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Combining recombinant herpes zoster and influenza or COVID-19 vaccinatio

Phase 4
Conditions
Shingles, influenza, COVID-19 (SARS-CoV-2 infection)
Infections and Infestations
Registration Number
ISRCTN26495549
Lead Sponsor
niversity Hospitals Bristol NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
1032
Inclusion Criteria

Current inclusion criteria as of 23/11/2023:

1. Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol
2. Written informed consent obtained from the participant prior to any study-specific procedure
3. Adults aged 50 years and over at the time of randomisation
4. Participants must have documented history (e.g. NHS app, GP record) or receiving their initial course (usually two doses) of any type of COVID-19 vaccinaiton, irrespective of the type of COVID-19 vaccine received.
5. Female participants of childbearing potential must be willing to ensure that they or their partner use effective contraception from 1 month prior to first vaccination continuously until 3 months after final vaccination*
*A woman of childbearing potential is defined as a pre-menopausal female who is capable of becoming pregnant

_____

Previous inclusion criteria:

1. Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol
2. Written informed consent obtained from the participant prior to any study-specific procedure
3. Adults aged 50 years and over at the time of randomisation
4. Participants must have documented previous COVID-19 vaccination in line with UK recommendations at the time of the study
5. Female participants of childbearing potential must be willing to ensure that they or their partner use effective contraception from 1 month prior to first vaccination continuously until 3 months after final vaccination*
*A woman of childbearing potential is defined as a pre-menopausal female who is capable of becoming pregnant

Exclusion Criteria

Current exclusion criteria as of 23/11/2023:

1. Any clinical condition that in the opinion of the investigator might pose additional risk to the participant due to participation in the study
2. History of reaction or hypersensitivity likely to be exacerbated by any component of the study intervention including allergic reaction to any component of any of the study vaccines, known reactions related to study vaccines e.g. history of myocarditis, Guillain-Barre Syndrome
3. Unstable medical condition on the day of enrolment as determined by clinical history and examination
4. Bleeding disorders
5. Any confirmed or suspected immunosuppressive, or immunodeficient condition, based on medical history and physical examination. People living with HIV that is well controlled can be included in the study.* Those with a new diagnosis or an AIDs defining illness in the past 12 months cannot be included.
6. Use of immunosuppressive medication, ongoing, long term or planned, defined as more than 14 days in total of immunosuppressant treatments. For corticosteroids this will mean more than 14 days of prednisolone >20 mg/day or equivalent. Use of inhaled, intra-articular and topical steroids is allowed.
7. Use or planned use of long-acting immune modifying drugs in the 12-month period before randomisation (e.g. infliximab)
8. COVID-19 or influenza vaccination 90 days prior to study vaccination
9. Previous vaccination with a live herpes zoster vaccine within the past 5 years
10. Administration of monoclonal antibodies (including those targeting SARS-CoV-2), immunoglobulins and/or blood products during the 3 months before the first dose of the study vaccines, up to 1 month after the last dose or planned during the study period
11. Planning to or concurrently participating in another interventional clinical study
12. Pregnancy, lactation or willingness/intention to become pregnant within the study period
13. COVID-19 or flu vaccine within 90 days, any other vaccine within 30 days of study vaccination
*Defined as less than 50 copies/ml (convert as needed from IU/ml) on the last two occasions >3 months apart, and a CD4 over 500 when last checked.

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Previous exclusion criteria:

1. Any clinical condition that in the opinion of the investigator might pose additional risk to the participant due to participation in the study
2. History of reaction or hypersensitivity likely to be exacerbated by any component of the study intervention including allergic reaction to any component of any of the study vaccines, known reactions related to study vaccines e.g. history of myocarditis, Guillain-Barre Syndrome
3. Unstable medical condition on the day of enrolment as determined by clinical history and examination
4. Bleeding disorders
5. Any confirmed or suspected immunosuppressive, or immunodeficient condition, based on medical history and physical examination
6. Use of immunosuppressive medication, ongoing, long term or planned, defined as more than 14 days in total of immunosuppressant treatments. For corticosteroids this will mean more than 14 days of prednisolone >20 mg/day or equivalent. Use of inhaled, intra-articular and topical steroids is allowed.
7. Use or planned use of long-acting immune modifying drugs in the 12-month period before randomisation (e.g. infliximab)
8. Planned vaccination within 30 days of study vaccination
9. Previous vaccination with a live herpes zoster vaccine within the past 5 years
10. Administration of monoclonal antibodies (i

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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