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

NCT00886613.

Methods Study design: phase 3, randomised, double‐blind
Duration: 28 days postvaccination
Participants Inclusion criteria
Setting: outpatient
Country: not provided
Number: 120 participants; treatment (N = 80), control (N = 40)
Participants' health status: healthy participants with prior history of varicella
Age: between 60 and 88 years (mean not available)
Sex: 61.7% female
Other relevant information: aged ≥ 60 years
Exclusion criteria
Individuals with hypersensitivity reaction to any vaccine component, prior history of herpes zoster, have received any varicella or zoster vaccine including Zostavax, have a history of immunosuppression caused by disease, corticosteroids, cancer therapy, or organ transplant, have an active cancer, have received or will receive a live virus vaccine or an inactivated virus vaccine 4 weeks prior to participating in study (with the exception of influenza vaccine), and bedridden or homebound
Interventions Treatment group
  1. Heat LZV (V212): 2 SC injections of 0.65 mL administered 31 days apart; N = 41

  2. LZV (V212‐003): 2 SC injections of 0.65 mL administered 31 days apart; N = 39


Control group
  1. Placebo 2 SC injections of 0.65 mL administered 31 days apart; N = 40

Outcomes Adverse events 1 to 28 days post‐any vaccine dose
Purpose of the study A study to evaluate immunity to varicella zoster virus after immunisation with V212 vaccine or Zostavax (V212‐003)
Funding sources Merck Sharp & Dohme Corp
Conflicts of interest Not described
Notes HLZV (heat‐treated LZV)
The data from this study where LZV and placebo were compared were evaluated in comparison 1 (LZV versus placebo).
ITT analyses
NCT00886613
Data were taken from clinicaltrials.gov/ct2/show/results/NCT00886613
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 Unclear risk "Masking: Double (Participant, Investigator)", but the masking process is not described
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk "Masking: Double (Participant, Investigator)", but the masking process is not described
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk "Masking: Double (Participant, Investigator)", but the masking process is not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Clear patient flow
Selective reporting (reporting bias) Low risk All data on effectiveness and adverse events proposed in the methodology were presented in the results for both groups.
Other bias Unclear risk Insufficient information