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
- Contact Person Email
- stephanie.finzel@uniklinik-freiburg.de
- Site Name
- Goethe University Frankfurt
- Contact Person Name
- Michaela Köhm
- Contact Person Email
- Michaela.koehm@unimedizin-ffm.de
- 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
- Contact Person Email
- Hendrik.Schulze-Koops@med.uni-muenchen.de
- 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
- Contact Person Email
- Daniel.Vagedes@mvz-klinikum-straubing.de
- 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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