A phase IV trial of Shingrix on incident dementia diagnosis in adults aged ≥76 years in Finland

2025-524598-17-00 Protocol 300889 Therapeutic use (Phase IV) Ongoing, recruiting

Start 31 Mar 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 6 sites · Protocol 300889

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 35,000
Countries 1
Sites 6

Incident dementia

1. To assess the effect of Shingrix on the risk reduction of an incident dementia diagnosis among adults ≥ 76 years, compared to placebo.

Key facts

Sponsor
GlaxoSmithKline Biologicals
Participant type
Healthy volunteers
Age range
65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
31 Mar 2026 → ongoing
Decision date (initial)
2026-02-16
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
GlaxoSmithKline Biologicals SA

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

1. To assess the effect of Shingrix on the risk reduction of an incident dementia diagnosis among adults ≥ 76 years, compared to placebo.

Secondary objectives 2

  1. 1. To assess the effect of a 2-dose Shingrix regimen on the risk reduction of an incident dementia diagnosis among adults aged ≥76 years, compared to placebo.
  2. 2. To assess the effect of Shingrix on the risk of an incident AD diagnosis among adults ≥ 76 years, compared to placebo.

Conditions and MedDRA coding

Incident dementia

VersionLevelCodeTermSystem organ class
20.0 PT 10012267 Dementia 100000004852

Study design 4 periods

#TitleAllocationBlindingRoles blindedArms
1 Screening
Participants will be screened, enrolled, and randomized to either receive Shengrix or placebo
Not Applicable None
2 Randomization
Participants will be screened, enrolled, and randomized to either receive Shengrix or placebo
Randomised Controlled Double [{"id":181429,"code":2,"name":"Investigator"},{"id":181428,"code":5,"name":"Carer"},{"id":181426,"code":4,"name":"Analyst"},{"id":181427,"code":1,"name":"Subject"},{"id":181425,"code":3,"name":"Monitor"}]
3 Treatment
Participants will be screened, enrolled, and randomized to either receive Shengrix or placebo
Randomised Controlled Single [{"id":181433,"code":1,"name":"Subject"},{"id":181431,"code":3,"name":"Monitor"},{"id":181434,"code":5,"name":"Carer"},{"id":181435,"code":2,"name":"Investigator"},{"id":181432,"code":4,"name":"Analyst"}] Arm 1 - Shingrix: IP arm
Arm 2 - Placebo: Placebo arm
4 Follow-up
Passive follow-up post-randomisation until the earliest of the following dates: death, loss to follow-up, or up to 10 years after the last participant is enrolled. The primary study period will continue until 1) sufficient dementia diagnoses (per sample size and power calculation) have accrued and 2) the average follow-up time is equal to or greater than 3 years. Longer follow-up may occur for other objectives and endpoints.
Not Applicable None

Regulatory references

Scientific advice from competent authorities
Finnish Medicines Agency
Plan to share IPD
Yes
IPD plan description
Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf o IPD Sharing Access Criteria: Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension may be granted, when justified, for up to 6 months. o IPD Sharing Time Frame: Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Participants are eligible to be included in the study only if ALL of the following criteria apply: 1. Citizens living permanently in Finland, who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., return for follow-up visits).
  2. 2. Written or witnessed informed consent obtained from the participant prior to performance of any study-specific procedure.
  3. 3. Age 76 years or older at the time of signing the informed consent.

Exclusion criteria 6

  1. Participants will be excluded from the study if any of the following criteria apply: 1. History of vaccination against HZ
  2. 2. History of dementia prior to enrolment, including confirmed cases or those under investigation. This includes: a) History of a confirmed clinical diagnosis of dementia prior to enrolment b) Prior or current use of medications intended to treat dementia c) Current or recent history of cognitive assessments for any memory deficit or suspected dementia before enrollment including investigations that are ongoing or were inconclusive (but not those for which dementia was conclusively ruled out); MCI on its own without any other information to indicate cognitive decline or dementia will not result in exclusion
  3. 3. Severely immunocompromised individuals (i.e., those with haematological cancer or have had stem cell transplant or organ transplant)
  4. 4. Concurrently participating in another clinical trial, in which the participant has been or will be exposed to an investigational product
  5. 5. Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
  6. 6. Living in a nursing facility

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 1. Incident diagnosis of dementia post-first dose of Shingrix or placebo.

Secondary endpoints 2

  1. 1. Incident diagnosis of dementia occurring 1 month post-second dose of Shingrix or placebo.
  2. 2. Incident diagnosis of AD post-first dose of Shingrix or placebo.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Shingrix powder and suspension for suspension for injection Herpes zoster vaccine (recombinant, adjuvanted)

PRD5990658 · Product

Active substance
Recombinant Varicella Zoster Virus Glycoprotein E
Substance synonyms
GSK-1437173A, RECOMBINANT VARICELLA ZOSTER VIRUS SURFACE GLYCOPROTEIN E
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
J07BK03 — -
Marketing authorisation
EU/1/18/1272/002
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Shingrix suspension for injection in pre filled syringe Herpes zoster vaccine (recombinant, adjuvanted)

PRD13311134 · Product

Active substance
Recombinant Varicella Zoster Virus Glycoprotein E
Substance synonyms
GSK-1437173A, RECOMBINANT VARICELLA ZOSTER VIRUS SURFACE GLYCOPROTEIN E
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
J07BK03 — -
Marketing authorisation
EU/1/18/1272/003
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

The Placebo used for the clinical trial is a sterile saline solution (0.9% w/v solution of NaCl in water) supplied in 1.25 mL pre-filled glass syringes.

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

GlaxoSmithKline Biologicals

Sponsor organisation
GlaxoSmithKline Biologicals
Address
Rue De L'Institut 89
City
Rixensart
Postcode
1330
Country
Belgium

Scientific contact point

Organisation
GlaxoSmithKline Biologicals
Contact name
EU GSK Clinical Trials Call Center

Public contact point

Organisation
GlaxoSmithKline Biologicals
Contact name
EU GSK Clinical Trials Call Center

Third parties 2

OrganisationCity, countryDuties
Medidata Solutions Inc.
ORG-100016256
New York, United States Other, Interactive response technologies (IRT), E-data capture
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Laboratory analysis

Locations

1 EU/EEA country · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 35,000 6
Rest of world 0

Investigational sites

Finland

6 sites · Ongoing, recruiting
Kymenlaakson hyvinvointialue
N/A, Keskuskatu 19, 48100, Kotka
Suomen Rokotepiste Oy
N/A, Haartmaninkatu 4, Building 14 c/o Terkko Health Hub, Helsinki
Satakunnan hyvinvointialue
N/A, Sairaalantie 3, 28500, Pori
Keski-Suomen Hyvinvointialue
N/A, Hoitajantie 3, 40620, Jyväskylä
FVR Suomen rokotetutkimus Oy
N/A, Peltokatu 26, 33100, Tampere
Paeijaet-Haemeen hyvinvointialue
N/A, Keskussairaalankatu 7, 15850, Lahti

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2026-03-31 2026-03-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_ GSK_300889_Protocol_2025-524598-17-00_Public Amd 02
Recruitment arrangements (for publication) K1_300889_Recruitment Informed Consent Procedure_FIN_fin_Public 2.0
Recruitment arrangements (for publication) K2_300889_Site advertisement material_FIN_fin_Public 2.0
Subject information and informed consent form (for publication) L1_300889_Main ICF_FIN_fin_Public 3.0
Summary of Product Characteristics (SmPC) (for publication) E2_GSK_300889_SmPC_Shingrix_Public n/a
Synopsis of the protocol (for publication) D4_ GSK_300889_Protocol synopsis_2025-524598-17-00_Public 3.0

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-11-28 Finland Acceptable
2026-02-11
2026-02-16
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-02-19 Finland Acceptable
2026-02-11
2026-02-19
3 SUBSTANTIAL MODIFICATION SM-1 2026-03-12 Finland Acceptable
2026-04-17
2026-04-22