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Herpes Zoster vaccine

Phase 3

Herpes Zoster | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: May 14, 2021

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-BlindCONTROLLEDBiomarker
Total Trials3
Total Enrollment1,315
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02075515Consistency, Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster (HZ) Vaccine GSK1437173A in Adults ≥ 50 Years of AgePHASE3 COMPLETED 651Aug 13, 2014Apr 25, 2016May 14, 20218 United States, Belgium +1
NCT01827839Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine GSK1437173A in Adults With a Prior Episode of Herpes ZosterPHASE3 COMPLETED 96Jun 10, 2013Nov 25, 2014Oct 18, 20184 Canada, Russia
NCT01767467Study to Assess the Safety and Immunogenicity of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine in Adults Aged 18 Years and Older With Blood CancersPHASE3 COMPLETED 568Mar 1, 2013Jan 6, 2017Jun 6, 201886 United States, Australia +19
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Study Endpoints
Primary Endpoints
Number of Subjects With Anti-gE Antibody Concentrations Equal to or Above the Cut-off Value
At Month 3

Anti-gE antibody concentrations, as determined by Enzyme-linked Immunosorbent Assay (ELISA). The cut-off value was ≥ 97 milli international units per milliliter (mIU/mL).

Number of Vaccine Responders for Anti-gE Antibodies as Determined by ELISA
At Month 3

Vaccine response was defined as: For initially seronegative subjects, antibody concentration at post-vaccination ≥ 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.

Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Within 7 days (Day 0-6) after each vaccine 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 that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.

Number of Days With Solicited Local Symptoms
Within 7 days (Day 0-6) after each vaccine dose

The number of days with any local symptoms during the solicited post-vaccination period.

Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Within 7 days (Day 0-6) after each vaccine dose and across doses

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

Number of Days With Solicited General Symptoms
Within 7 days (Day 0-6) after each vaccine dose

The number of days with general symptoms during the solicited post-vaccination period.

Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (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 Serious Adverse Events (SAEs)
From first vaccination up to 30 days post last vaccination

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 Potential Immune-mediated Diseases (pIMDs)
From first vaccination up to 30 days post last vaccination

Potential immune-mediated diseases (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.

Vaccine Response Rates (VRR) for Anti-glycoprotein E (Anti-gE) Antibody Concentrations
At Month 2

Vaccine response rate refers to the percentage of subjects with a vaccine response, as determined by Enzyme-Linked Immunosorbent Assay (ELISA). Vaccine response was defined as: For initially seronegative subjects, antibody concentration at Month 2 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 Month 2 ≥ 4 fold the pre-vaccination antibody concentration. This analysis was performed on subjects with haematologic malignancies excluding subjects with Non-Hodgkin B-cell Lymphoma and Chronic Lymphocytic Leukaemia.

Adjusted Geometric Mean Concentration of Anti-gE Antibodies
At Month 2

The Adjusted geometric mean concentration was measured in all subjects excluding those with Non-Hodgkin B-cell Lymphoma and Chronic Lymphocytic Leukaemia.

Number of Subjects With Serious Adverse Events (SAEs)
From first vaccination up to 30 days post last vaccination

A Serious adverse event (SAE) is any untoward medical occurrence that result in death, is life threatening, requires hospitalisation or prolongation of existing hospitalisation, results in disability/incapacity, or is a congenital anomaly/birth defect in the offspring of a study subject. Related = SAEs assessed by the investigator as causally related to the study vaccination

Number of Subjects Reporting Any and Related Potential Immune-mediated Diseases (pIMDs)
From first vaccination up to 30 days post last vaccination

Potential immune-mediated diseases (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 assessed by the investigator as causally related to the study vaccination

Secondary Endpoints
Anti-gE Humoral Immunogenicity
At Month 0 and Month 3
Number of Vaccine Responders for Anti-gE Concentrations as Determined by ELISA
At Month 3
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Within 7 days (Days 0-6) after each vaccine dose and across doses
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
HZ/su Lot AEXPERIMENTALSubjects will receive Lot A of the HZ/su vaccine at 0 and 2 months. The HZ/su vaccine composed of unique randomized combinations of an adjuvant lot and one gE lot.
HZ/su Lot BEXPERIMENTALSubjects will receive Lot B of the HZ/su vaccine at 0 and 2 months. The HZ/su vaccine composed of unique randomized combinations of an adjuvant lot and one gE lot.
HZ/su Lot CEXPERIMENTALSubjects will receive Lot C of the HZ/su vaccine at 0 and 2 months. The HZ/su vaccine composed of unique randomized combinations of an adjuvant lot and one gE lot.
HZ GroupEXPERIMENTALSubjects will receive 2 doses of the HZ/su vaccine at Month 0 and Month 2.
Vaccine GroupEXPERIMENTALSubjects will receive the candidate HZ vaccine (GSK 1437173A).
Placebo GroupPLACEBO_COMPARATORSubjects will receive the placebo vaccine.
Interventions
NameTypeDescription
Herpes Zoster vaccine (GSK 1437173A)BIOLOGICAL2 doses administered intramuscularly in deltoid region of non-dominant arm.
Herpes Zoster vaccine (GSK1437173A)BIOLOGICAL2 doses administered intramuscularly in deltoid region of non-dominant arm.
PlaceboDRUG2 doses administered intramuscularly (IM) in deltoid region of non-dominant arm. Dose 1 administered at Day 0. Dose 2 administered 1-2 months post Dose 1.
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites8

Inclusion Criteria: * Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol. * A male or female aged 50 years or older at the time of the first vaccination. * Written informed consent obtained from the subject. * Female subjects of non-childbear...

Countries:United StatesBelgiumCanadaRussiaAustraliaCzechiaFinlandFranceHong KongItalyNew ZealandPakistanPanamaPolandSingaporeSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United Kingdom
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