A Pragmatic Randomized Trial to Evaluate the Effect of Recombinant Herpes Zoster Vaccine on Major Adverse Cardiovascular Events and Dementia in Adults Aged 65 Years or Above

2025-524944-37-00 Protocol DAN-ZOSTER Therapeutic use (Phase IV) Ongoing, recruiting

Start 28 Apr 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites · Protocol DAN-ZOSTER

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 162,000
Countries 1
Sites 2

Herpes Zoster

This trial has two dual-primary objectives: 1) To evaluate the effect of Shingrix® on the risk of MACE, defined as a composite of hospitalization for non-fatal myocardial infarction, non-fatal stroke and cardiovascular death, in adults aged 65 years and older 2) To evaluate the effect of Shingrix® on the risk of new de…

Key facts

Sponsor
Gentofte Hospital, GlaxoSmithKline Biologicals
Participant type
Healthy volunteers
Age range
65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
28 Apr 2026 → ongoing
Decision date (initial)
2026-03-04
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
GSK

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Prophylaxis

This trial has two dual-primary objectives:
1) To evaluate the effect of Shingrix® on the risk of MACE, defined as a composite of hospitalization for non-fatal myocardial infarction, non-fatal stroke and cardiovascular death, in adults aged 65 years and older
2) To evaluate the effect of Shingrix® on the risk of new dementia in adults aged 65 years and older.

Secondary objectives 2

  1. The secondary objectives of this trial are subdivided according to the dual primary endpoints of new dementia and MACE. 1) MACE related secondary objectives To evaluate the effect of Shingrix® on the risk of the following endpoints: -Composite of hospitalization for non-fatal acute coronary syndrome, non-fatal stroke, or cardiovascular death -Hospitalization for any cardiovascular disease -Hospitalization for stroke -Hospitalization for myocardial infarction -Cardiovascular death
  2. New dementia related secondary objectives To evaluate the effect of Shingrix® on the risk of the following endpoints: – Alzheimer’s dementia – Vascular dementia – Unspecified dementia

Conditions and MedDRA coding

Herpes Zoster

VersionLevelCodeTermSystem organ class
20.0 PT 10019974 Herpes zoster 100000004862

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Age 65 years and above at the time of consent
  2. Informed consent form has been signed and dated
  3. Self-reported ability to understand written and spoken Danish or English

Exclusion criteria 1

  1. The study has the following exclusion criteria (self-reporting): 1. A prior diagnosis of dementia 2. Chronic inflammatory rheumatic disease and concomitant immunosuppressive therapy 3. Prior herpes zoster vaccination

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. In line with the study’s primary objective of evaluating the effect of Shingrix® on the risk of MACE and new dementia in adults aged 65 years and older, this trial includes the following dual primary time-to-event endpoints: 1) Hospitalization for MACE 2) new dementia

Secondary endpoints 2

  1. The secondary endpoints of this trial are subdivided according to the dual primary endpoints of MACE and new dementia.
  2. MACE-related secondary endpoints The MACE related secondary endpoints are as follows: -Composite of hospitalization for non-fatal acute coronary syndrome, non-fatal stroke, or cardiovascular death -Hospitalization for any cardiovascular disease -Hospitalization for stroke -Hospitalization for myocardial infarction -Cardiovascular death Dementia-related secondary endpoints The new dementia related endpoints are as follows: – Alzheimer’s dementia – Vascular dementia – Unspecified dementia

Investigational products

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

Test 2

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

PRD5987176 · 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 mg milligram(s)
Max total dose
2 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BK03 — -
Marketing authorisation
EU/1/18/1272/002
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

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

PRD5987272 · 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 mg milligram(s)
Max total dose
2 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BK03 — -
Marketing authorisation
EU/1/18/1272/001
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Gentofte Hospital

Sponsor organisation
Gentofte Hospital
Address
Gentofte Hospitalsvej 1
City
Hellerup
Postcode
2900
Country
Denmark

Scientific contact point

Organisation
Gentofte Hospital
Contact name
Tor Biering-Sørensen

Public contact point

Organisation
Gentofte Hospital
Contact name
Tor Biering-Sørensen

Third parties 1

OrganisationCity, countryDuties
GCP-enheden ved Københavns Universitetshospital
ORL-000002325
Frederiksberg, Denmark On site monitoring

GlaxoSmithKline Biologicals

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

Sponsor responsibilities

Article 77 compliance
Gentofte Hospital
Contact point sponsor
Gentofte Hospital
Article 77 implementation
Gentofte Hospital

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 162,000 2
Rest of world 0

Investigational sites

Denmark

2 sites · Ongoing, recruiting
Danske Lægers Vaccinations Service
Danske Lægers vaccinations Service, Gladsaxevej 376. 1., 2860, Søborg
Gentofte Hospital
Department of Cardiology, Gentofte Hospitalsvej 1, 2900, Hellerup

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2026-04-28 2026-04-28

Results and documents

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

Documents 25 files

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

TypeTitleVersion
Protocol (for publication) DAN-ZOSTER_Protocol_2025-524944-37-00_TC 1.3
Protocol (for publication) Protocol_DAN-ZOSTER_2025-524944-37-00 1.3
Recruitment arrangements (for publication) K1_DAN-ZOSTER Invitation letter 1.4
Recruitment arrangements (for publication) K1_DAN-ZOSTER Invitation letter_TC 1.4
Recruitment arrangements (for publication) K1_recruitment_arrangement 1.4
Recruitment arrangements (for publication) K1_recruitment_arrangement_TC 1.4
Recruitment arrangements (for publication) K1_Video script_ENG 1.4
Recruitment arrangements (for publication) K1_Video script_ENG_TC 1.4
Recruitment arrangements (for publication) K1_video_transkript_DK 1.4
Recruitment arrangements (for publication) K1_video_transkript_DK_TC 1.4
Recruitment arrangements (for publication) K1_Website advertisment_DK 1.4
Recruitment arrangements (for publication) K1_Website advertisment_DK_TC 1.4
Recruitment arrangements (for publication) K1_Website advertisment_ENG 1.4
Recruitment arrangements (for publication) K1_Website advertisment_ENG_TC 1.4
Subject information and informed consent form (for publication) L1_DAN-ZOSTER_deltagerinformation_DK 1.4
Subject information and informed consent form (for publication) L1_DAN-ZOSTER_deltagerinformation_TC 1.4
Subject information and informed consent form (for publication) L1_DAN-ZOSTER_Informed_Consent_Form_TC 1.1
Subject information and informed consent form (for publication) L1_DAN-ZOSTER_Participant Information sheet 1.4
Subject information and informed consent form (for publication) L1_DAN-ZOSTER_Participant Information sheet_TC 1.4
Subject information and informed consent form (for publication) L1_DAN-ZOSTER_Samtykkeerklring_TC 1.1
Subject information and informed consent form (for publication) L1_Informed_Consent_Form_ENG 1.1
Subject information and informed consent form (for publication) L1_Samtykkeerklring 1.1
Summary of Product Characteristics (SmPC) (for publication) SmPC_Shingrix 1.0
Synopsis of the protocol (for publication) D1_DAN-ZOSTER Protocol-synopsis 1.2
Synopsis of the protocol (for publication) D1_DAN-ZOSTER Protocol-synopsis_TC 1.2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-12-09 Denmark Acceptable
2026-03-03
2026-03-04