Shingrix in Patients With Rheumatic Diseases: a Double-blind Placebo-controlled RCT

NCT ID: NCT04748939

Last Updated: 2024-08-06

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-31

Study Completion Date

2026-07-31

Brief Summary

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A double-blind randomized controlled trial on the safety and immunogenicity of the recombinant subunit herpes zoster vaccine, Shingrix, in patients with rheumatic diseases undergoing immunosuppressive or biologic/targeted DMARD therapies

Detailed Description

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A double-blind randomized controlled trial on the safety and immunogenicity of the recombinant subunit herpes zoster vaccine, Shingrix, in patients with rheumatic diseases undergoing immunosuppressive or biologic/targeted DMARD therapies.

Duration of study: 60 weeks

Conditions

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Herpes Zoster

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

double-blind randomized controlled trial
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
double-blind for the identity of the drugs

Study Groups

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vaccine

Shingrix vaccine

Group Type ACTIVE_COMPARATOR

recombinant subunit herpes zoster vaccine

Intervention Type BIOLOGICAL

vaccine administration

placebo

normal saline injection (0.5mL)

Group Type PLACEBO_COMPARATOR

recombinant subunit herpes zoster vaccine

Intervention Type BIOLOGICAL

vaccine administration

Interventions

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recombinant subunit herpes zoster vaccine

vaccine administration

Intervention Type BIOLOGICAL

Other Intervention Names

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Shingrix

Eligibility Criteria

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Inclusion Criteria

1. Patients with a diagnosis of rheumatic or immune-mediated diseases eg. SLE, RA, PSA, SpA, inflammatory myopathies, ANCA-related and large vessel vasculitides
2. Age ≥18 years
3. Stable or reducing doses of any the following immunosuppressive regimens within 4 weeks of study entry:

1. Prednisolone ≥20mg/kg/day ± mycophenolate mofetil, azathioprine or the calcineurin inhibitors
2. Cyclophosphamide (intravenous pulses or daily oral)
3. B-cell depleting biological agents and their biosimilars eg. belimumab, anti-CD20 agents (next scheduled dose should be arranged to at least 12 weeks after study entry for rituximab or obinutuzumab)
4. Anti-TNFα biological agents and their biosimilars eg. infliximab, etanercept, adalimumab, golimumab, certolizumab
5. Anti-interleukin-6 biological agents eg. tocilizumab, sarilumab
6. Other biological agents eg. abatacept, ustekinumab, secukinumab, ixekizumab
7. The JAK inhibitors eg. tofacitinib, baricitinib, upadacitinib
4. Female patients with reproductive potential are allowed to participate in this study provided that they are willing to practice contraception for until at least 12 months after vaccination
5. Willing to comply with all study procedures

Exclusion Criteria

1. Active infection, including upper respiratory tract infection
2. Active HZ infection
3. Active untreated tuberculosis
4. HIV infection
5. History of HZ or varicella vaccination in the past
6. History of allergy to any vaccines
7. Patients who are pregnant or plan to become pregnancy within one year of study entry
8. Lactating women
9. Patients who cannot give a written consent (mentally incapable or illiterate)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tuen Mun Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Chi Chiu Mok

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chi Chiu Mok

Role: PRINCIPAL_INVESTIGATOR

Tuen Mun Hospital

Locations

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Department of Medicine, Tuen Mun Hospital

Hong Kong, , China

Site Status

Countries

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China

Central Contacts

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Chi Chiu Mok, MD, FRCP

Role: CONTACT

852-37677518

Becky Fong

Role: CONTACT

852-24685111

Other Identifiers

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NTWCShingrixstudy

Identifier Type: -

Identifier Source: org_study_id

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