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Zoster Vaccine, Live

Phase 3

Herpes Zoster | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: Apr 12, 2017

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_CONTROLLEDBiomarker
Total Trials4
Total Enrollment1,880
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01505647Safety and Immunogenicity of Zoster Vaccine (ZOSTAVAX™) Made With an Alternative Manufacturing Process (AMP) (V211-042 AM1)PHASE3 COMPLETED 498Apr 1, 2012Nov 1, 2012Apr 12, 2017 -
NCT01245751Safety, Tolerability, and Immunogenicity of a Booster Dose of Zoster Vaccine, Live (V211-029)PHASE3 COMPLETED 600Apr 1, 2011May 1, 2015Apr 12, 2017 -
NCT00535730ZOSTAVAX™ Administered Concomitantly With PNEUMOVAX™ 23 (V211-012)(COMPLETED)PHASE3 COMPLETED 473Jun 1, 2007Feb 1, 2008Apr 12, 2017 -
NCT00546819ZOSTAVAX™ in Patients on Chronic/Maintenance Corticosteroids (V211-017) (COMPLETED)PHASE2 COMPLETED 309Oct 1, 2007Aug 1, 2010Apr 12, 2017 -
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Study Endpoints
Primary Endpoints
Geometric Mean Titer (GMT) of Varicella-Zoster Virus (VZV) Antibody
Day 1 and Week 6 postvaccination

VZV antibody titers were determined by glycoprotein enzyme-linked immunosorbent assay (gpELISA)

Geometric Mean Fold Rise (GMFR) in VZV Antibody Titers
Day 1 (Baseline) to Week 6 postvaccination

VZV antibody titers were determined by gpELISA. The GMFR reports the geometric mean of the ratio of individual participant VZV antibody titers at Week 6 / Day 1 (Baseline).

Geometric Mean Titer (GMT) of the Antibody Responses to Varicella-Zoster Virus (VZV)
Day 1 (Baseline) and Week 6 postvaccination

VZV antibody titers were determined by glycoprotein enzyme-linked immunosorbent assay (gpELISA)

Geometric Mean Fold Rise (GMFR) From Day 1 (Baseline) to Week 6 Postvaccination in VZV Antibody Titers
Day 1 (Baseline) and Week 6 postvaccination

VZV antibody titers were determined by gpELISA. The GMFR measures the rise in VZV antibodies from Day 1 (Baseline) to Week 6 postvaccination.

Geometric Mean Titer (GMT) of Varicella-zoster Virus (VZV) Antibody Responses at 4 Weeks Postvaccination
4 weeks postvaccination

GMT of the VZV antibody responses at 4 weeks postvaccination in subjects who receive ZOSTAVAX™ concomitantly with PNEUMOVAX™ 23 and those who receive ZOSTAVAX™ and PNEUMOVAX™ 23 nonconcomitantly. \*gpELISA = glycoprotein enzyme-linked immunosorbent assay

Geometric Mean Fold Rise (GMFR) of the Varicella-zoster Virus (VZV) Antibody Responses From Day 1 to 4 Weeks Postvaccination.
Four weeks postvaccination

GMFR of the VZV antibody response from prevaccination to Week 4 postvaccination in subjects who receive ZOSTAVAX™ concomitantly with PNEUMOVAX™ 23. gpELISA = glycoprotein enzyme-linked immunosorbent assay.

Geometric Mean Titer (GMT) of the Pneumococcal Polysaccharide (PnPs) Serotype 3 Antibody Response at 4 Weeks Postvaccination.
Four weeks postvaccination

GMT of the PnPs serotype 3 antibody response at 4 weeks postvaccination in subjects who receive ZOSTAVAX™ concomitantly with PNEUMOVAX™ 23 and those who receive ZOSTAVAX™ and PNEUMOVAX™ 23 nonconcomitantly.

Geometric Mean Titer (GMT) of the Pneumococcal Polysaccharide (PnPs) Serotype 14 Antibody Response at 4 Weeks Postvaccination.
Four weeks postvaccination

GMT of the PnPs serotype 14 antibody response at 4 weeks postvaccination in subjects who receive ZOSTAVAX™ concomitantly with PNEUMOVAX™ 23 and those who receive ZOSTAVAX™ and PNEUMOVAX™ 23 nonconcomitantly.

Geometric Mean Titer (GMT) of the Pneumococcal Polysaccharide (PnPs) Serotype 19A Antibody Response at 4 Weeks Postvaccination.
Four weeks postvaccination

GMT of the PnPs serotype 19A antibody response at 4 weeks postvaccination in subjects who receive ZOSTAVAX™ concomitantly with PNEUMOVAX™ 23 and those who receive ZOSTAVAX™ and PNEUMOVAX™ 23 nonconcomitantly.

Geometric Mean Titer (GMT) of the Pneumococcal Polysaccharide (PnPs) Serotype 22F Antibody Response at 4 Weeks Postvaccination.
Four weeks postvaccination

GMT of the PnPs serotype 22F antibody response at 4 weeks postvaccination in subjects who receive ZOSTAVAX™ concomitantly with PNEUMOVAX™ 23 and those who receive ZOSTAVAX™ and PNEUMOVAX™ 23 nonconcomitantly.

Number of Participants With Serious Adverse Events (SAE)
Up to 182 days postvaccination

A serious adverse event is defined as any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an "other important medical event" based on medical judgement.

Secondary Endpoints
Number of Participants With One or More Adverse Experiences (AEs)
Day 1 to Day 42 postvaccination
Number of Participants With One or More Serious Adverse Experience (SAE) Day 1 to 42 Postvaccination
Day 1 to Day 42 postvaccination
Number of Participants With One or More Serious Adverse Experience Day 1 to 182 Postvaccination
Day 1 to Day 182 postvaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
ZOSTAVAX™ (AMP)EXPERIMENTALZOSTAVAX™ manufactured with an alternative process
ZOSTAVAX™ACTIVE_COMPARATORZOSTAVAX™ manufactured with the current process
Group 1: Booster Dose Participants ≥70 years of ageEXPERIMENTALHerpes zoster history-negative participants ≥70 years of age who received Zoster Vaccine, Live approximately 10 years prior in the Shingles Prevention Study V211-004 NCT00007501)
Group 2: First Dose Participants ≥70 years of ageEXPERIMENTALHerpes zoster history-negative participants ≥70 years of age who have never received Zoster Vaccine, Live and are matched to Group 1 participants by age
Group 3: First Dose Participants ≥60 and <70 years of ageEXPERIMENTALHerpes zoster history-negative participants ≥60 and \<70 years of age who have never received Zoster Vaccine, Live
Group 4: First Dose Participants ≥50 and <60 years of ageEXPERIMENTALHerpes zoster history-negative participants ≥50 and \<60 years of age who have never received Zoster Vaccine, Live
1PLACEBO_COMPARATORPlacebo Comparator
2EXPERIMENTALvaccine
PlaceboPLACEBO_COMPARATORParticipants administered Placebo on Day 1.
Interventions
NameTypeDescription
Zoster Vaccine, Live (AMP)BIOLOGICALOne approximately 0.65-mL injection subcutaneously on Day 1
Zoster Vaccine, LiveBIOLOGICALOne approximately 0.65-mL injection subcutaneously on Day 1
Zoster Vaccine, Live, (Oka-Merck), ZOSTAVAX™BIOLOGICAL0.65 mL injection Zoster Vaccine, Live, (Oka-Merck) over 4 week vaccination period
Comparator: placebo (concomitant-vaccine matched)BIOLOGICALPneumococcal Vaccine, Polyvalent (23-valent) 0.5 mL Placebo injection over 4 week vaccination period.
Pneumococcal Vaccine, Polyvalent (23-valent), PNEUMOVAX™ 23BIOLOGICALPneumococcal Vaccine, Polyvalent (23-valent) 0.5 mL injection over 4 week vaccination period.
Comparator: PlaceboBIOLOGICALA single dose of 0.65 ml Placebo to ZOSTAVAX™ injected subcutaneously on Day 1.
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes

Inclusion Criteria: * No fever on day of vaccination * History of varicella or residence in a VZV-endemic area for ≥30 years * Females of reproductive potential must have a negative pregnancy test and must agree to use acceptable methods of birth control Exclusion Criteria: * History of hypersens...

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