Clinical trial • Phase IV • Immunology

RECOMBINANT VARICELLA ZOSTER VIRUS GLYCOPROTEIN E for Psoriasis vulgaris | Psoriatic arthritis

Phase IV trial of RECOMBINANT VARICELLA ZOSTER VIRUS GLYCOPROTEIN E for Psoriasis vulgaris | Psoriatic arthritis. None/Not specified-controlled.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Psoriasis vulgaris | Psoriatic arthritis
Trial Stage
Phase IV
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
10-09-2024
First CTIS Authorization Date
26-09-2024

Trial design

None/Not specified-controlled Phase IV trial in Germany.

Comparator
None/Not specified
Target Sample Size
336
Trial Duration For Participant
364

Eligibility

Recruits 336 No vulnerable population selected; participants must be adults (Age ≥ 18); informed consent is required from participants; assent not applicable..

Pregnancy Exclusion
Subject pregnant or breast feeding
Vulnerable Population
No vulnerable population selected; participants must be adults (Age ≥ 18); informed consent is required from participants; assent not applicable.

Inclusion criteria

  • {"criterion_text":"- Diagnosis of psoriasis vulgaris and/or psoriatric arthritis"}
  • {"criterion_text":"- Score thresholds depending on disease: a. PASI ≤ 9 and DAPSA ≤ 14 in patients having both psoriasis and psoriasis arthritis b. PASI ≤ 9 in patients presenting with psoriasis vulgaris only c. DAPSA ≤ 14 in patients presenting with psoriasis arthritis without major skin involvement;"}
  • {"criterion_text":"- Age ≥ 18 and ≤ 75 years"}
  • {"criterion_text":"- Written informed consent"}
  • {"criterion_text":"- Women of childbearing potential should use at least one of the following contraceptive measures up until 2 months after the second vaccination (week 24 of the study): - progestogen-only oral hormonal contraception, where inhibition of ovulation is not the primary mode of action - male or female condom with or without spermicide - cap, diaphragm or sponge with spermicide."}

Exclusion criteria

  • {"criterion_text":"- Subject pregnant or breast feeding"}
  • {"criterion_text":"- Concurrent participation in another interventional AMG trial"}
  • {"criterion_text":"- History of chronic infectious disease"}
  • {"criterion_text":"- Past or current history of cancer not curatively treated. Curatively treated malignancies must be without evidence of disease for a minimumof 5 years upon enrollment"}
  • {"criterion_text":"- Prior administration of recombinant zoster vaccine (RZV) at any point in time, or any other herpes zoster or varicella vaccine received less than12 months ago."}
  • {"criterion_text":"- Previous or current history of HZ"}
  • {"criterion_text":"- Patients with any other significant medical, psychiatric, or surgical condition, currently uncontrolled by treatment, which may interfere withcompletion of the study"}
  • {"criterion_text":"- Hypersensitivity to the active substance or to any of the other substance of Shingrix"}
  • {"criterion_text":"- Live virus and mRNA vaccines cannot be administered within 30 days (before/after) RZV and inactivated/ subunit vaccines within 8 days (before/after) RZV"}
  • {"criterion_text":"- Patients with disease flares within the past 6 months. A disease flare is defined as any therapeutic escalation during the past 6 months prior to screening. This includes new onset of concomitant immunomodulation, change of ongoing immunomodulation, and/or use of glucocorticoids ≥ 10 mg per day prednisolone equivalent"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Increase of Psoriasis arthritis and/or Psoriasis vulgaris activity under Shingrix vaccination defined as increase in DAPSA (by ≥ 15 points) or PASI (by ≥ 10 points) scores within 12 weeks after the first vaccination. If PsA activity arises in patients who only had Pso at inclusion or Pso activity arises in patients who only had PsA at inclusion, the trial steering committee will adjudicate whether this should be regarded as an increase in activity with respect to the primary endpoint.","definition_or_measurement_approach":"Primary endpoint defined as increase in DAPSA by ≥ 15 points or PASI by ≥ 10 points within 12 weeks after the first vaccination; adjudication by trial steering committee if disease-type conversion occurs."}

Secondary endpoints

  • {"endpoint_text":"- Number of patients with humoral and cell-mediated vaccine response against the recombinant zoster vaccine (RZV) defined as increase in titer (anti VZV-ELISA) and/or glycoprotein E positive CD4-T-Cells) at 8 and at 52 weeks post first vaccination","definition_or_measurement_approach":"Vaccine response measured as increase in anti VZV-ELISA titer and/or glycoprotein E positive CD4+ T-cells at 8 and 52 weeks post first vaccination."}
  • {"endpoint_text":"- Frequency, duration and maximum severity of patients with HZ and post-herpetic neuralgia during treatment phase & follow-up. HZ will be laboratory (PCR) confirmed. Post herpetic neuralgia is defined as pain ≥90 days after confirmed HZ onset. Ad-hoc visits at time of primarily suspected HZ will be performed.","definition_or_measurement_approach":"Herpes zoster (HZ) cases laboratory-confirmed by PCR; post-herpetic neuralgia defined as pain ≥90 days after confirmed HZ onset; ad-hoc visits performed when HZ suspected."}
  • {"endpoint_text":"- Frequency, duration and maximum severity of AEs/SAEs, together with measures of physical examination, vital signs, clinical chemistry, if deemed necessary, during treatment phase up to 60 days after second vaccination or after any doses.","definition_or_measurement_approach":"Safety assessed by recording frequency, duration and maximum severity of AEs/SAEs and by physical examination, vital signs, and clinical chemistry up to 60 days after second vaccination or after any doses."}
  • {"endpoint_text":"- Frequency, duration and maximum severity of injection site reactions (by physical examination 7 days post-vaccination and patient reporting)","definition_or_measurement_approach":"Injection site reactions evaluated by physical examination 7 days post-vaccination and by patient-reported outcomes."}

Recruitment

Planned Sample Size
336
Recruitment Window Months
64
Consent Approach
Written informed consent required from participants (Age ≥ 18); subject information and informed consent forms available (documents L1 listed); assent not applicable; languages of consent documents not specified.

Geography

Total Number Of Sites
17
Total Number Of Participants
336

Germany

Earliest CTIS Part Ii Submission Date
24-09-2024
Latest Decision Or Authorization Date
30-04-2026
Processing Time Days
583
Number Of Sites
17
Number Of Participants
336

Sites

Site Name
Thermalsole und Schwefelbad Bentheim GmbH
Department Name
Clinical Study Center
Contact Person Name
Athanasios Tsianakas
Contact Person Email
a.tsianakas@fk-bentheim.de
Site Name
Universitaetsklinikum Muenster AöR
Department Name
Division of Clinical Rheumatology and Immunology
Contact Person Name
Rebecca Hasseli-Fräbel
Contact Person Email
hasseli@rheumathek.de
Site Name
Hms GmbH
Department Name
Dermatology
Contact Person Name
Sebastian Zimmer
Contact Person Email
science@hautmedizin-saar.de
Site Name
Studienteam Lahn-Dill-Siegerland GbR
Department Name
Rheumatology
Contact Person Name
Mirko Steinmüller
Contact Person Email
kontakt@studienteam.de
Site Name
Infektio Research GmbH & Co. KG
Department Name
Infektiology
Contact Person Name
Markus Bickel
Contact Person Email
bickel@infektio-research.de
Site Name
ICH Study Center GmbH & Co. KG
Department Name
Rheumatology
Contact Person Name
Guido Schäfer
Contact Person Email
mail@ich-studycenter.com
Site Name
Universitaet Muenster
Department Name
Department for Dermatology
Contact Person Name
Nina Magnolo
Contact Person Email
nina.magnolo@ukmuenster.de
Site Name
Rheumatologische Praxis Hannover GbR
Department Name
Rheumatology
Contact Person Name
Alexandra Dopfer-Jablonka
Contact Person Email
podbi@rheumapraxis-hannover.de
Site Name
Medical Center - University Of Freiburg
Department Name
Department of Rheumatology and Clinical Immunology
Contact Person Name
Stephanie Finzel
Site Name
Goethe University Frankfurt
Contact Person Name
Michaela Köhm
Site Name
Klinikverbund St. Antonius und St. Josef GmbH
Department Name
Clinic for Rheumatology, Immunology, Osteology
Contact Person Name
Björn Bühring
Contact Person Email
Bjoern.Buehring@cellitinnen.de
Site Name
Klinikum der Universitaet Muenchen AöR
Department Name
Medical Clinic and Polyclinic IV - Section Rheumatology and Clinical Immunology
Contact Person Name
Hendrik Schulze-Koops
Site Name
Universitaetsklinikum Bonn AöR
Department Name
Rheumatology
Contact Person Name
Valentin Schäfer
Contact Person Email
studienzentrale-szb@ukbonn.de
Site Name
Barmherzige Brueder gemeinnuetzige Traeger GmbH
Department Name
Rheumatology
Contact Person Name
Daniel Vagedes
Site Name
Goethe University Frankfurt
Department Name
Clinic for Dermatology, Venereology and Allergology - clinical reserach
Contact Person Name
Andreas Pinter
Contact Person Email
Pinter-klifo-ffm@gmx.de
Site Name
Philipps-Universitaet Marburg
Department Name
Department of Dermatology and Allergology Marburg
Contact Person Name
Manuel Göbel
Contact Person Email
goebelm@med.uni-marburg.de
Site Name
University Medical Center Hamburg-Eppendorf
Department Name
Institute for Health Services Research in Dermatology and Nursing
Contact Person Name
Matthias Augustin
Contact Person Email
m.augustin@uke.de

Sponsor

Primary sponsor

Full Name
Justus-Liebig-Universitaet Giessen
Organisation Type
Educational Institution
Country Of Registered Address
Germany

Third parties

  • {"country":"Belgium","full_name":"Universiteit Gent","duties_or_roles":"code 4","organisation_type":"Educational Institution"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Lab kit distribution, transport and interim lab samples storage","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Universitaetsklinikum Giessen und Marburg GmbH","duties_or_roles":"code 4","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Shingrix powder and suspension for suspension for injection Herpes zoster vaccine (recombinant, adjuvanted)
Active Substance
RECOMBINANT VARICELLA ZOSTER VIRUS GLYCOPROTEIN E
Modality
Vaccine
Routes Of Administration
Intramuscular
Route
Intramuscular
Authorisation Status
Authorised (marketing authorisation EU/1/18/1272/001)
Starting Dose
0.5 ml
Dose Levels
0.5 ml
Maximum Dose
1 ml

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