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Study of Influenza Vaccine Revaccination in Healthy Adults Previously Vaccinated With Fluzone ID or Fluzone IM

Safety and Immunogenicity of Revaccination With Influenza Vaccine in Healthy Adult Subjects Aged 18 to 64 Years Who Were Previously Vaccinated With Fluzone ID or Fluzone IM

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01011049
Enrollment
1250
Registered
2009-11-11
Start date
2009-09-30
Completion date
2010-10-31
Last updated
2016-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Influenza

Keywords

Influenza, Fluzone Vaccine, Intradermal Injections, Adults

Brief summary

The purpose of this study is to generate additional data on the immunogenicity and safety of revaccination with Fluzone Intradermal (ID) or Fluzone Intramuscular (IM) vaccine. Primary Objective: * To evaluate and describe the safety profile of revaccination with Fluzone ID for all participants. Secondary Objective: * To describe immunogenicity following revaccination with Fluzone ID or Fluzone IM.

Detailed description

All participants, who previously received either Fluzone ID or Fluzone IM in Study FID31 (NCT 00772109), will receive one dose of either the same or the alternative vaccine.

Interventions

Sponsors

Sanofi Pasteur, a Sanofi Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
Yes

Inclusion criteria

: * Aged 18 to 64 years on the day of vaccination in study FID33 * Enrolled in and completed study FID31 (NCT 00772109) and received the correct vaccine (Fluzone ID or Fluzone® IM) for the group to which they were randomized * Informed consent form signed and dated * Able to attend all scheduled visits and to comply with all trial procedures * For a woman of child-bearing potential, avoid becoming pregnant (use of an effective method of contraception or abstinence) for at least 4 weeks prior to vaccination, until at least 4 weeks after vaccination

Exclusion criteria

: * Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the trial vaccine or to a vaccine containing any of the same substances * For a woman of child-bearing potential: known pregnancy or positive serum/urine pregnancy test * Breast-feeding woman * Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the four weeks preceding the trial vaccination * Planned participation in another clinical trial during the present trial period (observational trials will be allowed) * Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy * Chronic illness, at a stage that could interfere with trial conduct or completion, in the opinion of the investigator * Current alcohol abuse or drug addiction that may interfere with the subject's ability to comply with trial procedures * Receipt of blood or blood-derived products in the past 3 months, that might interfere with the assessment of immune response * Receipt of any vaccination in the 4 weeks preceding the trial vaccination * Planned receipt of any vaccine in the 4 weeks following the trial vaccination * Known human immunodeficiency virus (HIV), hepatitis B surface (HBs) antigen, or Hepatitis C seropositivity. * Previous vaccination against influenza in the past 6 months with the trial vaccine or another vaccine * Thrombocytopenia, bleeding disorder or anticoagulants in the 3 weeks preceding inclusion contraindicating IM vaccination * Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent * Neoplastic disease or any hematologic malignancy, (those who have localized skin or prostate cancer that is stable at the time of vaccination in the absence of therapy, as well as subjects who have a history of neoplastic disease and who have been disease free for ≥ 5 years will not be excluded). * Personal or family history of Guillain-Barré Syndrome Temporary

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineDay 0 through Day 7 post-vaccinationSolicited injection site reactions: Erythema (redness), Swelling, Induration, Pain, Pruritus, Ecchymosis. Solicited systemic reactions: Headache, Myalgia, Malaise, Shivering, Fever (temperature).

Secondary

MeasureTime frameDescription
Geometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineDay 0 and Day 28 post-vaccinationSerum antibody titers for influenza vaccine serogroups A/H1N1, A/H3N2, and B were assessed by the hemagglutinin inhibition (HAI) assay.
Percentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.Day 28 post-vaccinationSeroprotection was defined as a hemagglutinin inhibition (HAI) titer ≥ 1:40 at Day 28 post-vaccination.
Percentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineDay 28 post vaccinationSeroconversion was defined as either a pre vaccination hemagglutinin inhibition (HAI) titer \< 1:10 and a post vaccination titer ≥ 1:40 or a pre-vaccination titer ≥ 1:10 and a minimum 4 fold increase at 28 days post-vaccination.

Countries

Puerto Rico, United States

Participant flow

Recruitment details

Participants were enrolled and from 23 September 2009 to 16 October 2009 in 46 medical centers in the US.

Pre-assignment details

A total of 1248 participants who met the inclusion and exclusion criteria were enrolled and vaccinated.

Participants by arm

ArmCount
Group 1: Fluzone ID After Fluzone ID
Participants who received Fluzone intradermal (ID) vaccine after receiving Fluzone ID vaccine in Study FID31 (NCT00772109)
507
Group 2: Fluzone IM After Fluzone ID
Participants who received Fluzone intramuscular (IM) vaccine after receiving Fluzone intradermal (ID) vaccine in Study FID31 (NCT00772109)
252
Group 3: Fluzone IM After Fluzone IM
Participants who received Fluzone intramuscular (IM) vaccine after receiving Fluzone IM vaccine in Study FID31 (NCT00772109)
243
Group 4: Fluzone ID After Fluzone IM
Participants who received Fluzone intradermal (ID) vaccine after receiving Fluzone intramuscular (IM) vaccine in Study FID31 (NCT00772109)
246
Total1,248

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyLost to Follow-up1210
Overall StudyProtocol Violation0020
Overall StudyWithdrawal by Subject0010

Baseline characteristics

CharacteristicGroup 2: Fluzone IM After Fluzone IDGroup 3: Fluzone IM After Fluzone IMGroup 1: Fluzone ID After Fluzone IDGroup 4: Fluzone ID After Fluzone IMTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants1 Participants0 Participants0 Participants1 Participants
Age, Categorical
Between 18 and 65 years
252 Participants242 Participants507 Participants246 Participants1247 Participants
Age, Continuous44.8 Years
STANDARD_DEVIATION 13.26
45.8 Years
STANDARD_DEVIATION 12.74
45.2 Years
STANDARD_DEVIATION 13.1
43.7 Years
STANDARD_DEVIATION 12.78
45 Years
STANDARD_DEVIATION 13
Region of Enrollment
United States
252 Participants243 Participants507 Participants246 Participants1248 Participants
Sex: Female, Male
Female
161 Participants158 Participants324 Participants155 Participants798 Participants
Sex: Female, Male
Male
91 Participants85 Participants183 Participants91 Participants450 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
412 / 507148 / 252147 / 243183 / 246
serious
Total, serious adverse events
9 / 5072 / 2523 / 2435 / 246

Outcome results

Primary

Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine

Solicited injection site reactions: Erythema (redness), Swelling, Induration, Pain, Pruritus, Ecchymosis. Solicited systemic reactions: Headache, Myalgia, Malaise, Shivering, Fever (temperature).

Time frame: Day 0 through Day 7 post-vaccination

Population: Safety analysis was on all enrolled and vaccinated subjects with available reaction data, intent-to-treat population.

ArmMeasureGroupValue (NUMBER)
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Ecchymosis53 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Fever (> 102.2 ºF)1 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Swelling343 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Malaise98 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Headache148 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Headache (Prevents Daily Activities)13 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Myalgia (Prevents Daily Activities)8 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Myalgia131 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Erythema (≥ 5 cm)91 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Swelling (≥ 5 cm)40 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Fever20 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Induration310 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Ecchymosis (≥ 5 cm)1 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Induration (≥ 5 cm)24 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pain274 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Malaise (Prevents Daily Activities)16 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Shivering (Prevents Daily Activities)8 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pain (Incapacitating)5 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Erythema412 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pruritus257 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Shivering50 Participants
Group 1: Fluzone ID After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pruritus (Incapacitating)10 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Shivering15 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Shivering (Prevents Daily Activities)0 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Malaise55 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Erythema (≥ 5 cm)2 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Induration (≥ 5 cm)0 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Ecchymosis (≥ 5 cm)0 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Headache65 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Swelling45 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Myalgia (Prevents Daily Activities)5 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pruritus32 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Headache (Prevents Daily Activities)4 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pain148 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Myalgia77 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Erythema54 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Malaise (Prevents Daily Activities)9 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Fever8 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Ecchymosis10 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Swelling (≥ 5 cm)4 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Fever (> 102.2 ºF)0 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pain (Incapacitating)4 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pruritus (Incapacitating)0 Participants
Group 2: Fluzone IM After Fluzone IDNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Induration46 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Headache (Prevents Daily Activities)3 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Erythema (≥ 5 cm)0 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Erythema27 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Swelling13 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Swelling (≥ 5 cm)2 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Induration27 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Induration (≥ 5 cm)1 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pain147 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pain (Incapacitating)2 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pruritus20 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pruritus (Incapacitating)0 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Ecchymosis10 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Ecchymosis (≥ 5 cm)1 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Headache72 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Myalgia75 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Myalgia (Prevents Daily Activities)0 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Malaise50 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Malaise (Prevents Daily Activities)4 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Shivering19 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Shivering (Prevents Daily Activities)0 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Fever9 Participants
Group 3: Fluzone IM After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Fever (> 102.2 ºF)0 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Ecchymosis25 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Fever (> 102.2 ºF)1 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Malaise54 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pruritus (Incapacitating)1 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Fever15 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Malaise (Prevents Daily Activities)7 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pruritus123 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Pain (Incapacitating)2 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Erythema (≥ 5 cm)37 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Shivering25 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Pain145 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Induration133 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Induration (≥ 5 cm)11 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Shivering (Prevents Daily Activities)5 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Headache (Prevents Daily Activities)5 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Swelling (≥ 5 cm)14 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Myalgia68 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Erythema183 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Headache73 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineAny Solicited Injection Site Swelling137 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Myalgia (Prevents Daily Activities)7 Participants
Group 4: Fluzone ID After Fluzone IMNumber of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineGrade 3 Ecchymosis (≥ 5 cm)0 Participants
Secondary

Geometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine

Serum antibody titers for influenza vaccine serogroups A/H1N1, A/H3N2, and B were assessed by the hemagglutinin inhibition (HAI) assay.

Time frame: Day 0 and Day 28 post-vaccination

Population: Serum antibody geometric mean titers were assessed in the per-protocol population.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1: Fluzone ID After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)54.5 Titers
Group 1: Fluzone ID After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)142.8 Titers
Group 1: Fluzone ID After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)78.8 Titers
Group 1: Fluzone ID After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)286.7 Titers
Group 1: Fluzone ID After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Pre-dose (Day 0; N = 495, 242, 234, 240)20.1 Titers
Group 1: Fluzone ID After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Post-dose (Day 28; N = 495, 242, 234, 240)75.0 Titers
Group 2: Fluzone IM After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Post-dose (Day 28; N = 495, 242, 234, 240)85.7 Titers
Group 2: Fluzone IM After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)292.0 Titers
Group 2: Fluzone IM After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)64.8 Titers
Group 2: Fluzone IM After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)91.3 Titers
Group 2: Fluzone IM After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)151.7 Titers
Group 2: Fluzone IM After Fluzone IDGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Pre-dose (Day 0; N = 495, 242, 234, 240)21.0 Titers
Group 3: Fluzone IM After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)126.2 Titers
Group 3: Fluzone IM After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)69.7 Titers
Group 3: Fluzone IM After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)268.3 Titers
Group 3: Fluzone IM After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Post-dose (Day 28; N = 495, 242, 234, 240)73.9 Titers
Group 3: Fluzone IM After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Pre-dose (Day 0; N = 495, 242, 234, 240)21.0 Titers
Group 3: Fluzone IM After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)51.2 Titers
Group 4: Fluzone ID After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Pre-dose (Day 0; N = 495, 242, 234, 240)21.8 Titers
Group 4: Fluzone ID After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Post-dose (Day 28; N = 495, 242, 234, 240)72.2 Titers
Group 4: Fluzone ID After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)137.4 Titers
Group 4: Fluzone ID After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)290.8 Titers
Group 4: Fluzone ID After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)56.3 Titers
Group 4: Fluzone ID After Fluzone IMGeometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)79.7 Titers
Secondary

Percentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.

Seroprotection was defined as a hemagglutinin inhibition (HAI) titer ≥ 1:40 at Day 28 post-vaccination.

Time frame: Day 28 post-vaccination

Population: Serum antibody titers were assessed in the per-protocol population.

ArmMeasureGroupValue (NUMBER)
Group 1: Fluzone ID After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)64 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)92 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)71 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)98 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Pre-dose (Day 0; N = 495, 242, 234, 240)32 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Post-dose (Day 28; N = 495, 242, 234, 240)83 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Post-dose (Day 28; N = 495, 242, 234, 240)84 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)96 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)70 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)76 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)94 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Pre-dose (Day 0; N = 495, 242, 234, 240)32 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)92 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)68 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)98 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Post-dose (Day 28; N = 495, 242, 234, 240)79 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Pre-dose (Day 0; N = 495, 242, 234, 240)32 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)60 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Pre-dose (Day 0; N = 495, 242, 234, 240)33 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.B Post-dose (Day 28; N = 495, 242, 234, 240)78 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Post-dose (Day 28; N = 495, 242, 234, 239)90 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Post-dose (Day 28; N = 495, 242, 234, 239)97 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H1N1 Pre-dose (Day 0; N = 495, 242, 234, 239)67 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Participants Who Achieved Seroprotection Before and After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine.A/H3N2 Pre-dose (Day 0; N = 495, 242, 234, 239)71 Percentage of Participants
Secondary

Percentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular Vaccine

Seroconversion was defined as either a pre vaccination hemagglutinin inhibition (HAI) titer \< 1:10 and a post vaccination titer ≥ 1:40 or a pre-vaccination titer ≥ 1:10 and a minimum 4 fold increase at 28 days post-vaccination.

Time frame: Day 28 post vaccination

Population: Serum antibody titers were assessed in the per protocol population.

ArmMeasureGroupValue (NUMBER)
Group 1: Fluzone ID After Fluzone IDPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Serogroup (N = 495, 242, 234, 240)42 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Serogroup (N = 495, 242, 234, 239)47 Percentage of Participants
Group 1: Fluzone ID After Fluzone IDPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Serogroup (N = 495, 242, 234, 239)31 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Serogroup (N = 495, 242, 234, 240)46 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Serogroup (N = 495, 242, 234, 239)29 Percentage of Participants
Group 2: Fluzone IM After Fluzone IDPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Serogroup (N = 495, 242, 234, 239)40 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Serogroup (N = 495, 242, 234, 239)42 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Serogroup (N = 495, 242, 234, 239)26 Percentage of Participants
Group 3: Fluzone IM After Fluzone IMPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Serogroup (N = 495, 242, 234, 240)42 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineB Serogroup (N = 495, 242, 234, 240)35 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H3N2 Serogroup (N = 495, 242, 234, 239)44 Percentage of Participants
Group 4: Fluzone ID After Fluzone IMPercentage of Subjects Who Achieved Seroconversion After Vaccination With Fluzone Intradermal or Fluzone Intramuscular VaccineA/H1N1 Serogroup (N = 495, 242, 234, 239)30 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026