Systemic Lupus Erythematosus, Vaccine Reaction, Zoster
Conditions
Brief summary
To investigate the immunogenicity, reactogenicity and safety of 2 doses of the adjuvanted herpes zoster subunit vaccine (Shingrix) in patients with SLE in a randomized trial.
Interventions
Shingrix vaccination
Placebo vaccination
Sponsors
Study design
Eligibility
Inclusion criteria
* Males or females ≥ 19 years of age at time of consent * ≥4 of the 1997 ACR13 or the 2012 SLICC/ACR criteria for SLE (13, 14) * Clinically stable SLE * Corticosteroid use: ≥ 5mg/day of prednisolone equivalent * Stable dose of one or more of the following immunosuppressive treatment ≥ 4 weeks * Antimalarials (≤400 mg/day) * Azathioprine (≤3 mg/kg/day) * Mycophenolate mofetil (≤3 mg/day) * Tacrolimus (≤5mg/day) * Methotrexate (≤20mg/week) * Cyclosphosphamide (≤1mg/BSA/month) * Must understand and voluntarily sign an informed consent form including writing consent for data protection
Exclusion criteria
* Pregnant or lactating females * Acute infection with T \>38°C at the time of vaccination * Previous anaphylactic response to vaccine components or to egg * History of Guillain-Barre syndrome or demyelinating syndromes * Any condition including laboratory abnormality which places the subject at unacceptable risk * Subjects who decline to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of positive humoral vaccine response at 1 month post-dose 2 | 3 months | Proporition of pariticpants who achieved a ≥4-fold increase in the anti-gE antibody concentration as compared to the prevaccination concentration |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of positive humoral vaccine response at 6 months post-dose 2 | 8 months |
| Frequency of humoral responses 12 month post-dose 2 | 14 month |
| Anti-gE antibody concentration at 6 months post-dose 2 | 8 months |
| Anti-gE antibody concentration at 12 months post-dose 2 | 14 months |
Other
| Measure | Time frame |
|---|---|
| SLE flare rate | up to 2 months |
Countries
South Korea