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. 2019 Nov 7;2019(11):CD008858. doi: 10.1002/14651858.CD008858.pub4

Levin 2000.

Methods Study design: RCT, non‐blinded
Duration: 36 months postvaccination
Participants Inclusion criteria
Setting: outpatient
Country: USA
Number: 167 participants; treatment (N = 82), control (N = 85)
Participants' health status: healthy participants with a history of varicella but not herpes zoster
Age: mean ˜ 66 years
Sex: ˜ 55% female
Other relevant information: aged 55 to 89 years
Exclusion criteria
Immunosuppressive illness or medication
Interventions Treatment group
  1. Inactivated zoster vaccine (live vaccine heated at 56 °C for 7 days) SC; N = 82


Control group
  1. Live zoster vaccine SC (not specified if frozen); N = 85

Outcomes Confirmed herpes zoster
Purpose of the study "To compare a live attenuated varicella vaccine versus heat‐inactivated varicella vaccine in relation the confirmed cases of HZ and immunogenicity in individuals aged 55‐89 years"
Funding sources Merck Research Laboratories, West Point, PA, USA
Conflicts of interest Not described
Notes Author answered our email and provided data for 1 clinical outcome. Most outcomes evaluated were immunologic.
There is a misspelling of an author name on the paper: Dr Levin is referenced as Dr Levine.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias) 
 All outcomes High risk Open study
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open study
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Open study
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not described
Selective reporting (reporting bias) Unclear risk Not described
Other bias Unclear risk Insufficient information