 month post-second dose of HZ/su vaccination (Day 91)
Mean Geometric Increase (MGI) of Anti-glycoprotein Antibodies at Pre-vaccination and 1 Month Post-second Dose of HZ/su Vaccination
The MGI was defined as the geometric mean of the within participant ratios of the post-vaccination titer over the pre-vaccination titer. Anti-gE antibodies were measured with ELISA.
Time frame: At 1 month post-second dose of HZ/su vaccination (Day 91) compared to Pre-vaccination (Day 1)
Vaccine Response Rate (VRR) at 1 Month Post-second Dose of HZ/su Vaccination
The VRR was defined as the percentage of participants who had at least: a 4-fold increase post-vaccination anti-gE antibody concentration as compared to (over) the pre-vaccination anti-gE antibody concentration (for participants who were seropositive at pre-vaccination); or, a 4-fold increase post-vaccination anti-gE antibody concentration as compared to (over) the anti-gE antibody cut-off value for seropositivity (97 mIU/mL) (for participants who were seronegative at pre-vaccination).
Time frame: At 1 month post-second dose of HZ/su vaccination (Day 91)
GMT of RSV-A Neutralizing Titers (ED60) at Pre-vaccination and 1 Month After the RSVPreF3 OA Vaccination
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
Time frame: At pre-vaccination (Day 1) and Day 31 for Co-administration Group and at pre-vaccination (Day 1) and Day 61 for Control Group
MGI of Respiratory Syncytial Virus-A Neutralizing Titers at 1 Month After the RSVPreF3 OA Vaccination
The MGI was defined as the geometric mean of the within participant ratios of the post-vaccination titer over the pre-vaccination titer. Neutralizing titers were measured with neutralization assay.
Time frame: At 1 month after the RSVPreF3 OA vaccine dose (Day 31 for Co-administration Group and Day 61 for Control Group) compared to Pre-vaccination (Day 1 for Co-administration Group and Control Group)
GMT of RSV-B Neutralizing Titers (ED60) at Pre-vaccination and 1 Month After the RSVPreF3 OA Vaccination
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
Time frame: At pre-vaccination (Day 1) and Day 31 for Co-administration Group and at pre-vaccination (Day 1) and Day 61 for Control Group
MGI of RSV-B Neutralizing Titers at 1 Month After the RSVPreF3 OA Vaccination
The MGI was defined as the geometric mean of the within participant ratios of the post-vaccination titer over the pre-vaccination titer. Neutralizing titers were measured with neutralization assay.
Time frame: At 1 month after the RSVPreF3 OA vaccine dose (Day 31 for Co-administration Group and Day 61 for Control Group) compared to Pre-vaccination (Day 1 for Co-administration Group and Control Group)
Percentage of Participants With Solicited Administration Site Adverse Events (AEs) After Each Vaccine Dose Administration
The solicited administration site events after vaccination included pain, erythema/redness, and swelling.
Time frame: Within 7 days (the day of vaccination and 6 subsequent days) after each vaccine administration (vaccines administered at Days 1 and 61 for Co-Administration Group and at Days 1, 31 and 61 for Control group)
Percentage of Participants With Solicited Systemic AEs After Each Vaccine Dose Administration
The solicited systemic events after vaccination included arthralgia, fatigue, fever (pyrexia), headache, myalgia, shivering/chills, and gastrointestinal symptoms (nausea, vomiting, diarrhea, and abdominal pain).
Time frame: Within 7 days (the day of vaccination and 6 subsequent days) after each vaccine administration (vaccines administered at Days 1 and 61 for Co-Administration Group and at Days 1, 31 and 61 for Control group)
Percentage of Participants With Unsolicited Adverse Events
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study vaccine, which does not necessarily have a causal relationship with study vaccine. An unsolicited AE was an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs must had been communicated by participant/participant's caregiver(s) who had signed the informed consent. Unsolicited AEs included both serious and non-serious AEs.
Time frame: Within 30 days (the day of vaccination and 29 subsequent days) after vaccine administration
Percentage of Participants With Serious Adverse Events (SAEs)
An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event.
Time frame: From first dose of study vaccine administration (Day 1) up to 6 months after last dose of study vaccine administration, approximately 241 days
Percentage of Participants With Potential Immune-mediated Diseases (pIMDs)
The pIMD was a subset of adverse events of special interest that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.
Time frame: From first dose of study vaccine administration (Day 1) up to 6 months after last dose of study vaccine administration, approximately 241 days
This study was conducted in adult participants aged 50 years and older, in 20 study sites.
| Milestone | Co-administration Group | Control Group |
|---|---|---|
| Started | 265 | 265 |
| Completed | 256 | 255 |
| Not completed | 9 | 10 |
| Withdrew: Lost to follow-up | 6 | 6 |
| Withdrew: Adverse event | 1 | 1 |
| Withdrew: Withdrawal by subject | 1 | 1 |
| Withdrew: Protocol-specified withdrawal criterion met | 0 | 1 |
| Withdrew: Other | 1 | 1 |
Anti-gE antibodies were measured with enzyme linked immunosorbent assay (ELISA) and the results were expressed as GMC, in milli international units per milliliter (mIU/mL).
| mIU/mL | Co-administration Group | Control Group |
|---|---|---|
| Adjusted Geometric Mean Concentration (GMC) of Anti-glycoprotein E (gE) Antibodies at 1 Month Post-second Dose of HZ/su Vaccination | 49326.9 (44948.5 to 54131.7) | 61192.7 (55306.4 to 67705.5) |
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
| Titers | Co-administration Group | Control Group |
|---|---|---|
| Adjusted Geometric Mean Titers (GMT) of Respiratory Syncytial Virus-A (RSV-A) Neutralizing Titers [Estimated Dilution 60 (ED60)] at 1 Month After the RSVPreF3 OA Vaccination | 8426.8 (7504.2 to 9462.7) | 9628.7 (8532.7 to 10865.4) |
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
| Titers | Co-administration Group | Control Group |
|---|---|---|
| Adjusted GMTs of RSV-B Neutralizing Titers (ED60) at 1 Month After the RSVPreF3 OA Vaccination | 10354.2 (9288.4 to 11542.3) | 10143.4 (9057.5 to 11359.4) |
Seropositivity was defined as the percentage of participants whose antibody concentration was greater than or equal to the assay cut-off value (97 mIU/mL).
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Pre-vaccination (Day 1) | 98.5 (96.1 to 99.6) | 97.3 (94.6 to 98.9) |
| 1 month post-second dose of HZ/su vaccination (Day 91) | 100.0 (98.2 to 100.0) | 100.0 (97.9 to 100.0) |
Anti-gE antibodies were measured with ELISA and the results were expressed as GMC.
| mIU/mL | Co-administration Group | Control Group |
|---|---|---|
| Pre-vaccination (Day 1) | 1739.4 (1503.4 to 2012.5) | 1492.2 (1278.5 to 1741.5) |
| 1 month post-second dose of HZ/su vaccination (Day 91) | 50235.2 (46013.4 to 54844.4) | 61204.7 (54959.6 to 68159.4) |
The MGI was defined as the geometric mean of the within participant ratios of the post-vaccination titer over the pre-vaccination titer. Anti-gE antibodies were measured with ELISA.
| Ratio | Co-administration Group | Control Group |
|---|---|---|
| Mean Geometric Increase (MGI) of Anti-glycoprotein Antibodies at Pre-vaccination and 1 Month Post-second Dose of HZ/su Vaccination | 28.24 (23.66 to 33.71) | 43.24 (34.97 to 53.47) |
The VRR was defined as the percentage of participants who had at least: a 4-fold increase post-vaccination anti-gE antibody concentration as compared to (over) the pre-vaccination anti-gE antibody concentration (for participants who were seropositive at pre-vaccination); or, a 4-fold increase post-vaccination anti-gE antibody concentration as compared to (over) the anti-gE antibody cut-off value for seropositivity (97 mIU/mL) (for participants who were seronegative at pre-vaccination).
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Vaccine Response Rate (VRR) at 1 Month Post-second Dose of HZ/su Vaccination | 92.9 (88.4 to 96.1) | 96.5 (92.5 to 98.7) |
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
| Titers | Co-administration Group | Control Group |
|---|---|---|
| Pre-vaccination (Day 1) | 1005.4 (909.1 to 1111.9) | 961.2 (860.8 to 1073.4) |
| Day 31 | 8553.3 (7568.7 to 9666.1) | — |
| Day 61 | — | 9689.4 (8561.7 to 10965.7) |
The MGI was defined as the geometric mean of the within participant ratios of the post-vaccination titer over the pre-vaccination titer. Neutralizing titers were measured with neutralization assay.
| Ratio | Co-administration Group | Control Group |
|---|---|---|
| MGI of Respiratory Syncytial Virus-A Neutralizing Titers at 1 Month After the RSVPreF3 OA Vaccination | 8.55 (7.44 to 9.82) | 9.91 (8.55 to 11.49) |
Neutralizing titers were measured with neutralization assay and the results were expressed as GMT. The ED60 was defined as the dose that produced an effect in 60% of the population.
| Titers | Co-administration Group | Control Group |
|---|---|---|
| Pre-vaccination (Day 1) | 1148.8 (1042.2 to 1266.3) | 1167.9 (1033.5 to 1319.8) |
| Day 31 | 10521.3 (9411.3 to 11762.2) | — |
| Day 61 | — | 10352.2 (9122.8 to 11747.3) |
The MGI was defined as the geometric mean of the within participant ratios of the post-vaccination titer over the pre-vaccination titer. Neutralizing titers were measured with neutralization assay.
| Ratio | Co-administration Group | Control Group |
|---|---|---|
| MGI of RSV-B Neutralizing Titers at 1 Month After the RSVPreF3 OA Vaccination | 9.01 (7.93 to 10.24) | 8.69 (7.50 to 10.07) |
The solicited administration site events after vaccination included pain, erythema/redness, and swelling.
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Pain at injection site, HZ/su dose 1, given at Day 1 | 67.6 (61.4 to 73.3) | 59.8 (53.4 to 65.9) |
| Pain at injection site, RSV dose, given at Day 1 | 63.1 (56.8 to 69.1) | — |
| Pain at injection site, RSV dose, given at Day 31 | — | 49.6 (43.0 to 56.1) |
| Pain at injection site, HZ/su dose 2, given at Day 61 | 57.3 (50.6 to 63.9) | 63.4 (56.9 to 69.6) |
| Erythema at injection site, HZ/su dose 1, given at Day 1 | 14.6 (10.5 to 19.6) | 13.1 (9.2 to 18.0) |
| Erythema at injection site, RSV dose, given at Day 1 | 7.9 (4.9 to 12.0) | — |
| Erythema at injection site, RSV dose, given at Day 31 | — | 7.6 (4.6 to 11.8) |
| Erythema at injection site, HZ/su dose 2, given at Day 61 | 16.0 (11.5 to 21.5) | 11.9 (8.1 to 16.8) |
| Swelling at injection site, HZ/su dose 1, given at Day 1 | 8.7 (5.5 to 12.9) | 8.8 (5.6 to 13.0) |
| Swelling at injection site, RSV dose, given at Day 1 | 6.0 (3.4 to 9.6) | — |
| Swelling at injection site, RSV dose, given at Day 31 | — | 5.5 (3.0 to 9.2) |
| Swelling at injection site, HZ/su dose 2, given at Day 61 | 8.9 (5.5 to 13.4) | 8.5 (5.3 to 12.8) |
The solicited systemic events after vaccination included arthralgia, fatigue, fever (pyrexia), headache, myalgia, shivering/chills, and gastrointestinal symptoms (nausea, vomiting, diarrhea, and abdominal pain).
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Fever, Dosing at Day 1 | 8.9 (5.7 to 13.1) | 6.2 (3.6 to 9.8) |
| Fever, Dosing at Day 31 | — | 3.3 (1.4 to 6.3) |
| Fever, Dosing at Day 61 | 3.0 (1.2 to 6.2) | 7.4 (4.4 to 11.5) |
| Headache, Dosing at Day 1 | 37.2 (31.3 to 43.4) | 30.0 (24.5 to 36.0) |
| Headache, Dosing at Day 31 | — | 22.9 (17.8 to 28.6) |
| Headache, Dosing at Day 61 | 30.9 (25.0 to 37.3) | 33.3 (27.4 to 39.6) |
| Fatigue, Dosing at Day 1 | 48.8 (42.6 to 55.1) | 36.2 (30.3 to 42.3) |
| Fatigue, Dosing at Day 31 | — | 31.8 (26.1 to 38.1) |
| Fatigue, Dosing at Day 61 | 39.6 (33.2 to 46.2) | 46.5 (40.1 to 53.0) |
| Myalgia, Dosing at Day 1 | 51.9 (45.7 to 58.2) | 40.4 (34.4 to 46.6) |
| Myalgia, Dosing at Day 31 | — | 26.9 (21.5 to 33.0) |
| Myalgia, Dosing at Day 61 | 37.0 (30.7 to 43.5) | 41.6 (35.3 to 48.0) |
| Arthralgia, Dosing at Day 1 | 24.0 (18.9 to 29.7) | 16.2 (11.9 to 21.2) |
| Arthralgia, Dosing at Day 31 | — | 12.7 (8.8 to 17.5) |
| Arthralgia, Dosing at Day 61 | 20.9 (15.8 to 26.7) | 21.0 (16.0 to 26.7) |
| Chills, Dosing at Day 1 | 22.9 (17.9 to 28.5) | 12.7 (8.9 to 17.4) |
| Chills, Dosing at Day 31 | — | 13.1 (9.1 to 17.9) |
| Chills, Dosing at Day 61 | 23.0 (17.8 to 29.0) | 25.9 (20.5 to 31.9) |
| Gastrointestinal Symptoms, Dosing at Day 1 | 15.9 (11.7 to 20.9) | 15.0 (10.9 to 19.9) |
| Gastrointestinal Symptoms, Dosing at Day 31 | — | 11.4 (7.7 to 16.1) |
| Gastrointestinal Symptoms, Dosing at Day 61 | 9.1 (5.7 to 13.6) | 12.3 (8.5 to 17.2) |
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study vaccine, which does not necessarily have a causal relationship with study vaccine. An unsolicited AE was an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs must had been communicated by participant/participant's caregiver(s) who had signed the informed consent. Unsolicited AEs included both serious and non-serious AEs.
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Percentage of Participants With Unsolicited Adverse Events | 23.4 (18.4 to 29.0) | 30.2 (24.7 to 36.1) |
An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event.
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Percentage of Participants With Serious Adverse Events (SAEs) | 4.9 (2.6 to 8.2) | 2.3 (0.8 to 4.9) |
The pIMD was a subset of adverse events of special interest that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.
| Percentage of participants | Co-administration Group | Control Group |
|---|---|---|
| Percentage of Participants With Potential Immune-mediated Diseases (pIMDs) | 0.4 (0.0 to 2.1) | 0.8 (0.1 to 2.7) |
Collected over Solicited AEs were collected up to Day 7 post each vaccination. Unsolicited AEs were collected up to Day 30 post each vaccination. SAEs and pIMDs were collected throughout the study period from Day 1 up to 6 months post last vaccination (approximately up to 241 days).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Co-administration Group | 0/265 (0%) | 13/265 (4.9%) | 240/265 (90.6%) |
| Control Group | 0/265 (0%) | 6/265 (2.3%) | 235/265 (88.7%) |
| Event | Co-administration Group | Control Group |
|---|---|---|
| Transitional cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 2/265 | 0/265 |
| Iron deficiency anaemiaBlood and lymphatic system disorders | 1/265 | 0/265 |
| AnaemiaBlood and lymphatic system disorders | 0/265 | 1/265 |
| Arteriosclerosis coronary arteryCardiac disorders | 0/265 | 1/265 |
| Myocardial infarctionCardiac disorders | 1/265 | 0/265 |
| Atrial fibrillationCardiac disorders | 1/265 | 0/265 |
| Gastrointestinal haemorrhageGastrointestinal disorders | 0/265 | 1/265 |
| AppendicitisInfections and infestations | 0/265 | 1/265 |
| Pneumonia influenzalInfections and infestations | 1/265 | 0/265 |
| CystitisInfections and infestations | 1/265 | 0/265 |
| Event | Co-administration Group | Control Group |
|---|---|---|
| Injection site painGeneral disorders | 204/265 | 197/265 |
| FatigueGeneral disorders | 149/265 | 156/265 |
| MyalgiaMusculoskeletal and connective tissue disorders | 153/265 | 155/265 |
| HeadacheNervous system disorders | 119/265 | 138/265 |
| ChillsGeneral disorders | 85/265 | 90/265 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 86/265 | 78/265 |
| Injection site erythemaGeneral disorders | 59/265 | 57/265 |
| DiarrhoeaGastrointestinal disorders | 30/265 | 43/265 |
| Injection site swellingGeneral disorders | 38/265 | 40/265 |
| PyrexiaGeneral disorders | 29/265 | 40/265 |
Exposed set included all participants in the enrolled set who received at least 1 study intervention.
| Age, Continuous(years) | Co-administration Group | Control Group | Total |
|---|---|---|---|
| Mean | 63.9 ± 8.56 | 63.9 ± 8.73 | 63.9 ± 8.64 |
| Sex: Female, Male(Participants) | Co-administration Group | Control Group | Total |
|---|---|---|---|
| Female | 146 | 146 | 292 |
| Male | 119 | 119 | 238 |
| Ethnicity (NIH/OMB)(Participants) | Co-administration Group | Control Group | Total |
|---|---|---|---|
| Hispanic or Latino | 28 | 30 | 58 |
| Not Hispanic or Latino | 237 | 235 | 472 |
| Unknown or Not Reported | 0 | 0 | 0 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — GSK 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
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