Status:

NOT_YET_RECRUITING

Shingrix in Patients With Rheumatic Diseases: a Double-blind Placebo-controlled RCT

Lead Sponsor:

Tuen Mun Hospital

Conditions:

Herpes Zoster

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

A double-blind randomized controlled trial on the safety and immunogenicity of the recombinant subunit herpes zoster vaccine, Shingrix, in patients with rheumatic diseases undergoing immunosuppressive...

Detailed Description

A double-blind randomized controlled trial on the safety and immunogenicity of the recombinant subunit herpes zoster vaccine, Shingrix, in patients with rheumatic diseases undergoing immunosuppressive...

Eligibility Criteria

Inclusion

  • Inclusion criteria for patients:
  • Patients with a diagnosis of rheumatic or immune-mediated diseases eg. SLE, RA, PSA, SpA, inflammatory myopathies, ANCA-related and large vessel vasculitides
  • Age ≥18 years
  • Stable or reducing doses of any the following immunosuppressive regimens within 4 weeks of study entry:
  • Prednisolone ≥20mg/kg/day ± mycophenolate mofetil, azathioprine or the calcineurin inhibitors
  • Cyclophosphamide (intravenous pulses or daily oral)
  • B-cell depleting biological agents and their biosimilars eg. belimumab, anti-CD20 agents (next scheduled dose should be arranged to at least 12 weeks after study entry for rituximab or obinutuzumab)
  • Anti-TNFα biological agents and their biosimilars eg. infliximab, etanercept, adalimumab, golimumab, certolizumab
  • Anti-interleukin-6 biological agents eg. tocilizumab, sarilumab
  • Other biological agents eg. abatacept, ustekinumab, secukinumab, ixekizumab
  • The JAK inhibitors eg. tofacitinib, baricitinib, upadacitinib
  • Female patients with reproductive potential are allowed to participate in this study provided that they are willing to practice contraception for until at least 12 months after vaccination
  • Willing to comply with all study procedures
  • Exclusion criteria for patients:
  • Active infection, including upper respiratory tract infection
  • Active HZ infection
  • Active untreated tuberculosis
  • HIV infection
  • History of HZ or varicella vaccination in the past
  • History of allergy to any vaccines
  • Patients who are pregnant or plan to become pregnancy within one year of study entry
  • Lactating women
  • Patients who cannot give a written consent (mentally incapable or illiterate)

Exclusion

    Key Trial Info

    Start Date :

    January 1 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    July 1 2026

    Estimated Enrollment :

    140 Patients enrolled

    Trial Details

    Trial ID

    NCT04748939

    Start Date

    January 1 2025

    End Date

    July 1 2026

    Last Update

    August 6 2024

    Active Locations (1)

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    1

    Department of Medicine, Tuen Mun Hospital

    Hong Kong, China