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Herpes zoster (HZ), caused by reactivation of the varicella zoster virus (VZV), occurs more often with age as cellular immunity wanes. An attenuated live vaccine (ZVL, Zostavax) has been available for a decade. However, its effectiveness in preventing both HZ and postherpetic neuralgia (PHN) decreases with age and over time. Recently, an adjuvanted subunit vaccine containing recombinant VZV glycoprotein E (HZ/su, Shingrix) has been developed. In previous studies, HZ/su had an efficacy of >90% in preventing HZ in people aged ≥50 years, and this efficacy was maintained for 4 years.
Now, in this industry-sponsored phase III, open-label, multicenter study, 215 individuals ≥65 years previously given ZVL ≥5 years ago were matched to 215 individual…