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Herpes zoster, commonly known as shingles, is a viral infection caused by the reactivation of the varicella-zoster virus, leading to painful rashes and potential complications such as postherpetic neuralgia. According to Jiang Li et al., 2025, the global burden among adults aged 65 years and above increased markedly, with reported cases rising from approximately 2.8 million in 1992 to over 6.5 million by 2021, reflecting aging population trends. According to the herpes zoster pipeline analysis by Expert Market Research, current therapies include antivirals, pain management drugs, and preventive vaccines, while R&D efforts increasingly focus on next-generation vaccines and novel antiviral agents. The growing awareness, higher diagnosis rates, and unmet needs in elderly care are expected to drive pipeline expansion in the coming years.
Major companies involved in the herpes zoster pipeline analysis include ModernaTX, Inc., EuBiologics Co., Ltd., and others.
Leading drugs currently in the pipeline include mRNA-1468, Z-1018, EuHZV, and others.
The strong pipeline expansion is driven by rising shingles incidence in aging populations, advancement of recombinant and mRNA-based therapeutics, and increased R&D focus on long-lasting efficacy and improved safety profiles.
The Herpes Zoster Pipeline Analysis Report by Expert Market Research gives comprehensive insights into herpes zoster therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for herpes zoster. The herpes zoster report assessment includes the analysis of over 100 pipeline drugs and 50+ companies. The herpes zoster pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials, including their adverse effects on patients suffering from the condition, and alignment with herpes zoster treatment guidelines to ensure optimal care practices.
The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to herpes zoster.

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Herpes zoster, also known as shingles, is a viral disease caused by the reactivation of the Varicella-Zoster Virus, which remains dormant in nerve tissues after a prior case of chickenpox infection. It occurs when immunity declines, leading to a painful, localized rash with fluid-filled blisters, commonly affecting older adults and immunocompromised individuals.
Herpes zoster treatment focuses on antiviral drugs such as acyclovir, valacyclovir, and famciclovir to reduce viral replication, shorten disease duration, and lower the risk of complications, along with analgesics for pain management. In July 2025, GlaxoSmithKline Plc received United States Food and Drug Administration approval for a prefilled syringe presentation of Shingrix, its Recombinant Zoster Vaccine, improving administration convenience while maintaining clinical comparability and supporting broader adult immunization efforts.
The pipeline is increasingly driven by rising disease prevalence among older adults. According to Jiang Li et al., 2025, from 1992 to 2021, global incidence in adults aged 65 and older increased from 2.83 million to 6.52 million, and Disability-Adjusted Life Years rose from 90,000 to 140,000. Incidence in males increased from 1.13 million to 2.74 million, while in females it rose from 1.7 million to 3.78 million, with females showing higher age-standardized incidence rates of 899.37 compared to 802.20 in males. Southeast Asia reported the highest incidence at 1040.92, and Central Sub-Saharan Africa recorded the highest death rate at 79.94.
This section of the report covers the analysis of herpes zoster drug candidates based on several segmentations, including:
By Phase
The pipeline assessment report covers 50+ drug analyses based on phase:
By Drug Class
The herpes zoster pipeline analysis report covers 50+ drug analyses based on drug classes:
By Route of Administration
The pipeline assessment report covers 50+ drug analyses based on the route of administration:
The report covers phase I, phase II, phase III, phase IV, and early-phase drugs. The coverage includes an in-depth analysis of each drug across these phases. According to EMR analysis, phase II, with 29%, covers a major share of the total herpes zoster clinical trials, driven by active clinical trials and promising efficacy data, highlighting strong mid-stage development. Phase I and phase IV each account for 26%, reflecting ongoing early safety studies and post-marketing surveillance potential. Phase III holds 19%, supported by late-stage trials and regulatory readiness.
The drug molecule categories covered under the herpes zoster pipeline analysis include small molecules, peptides, and oligonucleotides. The herpes zoster report provides a comparative analysis of the drug classes for each drug in various phases of clinical trials for herpes zoster. Vaccine-based therapies for herpes zoster are advancing to improve immunogenicity and tolerability. For instance, Amezosvatein (CRV-101), a non-mRNA, adjuvanted subunit vaccine, is under Phase 2 evaluation versus Shingrix® in adults aged 50 years and older. It has demonstrated non-inferior anti-gE antibody responses and improved tolerability, positioning it as a potential alternative in the shingles prevention landscape.
The EMR report for the herpes zoster pipeline covers the profile of key companies involved in clinical trials and their drugs under development. It provides a detailed herpes zoster therapeutic assessment, analyzing the competitive dynamics of the clinical trial landscape. Below is the list of a few players involved in herpes zoster clinical trials:
This section covers the detailed analysis of each drug under multiple phases, including phase I, phase II, phase III, phase IV, and emerging drugs for herpes zoster. It includes product description, trial ID, study type, drug class, mode of administration, and recruitment status of herpes zoster drug candidates.
mRNA-1468 is an mRNA-based herpes zoster vaccine candidate sponsored by ModernaTX, Inc. The ongoing Phase 1/2 study is evaluating the safety, reactogenicity, and immunogenicity of this first-in-human vaccine in healthy adults aged 50 years and older. The study is examining whether mRNA-1468 is inducing robust varicella-zoster virus–specific immune responses while maintaining an acceptable safety profile. The vaccine is delivering mRNA that is encoding key viral antigens to stimulate T-cell–mediated immunity. It is being administered via intramuscular injection and is being compared with placebo and Shingrix to support further clinical development.
Z-1018 is an investigational, non-live recombinant subunit herpes zoster vaccine being developed by Dynavax Technologies Corporation for adults aged 50 years and above. The drug contains varicella zoster virus glycoprotein E, a key antigen involved in viral replication, combined with Dynavax’s proprietary CpG 1018 adjuvant and aluminum salts. This formulation is designed to stimulate strong innate and adaptive immune responses, potentially overcoming age-related immune decline. The Phase 1/2 study is currently evaluating the safety, tolerability, immunogenicity, and optimal dose of two intramuscular injections of Z-1018 compared with Shingrix®, while assessing long-term immune persistence and protection against herpes zoster.
EuHZV is a protein-based herpes zoster vaccine being developed by EuBiologics Co., Ltd., using POP BIO’s SNAP™ nanoliposome technology combined with the EuIMT immune-enhancer platform. The drug displays herpes zoster antigens on immunogenic nanoparticles to stimulate strong cellular and humoral immunity. In this Phase I, randomized, observer-blinded study, the vaccine is being administered intramuscularly in two doses eight weeks apart. The trial is examining safety, tolerability, and dose response in healthy adults aged 50–69 years, while actively comparing outcomes with Shingrix.
*Please note that this is only a partial list; the complete list of drugs will be available in the full report.*
The Herpes Zoster Pipeline Analysis Report provides a strategic overview of the latest and future landscape of treatments for herpes zoster. It provides necessary information for making informed investment decisions along with research, development, and strategic planning efforts. The stakeholders will benefit from essential insights into herpes zoster collaborations, regulatory environments, and potential growth opportunities.
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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