Optimal Timing of Zoster Vaccine After Zoster Illness

NCT ID: NCT02704572

Last Updated: 2017-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this study is to determine the optimal timing of zoster vaccination to induce both higher cell-mediated immunity and humoral immunity in adult patients aged over 50 with history of zoster within 5 years.

Detailed Description

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Zoster vaccination is recommended by FDA for adults aged 60 years or older, and is approved for people aged 50 through 59 years old. For patients who had shingles, there is no specific length of time they must wait before receiving shingles vaccine. It is generally recommended that patients should wait for 6 to 12 months after recovery.

The investigators plan to make scientific recommendation for optimal timing of zoster vaccine after zoster illness by comparing immune response between two groups (vaccination at 6 months to 2 years after shingles vs. 2 to 5 years after shingles). Primary outcome is ELISPOT response at week 6 after vaccination. Secondary outcome is gpELISA titer at week 6 after vaccination.

All the patients will be asked if they have any contraindications for zoster vaccine by a physician before vaccination. And they will be monitored for any adverse reaction of the vaccination after 6 weeks (visiting the hospital).

Conditions

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Shingles

Keywords

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Herpes zoster vaccine cell-mediated immunity

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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6months to 2years after shingles

Patients will be vaccinated with Zostavax from 6 months to 2 years after zoster illness.

Group Type EXPERIMENTAL

Zostavax

Intervention Type BIOLOGICAL

Zostavax will be administrated by subcutaneous injection.

2years to 5years after shingles

Patients will be vaccinated with Zostavax from 2 years to 5 years after zoster illness.

Group Type ACTIVE_COMPARATOR

Zostavax

Intervention Type BIOLOGICAL

Zostavax will be administrated by subcutaneous injection.

Interventions

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Zostavax

Zostavax will be administrated by subcutaneous injection.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Adults aged 50 years or older who have had shingles in 5 years
* Adults who did not receive zoster vaccination yet
* Adults who can understand and agreed with the informed consents.

Exclusion Criteria

* Adults who have conditions which is contraindication for zoster vaccine
* Adults who had zoster vaccination already
* Adults who take immunosuppressants
* Human Immunodeficiency Virus (HIV) patients whose CD4 T cell counts below 500/mm3
* Adults with autoimmune disease who are anticipated to have a problem with immunogenicity for vaccine
* Adults who had organ transplantation and receive immunosuppressants
* Adults who are suspected to have active infectious disease
* Adults who are not eligible for zoster vaccination by investigator's assessment
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wan Beom Park

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wan Beom Park, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Gilbert PB, Gabriel EE, Hudgens MG, Miao X, Li X, Su SC, Parrino J, Chan IS. Reply to Dunning. J Infect Dis. 2015 Nov 1;212(9):1521-3. doi: 10.1093/infdis/jiv287. Epub 2015 May 17. No abstract available.

Reference Type BACKGROUND
PMID: 25985906 (View on PubMed)

Levin MJ, Oxman MN, Zhang JH, Johnson GR, Stanley H, Hayward AR, Caulfield MJ, Irwin MR, Smith JG, Clair J, Chan IS, Williams H, Harbecke R, Marchese R, Straus SE, Gershon A, Weinberg A; Veterans Affairs Cooperative Studies Program Shingles Prevention Study Investigators. Varicella-zoster virus-specific immune responses in elderly recipients of a herpes zoster vaccine. J Infect Dis. 2008 Mar 15;197(6):825-35. doi: 10.1086/528696.

Reference Type BACKGROUND
PMID: 18419349 (View on PubMed)

Mills R, Tyring SK, Levin MJ, Parrino J, Li X, Coll KE, Stek JE, Schlienger K, Chan IS, Silber JL. Safety, tolerability, and immunogenicity of zoster vaccine in subjects with a history of herpes zoster. Vaccine. 2010 Jun 7;28(25):4204-9. doi: 10.1016/j.vaccine.2010.04.003. Epub 2010 Apr 21.

Reference Type BACKGROUND
PMID: 20416263 (View on PubMed)

Kim JW, Min CK, Mun YC, Park Y, Kim BS, Nam SH, Koh Y, Kwon JH, Choe PG, Park WB, Kim I. Varicella-zoster virus-specific cell-mediated immunity and herpes zoster development in multiple myeloma patients receiving bortezomib- or thalidomide-based chemotherapy. J Clin Virol. 2015 Dec;73:64-69. doi: 10.1016/j.jcv.2015.10.018. Epub 2015 Oct 24.

Reference Type BACKGROUND
PMID: 26546878 (View on PubMed)

Kang CI, Choi CM, Park TS, Lee DJ, Oh MD, Choe KW. Incidence of herpes zoster and seroprevalence of varicella-zoster virus in young adults of South Korea. Int J Infect Dis. 2008 May;12(3):245-7. doi: 10.1016/j.ijid.2007.08.002. Epub 2007 Oct 18.

Reference Type BACKGROUND
PMID: 17950022 (View on PubMed)

Lee E, Chun JY, Song KH, Choe PG, Bang JH, Kim ES, Kim HB, Park SW, Kim NJ, Park WB, Oh MD. Optimal Timing of Zoster Vaccination After Shingles: A Prospective Study of the Immunogenicity and Safety of Live Zoster Vaccine. Infect Chemother. 2018 Dec;50(4):311-318. doi: 10.3947/ic.2018.50.4.311.

Reference Type DERIVED
PMID: 30600654 (View on PubMed)

Other Identifiers

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H1511046718

Identifier Type: -

Identifier Source: org_study_id