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Phase 3 N=1,230 Randomized Double-blind Prevention

A Study to Evaluate the Safety and Efficacy of Inactivated Varicella-zoster Vaccine (VZV) as a Preventative Treatment for Herpes Zoster (HZ) and HZ-related Complications in Participants Undergoing Hematopoietic Cell Transplants (HCTs) (V212-001)

Herpes Zoster

Enrolled (actual)
1,230
Serious AEs
65.6%
Results posted
Jul 2018
Primary outcome: Primary: Incidence of Confirmed Herpes-Zoster — 32.889; 91.883 Number of cases per 1000 person years

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
V212 (Biological); Matching placebo (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Merck Sharp & Dohme LLC
Primary completion
Dec 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Incidence of Confirmed Herpes-Zoster
32.889; 91.883
PRIMARY
Percentage of Participants With One or More Serious Adverse Events
32.9; 32.7 0.942
SECONDARY
Incidence of Moderate to Severe Herpes-Zoster-Associated Pain
14.878; 49.601
SECONDARY
Incidence of Herpes-Zoster Complications
9.397; 35.777
SECONDARY
Incidence of Postherpetic Neuralgia
2.349; 14.636

Summary

This is a randomized, double-blind, placebo-controlled study to assess the safety and efficacy of inactivated VZV vaccine for the prevention of HZ and HZ-related complications in adult recipients of autologous hematopoietic cell transplants (HCTs). The primary hypothesis is that vaccination with V212 vaccine will reduce the incidence of herpes zoster (HZ) compared to placebo when administered to recipients of HCT. The statistical criterion for success requires that the lower bound of the 95% confidence interval for the estimated vaccine efficacy in the V212 recipients (excluding the high-antigen lot) compared with that in the placebo recipients is >25%.

Eligibility Criteria

Inclusion Criteria

  • Has prior history of varicella, antibodies to VZV (documented prior to receipt of blood products), or residence in a country with endemic VZV infection for ≥30 years or if participant is 6 months (>180 days) of prophylactic antiviral therapy post-HCT.
  • Is pregnant or breastfeeding or expecting to conceive within the period of 2 weeks prior to enrollment through 6 months from last vaccination dose.
  • Has received a live virus vaccine or is scheduled to receive a live virus vaccine in the period from 4 weeks prior to Dose 1 through 28 days Postdose 4.
  • Has received an inactivated vaccine or is scheduled to receive an inactivated vaccine in the period between 7 days prior to and 28 days following Doses 1 through 4.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01229267). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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