Study type

Study topic

Human medicinal product

Study type

Non-interventional study

Scope of the study

Other

If ‘other’, further details on the scope of the study

Occurrence of herpes zoster

Data collection methods

Secondary use of data
Non-interventional study

Non-interventional study design

Cohort
Other

Non-interventional study design, other

Descriptive
Study drug and medical condition

Study drug International non-proprietary name (INN) or common name

RECOMBINANT VARICELLA ZOSTER VIRUS GLYCOPROTEIN E
Population studied

Short description of the study population

Definition of study population:
• Patients 2-99 years, both genders
• Disease codes:
o History of varicella: ICD 10 code B01 (includes events recorded 1-28 days after the vaccination prescription if the diagnosis certainty is ‘condition after’)
o History of herpes zoster: ICD 10 code B02 (includes events recorded 1-28 days after the vaccination prescription if the diagnosis certainty is ‘condition after’)
o History of immunodeficiency: ICD 10 codes B20-B24, C81-C96 or D80-D84
o Vaccination date: ICD 10 codes Z23-Z27
• Treatment codes:
o Treatment with inactivated varicella zoster vaccine:
 EphMRA ATC code J07E2, therapy name contains ‘shingrix’
o Treatment with live attenuated varicella zoster vaccine:
 EphMRA ATC code J07E2, therapy name not contains ‘shingrix’
o Treatment with pneumococcal vaccine:
 EphMRA ATC code J07D1:
• Conjugated vaccine: Molecule name contains ‘conjugated’ or therapy name contains ‘synflorix’
• Unconjugated vaccine: Molecule name not contains ‘conjugated’ and therapy name not contains ‘synflorix’
o Prior immunosuppressive treatment within 90 days prior vaccination prescription:
 EphMRA ATC code L01 and L04 (excluding L01X1 ‘mistletoe extracts’)
o Prior immunosuppressive treatment or systemic corticosteroid treatment within 90 days prior vaccination prescription:
 EphMRA ATC code L01 L04 and H02 (excluding L01X1 ‘mistletoe extracts’)
• Exclusion criteria applied: Patients are excluded in case of same day prescription for inactivated varicella zoster vaccine and either live attenuated varicella zoster vaccine or pneumococcal vaccine. Patients are required to have a minimum observation period of 180 days prior to the first vaccination prescription and at least 28 days of follow-up after the first vaccination prescription. A separate sensitivity analysis requires patients to have at least 56 days of follow-up.

Age groups

Children (2 to < 12 years)
Adolescents (12 to < 18 years)
Adults (18 to < 46 years)
Adults (46 to < 65 years)
Adults (65 to < 75 years)
Adults (75 to < 85 years)
Adults (85 years and over)

Estimated number of subjects

10000
Study design details

Main study objective

The main objective of the study was to compare the occurrence of herpes zoster events up to 28 days after a vaccination prescription for inactivated varicella zoster vaccine vs. pneumococcal vaccine and live attenuated varicella zoster vaccine.

Data analysis plan

The study was descriptive. The occurrence of a herpes zoster event within 28 days after a vaccination prescription was studied. Results were stratified by gender, age group, a history of varicella or herpes zoster and a history of immunodeficiency or immunosuppression.
Documents
Study results
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