Evidence map›Paper›PMID 22828595›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2012

Persistence of the efficacy of zoster vaccine in the shingles prevention study and the short-term persistence substudy.

K E Schmader, M N Oxman, M J Levin, G Johnson, J H Zhang, R Betts, V A Morrison, L Gelb, J C Guatelli, R Harbecke and 12 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00007501 (CSP #403 - Trial of Varicella Zoster Vaccine for the Prevention of Herpes Zoster and Its Complications), which is not on this map. Cited by 97 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 8 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00007501 phase3completednot on this map

CSP #403 - Trial of Varicella Zoster Vaccine for the Prevention of Herpes Zoster and Its Complications

TypeinterventionalSponsorUS Department of Veterans AffairsRan1998 to 2011Enrolled38,456ConditionsHerpes Zoster, Postherpetic NeuralgiaArmsVaricella-zoster vaccine, Placebo
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 8 syntheses or guidelines pooled it, 228 citations in OpenAlex.

  1. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  8. Is herpes zoster vaccination likely to be cost-effective in Canada?Canadian journal of public health = Revue canadienne de sante publique · 2014
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Herpes zoster infection in patients with inflammatory bowel disease.The Korean journal of internal medicine · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 14 institutions in 1 country.

K E SchmaderGeriatric Research Education and Clinical Centers (GRECC), Durham Department of Veterans Affairs (VA) Medical Center (MC), and Duke University, Durham, NC 27705, USA. kenneth.schmader@dm.duke.edu
M N Oxman
M J Levin
G Johnson
J H Zhang
R Betts
V A Morrison
L Gelb
J C Guatelli
R Harbecke
C Pachucki
S Keay
B Menzies
M R Griffin
C Kauffman
A Marques
J Toney
P M Keller
X Li
I S F Chan
P Annunziato
Shingles Prevention Study Group
Merck & Co., Inc., Rahway, NJ, USA (United States) · USGeriatric Research Education and Clinical Center · USProgram Support Center · USVA Ann Arbor Healthcare System · USVA San Diego Healthcare System · USAdventHealth Tampa · USBaltimore VA Medical Center · USEdward Hines, Jr. VA Hospital · USMinneapolis VA Medical Center · USSt. Louis VA Medical Center · USUniversity of California, San Diego · USUniversity of Colorado Health · USUniversity of Rochester · USUniversity of Washington Medical Center · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Trial Of Varicella Vaccine For The Prevention Of Herpes ZosterZIAAI000856 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MARQUES, ADRIANA R · 2009 to 2016
$1.4M
NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

backgroundThe Shingles Prevention Study (SPS; Department of Veterans Affairs Cooperative Study 403) demonstrated that zoster vaccine was efficacious through 4 years after vaccination. The Short-Term Persistence Substudy (STPS) was initiated after the SPS to further assess the persistence of vaccine efficacy.

methodsThe STPS re-enrolled 7320 vaccine and 6950 placebo recipients from the 38 546-subject SPS population. Methods of surveillance, case determination, and follow-up were analogous to those in the SPS. Vaccine efficacy for herpes zoster (HZ) burden of illness, incidence of postherpetic neuralgia (PHN), and incidence of HZ were assessed for the STPS population, for the combined SPS and STPS populations, and for each year through year 7 after vaccination.

resultsIn the STPS as compared to the SPS, vaccine efficacy for HZ burden of illness decreased from 61.1% to 50.1%, vaccine efficacy for the incidence of PHN decreased from 66.5% to 60.1%, and vaccine efficacy for the incidence of HZ decreased from 51.3% to 39.6%, although the differences were not statistically significant. Analysis of vaccine efficacy in each year after vaccination for all 3 outcomes showed a decrease in vaccine efficacy after year 1, with a further decline thereafter. Vaccine efficacy was statistically significant for the incidence of HZ and the HZ burden of illness through year 5.

conclusionsVaccine efficacy for each study outcome was lower in the STPS than in the SPS. There is evidence of the persistence of vaccine efficacy through year 5 after vaccination but, vaccine efficacy is uncertain beyond that point.

Indexed as

AgedCohort StudiesCost of IllnessDouble-Blind MethodEpidemiological MonitoringHerpes ZosterHerpes Zoster VaccineHumansIncidenceMiddle AgedPlacebosUnited StatesVaccinationHerpes Zoster VaccinePlacebos

Identifiers

PMID22828595
PMCPMC4542855
OpenAlexW2168763662

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.