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Safety and Immunogenicity of CRV-101 Vaccine for the Prevention of Herpes Zoster in Adults Aged 50 Years and Older

Phase 2
Active, not recruiting
Conditions
Shingles
Herpes Zoster
Interventions
Biological: CRV-101 Vaccine Antigen High Dose
Biological: CRV-101 Vaccine Adjuvant Low Dose
Biological: CRV-101 Vaccine Antigen Low Dose
Biological: CRV-101 Vaccine Adjuvant Middle Dose
Biological: CRV-101 Vaccine Adjuvant High Dose
Registration Number
NCT05304351
Lead Sponsor
Curevo Inc
Brief Summary

The purpose of this study is to assess the safety and immunogenicity of CRV-101, an investigational vaccine compared to Shingrix for the prevention of herpes zoster in adults aged 50 years and older

Detailed Description

In the first part of the trial, participants will be randomized 1:1:1 to CRV-101 Vaccine high antigen dose, CRV-101 Vaccine low antigen dose, or Shingrix. In the second part of the trial, participants will be randomized 5:1 to receive CRV-101 high adjuvant dose, middle adjuvant dose, or low adjuvant dose versus Shingrix. Both study vaccines, CRV-101 Vaccine and Shingrix, will be administered by intramuscular injection on Month 0 and Month 2. Safety, reactogenicity, and immunogenicity analysis will be performed overall and by age group. Participants will be followed for safety, immunogenicity, and herpes zoster cases, from Day 0 to the main study end (Month 14), and through the long-term follow up (LTFU) extension period up to 6 years.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
876
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Arm ACRV-101 Vaccine Antigen High DoseInvestigational Vaccine
Arm C & GShingrixActive comparator
Arm FCRV-101 Vaccine Adjuvant Low DoseInvestigational Vaccine
Arm BCRV-101 Vaccine Antigen Low DoseInvestigational Vaccine
Arm ECRV-101 Vaccine Adjuvant Middle DoseInvestigational Vaccine
Arm DCRV-101 Vaccine Adjuvant High DoseInvestigational Vaccine
Primary Outcome Measures
NameTimeMethod
Occurrence of unsolicited non-serious adverse eventsDay 0-Day 28 following each vaccination

Occurrence, severity, and relationship to vaccination of unsolicited adverse events within 29 days (Day 0-Day 28) following each vaccination

Occurrence of serious adverse events (SAEs)Day 0 - Extension year 6 (as noted in description)

Occurrence and relationship to vaccination of all serious adverse events (SAE) from after first vaccination (Day 0) to main study end (Day 421 \[Month 14\]) Occurrence and relationship to vaccination of all related or fatal serious adverse events (SAE) in study participants in long-term follow up (LTFU) up to 6 years.

Occurrence of solicited local and systemic signs and symptomsDay 0-Day 6 for each vaccination timepoint

Occurrence, severity, and duration of solicited local injection site reactions within 7 days (Day 0-Day 6) following each vaccination. (i.e., pain, redness, swelling)

Occurrence, severity, and duration of solicited systemic reactions within 7 days (Day 0-Day 6) following each vaccination. (i.e., myalgia, fatigue, headache, chills, fever)

To compare the reactogenicity of CRV-101 Vaccine to that of the standard 2-dose schedule of Shingrix®Day 0-Day 6 for each vaccination timepoint

Comparison of the proportion of participants reporting solicited local and systemic reactogenicity events following each vaccination

Occurrence of adverse events (AEs) of special interestDay 0 - Extension year 6 (as noted in description)

Occurrence of any Potential Immune-Mediated Medical Conditions (PIMMCs) from post first vaccination (Day 0) to main study end (Day 421 \[Month 14\]), and in LTFU up to 6 years.

Medically attended adverse events (MAAEs) from post first vaccination (Day 0) to study end (Day 421 \[Month 14\])

To evaluate safety as measured by hematology and biochemistry parametersDay 7 and Day 63

Occurrence, intensity, and relationship to vaccination of clinically significant hematologic and biochemical adverse events at Month 0 and Month 3

To compare the humoral immune response of Shingrix® to CRV-101 VaccineMonth 3

Comparison of humoral response between CRV-101 Vaccine and Shingrix at Month 3

Vaccine protein-specific antibody concentrations (GMC) elicited by vaccination between Month 0 and Month 3Month 3

Assess humoral immune response as determined by Enzyme-linked Immunosorbent Assay (ELISA)

Vaccine Response Rate (≥ 4 fold increase in antibody concentration from pre-vaccination) at Month 3Month 3

• Assess humoral immune response as determined by Enzyme-linked Immunosorbent Assay (ELISA)

Secondary Outcome Measures
NameTimeMethod
Fold rise of vaccine protein-specific antibody concentrations elicited in response to vaccination for durability post Month 3Month 3

• Assess humoral immune response as determined by Enzyme-linked Immunosorbent Assay (ELISA)

Anti-Varicella Zoster Virus (VZV) neutralizing antibody titer in response to vaccination between Day 0 and Month 3Month 3

To assess the functional humoral immune response to vaccination (sub-study)

Frequency of vaccine protein-specific CD4+ T cells expressing at least 2 activation markers in response to vaccination between Month 0 and Month 3Month 3

To assess the cell-mediated immunity (CMI) immune response to vaccination as determined by intracellular cytokine staining (ICS)

To compare the frequency of vaccine protein-specific CD4+ T cells expressing at least 2 activation markers of Shingrix® to CRV-101 Vaccine between Month 0 and Month 3Month 3

To compare CMI immune response between CRV-101 Vaccine and Shingrix® at Month 3

CMI Vaccine Response rate (≥ 2-fold increase in the frequency of vaccine protein-specific CD4+ T cell expressing at least 2 activation markers) at Month 3Month 3

To assess the cell-mediated immunity (CMI) immune response to vaccination as determined by intracellular cytokine staining (ICS)

Trial Locations

Locations (1)

Curevo Investigational Site

🇺🇸

San Antonio, Texas, United States

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