Safety and Immunogenicity of an Investigational Herpes Zoster Vaccine (Z-1018) Compared to Shingrix® in Healthy Adults 50 Years of Age and Over

NCT ID: NCT06569823

Last Updated: 2025-11-06

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

764 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-17

Study Completion Date

2031-11-30

Brief Summary

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This is a randomized, active-controlled, observer-blinded, dose-escalation multi-center trial of 2 doses of an investigational HZ vaccine (Z-1018) in approximately 764 healthy adults.

Detailed Description

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Part 1 will enroll approximately 440 participants 50 through 69 years of age (YOA) \[inclusive\] to 1 of 10 arms of Z-1018 or to Shingrix.

Part 2 will enroll approximately 324 participants ≥ 70 YOA to 1 arm of Z-1018 (selected from Part 1) to be administered in a 1:1 randomization ratio with Shingrix. Part 2 only: after completing the 12-month post-vaccination visit, Part 2 participants will be followed for an additional 4 years for immunopersistence and for herpes zoster (HZ) and post herpetic neuralgia (PHN).

Conditions

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Shingles Herpes Zoster Vaccine-Preventable Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Z-1018 A1 (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 A2 (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 B1(a) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 B2(a) (Part 1 and Part 2)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 B1(b) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 B2(b) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 Formulation C1(a) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 Formulation C2(a) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 57.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 Formulation C1(b) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Z-1018 Formulation C2(b) (Part 1)

Participants will receive a dose of Z-1018 by intramuscular (IM) injection on Day 1 and Day 85.

Group Type EXPERIMENTAL

Z-1018

Intervention Type BIOLOGICAL

Formulation for injection

Shingrix (Part 1 and Part 2)

Participants will receive a dose of Shingrix by intramuscular (IM) injection on Day 1 and Day 57, or Day 1 and Day 85.

Group Type EXPERIMENTAL

Shingrix

Intervention Type BIOLOGICAL

Formulation for injection

Interventions

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Z-1018

Formulation for injection

Intervention Type BIOLOGICAL

Shingrix

Formulation for injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Willing to participate; informed consent provided for the study
2. Male or female ≥ 50 years of age (Part 1: 50 through 69 years of age, inclusive; Part 2: ≥ 70 years of age
3. In good health in the opinion of the investigator, based upon medical history, physical examination, and laboratory evaluation
4. Able to comprehend and follow all required trial procedures and be available for all visits scheduled in the trial
5. Seronegative for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) as assessed during Screening
6. If female of child-bearing potential and heterosexually active, has practiced adequate contraception for at least 28 days prior to vaccination, has negative pregnancy tests just prior to vaccination, and has agreed to continue adequate contraception through 3 months following the final study injection.

Exclusion Criteria

1. History of HZ
2. Previous vaccination against varicella (chicken pox) or HZ
3. Febrile illness within 7 days of the first trial injection (defined as at least 1 measured body temperature of ≥ 38°C, regardless of route of measurement)
4. Confirmed SARS-CoV-2/COVID-19 infection as assessed during Screening within 7 days of first trial injection.
5. If female of childbearing potential, is pregnant (known before or established at the time of screening), breastfeeding, or planning a pregnancy or to breastfeed
6. Known or suspected immunodeficiency (including but not limited to HIV/AIDS), or immunocompromised state, as assessed by medical history, past or current laboratory studies, and/or physical examination
7. History of sensitivity to any component of the trial vaccines
8. Has received the following prior to Day 1 trial injection:

a) ≤ 14 days: i) Any licensed or authorized inactivated vaccines (including vaccines containing mRNA or CpG)

b) ≤ 28 days: i) Any live vaccine ii) Systemic corticosteroids (≥ 20 mg/ day of prednisone or equivalent for more than 14 consecutive days) or other immunomodulators or immune suppressive medication, with the exception of inhaled steroids iii) Any investigational medicinal agent

c) ≤ 90 days: i) Granulocyte or granulocyte-macrophage colony-stimulating factor ii) Immunoglobulins or any blood products (receipt of certain monoclonal antibodies may on a case-by-case basis be non-exclusionary if approved via consultation with Sponsor Medical Monitor) iii) Antisense oligonucleotides iv) Drugs/investigational agents with very long half-lives (defined as ≥ 60 days) (eg, radioactive iodine-125, amiodarone, nirsevimab, and evinacumab) v) Infusion of blood products

d) ≤ 6 months before Day 1 (or likely to require during the trial period): i) chronic administration of immunosuppressants or other immune-modifying drugs

e) At any time: DNA plasmids or other genetic therapy intended to integrate permanently into host cells
9. Is undergoing chemotherapy or expected to receive chemotherapy during the trial period; and/or has a diagnosis of cancer within the last 5 years other than squamous cell or basal cell carcinoma of the skin
10. History or current evidence of any condition, therapy, laboratory abnormality, or other finding that might confound the results of the trial, interfere with the participant's participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating investigator
11. Underlying chronic medical condition requiring ongoing follow-up and monitoring by a healthcare provider that might affect the immune response to vaccine (eg, diabetes mellitus, chronic kidney disease)
12. Known psychiatric or substance abuse disorder that would interfere with cooperation with the requirements of the trial
13. Current or historical autoimmune disease
14. Any skin condition and/or tattoo on both arms that may interfere with the evaluation of safety at the injection site, in the opinion of the treating investigator
15. Any other finding that the Investigator considers will make the participant unsuitable for the trial or unable to comply with the trial requirements
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Dynavax Technologies Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Janssen, MD

Role: STUDY_CHAIR

Dynavax Technologies Corporation

Locations

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Emeritus Research

Botany, New South Wales, Australia

Site Status RECRUITING

Canopy Clinical Northern Beaches

Brookvale, New South Wales, Australia

Site Status RECRUITING

Paratus Clinical Research Central Coast

Kanwal, New South Wales, Australia

Site Status RECRUITING

Sutherland Shire Clinical Research

Miranda, New South Wales, Australia

Site Status RECRUITING

Innovate Clinical Research

Waitara, New South Wales, Australia

Site Status RECRUITING

Canopy Clinical Wollongong

Wollongong, New South Wales, Australia

Site Status RECRUITING

Paratus Clinical Research Brisbane

Herston, Queensland, Australia

Site Status RECRUITING

Momentum Clinical Research Wellers Hill

Tarragindi, Queensland, Australia

Site Status RECRUITING

Veritus Research

Bayswater, Victoria, Australia

Site Status RECRUITING

Emeritus Research

Camberwell, Victoria, Australia

Site Status RECRUITING

Optimal Clinical Trials Ltd - North

Auckland, , New Zealand

Site Status NOT_YET_RECRUITING

Optimal Clinical Trials Ltd - Central

Auckland, , New Zealand

Site Status NOT_YET_RECRUITING

Momentum Wellington

Wellington, , New Zealand

Site Status NOT_YET_RECRUITING

Countries

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Australia New Zealand

Central Contacts

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Ouzama Henry, MD

Role: CONTACT

Phone: (510) 848-5100

Email: [email protected]

Facility Contacts

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Fiona Kilkenny

Role: primary

Noris Scaglia

Role: primary

Elizabeth A Gunner

Role: primary

Melissa Nemeth

Role: primary

Rachel C Graham

Role: primary

Emily C Brine

Role: primary

Alexander R Bates

Role: backup

Steve W Turner

Role: primary

Natalie A Sullivan

Role: primary

Swati Dawar

Role: primary

Rishi Shah

Role: primary

Claudette Lionnet

Role: primary

Byju Sacheendran

Role: primary

Dean R Quinn

Role: primary

Other Identifiers

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DV2-ZOS-02

Identifier Type: -

Identifier Source: org_study_id