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临床试验/NCT05575830
NCT05575830进行中(未招募)4 期

Immune Response to the Recombinant Zoster Vaccine in People Living With HIV Over 50 Years of Age Compared to Non-HIV Age- and Gender-matched Controls - The Shingr'HIV Phase IV Multicenter Study

Calmy Alexandra10 个研究点 分布在 2 个国家目标入组 225 人开始时间: 2022年12月14日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
进行中(未招募)
发起方
入组人数
225
试验地点
10
主要终点
Geometric mean titer (GMT) of gE-specific total IgG

研究概览

简要总结

The purpose of this study is to evaluate the efficacy and safety of the adjuvanted recombinant Zoster vaccine (RZV, or Shingrix®) in older people (> 50 years) living with HIV (PLWH) compared to age-matched healthy adults over a 1-year period.

详细描述

This is a prospective multicentric phase IV study, aiming at evaluating the immunogenicity and safety profile of RZV in PLWH over 50 years of age (YOA) on long term antiretroviral therapy (ART) (>10 years) compared to non-HIV age-matched adult controls to address the combined effect of aging and immunosuppression from HIV disease.

Inclusion will be stratified as follow:

HIV+ groups:

  • Group 1: PLWH registered in the SHCS or ANRS CO3, >75 YOA and under cART for more than 10 years - N=50
  • Group 2: PLWH patients registered in the SHCS, aged between 60 and 75 and under cART for more than 10 years - N=50
  • Group 3: PLWH patients registered in the SHCS, aged between 50 and 59 and under cART for more than 10 years - N=50

Control groups:

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
50 Years 至 95 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Be registered in the SHCS or in the ANRS CO3 Aquitaine Cohort
  • Age >50 YOA
  • Time since cART initiation > 10 years
  • Not already vaccinated with RZV
  • HIV viral load <50 copies/ml (within 6 months from the last blood sampling)
  • Informed consent as documented by signature
  • (France) : Person affiliated with or beneficiary of the French social security scheme
  • For aged/gender-matched controls
  • Age >50 YOA
  • Not already vaccinated with RZV
  • Informed consent as documented by signature
  • (France) Not HIV infected
  • (France) Person affiliated with or beneficiary of the French social security scheme

排除标准

  • Ongoing signs of febrile or non-febrile infection at the time of the first vaccination
  • Immunosuppression from the following:
  • Current malignant neoplasm;
  • primary immunodeficiency;
  • recent (<2 years) solid or bone-marrow transplant or any transplant still requiring immunosuppressive therapy
  • Intake of drugs which suppress the immune system (e.g. glucocorticoids for a long time [an equivalent dose of prednisolone >20 mg/day > 3 months], monoclonal antibodies, cytostatics, biological products, etc.) within 6 months before screening.
  • Administration of immunoglobulins or any blood products within 3 months preceding the first dose of vaccine or planned administration during the study period
  • Having received a vaccine in the last month or is expected to receive a vaccine in the next month
  • Having received a shingles vaccine within one year
  • Presented with herpes zoster in the previous year
  • Contra-indication to RZV
  • Hospitalized patients
  • Unable to provide informed consent or inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant
  • Participation in another study with investigational drug within the 30 days preceding and during the present study.
  • (France) Pregnant or breastfeeding woman
  • (France) Patient governed by articles L 1121-5 to L 1121-8 (persons deprived of their liberty by a judicial or administrative decision, minors, persons of legal age who are the object of a legal protection measure or unable to express their consent)

研究组 & 干预措施

RZV or Shingrix®)

Experimental

Recombinant Zoster Vaccine

干预措施: Recombinant Zoster Vaccine (Biological)

结局指标

主要结局

Geometric mean titer (GMT) of gE-specific total IgG

时间窗: Day 90

gE-specific total IgG titers is determined by gE-specific ELISA from sera samples

次要结局

  • Vaccine safety - AESI 7 days(7 days)
  • Vaccine safety - PLWH(Day 90)
  • Vaccine immunogenicity - CD4+ T cells(Day 90)
  • Vaccine safety - SAE 360 days(360 days)
  • Vaccine safety -pIMDs(360 days)

研究者

发起方
Calmy Alexandra
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Calmy Alexandra

Prof

University Hospital, Geneva

研究点 (10)

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