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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

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment1,880

FDA Designations

No designations recorded

Clinical trial landscape

Zoster Vaccine, Live · 6 trials · 5 indications

Phase 3 5Phase 2 1
NCT01505647Safety and Immunogenicity of Zoster Vaccine (ZOSTAVAX™) Made With an Alternative Manufacturing Process (AMP) (V211-042 AM1)Herpes Zoster
COMPLETED498 Analytics
NCT01245751Safety, Tolerability, and Immunogenicity of a Booster Dose of Zoster Vaccine, Live (V211-029)Herpes Zoster
COMPLETED600 Analytics
NCT00534248Study to Evaluate the Safety and Effectiveness of Zostavax™ in Subjects 50 - 59 Years of Age (V211-022)Shingles
COMPLETED22,439 Analytics
NCT00535730ZOSTAVAX™ Administered Concomitantly With PNEUMOVAX™ 23 (V211-012)(COMPLETED)Herpes Zoster
COMPLETED473 Analytics
NCT00444860ZOSTAVAX(R) Local Registration Trial (V211-019)Varicella Virus Infection
COMPLETED150 Analytics
PHASE3COMPLETED
Safety and Immunogenicity of Zoster Vaccine (ZOSTAVAX™) Made With an Alternative Manufacturing Process (AMP) (V211-042 AM1)
Herpes ZosterUnlock trial analytics
PHASE3COMPLETED
Safety, Tolerability, and Immunogenicity of a Booster Dose of Zoster Vaccine, Live (V211-029)
Herpes ZosterUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Safety and Effectiveness of Zostavax™ in Subjects 50 - 59 Years of Age (V211-022)
ShinglesUnlock trial analytics
PHASE3COMPLETED
ZOSTAVAX™ Administered Concomitantly With PNEUMOVAX™ 23 (V211-012)(COMPLETED)
Herpes ZosterUnlock trial analytics
PHASE3COMPLETED
ZOSTAVAX(R) Local Registration Trial (V211-019)
Varicella Virus InfectionUnlock trial analytics

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.

Incidence of Confirmed Herpes Zoster (HZ) Cases by Vaccination Group
2 Years

Incidence rate of HZ cases was defined as the number of confirmed HZ cases per 1000 person-years of follow-up following vaccination. Vaccine efficacy for HZ was defined as the relative reduction in incidence rate of HZ in the group that received Zostavax™ compared with the group that received placebo based on the intent-to-treat population.

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.

The geometric mean fold rise (GMFR) of subjects VZV antibody titers from prevaccination to 4 weeks postvaccination, and the geometric mean titers (GMTs) at prevaccination and 4 weeks postvaccination, as measured by gpELISA, will be assessed.
prevaccination and 4 weeks postvaccination
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
PlaceboPLACEBO_COMPARATORParticipants randomized to receive Placebo.
1PLACEBO_COMPARATORPlacebo Comparator
2EXPERIMENTALvaccine

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 (Zostavax™)BIOLOGICALA single dose 0.65 ml Zostavax™ (Live, attenuated Zoster Vaccine) was administered by subcutaneous injection on Day 1.
Comparator: PlaceboBIOLOGICALA single dose of 0.65 ml Placebo (A vaccine stabilizer of Zostavax™ with no live virus) was administered by subcutaneous injection 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.
Zoster Vaccine, Live, (Oka-Merck)BIOLOGICALA single dose of 0.65 ml of Zostavax injection was given to each study subject
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Eligibility Criteria

Age Range50 Years to 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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Frequently asked questions about Zoster Vaccine, Live

What is Zoster Vaccine, Live used for?

Zoster Vaccine, Live is a vaccine used to prevent shingles, herpes zoster, and varicella virus infection. It is being developed by Merck & Company, Inc. for adults aged 50 years and older. The vaccine is intended to reduce the risk of developing these conditions.

Who makes Zoster Vaccine, Live?

Zoster Vaccine, Live is developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company has conducted multiple clinical trials to evaluate the vaccine's safety and effectiveness in preventing shingles and related conditions.

What phase is Zoster Vaccine, Live in?

Zoster Vaccine, Live is in Phase 3 clinical development. It has completed four trials, including three Phase 3 studies and one Phase 2 study. All trials have been completed, with no active trials currently ongoing. The vaccine remains investigational and is not yet approved.

What clinical trials is Zoster Vaccine, Live in?

Zoster Vaccine, Live has completed four clinical trials. These include NCT00444860, a Phase 3 local registration trial; NCT00534248, a Phase 3 study in subjects aged 50-59; NCT00535730, a Phase 3 trial with concomitant pneumococcal vaccine; and NCT00546819, a Phase 2 study in patients on corticosteroids.

Is Zoster Vaccine, Live the same as ZOSTAVAX?

Yes, Zoster Vaccine, Live is the same as ZOSTAVAX. Several clinical trials, including NCT00534248 and NCT00535730, refer to the vaccine as ZOSTAVAX. The vaccine is being developed by Merck & Company, Inc. for the prevention of shingles and herpes zoster.

How does Zoster Vaccine, Live work?

Zoster Vaccine, Live is a live attenuated vaccine that works by stimulating the immune system to produce a protective response against the varicella-zoster virus. This virus causes chickenpox and can later reactivate to cause shingles. The vaccine helps the body recognize and fight the virus.