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Herpes Zoster Vaccine GSK 1437173A

Phase 3

Herpes Zoster | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Dec 12, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials16
Total Enrollment53,733
FDA Designations
No designations recorded
Clinical Trials (16)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02723773A Long-term Follow-up Study (ZOE-LTFU) of Two Studies 110390 (ZOSTER-006) and 113077 (ZOSTER-022) to Assess the Efficacy, Safety, and Immunogenicity Persistence of GSK Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine and Assessment of 1 or 2 Additional Doses in Two Subgroups of Older AdultsPHASE3 COMPLETED 7,539Apr 16, 2016Jan 30, 2024Dec 12, 2025161 United States, Australia +16
NCT02735915Study to Evaluate Immunogenicity and Safety of GSK Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine at 9 and 10 Years After Vaccine Administration and Assessment of Re-vaccination With 2 Additional Doses at 10 Years After Initial Vaccination, in Healthy Subjects Aged 60 Years of Age(YOA) and OlderPHASE3 COMPLETED 70Apr 11, 2016Oct 8, 2018Apr 12, 20247 Czechia, Germany +1
NCT02690207Cross-vaccination Study of GSK Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine (GSK 1437173A) in Subjects Who Previously Received Placebo in ZOSTER-006 (NCT01165177) and ZOSTER-022 (NCT01165229) Studies.PHASE3 COMPLETED 8,687Mar 16, 2016Mar 15, 2019Mar 4, 2021195 United States, Australia +16
NCT02058589Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine in Adults 18 Years of Age or Older With Renal TransplantPHASE3 COMPLETED 265Mar 20, 2014Apr 13, 2017Aug 1, 201834 Belgium, Canada +7
NCT02045836Study to Evaluate Immunogenicity and Safety Study of GSK Biologicals' Herpes Zoster (HZ) Vaccine GSK1437173A When Co-administered With Pneumovax 23™ in Adults Aged 50 Years and OlderPHASE3 COMPLETED 865Mar 5, 2014Jun 17, 2016May 14, 20219 United States, Canada +1
NCT02052596Study to Assess the Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine (GSK1437173A) When Co-administered With GSK Biologicals' Diphtheria, Tetanus and Pertussis Vaccine (Boostrix®) in Adults Aged 50 Years and OlderPHASE3 COMPLETED 935Feb 7, 2014Apr 21, 2016Apr 24, 201813 United States
NCT01954251Study to Evaluate the Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Vaccine GSK1437173A When Co-administered With GSK Biologicals' Seasonal Influenza Vaccine GSK2321138A in Adults Aged 50 Years and OlderPHASE3 COMPLETED 829Oct 3, 2013Mar 20, 2015May 2, 201820 United States, Canada +1
NCT01777321Safety and Immunogenicity Study of GSK Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine GSK1437173A When Administered Subcutaneously Intramuscularly in Adults Aged ≥50 YearsPHASE3 COMPLETED 60Jun 17, 2013Nov 11, 2014Oct 25, 20181 Japan
NCT01751165Safety and Immunogenicity of Different Dosing Schedules of GlaxoSmithkline (GSK) Biologicals' Herpes Zoster (HZ) Vaccine in Adults 50 Years of Age or OlderPHASE3 COMPLETED 354Mar 12, 2013Apr 8, 2015Oct 18, 20184 United States, Estonia
NCT01610414Study to Evaluate Efficacy, Safety, and Immunogenicity of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Vaccine GSK1437173APHASE3 COMPLETED 1,877Jul 13, 2012Feb 1, 2017Jan 23, 2018178 United States, Australia +26
NCT01165177Study to Evaluate Efficacy, Safety and Immunogenicity of GSK Biologicals' Herpes Zoster (HZ) Vaccine GSK1437173A in Adults Aged 50 Years and OlderPHASE3 COMPLETED 16,165Aug 2, 2010Jul 27, 2015Feb 10, 2021274 United States, Australia +16
NCT01165229Study to Evaluate Efficacy, Safety and Immunogenicity of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster (HZ) Vaccine GSK1437173A in Adults Aged 70 Years and OlderPHASE3 COMPLETED 14,819Aug 2, 2010Jul 24, 2015Apr 27, 2020213 United States, Australia +16
NCT01165203Study to Evaluate GSK Biologicals' Herpes Zoster Vaccine GSK1437173A in Human Immunodeficiency Virus (HIV)-Infected SubjectsPHASE2 COMPLETED 123Sep 30, 2010May 14, 2013Apr 30, 201815 United States, Germany +1
NCT00802464Immunogenicity and Safety Study of GSK Biologicals' Herpes Zoster Vaccine With Various Formulations in Adults >= 50 YearsPHASE2 COMPLETED 410Jan 12, 2009Jul 2, 2010Jun 26, 201912 United States, Czechia +1
NCT00434577Safety and Immunogenicity of the Zoster Vaccine GSK1437173A in Elderly SubjectsPHASE2 COMPLETED 715Feb 14, 2007Jul 14, 2010Mar 15, 201911 Czechia, Germany +2
NCT01086449Safety and Immunogenicity of GSK Biologicals' Herpes Zoster Vaccine 1437173A in Healthy Ethnic Japanese AdultsPHASE1 COMPLETED 20Mar 4, 2010Nov 25, 2010Mar 9, 20181 Australia
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Number of Participants Having at Least One Confirmed Herpes Zoster (HZ) Case During the Total Duration of ZOSTER-049:EXT 006-022 Study, Overall
During the total duration of ZOSTER-049:EXT 006-022 study (From Month 0 to Month 72)

A suspected case of HZ is defined as a new unilateral rash accompanied by pain and no alternative diagnosis. A confirmed case of HZ was diagnosed by Polymerase Chain Reaction (PCR) and/or by HZ Ascertainment Committee (HZAC) determination, as per the algorithm pre-specified in the protocol. As pre-specified in the protocol: * due to the high VE observed in ZOSTER-006/022 studies, recipients of placebo in both studies were offered cross-vaccination with HZ/su. Since there was no placebo group in this study, historic controls were used for VE assessment. Incidence rates estimations on Historical Control group were done by utilizing Poisson regression model using placebo data from ZOSTER-006/022 studies to obtain the coefficients by age ranges. * the participants in Control group were a subset of LTFU group that were randomized to serve as control for those who were vaccinated in this study, otherwise they were treated similarly as LTFU group, hence LTFU and Control groups were combined.

Anti-glycoprotein (gE) Specific Antibody (Ab) Concentrations
At Month 108 post first dose of initial vaccination course in study Zoster-003 (NCT00434577).

Anti-glycoprotein E (gE) Ab concentrations were determined by Enzyme-Linked Immunosorbent Assay (ELISA), presented as geometric mean concentrations (GMCs) and expressed in micro international units per milliliter (mIU/mL).

Frequencies of gE (Glycoprotein)-Specific Cluster of Differentiation (CD4) (2+) T-cells.
At Month 108 post first dose of initial vaccination course in study Zoster-003 (NCT00434577).

gE specific CD4 (2+) T-cells expressing at least 2 activation markers among IFN-γ, IL-2, TNF-α and CD40L, were determined by means of Intracellular Cytokine Staining (ICS) and expressed in T-cells/million cells.

Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
During 30 days (Days 0-29) after any vaccination (across doses)

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related=AE assessed by the investigator as related to the vaccination.

Number of Subjects With Any and Related Serious Adverse Events (SAEs)
From Month 0 until study end (Month 14, i.e. 12 months post dose 2)

Serious adverse events (SAEs) assessed include medical occurrences that resulted in death, were life-threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related=SAE assessed by the investigator as related to the vaccination.

Number of Subjects With Any and Related Potential Immune Mediated Diseases (pIMDs)
From Month 0 until study end (Month 14, i.e. 12 months post dose 2)

pIMDs are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology. Related pIMDs=pIMDs assessed by the investigator as related to the vaccination.

Number of Subjects With a Vaccine Response for Anti-glycoprotein E (gE) Humoral Immunogenicity
At Month 2.

Vaccine response was defined as: For initially seronegative subjects, antibody concentration at post-vaccination greater than or equal to (≥) 4 fold the cut-off for Anti-gE (4x97 milli-international units per milliliter \[mIU/ml\]); For initially seropositive subjects, antibody concentration at post-vaccination ≥ 4 fold the pre-vaccination antibody concentration. Vaccine response was determined by Enzyme-Linked ImmunoSorbent Assay (ELISA).

Number of Subjects With Solicited Local Symptoms
Within 7 days (Days 0-6) after each dose and across doses.

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = Pain when limb was moved, which prevented everyday activities. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.

Days With Solicited Local Symptoms
Within 7 days (Days 0-6) after each dose and overall/dose

Assessed solicited local symptoms were pain, redness and swelling.

Number of Subjects With Solicited General Symptoms
Within 7 days (Days 0-6) after each dose and across doses

Assessed solicited general symptoms were fatigue, gastrointestinal symptoms, headache, myalgia, shivering and fever \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\] . Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination. Gastrointestinal symptoms (Gastro. sympt.) included nausea, vomiting, diarrhoea and/or abdominal pain.

Days With Solicited General Symptoms
Within 7 days (Days 0-6) after each dose and overall/dose

Assessed solicited general symptoms were fatigue, gastrointestinal symptoms, headache, myalgia, shivering and fever \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\].

Number of Subjects With Unsolicited Symptoms (AEs)
During the 30-day (Days 0-29) post-vaccination period

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

Number of Subjects With Any Potential Immune-mediated Diseases (pIMDs)
From first vaccination (Month 0) up to 1 month post last vaccination (Month 2).

pIMDs are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology

Number of Subjects With Renal Allograft Rejection
From the first vaccination (Month 0) up to 1 month post last vaccination (Month 2).

Renal allograft rejection was confirmed through biopsy.

Number of Subjects With Changes in Allograft Function
From the first vaccination (Month 0) up to 1 month post last vaccination (Month 2).

Allograft function was indicated by the increase in levels of serum creatinine (≥ 1.20, ≥ 1.50, ≥ 1.75 or ≥ 2 fold increase). The number of subjects with declining allograft function, as determined by serum creatinine measurements post-vaccination (up to 30 days post-last vaccination) compared to pre-vaccination were presented.

Number of Subjects With a Vaccine Response for Anti-gE Antibodies
At Month 3

Vaccine response rate for anti-gE antibody concentrations, as determined by enzyme-linked immunosorbent assay (ELISA), in subjects from the Co-Ad group. Vaccine response defined as : For initially seronegative subjects, antibody concentration at post-vaccination ≥ 4 fold the cut-off for Anti-gE (4x97 mIU/mL) For initially seropositive subjects, antibody concentration at post-vaccination ≥ 4 fold the pre-vaccination antibody concentration

Anti-glicoprotein E (gE) Antibody Concentrations
At one month post-dose 2 (Month 3 for the Co-Ad Group and Month 5 for the Control Group)

Antibody concentrations were determined by ELISA, presented as geometric mean concentrations and expressed as milli international units per milliliter (mIU/mL).

Anti-pneumococcal Antibody Titers
At one month post-dose (Month 1)

Anti-pneumococcal antibody titers were presented as geometric mean titers (GMTs) for the 12 following serotypes as determined by Opsonophagocytic Assay (OPA): 1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F.

Adjusted Ratios of Geometric Mean Titers (GMTs) Between Groups
At 1 month after vaccination

The Adjusted ratios of GMTs between groups (Control group and Co-Ad group) were presented for each individual pneumococcal conjugate serotype Opsonophagocytic Activity (OPA).

Adjusted GMCs Between Groups
At 1 month after last vaccine dose

The Adjusted ratios of GMCs between groups (Control group and Co-Ad group) was presented for anti-gE antibody ELISA concentrations

Number of Subjects With a Vaccine Response for Anti-glycoprotein E (Anti-gE) in GSK1437173A Group
At 1 month post-Dose 2 (Month 3)

This outcome was required only for the GSK1437173A Group. Vaccine response defined as: For initially seronegative subjects, antibody concentration at post-vaccination ≥ 4 fold the cut-off for Anti-gE (4x97 mIU/mL); For initially seropositive subjects, antibody concentration at post-vaccination ≥ 4 fold the pre-vaccination antibody concentration.

Antibody Concentrations Against Glycoprotein E (Anti-gE)
At 1 month post-Dose 2 (Month 3 for GSK1437173A Group adn Month 5 for Control Group)

Antibody concentrations against glycoprotein E (gE) have been assessed by enzyme-linked immunosorbent assay (ELISA), presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL). The reference seropositivity cut-off was an anti-gE antibody concentration greater than or equal to (≥) 97 mIU/mL.

Antibody Concentrations Against Pertussis Toxoid (Anti-PT), Filamentous Hemagglutinin (Anti-FHA) and Pertactin (Anti-PRN) Antigens
At 1 month post-Dose 1 (Month 1)

Anti-PT, anti-FHA and anti-PRN antibody concentrations have been assessed by enzyme-linked immunosorbent assay (ELISA), presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL).

Antibody Concentrations Against Diphteria (Anti-D) and Tetanus (Anti-T) Antigens
At 1 month post-Dose 1 (Month 1)

Anti-PT, anti-FHA and anti-PRN antibody concentrations have been assessed by enzyme-linked immunosorbent assay (ELISA), presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL).

Number of Subjects With Vaccine Response to Anti-gE Antibodies
At one month post-dose 2 (Month 3)

The vaccine response(VRR) for anti-gE humoral immunogenicity, as determined by enzyme-linked immunosorbent assay (ELISA),was assessed only in subjects from the GSK1437173A + GSK2321138A Group. The VRR for anti-gE was defined as the percentage of subjects who had at least: a 4-fold increase in the post-dose 2 anti-gE antibody concentration as compared to the pre-vaccination anti-gE antibody concentration, for subjects who were seropositive at baseline (cut-off ≥ 97 mIU/ml), or, a 4-fold increase in the post dose 2 anti-gE antibody concentrations as compared to the anti-gE antibodies cut-off value for seropositivity, for subjects who were seronegative at baseline (cut-off \< 97 mIU/ml).

Vaccine Response for Anti-gE Humoral Immunogenicity
At one month post-dose 2 (Month 3)

The vaccine response(VRR) for anti-gE humoral immunogenicity, as determined by enzyme-linked immunosorbent assay (ELISA),was assessed only in subjects from the GSK1437173A + GSK2321138A Group. The VRR for anti-gE was defined as the percentage of subjects who had at least: a 4-fold increase in the post-dose 2 anti-gE antibody concentration as compared to the pre-vaccination anti-gE antibody concentration, for subjects who were seropositive at baseline (cut-off ≥ 97 mIU/ml), or, a 4-fold increase in the post dose 2 anti-gE antibody concentrations as compared to the anti-gE antibodies cut-off value for seropositivity, for subjects who were seronegative at baseline (cut-off \< 97 mIU/ml).Criterion used: the objective was met if the Lower Limit (LL) of the 95% confidence interval (CI) of the VRR for anti-gE antibody concentrations was at least 60%.

Adjusted Geometric Mean ELISA Concentrations of Anti-gE Antibodies
At one month post-dose 2 (Month 3 for GSK1437173A + GSK2321138A group and Month 5 for Control group)

Geometric means (GMs) of post-vaccination concentrations (Month 3 for GSK1437173A + GSK2321138A group and Month 5 for Control group) was calculated conditionally to the means of the pre-vaccination log-transformed concentrations for anti-gE (Month 0 for GSK1437173A + GSK2321138A group and Month 2 for Control group). Adjusted Least Squares (LS) means and difference of LS means between the groups were calculated together with 2-sided 95% CIs and back-transformed to the original units to provide GMCs.

FLU Haemagglutination Inhibition (HI) Antibody Titers
At Day 21 post vaccination

For each strain included in the FLU-D-QIV vaccine, an ANOVA model was used to analyze post-vaccination log-transformed titers. The fixed-effect model included the minimization variable (age cohorts) and the treatment as fixed effect. The pre-vaccination log-transformed concentrations were included as continuous covariate. Geometric Means (GM) of post-vaccination titers (Day 21) were calculated conditionally to the means of the pre-vaccination log-transformed titers (Month 0) for each strain. Adjusted GMTs (GMTs adjusted for baseline titers) and Adjusted GMT ratios were calculated together with 2-sided 95% CIs.

Number of Subjects With Anti-Glycoprotein E (Anti-gE) Antibody Concentrations Higher Than or Equal to (≥)18 Milli-international Units Per Milliliter (mIU/mL)
Before vaccination (PRE), two months after Dose 1 (M2) and one month after Dose 2 (M3)

A seropositive subject was defined as a subject whose anti-gE Ab concentration was greater than or equal to the assay cut-off value, of 18 mIU/mL.

Anti-gE Antibody Concentrations
Before vaccination (PRE), two months after Dose 1 (M2) and one month after Dose 2 (M3)

Anti-gE antibody concentrations were expressed as geometric mean concentrations (GMCs) and measured in mIU/mL.

Number of Subjects With Vaccine Response for Anti-gE Antibody Concentrations
At two months after Dose 1 (M2) and one month after Dose 2 (M3)

Vaccine response was defined as: For initially seronegative subjects, antibody concentration at post-vaccination ≥ 4 fold the cut-off for Anti-gE (4x18 mIU/mL); for initially seropositive subjects, antibody concentration at post-vaccination ≥ 4 fold the pre-vaccination antibody concentration.

Descriptive Statistics of Anti-gE Antibody Concentrations
Before vaccination (PRE), at two months after dose 1 (M2) and one month after Dose 2 (M3)

Anti-gE antibody concentrations were assessed by the Enzyme Lynked Immunosorbent Assay.

Mean Number of Days With Local Symptoms
During the 7 day (Days 0-6) post vaccination, after each dose (D)

Days with solicited local symptoms were tabulated for the total vaccinated cohort.

Mean Number of Days With General Symptoms
During the 7 day (Days 0-6) post vaccination, after each dose (D)

Days with solicited general symptoms were tabulated for the total vaccinated cohort.

Number of Subjects With Potential Immune-Mediated Disorders (pIMDs)
From Month 0 to Month 3

Potential immune-mediated diseases (pIMDs) were a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

Number of Subjects With Unsolicited Adverse Events (AEs)
Within 30 days (Days 0-29) post vaccination period

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

Number of Subjects With Serious Adverse Events (SAEs)
From Month 0 to Month 3

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Number of Subjects With Vaccine Response to Anti-glycoprotein E (Anti-gE) Antibodies as Determined by the Enzyme-linked Immunosorbent Assay (ELISA).
At one month (M1) after Dose 2

Vaccine response was defined as: for initially seronegative subjects, antibody concentration at post-vaccination ≥ 4 fold the cut-off for Anti-gE (4x97 mIU/mL); for initially seropositive subjects, antibody concentration at post-vaccination ≥ 4 fold the pre-vaccination antibody concentration. The objective required a comparison of VRR between 0,6-months and 0,12-months schedules.

Concentrations of Antibodies Against Anti-gE as Determined by ELISA.
At one month (M1) after Dose 2
Number of Subjects With Confirmed Herpes Zoster (HZ) Episode
From Month 0 until the cut-off date for final analysis (median follow-up was of 21 months)

A suspected case of HZ was defined as (1) a new rash characteristic of HZ (e.g., unilateral, dermatomal and accompanied by pain broadly defined to include allodynia, pruritus or other sensations), or a vesicular rash suggestive of VZV infection regardless of the distribution, and no alternative diagnosis; or (2) a clinical presentation (symptoms and/or signs) and specific laboratory findings\* suggestive of VZV infection in the absence of characteristic HZ or VZV rash. A suspected case of HZ was confirmed either: by Polymerase Chain Reaction (PCR) or by the HZ Ascertainment Committee (HZAC), consisting of physicians with HZ expertise.

Number of Subjects With Confirmed Herpes Zoster (HZ) Cases
During the entire study period (3 to 5 year period following Day 0)

Confirmed HZ cases during the study were assessed in the Modified Total Vaccinated Cohort (mTVc)

Number of Subjects With Any Episodes of Herpes Zoster (HZ)
During the entire study period (3 to 5 year period following Day 0)

Confirmed HZ cases during the study in the modified total vaccinated cohort (mTVc).

Outcome Measure for the Pooled Analysis of Combined Data From Studies ZOSTER-006 (NCT01165177) and ZOSTER-022 (NCT01165229): Number of Subjects With Post-herpetic Neuralgia (PHN)
During the entire study period (3 to 5 year period following Day 0)

Incidence of PHN calculated using the mTVc during the entire study period in subjects ≥ 70 years of age (YOA).

Outcome Measure for the Pooled Analysis of Combined Data From Studies Zoster-006 (NCT01165177) and Zoster-022 (NCT01165229): Number of Subjects With Confirmed HZ
During the entire study period (3 to 5 year period following Day 0)

Occurrence of confirmed HZ during the entire study period in subjects ≥ 70 YOA.

Number of Subjects With SAEs Related to Study Participation or to a Concurrent GSK Medication/Vaccine
From screening (up to 21 days prior to Month 0) until Month 18

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Number of Subjects With Any Fatal SAEs
From screening (up to 21 days prior to Month 0) until Month 18

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Number of Subjects With Any Adverse Events (AEs) of Specific Interest
From Month 0 until Month 18

AEs of specific interest include new onset of autoimmune diseases (NOADs) and other immune mediated inflammatory disorders from administration of the first dose of vaccine/placebo.

Number of Subjects With Any, Grade 3 and Related Solicited Local Symptoms
Within the 7-day (Days 0-6) post-vaccination period following each dose and across doses

Assessed solicited local symptoms were pain, redness and swelling. Any = incidence of a particular symptom regardless of their intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.

Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Within the 7-day (Days 0-6) post-vaccination period following each dose and across doses

Assessed solicited general symptoms were fatigue, gastrointestinal (symptoms included nausea, vomiting, diarrhoea and/or abdominal pain), headache, myalgia, shivering and temperature \[defined as oral/axillary temperature above (\>) 37.5 degrees Celsius (°C)\]. Any = incidence of a particular symptom regardless of their intensity grade or relationship to vaccination. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

Number of Subjects With Unsolicited AEs
Within 30 days (Days 0-29) after each vaccination

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

Number of Subjects With Any Hematological and Biochemical Parameters Below, Within or Above Normal Laboratory Ranges
At Screening Visit (up to 21 days prior to Month 0)

The assessed parameters were Alanine Aminotransferase, Albumin, Alkaline Phosphatase, Aspartate Aminotransferase, Basophils, Bilirubin Total, Bilirubin Conjugated / Direct, Creatinine, Eosinophils, Glucose, Bicarbonate, Haemoglobin, Potassium, Lymphocytes, Monocytes, Sodium, Neutrophils, Platelets and White Blood Cells. Tabulation was made by relation to the normal laboratory ranges: below, within or above, and also status unknown.

Number of Subjects With Any Significant Change in Antiretroviral Therapy (ART), Including Initiation of ART in ART-naïve Subjects
From Month 0 until Month 18

In this analysis, results were tabulated for the main study groups. Significant changes to ART appeared due to failure to control HIV viral load and due to failure to maintain high CD4 cells count.

Number of Subjects With Any AIDS-defining Condition
From Month 0 until Month 18

In this analysis, results were tabulated for the main study groups.

Number of Subjects With Any Pre-defined Changes in HIV Viral Load (VL) and CD4 T-cell Count
From Month 1 to Month 7

In this analysis, results were tabulated for the main study groups.

Number of Subjects With Any Significant Change in Antiretroviral Therapy (ART), Including Initiation of ART in ART-naïve Subjects, by HIV Status
From Month 0 to Month 18

In this analysis, results were tabulated by HIV status

Number of Subjects With Any AIDS-defining Condition, by HIV Status
From Month 0 to Month 18

In this analysis, results were tabulated by HIV status

Number of Subjects With Any Pre-defined Changes in HIV Viral Load (VL) and CD4 T-cell Count, by HIV Status
From Month 1 to Month 7

In this analysis, results were tabulated by HIV status.

Frequency of gE-specific CD4 T-cells
At Month 7

The analysis focused on CD4 T-cells expressing at least 2 cytokines (among interferon-gamma (IFN-g) , interleukin-2 (IL-2), tumour necrosis factor-alpha (TNF-a) and/or CD40 ligand (CD40L)) as determined by in vitro intracellular cytokine staining (ICS) at Month 7 in ART and non-ART cohorts presenting high CD4 counts at enrollment.

-Anti-gE Antibody (Ab) Concentrations
At Month 7

-Anti-gE antibody (Ab) concentrations were determined by Enzyme-Linked Immunosorbent Assay (ELISA) at Month 7 in ART and non-ART cohorts presenting high CD4 counts at enrolment. Antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL).

Frequency of gE-specific Cluster of Differentiation 4 (CD4+) T-cells Expressing at Least 2 Different Immunological Activation Markers
One month after the second vaccination (Month 3)

The analysis focused on CD4+ T-cells expressing at least 2 immunological activation markers among Interferon gamma (IFN-γ), Interleukin 2 (IL-2), Tumour Necrosis Factor alpha (TNF-α) and CD40 Ligand (CD40L). Frequencies were determined by in vitro Intracellular Cytokine Staining (ICS).

Frequency of Varicella-Zoster Virus (VZV)-Specific CD4+ T-cells Expressing at Least 2 Different Immunological Activation Markers
One month after the second vaccination (Month 3)

The analysis focused on CD4+ T-cells expressing at least 2 immunological activation markers among Interferon gamma (IFN-γ), Interleukin 2 (IL-2), Tumour Necrosis Factor alpha (TNF-α) and CD40 Ligand (CD40L). Frequencies were determined by in vitro Intracellular Cytokine Staining (ICS).

Anti-glycoprotein E (gE) Antibody Concentrations
One month after the second vaccination (Month 3)

Concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and are presented as geometric mean concentrations (GMCs), expressed in milli-international units per milliliter (mIU/mL).

Anti-VZV Antibody Concentrations
One month after the second vaccination (Month 3)

Concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and are presented as geometric mean concentrations (GMCs), expressed in milli-international units per milliliter (mIU/mL).

Frequency of Glycoprotein E (gE)-Specific Cluster of Differentiation (CD4) T-cells Expressing at Least Two Different Activation Markers
One month after the second vaccination (Month 3)

Among the activation markers expressed were interleukin-2 \[IL-2\] and/or interferon-gamma \[IFN-γ\] and/or tumour necrosis factor-alpha \[TNF-α\] and/or cluster of differentiation 40-ligand \[CD40-L\]. Analysis of cytokines expression was done by means of in vitro flow cytometry using intracellular cytokine staining (ICS) in subjects aged 70 or higher (≥).

Frequency Odds Ratio of gE-specific CD4 T-cells Expressing at Least Two Different Activation Markers
One month after the second vaccination (Month 3)

Among the activation markers expressed were interleukin-2 \[IL-2\] and/or interferon-gamma \[IFN-γ\] and/or tumour necrosis factor-alpha \[TNF-α\] and/or cluster of differentiation 40-ligand \[CD40-L\]. Analysis of cytokines expression was done by means of in vitro flow cytometry using intracellular cytokine staining (ICS) in subjects ≥ 70 years old. The odds-ratios are calculated using the the frequency of CD4 secreting cytokines, upon in vitro stimulation with the specific antigen, at the numerator and the frequency of the CD4 secreting cytokines with the medium only (background level) at the denominator. The odds-ratios represent the fold-change in the specific response compared to the background level.

Frequency of gE-specific CD4 T-cells Expressing at Least Two Different Activation Markers
One month after the second vaccination (Month 3)

Among the activation markers expressed were interleukin-2 \[IL-2\] and/or interferon-gamma \[IFN-γ\] and/or tumour necrosis factor-alpha \[TNF-α\] and/or cluster of differentiation 40-ligand \[CD40-L\]. Analysis of cytokines expression was done by means of in vitro flow cytometry using intracellular cytokine staining (ICS) in subjects ≥ 70 years old.

Solicited local and general symptoms
Day 0-6 after each vaccination
Unsolicited adverse events
Day 0 -29
Serious adverse events
From dose 1 up to the end of the study
Occurrence of pre-defined adverse events
From dose 1 up to study end
Haematological and biochemical parameters
Months 0, 1 and 3
Secondary Endpoints
Number of Participants Having at Least One Confirmed HZ Case During the Total Duration of ZOSTER-049:EXT 006-022 Study, by Age Ranges
During the total duration of ZOSTER-049:EXT 006-022 study (From Month 0 to Month 72)
Number of Participants Having at Least One Confirmed HZ Case From One Month Post-Dose 2 in ZOSTER-006/022 Studies Until the End of ZOSTER-049:EXT 006-022 Study, Overall and by Age Ranges
From one month post-Dose 2 (Month 3) in ZOSTER-006/022 primary studies until the end of ZOSTER-049:EXT 006-022 study (Month 72), a period of approximately 12 years
Number of Participants Having at Least One Confirmed HZ Case Over the Follow-up Years From One Month Post-Dose 2 in ZOSTER-006/022 Studies Until the End of ZOSTER-049:EXT 006-022 Study, Overall and by Age Ranges
Over the follow-up years (Year 1, Year 2, Year 3, Year 4, Year 6, Year 7, Year 8, Year 9, Year 10 and Year 11) from one month post-Dose 2 (Month 3) in ZOSTER-006/022 primary studies until the end of ZOSTER-049:EXT 006-022 study (Month 72)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelFACTORIAL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
LTFU GroupNO_INTERVENTIONParticipants who received at least 1 dose of the HZ/su vaccine in the ZOSTER-006/022 primary studies and no additional doses of the HZ/su vaccine in the current ZOSTER-049:EXT 006-022 study were followed up for long-term vaccine efficacy and safety.
1-Additional Dose GroupEXPERIMENTALParticipants who received 2 doses of the HZ/su vaccine in the ZOSTER-006/022 primary studies received 1 additional dose of the HZ/su vaccine at Month 0 in the current ZOSTER-049:EXT 006-022 study.
Revaccination GroupEXPERIMENTALParticipants who received 2 doses of the HZ/su vaccine in the ZOSTER-006/022 primary studies were revaccinated with 2 additional doses of the HZ/su vaccine at Month 0 and Month 2 in the current ZOSTER-049:EXT 006-022 study.
Control GroupNO_INTERVENTIONParticipants who received 2 doses of the HZ/su vaccine in the ZOSTER-006/022 primary studies and no additional doses of the HZ/su vaccine in the current ZOSTER-049:EXT 006-022 study, but who served as a control for the 2 groups that received 1 or 2 additional doses (1-Additional Dose Group and Revaccination Group).
GSK1437173A vaccine GroupEXPERIMENTALSubjects who completed vaccination course of 2 doses of HZ/su vaccine (group 50 μg gE/AS01B) in the study Zoster-003 (NCT00434577) were included in this study. 62 of these subjects further received 1 or 2 additional doses of HZ/su vaccine in the revaccination phase of this study
HZ/su GroupEXPERIMENTALSubjects received Herpes Zoster subunit vaccine, administered intramuscularly (IM) in the deltoid of the non-dominant arm
GSK1437173A GroupEXPERIMENTALSubjects, aged 18 years or older, received 2 doses of the GSK 1437173A vaccine, adjuvanted with AS01B at Day 0, and Month 1, administered intramuscularly, in the deltoid muscle of an arm.
Placebo GroupPLACEBO_COMPARATORSubjects, aged 18 years or older, received 2 doses of Placebo (lyophilised sucrose reconstituted with saline \[NaCl\] solution) at Day 0, and Month 1, administered intramuscularly, in the deltoid muscle of an arm.
Co-Ad GroupEXPERIMENTALSubjects received one dose of the GSK1437173A study vaccine and one dose of the Pneumovax™ 23 vaccine at Day 0 and a second dose of GSK1437173A study vaccine at Month 2. GSK1437173A vaccine was administered intramuscularly, in the deltoid region of the non-dominant arm. Pneumovax™ 23 was administered intramuscularly, in the deltoid region of the dominant arm.
SC HZ/su GroupEXPERIMENTALSubjects will receive HZ/su vaccine administered SC on a 0,2-month schedule.
IM HZ/su GroupACTIVE_COMPARATORSubjects will receive HZ/su vaccine administered IM on a 0,2-month schedule.
HZ/su-0,2 GroupEXPERIMENTALSubjects will receive HZ/su vaccine on a 0,2-month schedule.
HZ/su-0,6 GroupEXPERIMENTALSubjects will receive HZ/su vaccine on a 0,6-month schedule.
HZ/su-0,12 GroupEXPERIMENTALSubjects will receive HZ/su vaccine on a 0,12-month schedule.
Zoster vaccine groupEXPERIMENTALSubjects will receive Herpes Zoster Vaccine GSK1437173A according to a 0, 2-month schedule
GSK1437173A formulation 1 GroupEXPERIMENTALMale or female subjects, 50 years of age or above, who received 2 doses of GSK1437173A (gE/ASO1B and gE/ASO1E) formulation 1 vaccine, administered intramuscularly in the upper deltoid region of the non-dominant arm on a 0, 2 month schedule.
GSK1437173A formulation 2 GroupEXPERIMENTALMale or female subjects, 50 years of age or above, who received 2 doses of GSK1437173A (gE/ASO1B and gE/ASO1E) GSK1437173A formulation 2 vaccine, administered intramuscularly in the upper deltoid region of the non-dominant arm on a 0, 2 month schedule.
GSK1437173A formulation 3 GroupEXPERIMENTALMale or female subjects, 50 years of age or above, who received 2 doses of GSK1437173A (gE/ASO1B and gE/ASO1E) formulation 3 vaccine, administered intramuscularly in the upper deltoid region of the non-dominant arm on a 0, 2 month schedule.
GSK1437173A _LD GroupEXPERIMENTALHealthy male or female subjects aged 60 years or older, who received 2 doses of herpes zoster subunit vaccine (GSK1437173A) low dose (LD) formulation, according to a 0, 2-month schedule. The vaccine was administrated by intramuscular injection (IM) in the upper deltoid site of the left arm.
GSK1437173A _MD GroupEXPERIMENTALHealthy male or female subjects aged 60 years or older, who received 2 doses of herpes zoster subunit vaccine (GSK1437173A) medium dose (MD) formulation, according to a 0, 2-month schedule. The vaccine was administrated by (IM) in the upper deltoid site of the left arm.
GSK1437173A _HD GroupEXPERIMENTALHealthy male or female subjects aged 60 years or older, who received 2 doses of herpes zoster subunit vaccine (GSK1437173A) high dose (HD) formulation, according to a 0, 2-month schedule. The vaccine was administrated by (IM) in the upper deltoid site of the left arm.
Placebo + GSK1437173A _HD GroupPLACEBO_COMPARATORHealthy male or female subjects aged 60 years or older, who received a 1st dose of saline solution and a 2nd dose of GSK1437173A high dose (HD) formulation, according to a 0, 2-month schedule. The vaccine was administrated by (IM) in the upper deltoid site of the left arm.
GSK1437173A_MODIFIED GROUPACTIVE_COMPARATORHealthy male or female subjects aged 60 years or older, who received 2 doses of GSK1437173A modified formulation vaccine reconstituted with saline solution, according to a 0, 2-month schedule. The vaccine was administrated by (IM) in the upper deltoid site of the left arm.
Group AEXPERIMENTAL -
Interventions
NameTypeDescription
Herpes Zoster Vaccine GSK1437173ABIOLOGICALIntramuscular injection
PlaceboDRUG2 doses administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
Herpes Zoster vaccine GSK 1437173ABIOLOGICAL2 doses administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
Licensed pneumococcal polysaccharide conjugate vaccine (23-valent, adsorbed), Pneumovax 23™BIOLOGICALOne dose administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
BoostrixBIOLOGICAL1 dose administered intramuscularly (IM) in the deltoid region of the dominant arm at Visit Day 0 for both Co-Ad and Control groups.
GSK Biologicals' quadrivalent seasonal influenza vaccine FLU-D-QIV GSK2321138ABIOLOGICAL2 doses administered intramuscularly (IM) in the deltoid region of the dominant arm.
Herpes Zoster vaccine GSK1437173A Low DoseBIOLOGICALSingle or two-dose intramuscular injection.
Herpes Zoster vaccine GSK1437173A Medium DoseBIOLOGICALSingle or two-dose intramuscular injection.
Herpes Zoster vaccine GSK1437173A High DoseBIOLOGICALSingle or two-dose intramuscular injection.
Herpes Zoster vaccine GSK1437173A ModifiedBIOLOGICALSingle or two-dose intramuscular injection.
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites161

Inclusion Criteria: * Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits, ability to have scheduled contacts to allow evaluation during the study). Or subjects with a caregiver...

Countries:United StatesAustraliaBrazilCanadaCzechiaEstoniaFinlandFranceGermanyHong KongItalyJapanMexicoSouth KoreaSpainSwedenTaiwanUnited KingdomBelgiumPanamaBulgariaGreeceIsraelMalaysiaNetherlandsNew ZealandPolandRomaniaRussiaSouth AfricaTurkey (Türkiye)
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