RSV OA=ADJ-020: Study to Evaluate the Immune Response, Safety, and Reactogenicity of RSVPreF3 OA Investigational Vaccine When Co-administered With Herpes Zoster Recombinant Subunit (HZ/su) Vaccine Adults Aged 50 Years and Older

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05966090
Collaborator
(none)
530
24
2
13.2
22.1
1.7

Study Details

Study Description

Brief Summary

assess the ability of RSVPreF3 OA investigational vaccine to generate an immune response when given in combination with HZ/su vaccine and its safety in older adults, aged ≥50 years of age

Condition or Disease Intervention/Treatment Phase
  • Biological: RSVPreF3 OA investigational vaccine
  • Biological: HZ/su vaccine
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
530 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Masking Description:
The laboratory in charge of sample testing will be blinded to the study intervention assignment.
Primary Purpose:
Prevention
Official Title:
A Phase III, Open-label, Randomized, Controlled, Multi-country Study to Evaluate the Immune Response, Safety and Reactogenicity of RSVPreF3 OA Investigational Vaccine When Co-administered With Herpes Zoster Recombinant Subunit (HZ/su) Vaccine in Adults Aged 50 Years and Older
Anticipated Study Start Date :
Aug 8, 2023
Anticipated Primary Completion Date :
Apr 12, 2024
Anticipated Study Completion Date :
Sep 13, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Co-administration

Participants will be administered first dose of HZ/su vaccine and the RSVPreF3 OA investigational vaccine together on Day 1. A second dose of the HZ/su vaccine will be administered at Day 61.

Biological: RSVPreF3 OA investigational vaccine
One dose of RSVPreF3 OA investigational vaccine given intramuscularly on Day 1 (Coadministration group) or Day 31 (Control group).
Other Names:
  • Respiratory Syncytial Virus PreFusion protein 3 Older Adults vaccine
  • Biological: HZ/su vaccine
    Two doses of HZ/su vaccine given intramuscularly on Day 1 and Day 61.
    Other Names:
  • Herpes Zoster recombinant subunit vaccine, Shingrix
  • Active Comparator: Control

    Participants will be administered first dose HZ/su vaccine on Day 1, followed by the RSVPreF3 OA investigational vaccine on Day 31, and then second dose of HZ/su vaccine on Day 61.

    Biological: RSVPreF3 OA investigational vaccine
    One dose of RSVPreF3 OA investigational vaccine given intramuscularly on Day 1 (Coadministration group) or Day 31 (Control group).
    Other Names:
  • Respiratory Syncytial Virus PreFusion protein 3 Older Adults vaccine
  • Biological: HZ/su vaccine
    Two doses of HZ/su vaccine given intramuscularly on Day 1 and Day 61.
    Other Names:
  • Herpes Zoster recombinant subunit vaccine, Shingrix
  • Outcome Measures

    Primary Outcome Measures

    1. Anti-gE antibody concentrations expressed as group geometric mean concentration (GMC) ratio [1-month after the second dose of HZ/su vaccine (at day 91)]

    2. RSV-A neutralizing titers expressed as group geometric mean titer (GMT) ratio [1-month after the RSVPreF3 OA investigational vaccine dose (at Day 31 for the Co-administration group and at Day 61 for the Control group)]

    3. RSV-B neutralizing titers expressed as group GMT ratio [1-month after the RSVPreF3 OA investigational vaccine dose (at Day 31 for the Co-administration group and at Day 61 for the Control group)]

    Secondary Outcome Measures

    1. Anti-gE antibody concentrations expressed as seropositivity rate [At pre-vaccination (Day 1) and 1-month after the second dose of HZ/su vaccine (at Day 91)]

    2. Anti-gE antibody concentrations expressed as GMC [At pre-vaccination (Day 1) and 1-month after the second dose of HZ/su vaccine (at Day 91)]

    3. Anti-gE antibody concentrations expressed as mean geometric increase (MGI) [At 1-month after the second dose of HZ/su vaccine (at Day 91) versus pre-vaccination (Day 1)]

    4. Vaccine response rate at 1-month postsecond dose of HZ/su vaccine [At 1-month after the second dose of HZ/su vaccine (at Day 91)]

    5. RSV-A neutralizing titers expressed as GMT [At pre-vaccination and at 1-month after the RSVPreF3 OA investigational vaccine dose (at Day 1 and Day 31 for the Co-administration group and at Day 31 and Day 61 for the Control group)]

    6. RSV-A neutralizing titers expressed as MGI [At 1-month after the RSVPreF3 OA investigational vaccine administration versus pre-vaccination (at Day 31 versus Day 1 for the Co-administration group and at Day 61 versus Day 31 for the Control group)]

    7. RSV-B neutralizing titers expressed as GMT [At pre-vaccination and at 1-month after the RSVPreF3 OA investigational vaccine dose (at Day 1 and Day 31 for the Co-administration group and at Day 31 and Day 61 for the Control group)]

    8. RSV-B neutralizing titers expressed as MGI [At 1-month after the RSVPreF3 OA investigational vaccine administration versus pre-vaccination (at Day 31 versus Day 1 for the Co-administration group and at Day 61 versus Day 31 for the Control group)]

    9. Percentage of participants reporting solicited administration site events (AE) [During the 7 days after each vaccine administration (i.e., the day of vaccination and 6 subsequent days, vaccines administered at Day 1, Day 31 and Day 61)]

      The solicited administration site AEs are erythema, pain and swelling.

    10. Percentage of participants reporting solicited systemic events [During the 7 days after each vaccine administration (i.e., the day of vaccination and 6 subsequent days, vaccines administered at Day 1, Day 31 and Day 61)]

      The solicited systemic events are arthralgia, fatigue, fever, headache, myalgia, shivering/chills and gastrointestinal symptoms.

    11. Percentage of participants reporting unsolicited Adverse Events (AEs) [During the 30 days after each vaccine administration (i.e., the day of vaccination and 29 subsequent days, vaccines administered at Day 1, Day 31 and Day 61)]

    12. Percentage of participants reporting serious adverse events (SAEs) [From Day 1 up to study end (6 months after last vaccination administered at Day 61)]

    13. Percentage of participants reporting potential immune mediated disorders (pIMDs) [From Day 1 up to study end (6 months after last vaccination administered at Day 61)]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    50 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • A male or female participant ≥50 YOA at the time of the first study intervention administration.

    • Female participants of non-childbearing potential may be enrolled in the study.

    • Female participants of childbearing potential may be enrolled in the study, if the participant:

    • has practiced adequate contraception from 1 month prior to study intervention administration.

    • has a negative pregnancy test on the day of and prior to study intervention administration.

    • has agreed to continue effective contraception until the end of the study.

    • Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol. Written or witnessed informed consent obtained from the participant prior to any study specific procedure being performed.

    • Participants living in the general community or in an assisted-living facility that provides minimal assistance, such that the participant is primarily responsible for self-care and activities of daily living.

    • Participants who are medically stable in the opinion of the investigator at the time of first study intervention administration. Participants with chronic stable medical conditions with or without specific treatment, such as diabetes mellitus, hypertension, or cardiac disease, are allowed to participate in this study if considered by the investigator as medically stable.

    Exclusion Criteria:

    Pregnant or lactating female.

    • Female planning to become pregnant or planning to discontinue contraceptive precautions.

    • Any confirmed or suspected autoimmune disorders, immunosuppressive or immunodeficient condition resulting from disease or immunosuppressive/cytotoxic therapy, based on medical history and physical examination.

    • History of any reaction or hypersensitivity likely to be exacerbated by any component of the study interventions, in particular any history of severe allergic reaction to any vaccine component.

    • History of Guillain-Barré syndrome.

    • Any history of dementia or any medical condition that moderately or severely impairs cognition.

    • Recurrent or uncontrolled neurological disorders or seizures. Participants with medically controlled chronic neurological diseases can be enrolled in the study as per investigator assessment, provided that their condition will allow them to comply with the requirements of the protocol.

    • Significant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study.

    • Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.

    • Clinically suspected or polymerase chain reaction (PCR)-confirmed ongoing episode of herpes zoster.

    • History of previous vaccination with any licensed or investigational recombinant adjuvanted zoster vaccine (HZ/su vaccine; Shingrix) before the study start or planned receipt through study participation.

    • History of previous vaccination with any licensed or investigational live herpes zoster vaccine (Zostavax) in the last 2 years from enrollment, or planned receipt through study participation.

    • Previous vaccination with licensed or investigational RSV vaccine.

    • Use of any investigational or non-registered product (drug, vaccine or medical device) other than the study interventions during the period beginning 30 days before the first dose of study interventions, or their planned use during the study period.

    • Planned or actual administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first study intervention administration and ending 30 days after the last study intervention administration.

    o In the case of COVID-19 and inactivated/subunit/split influenza vaccines, this time window can be decreased to 14 days before and after each study intervention administration provided COVID-19 vaccine use is in line with local governmental recommendations.

    • Planned or actual administration of adjuvanted quadrivalent influenza vaccine not foreseen by the study protocol in the period starting 30 days before the first study intervention administration and ending 30 days after the last study intervention administration.

    • Administration of long-acting immune-modifying drugs during the period starting 180 days before the administration of first dose of study interventions or planned administration at any time during the study period (e.g., infliximab).

    • Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 90 days before the administration of first dose of study interventions or planned administration during the study period.

    • Chronic administration (defined as more than 14 consecutive days in total) of immunosuppressants or other immune modifying drugs during the period starting 90 days prior to the first study intervention dose or planned administration during the study period. For corticosteroids, this will mean prednisone ≥20 mg/day, or equivalent. Inhaled, topical or intra-articular steroids are allowed.

    • Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non investigational vaccine/product (IMP) (drug or invasive medical device).

    • History of chronic alcohol consumption and/or drug abuse as deemed by the investigator to render the potential participant unable/unlikely to provide accurate safety reports or comply with study procedures.

    • Bedridden participants.

    • Planned move during the study conduct that prohibits participation until study end.

    • Participation of any study personnel or their immediate dependents, family, or household members.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 GSK Investigational Site Daphne Alabama United States 36526
    2 GSK Investigational Site Tempe Arizona United States 85281
    3 GSK Investigational Site Corte Madera California United States 94925
    4 GSK Investigational Site Aurora Colorado United States 80918
    5 GSK Investigational Site North Miami Beach Florida United States 33162
    6 GSK Investigational Site Columbus Georgia United States 31904
    7 GSK Investigational Site Versailles Kentucky United States 40383
    8 GSK Investigational Site New Orleans Louisiana United States 70115
    9 GSK Investigational Site Fort Worth Texas United States 76104
    10 GSK Investigational Site San Antonio Texas United States 78244
    11 GSK Investigational Site Brampton Ontario Canada L6T 0G1
    12 GSK Investigational Site Guelph Ontario Canada N1H 1B1
    13 GSK Investigational Site Sarnia Ontario Canada N7T 4X3
    14 GSK Investigational Site Toronto Ontario Canada M4G 3E8
    15 GSK Investigational Site Toronto Ontario Canada M9V 4B4
    16 GSK Investigational Site Levis Quebec Canada G6W 0M5
    17 GSK Investigational Site Mirabel Quebec Canada J7J 2K8
    18 GSK investigational Site Pointe-Claire Quebec Canada H9R 4S3
    19 GSK Investigational Site Sherbrooke Quebec Canada J1L 0H8
    20 GSK Investigational Site Quebec Canada G1V 4T3
    21 GSK Investigational Site Exeter Devon United Kingdom EX2 5DW
    22 GSK Investigational Site Southampton Hampshire United Kingdom SO16 6YD
    23 GSK Investigational Site Nottingham Nottinghamshire United Kingdom NG7 2QW
    24 GSK Investigational Site Newcastle upon Tyne Tyne & Wear United Kingdom NE1 4LP

    Sponsors and Collaborators

    • GlaxoSmithKline

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    GlaxoSmithKline
    ClinicalTrials.gov Identifier:
    NCT05966090
    Other Study ID Numbers:
    • 219331
    First Posted:
    Jul 28, 2023
    Last Update Posted:
    Jul 28, 2023
    Last Verified:
    Jul 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    No
    Keywords provided by GlaxoSmithKline
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 28, 2023