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Recombinant zoster vaccine

Phase 1

Herpes Zoster | Monoclonal antibody | Infectious Disease |Co-Diagnostics, Inc.|Last Updated: Mar 31, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment960
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06851832Clinical Trial of Recombinant Herpes Zoster Vaccine (CHO Cell) in Healthy Chinese Population Aged 40 Years and OlderPHASE1 ACTIVE NOT_RECRUITING 960Feb 16, 2025Sep 16, 2028Mar 31, 20261 China
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Study Endpoints
Primary Endpoints
The incidence of solicited local and systemic adverse events (AEs) within 0-14 days after each vaccine dose.
Within 14 days after each vaccine dose.
The incidence of unsolicited adverse events (AEs) within 0-30 days after each vaccine dose.
Within 30 days after each vaccine dose.
The incidence of laboratory abnormalities (including blood biochemistry, blood routine, urine routine and electrocardiogram) on Day 3 after each vaccine dose.
On Day 3 after each vaccine dose.(Applicable to Phase I only)
The incidence of serious adverse events (SAEs) and Adverse Events of Special Interest (AESI) from the vaccination of the first dose to 12 months after full immunization.
From the vaccination of the first dose to 12 months after full immunization.
The cell-mediated immune response rate of CD4+ T cells expressing at least two activation markers (IFN-γ, IL-2, TNF-α, CD40L) one month after full immunization.
One month after full immunization.(Applicable to Phase Ⅱ only)

Detected using intracellular cytokine staining (ICS) by flow cytometry

The GMC/GMT, seroconversion rate, and GMI of anti-gE antibodies and anti-VZV antibodies one month after full immunization.
One month after full immunization.(Applicable to Phase Ⅱ only)

Detected using enzyme-linked immunosorbent assay (ELISA).

Secondary Endpoints
The GMC/GMT, seroconversion rate, and GMI of anti-gE antibodies and anti-VZV antibodies at 6, 12, 24, and 36 months after full immunization.
At 6, 12, 24, and 36 months after full immunization.(Applicable to Phase Ⅱ only)
The cell-mediated immune response rate of CD4+ T cells expressing at least two activation markers (IFN-γ, IL-2, TNF-α, CD40L) before the second dose and at 6, 12, 24, and 36 months after full immunization.
Before the second dose and at 6, 12, 24, and 36 months after full immunization(Applicable to Phase Ⅱ only)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Recombinant zoster Vaccine (CHO cell) (low adjuvant)EXPERIMENTALIt is used for vaccination of experimental vaccine group A subjects in phase I and II clinical trials
Recombinant zoster Vaccine (CHO cell)EXPERIMENTALIt is used for vaccination of experimental vaccine group B subjects of phase I clinical trial , experimental vaccine group B1 and B2 subjects of phase II clinical trial
Zoster Vaccine, LiveACTIVE_COMPARATORIt is used for vaccination of positive control group A1 and A2 subjects in phase Ⅱ clinical trial
Recombinant Zoster Vaccine (CHO cell) (Adjuvant control)PLACEBO_COMPARATORIt is used for vaccination of adjuvant control group subjects in phase Ⅰ clinical trial
normal salinePLACEBO_COMPARATORUsed in phase Ⅰ clinical trial; To maintain blinding, positive control group A1 and positive control group A2 received placebo on day 0 (for phase II clinical trial).
Interventions
NameTypeDescription
Recombinant zoster vaccine(CHO cell)(low adjuvant)BIOLOGICALThe dosage for each administration is 0.5 mL, containing 50 μg of gE, 0.25 mL of MF59, and 50 μg of CpG1018, administered intramuscularly into the deltoid muscle. A total of two doses will be given, with the second dose administered 30 days after the first dose.
Recombinant Zoster Vaccine (CHO cell)BIOLOGICALThe dosage for each administration is 0.5 mL, containing 50 μg of gE, 0.25 mL of MF59, and 100 μg of CpG1018, administered intramuscularly into the deltoid muscle. Vaccination Schedule 1: A total of two doses will be given, with the second dose administered 30 days after the first dose. Vaccination Schedule 2: A total of two doses will be given, with the second dose administered 60 days after the first dose \[only applicable to the Phase II Experimental Vaccine Group B2\].
Zoster Vaccine, LiveBIOLOGICALThe dosage for each administration is 0.5 mL, containing not less than 4.3 lg PFU of varicella-zoster live virus, administered subcutaneously at the attachment site of the lower edge of the deltoid muscle on the outer side of the upper arm. A total of one dose will be given. To maintain blinding, the positive control group A1 will receive a placebo on Day 0 and the Zoster Vaccine, Live on Day 30. The positive control group A2 will receive a placebo on Day 0 and the Zoster Vaccine, Live on Day 60.
Recombinant Zoster Vaccine (CHO cell) (Adjuvant control)BIOLOGICALThe dosage for each administration is 0.5 mL, containing 0.25 mL of MF59 and 100 μg of CpG1018, administered intramuscularly into the deltoid muscle. A total of two doses will be given, with the second dose administered 30 days after the first dose.
Normal SalineBIOLOGICALThe dosage for each administration is 0.5 mL, containing 0.5 mL of NaCl solution, administered intramuscularly into the deltoid muscle. A total of two doses will be given, with the second dose administered 30 days after the first dose (applicable to Phase I clinical trial). To maintain blinding, subjects in the positive control A1 and positive control A2 groups will receive a placebo on Day 0 (applicable to Phase II clinical trial).
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Male or female participants aged 40 years or older at the time of enrollment. * Voluntarily agrees to participate in the trial, fully understands, and signs the informed consent form. * Able to attend all scheduled follow-ups and comply with the clinical trial protocol require...

Countries:China
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