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Last Updated: January 17, 2025

CLINICAL TRIALS PROFILE FOR ZOSTER VACCINE LIVE


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All Clinical Trials for zoster vaccine live

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01474720 ↗ Zostavax in Systemic Lupus Erythematosus Completed Oklahoma Medical Research Foundation Phase 1 2011-11-01 Individuals with systemic lupus erythematosus (SLE, lupus) appear to be at increased risk for the development of shingles, a painful reactivation of the varicella zoster virus that causes chicken pox. The investigators propose to study the immune response to commercially available Zostavax vaccine (shingles vaccine) in adult patients with SLE who have minimal disease activity and are on mild immunosuppressant medications, and to compare the immune response to that seen in healthy people following vaccination. Acceptable immunosuppressive drugs permitted in the study are those felt to be safe according to Centers for Disease Control guidelines. Ten healthy people and 10 SLE patients (all over 50 years of age) will be recruited to receive a single, standard dose of Zostavax. Blood samples and physical examination will be performed prior to injection, then 2,6,and 12 weeks following vaccination. All participants will receive active vaccine, there is no placebo group.
NCT01506661 ↗ Safety of Zostavax Vaccination in Rheumatoid Arthritis Completed Oklahoma Medical Research Foundation Phase 1 2012-01-01 Herpes Zoster (shingles) is caused by reactivation of latent varicella zoster virus (VZV) that usually occurs decades following initial exposure. The risk of developing shingles increases with age. Shingles presents as a painful, itchy blistering rash that usually involves a single portion of the skin and lasts about 7-10 days. The risk of developing shingles increases with age in healthy people, and has been shown in some studies to be increased in people with rheumatoid arthritis and other autoimmune diseases. Zostavax, a live-attenuated vaccine against the varicella zoster virus, was first approved by the FDA for the prevention of Shingles among people 60 years and older, and is now approved for use in people aged 50 years and older. Because rheumatoid arthritis and some of the medications used to treat rheumatoid arthritis can impair the body's immune system, it is not known how much of an immune response can be generated in people with rheumatoid arthritis. The goals of this study are to measure the immune response after standard vaccination with Zostavax in people with rheumatoid arthritis in comparison to people with healthy immune systems. All participants will be 50 years old or older, and subjects with rheumatoid arthritis will not be eligible if they are taking certain biologic medications, including TNF inhibitors (Etanercept or Adalimumab). Ten healthy subjects and 10 subjects with rheumatoid arthritis will all receive a single vaccination with Zostavax, then will be followed for 12 weeks to assess the immune response and for the development of local rash or other potential side effects.
NCT01623596 ↗ Evaluation of Patient Retention of Fingolimod vs. Currently Approved Disease Modifying Therapy in Patients With Relapsing Remitting Multiple Sclerosis. Completed Novartis Pharmaceuticals Phase 4 2012-06-08 A 12 month study where 852 patients with relapsing remitting MS will be randomized 1:1 to fingolimod or approved disease modifying therapy. Patients will be be treatment naive or have only been treated with one class of DMT (Interferon beta preparation or glatiramer acetate) . Patients will be able to switch to different treatment for safety, efficacy, tolerability or convenience during the study. Primary objective is to evaluate efficacy of fingolimod by assessing patients retention on treatment. Secondary objectives are to compare reasons for discontinuation, adverse events, cognitive impairment, medication satisfaction and change in brain volume measured by MRI.
NCT01767467 ↗ Study to Assess the Safety and Immunogenicity of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster Subunit (HZ/su) Vaccine in Adults Aged 18 Years and Older With Blood Cancers Completed GlaxoSmithKline Phase 3 2013-03-01 The purpose of this study is to evaluate the safety and immunogenicity of GSK Biologicals' vaccine GSK1437173A in subjects aged 18 years and older with blood cancers. The study will evaluate safety-related events and antibody and cellular immune responses to the study vaccine, as compared to placebo.
NCT01798056 ↗ Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Herpes Zoster (HZ/su) Vaccine in Adults With Solid Tumours Receiving Chemotherapy Completed GlaxoSmithKline Phase 3 2013-03-06 The purpose of this study is to evaluate the immunogenicity and safety of GSK Biologicals' HZ/su vaccine in adults with solid tumours undergoing chemotherapy.
NCT01953900 ↗ iC9-GD2-CAR-VZV-CTLs/Refractory or Metastatic GD2-positive Sarcoma and Neuroblastoma Active, not recruiting Center for Cell and Gene Therapy, Baylor College of Medicine Phase 1 2014-04-01 The purpose of this study is to find the largest safe dose of GD2-T cells (also called iC9-GD2-CAR-VZV-CTLs) in combination with a varicella zoster vaccine and lymohodepleting chemotherapy. Additionally, we will learn what the side effects of this treatment are and to see whether this therapy might help patients with advanced osteosarcoma and neuroblastoma. Because there is no standard treatment for recurrent/refractory osteosarcoma and neuroblastoma at this time or because the currently used treatments do not work fully in all cases, patients are being asked to volunteer to take part in a gene transfer research study using special immune cells. The body has different ways of fighting infection and disease. No single way seems perfect for fighting cancers. This research study combines two different ways of fighting cancer: antibodies and T cells. Antibodies are types of proteins that protect the body from infectious diseases and possibly cancer. T cells, also called T lymphocytes, are special infection-fighting blood cells that can kill other cells, including cells infected with viruses and tumor cells. Both antibodies and T cells have been used to treat patients with cancers. They have shown promise, but have not been strong enough to cure most patients. Investigators have found from previous research that a new gene can be put into T cells that will make them recognize cancer cells and kill them. Investigators now want to see if a new gene can be put in these cells that will let the T cells recognize and kill sarcoma and neuroblastoma cells. The new gene is called a chimeric antigen receptor (CAR) and consists of an antibody called 14g2a that recognizes GD2, a protein that is found on sarcoma and neuroblastoma cells (GD2-CAR). In addition, it contains parts of the CD28 and OX40 genes which can stimulate T cells to make them live longer. Investigators have found that CAR-T cells can kill some of the tumor, but they don't last very long in the body and so the tumor eventually comes back. T cells that recognize the virus that causes chicken pox, varicella zoster virus (VZV), remain in the bloodstream for many years especially if they are stimulated or boosted by the VZV vaccine. Investigators will therefore insert the GD2-CAR gene into T cells that recognize VZV. These cells are called iC9-GD2-CAR-VZV-specific T cells but are referred to as GD2-T cells for simplicity.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for zoster vaccine live

Condition Name

Condition Name for zoster vaccine live
Intervention Trials
Herpes Zoster 7
Rheumatoid Arthritis 4
Psoriasis 3
Arthritis 2
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Condition MeSH

Condition MeSH for zoster vaccine live
Intervention Trials
Herpes Zoster 12
Arthritis 5
Arthritis, Rheumatoid 4
Psoriasis 3
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Clinical Trial Locations for zoster vaccine live

Trials by Country

Trials by Country for zoster vaccine live
Location Trials
United States 138
United Kingdom 15
Canada 14
Mexico 12
Italy 8
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Trials by US State

Trials by US State for zoster vaccine live
Location Trials
New York 8
Florida 7
California 6
Washington 6
Texas 6
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Clinical Trial Progress for zoster vaccine live

Clinical Trial Phase

Clinical Trial Phase for zoster vaccine live
Clinical Trial Phase Trials
Phase 4 5
Phase 3 5
Phase 2 6
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Clinical Trial Status

Clinical Trial Status for zoster vaccine live
Clinical Trial Phase Trials
Completed 10
Not yet recruiting 6
Active, not recruiting 4
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Clinical Trial Sponsors for zoster vaccine live

Sponsor Name

Sponsor Name for zoster vaccine live
Sponsor Trials
GlaxoSmithKline 7
Pfizer 2
Oregon Health and Science University 2
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Sponsor Type

Sponsor Type for zoster vaccine live
Sponsor Trials
Other 20
Industry 12
NIH 3
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The Zoster Vaccine: Clinical Trials, Market Analysis, and Projections

Introduction to Zoster Vaccine

The zoster vaccine, designed to prevent shingles (herpes zoster), has been a significant focus in the healthcare industry due to its high efficacy and the growing need for effective prevention measures against this debilitating disease. Here, we will delve into the latest clinical trials, market analysis, and projections for the zoster vaccine.

Clinical Trials Update

Long-Term Efficacy of Shingrix

Recent data from the ZOSTER-049 trial, an extension of the phase III clinical trials ZOE-50 and ZOE-70, have shown that Shingrix (Recombinant Zoster Vaccine or RZV) maintains high efficacy against shingles for more than a decade in adults aged 50 and over. This open-label, long-term follow-up trial involved over 7,000 participants from 18 countries and demonstrated an efficacy of 79.7% six to 11 years after vaccination[1].

Efficacy in China

A phase IV trial (ZOSTER-076) conducted in China further reinforced the efficacy of Shingrix. This trial, which included almost 6,000 participants, showed 100% vaccine efficacy in preventing shingles among those who received the vaccine, with no cases reported in the vaccinated group compared to 31 cases in the placebo group[4].

mRNA-Based Shingles Vaccine

Pfizer and BioNTech have initiated a Phase 1/2 trial for an mRNA-based shingles vaccine, aiming to leverage mRNA technology to develop a highly effective and well-tolerated vaccine. This vaccine encodes different versions of the glycoprotein E (gE) on the surface of the varicella-zoster virus, crucial for viral replication and cell-to-cell spread[3].

Market Analysis

Current Market Size and Growth

The global zoster vaccine market has been valued at USD 1.62 billion in 2023 and is projected to reach USD 3.47 billion by 2031, growing at a CAGR of 10% from 2024 to 2031. Another estimate suggests the market was valued at USD 4.2 billion in 2023 and is expected to reach USD 9.1 billion by 2033, with a CAGR of 8.1% during the forecast period[2][5].

Driving Factors

The market growth is driven by several key factors:

  • Aging Population: The increasing number of older adults, who are more susceptible to shingles, is a significant driver.
  • Chronic Diseases: The rising prevalence of chronic diseases such as cancer and HIV, which weaken the immune system, also contributes to the demand.
  • Advancements in Vaccine Technology: Improvements in vaccine technology, including the development of more effective vaccines like Shingrix, are propelling market growth.
  • Healthcare Policies: The implementation of healthcare policies in developed nations is facilitating greater access to these vaccines[2][5].

Regional Market

North America currently holds the largest share of the global zoster vaccine market, with a 42.3% market revenue share in 2023. The market is also analyzed at the regional level, including Europe, South America, Asia Pacific, and the Middle East & Africa[5].

Market Projections

Future Growth

The zoster vaccine market is expected to continue its upward trend due to increasing awareness about the importance of vaccination against shingles. The rising utilization of highly effective vaccines like Shingrix and the potential introduction of new vaccines, such as the mRNA-based vaccine by Pfizer and BioNTech, will further drive market growth[2][3].

Key Players

Major players in the zoster vaccine market include Merck & Co., Inc., GSK plc, Pfizer Inc., Vaccitech, and others. These companies are investing heavily in research and development to enhance vaccine efficacy and safety profiles[5].

Impact of Clinical Trials on Market Projections

Shingrix Efficacy

The long-term efficacy data from trials like ZOSTER-049 and ZOSTER-076 significantly bolster the market position of Shingrix. These results reassure healthcare providers and patients about the vaccine's effectiveness over an extended period, which is likely to increase adoption rates and drive market growth[1][4].

Emerging Technologies

The initiation of Phase 1/2 trials for mRNA-based shingles vaccines by Pfizer and BioNTech introduces a new frontier in vaccine technology. If successful, these vaccines could offer even higher efficacy and better tolerability, further expanding the market[3].

Key Takeaways

  • Long-Term Efficacy: Shingrix has demonstrated high efficacy against shingles for over a decade.
  • Market Growth: The zoster vaccine market is projected to grow significantly, driven by an aging population, chronic diseases, and advancements in vaccine technology.
  • Regional Dominance: North America currently leads the global zoster vaccine market.
  • Emerging Technologies: mRNA-based vaccines are being developed, promising potential improvements in efficacy and tolerability.

FAQs

What is the current efficacy of Shingrix in preventing shingles?

Shingrix has shown an efficacy of 79.7% six to 11 years after vaccination in adults aged 50 and over[1].

How is the zoster vaccine market expected to grow?

The market is projected to grow from USD 1.62 billion in 2023 to USD 3.47 billion by 2031, with a CAGR of 10% from 2024 to 2031[2].

Which regions are leading the zoster vaccine market?

North America currently holds the largest share of the global zoster vaccine market[5].

What new technologies are being developed for shingles vaccines?

Pfizer and BioNTech are developing mRNA-based shingles vaccines, which aim to offer high efficacy and better tolerability[3].

Who are the key players in the zoster vaccine market?

Key players include Merck & Co., Inc., GSK plc, Pfizer Inc., Vaccitech, and others[5].

Sources

  1. GSK Press Release: New long-term data show Shingrix continues to provide high protection against shingles in adults aged 50 and over for more than a decade.
  2. Verified Market Research: In-Depth Industry Outlook: Zoster Vaccine Market Size & Forecast.
  3. Pfizer Press Release: Pfizer and BioNTech Initiate Phase 1/2 Study of First mRNA-based Shingles Vaccine.
  4. GSK Press Release: New Shingrix data demonstrate 100% vaccine efficacy in the prevention of shingles in adults aged 50 and over in China.
  5. The Brainy Insights: Zoster Vaccine Market Size, Share | CAGR of 8.1%.

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