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Immunogenicity and Safety of a 1-dose Regimen of a Zoster Vaccine Versus Different 2-dose Regimens in Participants ≥ 70 Years of Age. (V211-043)

An Open-label, Randomised, Comparative, Multi-centre Study of the Immunogenicity and Safety of a 1-dose Regimen and Different 2-dose Regimens of a Zoster Vaccine (Live), ZOSTAVAX ®, in Subjects ≥ 70 Years of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00561080
Enrollment
759
Registered
2007-11-20
Start date
2007-10-26
Completion date
2009-06-03
Last updated
2019-01-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prevention of : Herpes-Zoster

Brief summary

Primary objective: Immunogenicity To demonstrate that a second dose of ZOSTAVAX® elicits higher varicella-zoster virus (VZV) antibody titres than a first dose of ZOSTAVAX® whether given as a 0-1 month schedule or as a 0-3 month schedule in subjects ≥70 years of age as measured at 4 weeks post-vaccination Secondary objectives Immunogenicity * To summarise the VZV antibody titres at 4 weeks post-vaccination after a 1-dose regimen and 4 weeks post-vaccination after each dose of each 2-doses regimen of ZOSTAVAX®. * To compare the VZV antibody titres at 12 months after completion of a 1-dose regimen with the VZV antibody titres at 12 months after completion of each 2-doses regimen of ZOSTAVAX® * To summarise the VZV antibody titres at 24 and 36 months after completion of a 1-dose regimen and at 24 and 36 months after completion of each 2-doses regimen of ZOSTAVAX®

Interventions

BIOLOGICALZostavax

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

1. Age ≥ 70 years 2. Varicella history-positive or residence for \> 30 years in a country with endemic VZV infection 3. Signed informed consent form prior to any study procedure

Exclusion criteria

1. Febrile illness within the last 72 hours before the first vaccination 2. Prior herpes-zoster episode clinically diagnosed by a physician 3. Prior receipt of varicella or zoster vaccine 4. Exposure to varicella or herpes-zoster within the 4 weeks prior to the first vaccination 5. Significant underlying illness preventing completion of the study vaccination schedules, 6. Known active tuberculosis, 7. Immune deficiency disorder, including active neoplastic disease within the prior 5 years, 8. Immune function impairment caused by medical condition or immunosuppressive therapy, or any other cause, 9. Receipt of any inactivated vaccine within the 2 weeks prior to the first vaccination, 10. Receipt of any other live vaccine within the 4 weeks prior to the first vaccination, 11. Receipt of immunoglobulins or blood-derived products within the 5 months prior to the first vaccination, 12. Concomitant use of non-topical antiviral therapy

Design outcomes

Primary

MeasureTime frameDescription
Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 34 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)Blood samples taken at 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via Glycoprotein Enzyme Linked Immunosorbent Assay (gpELISA).

Secondary

MeasureTime frameDescription
Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3Predose and 4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)Blood sample taken at predose (Day 0) and 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA. The GMFR was calculated following each vaccination as GMT Post-dose/GMT Pre-vaccination
Geometric Mean Titre of VZV Antibodies 12 Months Post-last Dose1 year post final dose for Groups 1, 2, and 3 (Group 1: Month 12; Group 2: 13 Month 13; and Group 3: Month 15)Blood sample taken at 1 year post last vaccination to determine the geometric mean titer (GMT) of varicella antibodies via gpELISA.
Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 12 Months Post-dose 1 in Group 1 And From Pre-Vaccination To 12 Months Post-dose 2 in Groups 2 and 3predose 1 and 1 year post-last dose (Group 1: Month 12; Group 2: 13 Month 13; and Group 3: Month 15)Blood sample taken at predose and 1 year post last vaccination to determine the GMFR of varicella antibodies via gpELISA. Geometric mean fold rise was calculated for each arm as GMT 12-month post last dose divided by pre-vaccination GMT.
Geometric Mean Titre (GMT) of VZV Antibodies 24 and 36 Months Post-dose 1 in Group 1 and the 24 and 36 Months Post-dose 2 in Groups 2 and 324 and 36 months post-last doseBlood sample taken at 36 months post last-vaccination to determine the geometric mean titer (GMT) of varicella antibodies via gpELISA.
Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 24 And 36 Months Post-dose 1 in Group 1 and From Pre-vaccination To 24 And 36 Months Post-dose 2 in Groups 2 and 3Predose 1 and 24 and 36 months post-last doseBlood samples were to be taken at predose and 24 months post- last vaccination in Groups 1 , 2, and 3 to determine the GMFR of varicella antibodies via gpELISA. Geometric mean fold rise was to be calculated for each arm as GMT 24-month post last dose divided by pre-vaccination GMT.
Percentage of Participants Who Reported a Solicited Injection Site Reaction : Post-dose 1up to 4 days after 1st vaccinationParticipants entered data into daily dairy card regarding previously identified possible injection site reactions of erythema, injection site swelling or injection site pain
Percentage of Participants Who Reported a Solicited Injection Site Reaction: Post-dose 2up to 4 days after 2nd vaccinationParticipants entered data into daily dairy card regarding previously identified possible injection site reactions of erythema, injection site swelling or injection site pain
Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 1up to 28 days after 1st of study drugThe percentage of participants who reported an injection site reaction that was not specifically prompted by the diary card within 28 day of 1st vaccination was recorded.
Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 2up to 28 days post-dose 2The percentage of participants that reported an injection site reaction that was not specifically prompted by the diary card within 28 days post-dose 2 was recorded.
Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-dose 1up to 28 days post-dose 1Percentage of participants who reported herpes zoster or zoster-like rash following the 1st dose of vaccine were recorded.
Geometric Mean Titer (GMT) of VZV Antibodies 4 Weeks After Vaccination: Group 14 weeks post-dose (Month 1)Blood sample taken at 4 weeks post vaccination to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA.
Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 1up to 28 days post-dose 1Percentage of participants that reported varicella or varicella-like rash following the 1st dose of vaccine were recorded.
Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 2up to 28 days post-dose 2Percentage of participants that reported varicella or varicella-like rash following the 2nd dose of vaccine were recorded.
Percentage of Participants Who Died During the Studyup to end of study (approximately 15 months)The number of participants who died for any reason during the study was summarized.
Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 1up to 28 days after 1st vaccinationAn adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) were summarized
Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 2up to 28 days after 2nd vaccinationAn adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) were summarized,
Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 1up to 28 days after 1st vaccinationAn adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) and were reported as at least possibly related to the vaccine were summarized
Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 2up to 28 days after 2nd vaccinationAn adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) and were reported as at least possibly related to the vaccine were summarized,
Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 1up to 28 days after 1st vaccinationA serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgement. The percentage of participants who reported an SAE within 28 days of 1st dose of vaccine were recorded.
Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 2up to 28 days after 2nd vaccinationA serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgement. The percentage of participants who reported an SAE within 28 days of 1st dose of vaccine were recorded.
Percentage of Participants Who Reported a Vaccine-related Serious Adverse Eventup to end of study (approximately 15 months)A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgement. The percentage of participants who reported an SAE during the entire study period that was considered at least possibly -related to the vaccine were recorded.
Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-Dose 2up to 28 days post-dose 2Percentage of participants who reported herpes zoster or zoster-like rash following the 2nd dose of vaccine were recorded.

Participant flow

Recruitment details

A total of 779 participants were screened. Twenty participants were not randomized.

Participants by arm

ArmCount
Group 1: Single Dose of Zostavax
Single injection of the 0.65 mL of Zostavax administered on Day 0
253
Group 2: Zostavax - Day 0 and Month 1
0.65 mL of Zostavax administered on Day 0 and Month 1
255
Group 3: Zostavax - Day 0 and Month 3
0.65 mL of Zostavax administered on Day 0 and Month 3
251
Total759

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
12-month Post Last Dose Follow-upAdverse Event331
12-month Post Last Dose Follow-upLost to Follow-up200
12-month Post Last Dose Follow-upProtocol Violation004
12-month Post Last Dose Follow-upWithdrawal by Subject265
Vaccination Period (up to Month 4)Adverse Event046
Vaccination Period (up to Month 4)Definitive Contra-indication023
Vaccination Period (up to Month 4)Lost to Follow-up010
Vaccination Period (up to Month 4)Other021
Vaccination Period (up to Month 4)Protocol Violation013
Vaccination Period (up to Month 4)Withdrawal by Subject31613

Baseline characteristics

CharacteristicGroup 1: Single Dose of ZostavaxGroup 2: Zostavax - Day 0 and Month 1Group 3: Zostavax - Day 0 and Month 3Total
Age, Continuous76.2 years
STANDARD_DEVIATION 5.5
76.0 years
STANDARD_DEVIATION 5.4
76.1 years
STANDARD_DEVIATION 5.3
76.1 years
STANDARD_DEVIATION 5.4
Sex: Female, Male
Female
148 Participants138 Participants135 Participants421 Participants
Sex: Female, Male
Male
105 Participants117 Participants116 Participants338 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
122 / 253144 / 255132 / 251
serious
Total, serious adverse events
4 / 25311 / 2554 / 251

Outcome results

Primary

Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3

Blood samples taken at 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via Glycoprotein Enzyme Linked Immunosorbent Assay (gpELISA).

Time frame: 4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)

Population: All randomized participants in Groups 2 and 3 who received at least 1 dose of the study vaccine, had post-vaccination immunogenicity evaluation and excluded those with protocol violation which may have interfered with the immunogenicity evaluation or participants with herpes zoster (HZ) onset before the time point for analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3Post Dose 1498.8 gpELISA units/mL
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3Post Dose 2555.3 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3Post Dose 2410.5 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3Post Dose 1523.3 gpELISA units/mL
p-value: 0.94895% CI: [1.02, 1.22]ANOVA
p-value: >0.99995% CI: [0.73, 0.85]ANOVA
Secondary

Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 12 Months Post-dose 1 in Group 1 And From Pre-Vaccination To 12 Months Post-dose 2 in Groups 2 and 3

Blood sample taken at predose and 1 year post last vaccination to determine the GMFR of varicella antibodies via gpELISA. Geometric mean fold rise was calculated for each arm as GMT 12-month post last dose divided by pre-vaccination GMT.

Time frame: predose 1 and 1 year post-last dose (Group 1: Month 12; Group 2: 13 Month 13; and Group 3: Month 15)

Population: All randomized participants who received at least 1 dose of the study vaccine, had 12-month post-vaccination immunogenicity evaluation and excluded those with protocol violation which may have interfered with the immunogenicity evaluation or participants with herpes zoster (HZ) onset before the time point for analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 12 Months Post-dose 1 in Group 1 And From Pre-Vaccination To 12 Months Post-dose 2 in Groups 2 and 31.06 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 12 Months Post-dose 1 in Group 1 And From Pre-Vaccination To 12 Months Post-dose 2 in Groups 2 and 31.16 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 12 Months Post-dose 1 in Group 1 And From Pre-Vaccination To 12 Months Post-dose 2 in Groups 2 and 31.17 gpELISA units/mL
Secondary

Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-Vaccination To 24 And 36 Months Post-dose 1 in Group 1 and From Pre-vaccination To 24 And 36 Months Post-dose 2 in Groups 2 and 3

Blood samples were to be taken at predose and 24 months post- last vaccination in Groups 1 , 2, and 3 to determine the GMFR of varicella antibodies via gpELISA. Geometric mean fold rise was to be calculated for each arm as GMT 24-month post last dose divided by pre-vaccination GMT.

Time frame: Predose 1 and 24 and 36 months post-last dose

Population: Study stopped after 12 months. As per protocol, the study was stopped after the 12-month follow-up since there was no statistical evidence or clinical trend for superiority of any of the 2-dose regimens compared with the 1-dose regimen. 24 and 36 month data not obtained.

Secondary

Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3

Blood sample taken at predose (Day 0) and 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA. The GMFR was calculated following each vaccination as GMT Post-dose/GMT Pre-vaccination

Time frame: Predose and 4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)

Population: All randomized participants in who received at least 1 dose of the study vaccine, had pre-dose 1 evaluation and had post-vaccination immunogenicity evaluation. Excluded those with protocol violation which may have interfered with the immunogenicity evaluation or participants with herpes zoster (HZ) onset before the time point for analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3GMFR Post Dose 12.35 gpELISA units/mL
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3GMFR Post Dose 2NA gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3GMFR Post Dose 12.37 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3GMFR Post Dose 22.64 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3GMFR Post Dose 12.29 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Fold Rise (GMFR) in VZV Antibody Titres From Pre-vaccination to 4 Weeks Post-dose 1 in Groups 1, 2 and 3 and 4 Weeks Post-dose 2 in Groups 2 and 3GMFR Post Dose 21.80 gpELISA units/mL
Secondary

Geometric Mean Titer (GMT) of VZV Antibodies 4 Weeks After Vaccination: Group 1

Blood sample taken at 4 weeks post vaccination to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA.

Time frame: 4 weeks post-dose (Month 1)

Population: All randomized participants in Group 1 who received study vaccine, had post-vaccination immunogenicity evaluation and excluded those with protocol violation which may have interfered with the immunogenicity evaluation or participants with herpes zoster (HZ) onset before the time point for analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Titer (GMT) of VZV Antibodies 4 Weeks After Vaccination: Group 1GMT Pre-Dose233.7 gpELISA units/mL
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Titer (GMT) of VZV Antibodies 4 Weeks After Vaccination: Group 1GMT Post Dose550.0 gpELISA units/mL
95% CI: [2.11, 2.62]
Secondary

Geometric Mean Titre (GMT) of VZV Antibodies 24 and 36 Months Post-dose 1 in Group 1 and the 24 and 36 Months Post-dose 2 in Groups 2 and 3

Blood sample taken at 36 months post last-vaccination to determine the geometric mean titer (GMT) of varicella antibodies via gpELISA.

Time frame: 24 and 36 months post-last dose

Population: Study stopped after 12 months. As per protocol, the study was stopped after the 12-month follow-up since there was no statistical evidence or clinical trend for superiority of any of the 2-dose regimens compared with the 1-dose regimen. 24 and 36 month data not obtained.

Secondary

Geometric Mean Titre of VZV Antibodies 12 Months Post-last Dose

Blood sample taken at 1 year post last vaccination to determine the geometric mean titer (GMT) of varicella antibodies via gpELISA.

Time frame: 1 year post final dose for Groups 1, 2, and 3 (Group 1: Month 12; Group 2: 13 Month 13; and Group 3: Month 15)

Population: All randomized participants in who received at least 1 dose of the study vaccine, had 12-month post-vaccination immunogenicity evaluation and excluded those with protocol violation which may have interfered with the immunogenicity evaluation or participants with herpes zoster (HZ) onset before the time point for analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 2: Zostavax - Day 0 and Month 1Geometric Mean Titre of VZV Antibodies 12 Months Post-last Dose246.8 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Titre of VZV Antibodies 12 Months Post-last Dose261.1 gpELISA units/mL
Group 3: Zostavax - Day 0 and Month 3Geometric Mean Titre of VZV Antibodies 12 Months Post-last Dose266.6 gpELISA units/mL
Comparison: ANCOVA model includes country and age at first vaccination as independent variables and baseline antibody titre as covariate. The GMT 12-month post-last dose is the GMT adjusted from the ANCOVA model95% CI: [0.96, 1.17]
Comparison: ANCOVA model includes country and age at first vaccination as independent variables and baseline antibody titre as covariate. The GMT 12-month post-last dose is the GMT adjusted from the ANCOVA model95% CI: [0.98, 1.19]
Secondary

Percentage of Participants Who Died During the Study

The number of participants who died for any reason during the study was summarized.

Time frame: up to end of study (approximately 15 months)

Population: All randomized participants in Groups 1, 2, and 3 who received 1st dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Died During the Study1.6 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Died During the Study2.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Died During the Study1.2 Percentage of Participants
Secondary

Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 1

The percentage of participants who reported an injection site reaction that was not specifically prompted by the diary card within 28 day of 1st vaccination was recorded.

Time frame: up to 28 days after 1st of study drug

Population: All randomized participants in Groups 1, 2, and 3 who received at least 1 dose of study drug and had follow-up safety data. .

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 15.6 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 14.8 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 10.8 Percentage of Participants
Secondary

Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 2

The percentage of participants that reported an injection site reaction that was not specifically prompted by the diary card within 28 days post-dose 2 was recorded.

Time frame: up to 28 days post-dose 2

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of study drug and had follow-up safety data. .

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 21.3 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported an Unsolicited Injection Site Reaction: Post-dose 23.2 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 1

A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgement. The percentage of participants who reported an SAE within 28 days of 1st dose of vaccine were recorded.

Time frame: up to 28 days after 1st vaccination

Population: All randomized participants in Groups 1, 2, and 3 who received 1st dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 10.4 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 12.8 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 10.4 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 2

A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgement. The percentage of participants who reported an SAE within 28 days of 1st dose of vaccine were recorded.

Time frame: up to 28 days after 2nd vaccination

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 20.9 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Serious Adverse Event: Post-dose 20.9 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Solicited Injection Site Reaction : Post-dose 1

Participants entered data into daily dairy card regarding previously identified possible injection site reactions of erythema, injection site swelling or injection site pain

Time frame: up to 4 days after 1st vaccination

Population: All randomized participants in Groups 1, 2 and 3 who received the 1st dose of study drug and had follow-up safety data. .

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported a Solicited Injection Site Reaction : Post-dose 147.2 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Solicited Injection Site Reaction : Post-dose 146.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Solicited Injection Site Reaction : Post-dose 142.2 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Solicited Injection Site Reaction: Post-dose 2

Participants entered data into daily dairy card regarding previously identified possible injection site reactions of erythema, injection site swelling or injection site pain

Time frame: up to 4 days after 2nd vaccination

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Solicited Injection Site Reaction: Post-dose 242.2 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Solicited Injection Site Reaction: Post-dose 242.1 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 1

An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) were summarized

Time frame: up to 28 days after 1st vaccination

Population: All randomized participants in Groups 1, 2, and 3 who received 1st dose of study drug and had follow-up safety data. .

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 125.8 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 132.7 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 125.7 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 2

An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) were summarized,

Time frame: up to 28 days after 2nd vaccination

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 220.7 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Systemic Adverse Event: Post-dose 215.4 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Vaccine-related Serious Adverse Event

A serious adverse event (SAE) is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgement. The percentage of participants who reported an SAE during the entire study period that was considered at least possibly -related to the vaccine were recorded.

Time frame: up to end of study (approximately 15 months)

Population: All randomized participants in Groups 1, 2, and 3 who received 1st dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported a Vaccine-related Serious Adverse Event0.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Vaccine-related Serious Adverse Event0.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Vaccine-related Serious Adverse Event0.0 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 1

An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) and were reported as at least possibly related to the vaccine were summarized

Time frame: up to 28 days after 1st vaccination

Population: All randomized participants in Groups 1, 2, and 3 who received 1st dose of study drug and had follow-up safety data. .

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 16.7 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 14.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 18.4 Percentage of Participants
Secondary

Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 2

An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Adverse events that were considered systemic (not localized) and were reported as at least possibly related to the vaccine were summarized,

Time frame: up to 28 days after 2nd vaccination

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of study drug and had follow-up safety data.

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 23.4 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported a Vaccine-related Systemic Adverse Event: Post-dose 22.7 Percentage of Participants
Secondary

Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-dose 1

Percentage of participants who reported herpes zoster or zoster-like rash following the 1st dose of vaccine were recorded.

Time frame: up to 28 days post-dose 1

Population: All randomized participants in Groups 1, 2, and 3 who received 1st dose of the study drug and who have safety follow-up data for post-dose 1.

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-dose 10.8 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-dose 10.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-dose 10.0 Percentage of Participants
Secondary

Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-Dose 2

Percentage of participants who reported herpes zoster or zoster-like rash following the 2nd dose of vaccine were recorded.

Time frame: up to 28 days post-dose 2

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of the study drug and who have safety follow-up data for post-dose 2.

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-Dose 20.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Herpes Zoster or Zoster-like Rash: Post-Dose 20.0 Percentage of Participants
Secondary

Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 1

Percentage of participants that reported varicella or varicella-like rash following the 1st dose of vaccine were recorded.

Time frame: up to 28 days post-dose 1

Population: All randomized participants in Groups 1, 2 and 3 who received 1st dose of the study drug and who have safety follow-up data for post-dose 1.

ArmMeasureValue (NUMBER)
Group 2: Zostavax - Day 0 and Month 1Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 10.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 10.0 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 10.0 Percentage of Participants
Secondary

Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 2

Percentage of participants that reported varicella or varicella-like rash following the 2nd dose of vaccine were recorded.

Time frame: up to 28 days post-dose 2

Population: All randomized participants in Groups 2 and 3 who received 2nd dose of the study drug and who have safety follow-up data for post-dose 2.

ArmMeasureValue (NUMBER)
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 20.4 Percentage of Participants
Group 3: Zostavax - Day 0 and Month 3Percentage of Participants Who Reported Varicella or Varicella-like Rash: Post-dose 20.5 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026