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ZOSTAVAX

Phase 3

Herpes Zoster | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: Jan 11, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment1,999

FDA Designations

No designations recorded

Clinical trial landscape

ZOSTAVAX · 4 trials · 2 indications

Phase 3 4
NCT02519855Study to Evaluate Immunogenicity, Safety, and Tolerability of ZOSTAVAX™ Vaccine (Zoster Vaccine Live, V211) Administered Concomitantly Versus Nonconcomitantly With Quadrivalent Influenza Virus Vaccine (Inactivated) in Participants ≥50 Years of Age (V211-062)Herpes Zoster
COMPLETED882 Analytics
NCT01391546Immunogenicity and Safety Study of ZOSTAVAX Administered by Intramuscular or Subcutaneous Route to Participants Aged From 50 Years Old (V211-045)Herpes Zoster
COMPLETED354 Analytics
NCT00561080Immunogenicity and Safety of a 1-dose Regimen of a Zoster Vaccine Versus Different 2-dose Regimens in Participants ≥ 70 Years of Age. (V211-043)Prevention of : Herpes-Zoster
COMPLETED759 Analytics
NCT00231816A Study of an Investigational Zoster Vaccine in Subjects With a History of Varicella (Chickenpox) Given Concomitantly With Another Vaccine (V211-011)Herpes Zoster
COMPLETED763 Analytics
PHASE3COMPLETED
Study to Evaluate Immunogenicity, Safety, and Tolerability of ZOSTAVAX™ Vaccine (Zoster Vaccine Live, V211) Administered Concomitantly Versus Nonconcomitantly With Quadrivalent Influenza Virus Vaccine (Inactivated) in Participants ≥50 Years of Age (V211-062)
Herpes ZosterUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety Study of ZOSTAVAX Administered by Intramuscular or Subcutaneous Route to Participants Aged From 50 Years Old (V211-045)
Herpes ZosterUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety of a 1-dose Regimen of a Zoster Vaccine Versus Different 2-dose Regimens in Participants ≥ 70 Years of Age. (V211-043)
Prevention of : Herpes-ZosterUnlock trial analytics
PHASE3COMPLETED
A Study of an Investigational Zoster Vaccine in Subjects With a History of Varicella (Chickenpox) Given Concomitantly With Another Vaccine (V211-011)
Herpes ZosterUnlock trial analytics

Study Endpoints

Primary Endpoints

Geometric Mean Titer (GMT) of Varicella-zoster Virus (VZV) Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Antibody
Baseline and 4 weeks after ZOSTAVAX™ vaccination (Week 4 for Concomitant group and Week 8 for Nonconcomitant group)

Anti-VZV antibodies were determined using a Glycoprotein Enzyme-linked Immunosorbent Assay. Baseline was Day 1 for the Concomitant group and Week 4 for the Nonconcomitant group.

Geometric Mean Fold Rise From Baseline in VZV gpELISA Antibody Titers
Baseline and 4 weeks after ZOSTAVAX™ vaccination (Week 4 for Concomitant group and Week 8 for Nonconcomitant group)

Anti-VZV antibodies were determined using a Glycoprotein Enzyme-linked Immunosorbent Assay. Baseline was Day 1 for the Concomitant group and Week 4 for the Nonconcomitant group.

Geometric Mean Titers of H1N1-specific Influenza Virus Antibody
Baseline and 4 weeks after Influenza vaccination (Week 4)

Antibodies to H1N1-specific influenza virus hemagglutinin were measured using a Hemagglutinin Inhibition (HAI) assay. Antibody titers are the reciprocal of the highest dilution of serum that completely inhibited hemagglutinin.

Geometric Mean Titers of H3N2-specific Influenza Virus Antibody
Baseline and 4 weeks after Influenza vaccination (Week 4)

Antibodies to H3N2-specific influenza virus hemagglutinin were measured using a Hemagglutinin Inhibition (HAI) assay. Antibody titers are the reciprocal of the highest dilution of serum that completely inhibited hemagglutinin.

Geometric Mean Titers of B-Yamagata-specific Influenza Virus Antibody
Baseline and 4 weeks after Influenza vaccination (Week 4)

Antibodies to B-Yamagata-specific influenza virus hemagglutinin were measured using a Hemagglutinin Inhibition (HAI) assay. Antibody titers are the reciprocal of the highest dilution of serum that completely inhibited hemagglutinin.

Geometric Mean Titers of B-Victoria-specific Influenza Virus Antibody
Baseline and 4 weeks after Influenza vaccination (Week 4)

Antibodies to B-Victoria-specific influenza virus hemagglutinin were measured using a Hemagglutinin Inhibition (HAI) assay. Antibody titers are the reciprocal of the highest dilution of serum that completely inhibited hemagglutinin.

Geometric Mean Titre (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks Post-vaccination
4 week post-vaccination

Blood samples taken at 4 weeks post vaccination to determine the geometric mean titre (GMT) of VZV antibodies via Glycoprotein Enzyme Linked Immunosorbent Assay (gpELISA).

Geometric Mean Fold Rise (GMFR) in VZV Antibody Titre: IM Route
Pre-vaccination (Day 0) and 4 week post-vaccination

Blood sample taken at predose (Day 0) and 4 weeks post vaccination to determine the geometric mean titre (GMT) of VZV antibodies via gpELISA. The GMFR was calculated as GMT Post-dose/GMT Pre-vaccination

Geometric Mean Titer (GMT) of Varicella Zoster Virus (VZV) Antibodies 4 Weeks After Each Vaccination: Groups 2 and 3
4 weeks post-dose 1 (Month 1 for all groups) and 4 weeks post-dose 2 (Month 2 for Group 2 and Month 4 for Group 3)

Blood samples taken at 4 weeks post each vaccination to determine the geometric mean titer (GMT) of VZV antibodies via Glycoprotein Enzyme Linked Immunosorbent Assay (gpELISA).

Varicella-zoster Virus (VZV) Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Antibody Responses
4 weeks

The Geometric mean titer (GMT) of the VZV glycoprotein enzyme-linked immunosorbent assay (gpELISA) antibody responses at Week 4 postvaccination in participants who received ZOSTAVAX™ concomitantly with influenza vaccine was compared to that in subjects who received influenza vaccine and ZOSTAVAX™ nonconcomitantly.

Secondary Endpoints

Geometric Mean Fold Rise (GMFR) in VZV Antibody Titre: SC Route
Pre-vaccination (Day 0) and 4 week post-vaccination
Geometric Mean Count (GMCs) of VZV Interferon Gamma ((IFN-γ) Enzyme-Linked ImmunoSpot (ELISPOT) Antibodies
4 week post-vaccination
Geometric Mean Fold Rise (GMFR) of IFN-γ ELISPOT Antibodies
Pre-vaccination (Day 0) and 4 week post-vaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Concomitant VaccinationEXPERIMENTALZOSTAVAX™ concomitantly with influenza vaccine on Day 1, placebo to ZOSTAVAX™ at Week 4
Nonconcomitant VaccinationEXPERIMENTALInfluenza vaccine and placebo to ZOSTAVAX™ on Day 1, ZOSTAVAX™ at Week 4
ZOSTAVAX intramuscular (IM) routeEXPERIMENTALSingle dose of 0.65 mL via IM injection
ZOSTAVAX subcutaneous (SC) routeACTIVE_COMPARATORSingle dose of 0.65 mL via SC injection
Single Dose of ZostavaxEXPERIMENTALZostavax 0.65mL intramuscular injection administered on Day 0
Zostavax - Day 0 and Month 1EXPERIMENTALZostavax 0.65mL intramuscular injection administered on Day 0 and Month 1
Zostavax - Day 0 and Month 3EXPERIMENTALZostavax 0.65mL intramuscular injection administered on Day 0 and Month 3
ConcomitantEXPERIMENTALZostavax concomitantly with influenza vaccine on Day 1, placebo at week 4
NonconcomitantEXPERIMENTALInfluenza vaccine and Zostavax placebo on Day 1, Zostavax at week 4

Interventions

NameTypeDescription
ZOSTAVAX™BIOLOGICALA single blinded administration of 0.65 mL subcutaneous injection on Day 1 (concomitant) or at Week 4 (nonconcomitant)
Placebo to ZOSTAVAX™BIOLOGICALA single blinded administration of 0.65 mL subcutaneous injection on Day 1 (nonconcomitant) or at Week 4 (concomitant)
Influenza VaccineBIOLOGICALA single open-label administration of 0.5 mL intramuscular injection on Day 1
ZOSTAVAXBIOLOGICAL1 dose 0.65 mL
ZOSTAVAX™ (concomitant)BIOLOGICALa single administration of 0.65 mL subcutaneous injection of zoster vaccine live on Day 1 and placebo at Week 4
Comparator: Influenza VaccineBIOLOGICALa single administration of 0.5 mL intramuscular injection of influenza vaccine (inactivated) at Day 1
ZOSTAVAX™ (Nonconcomitant)BIOLOGICALPlacebo injection on Day 1 and a single administration of 0.65 mL subcutaneous injection of zoster vaccine live at Week 4
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Has history of varicella or residence in a VZV-endemic area for ≥30 years * Is male, female not of reproductive potential, or female of reproductive potential and has a negative pregnancy test and agrees to avoid becoming pregnant throughout the study Exclusion Criteria: * H...

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Frequently asked questions about ZOSTAVAX

What is ZOSTAVAX used for?

ZOSTAVAX is a vaccine used for the prevention of herpes zoster, also known as shingles. It is indicated for the prevention of herpes zoster in adults. The vaccine is being studied in clinical trials for this purpose.

Who makes ZOSTAVAX?

ZOSTAVAX is developed by Merck & Company, Inc., which is publicly traded under the ticker symbol MRK. Merck is the company responsible for the development and clinical trials of this vaccine.

What phase is ZOSTAVAX in?

ZOSTAVAX is in Phase 3 clinical development. All three completed trials for ZOSTAVAX are Phase 3 trials. The vaccine is investigational and not yet approved by regulatory authorities.

What clinical trials is ZOSTAVAX in?

ZOSTAVAX has been studied in three completed Phase 3 trials: NCT00231816, NCT00561080, and NCT01391546. These trials evaluated the vaccine's immunogenicity and safety in adults aged 50 years and older, including those with a history of chickenpox.

How does ZOSTAVAX work?

ZOSTAVAX is a vaccine designed to prevent herpes zoster. It works by stimulating the immune system to produce a protective response against the varicella-zoster virus, which causes shingles. The vaccine is administered to elicit immunity and reduce the risk of developing herpes zoster.