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Study of Quadrivalent Influenza Vaccine Among Adults

Safety and Immunogenicity Trial Among Adults Administered Quadrivalent Influenza Vaccine

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01218646
Enrollment
739
Registered
2010-10-11
Start date
2010-10-31
Completion date
2011-04-30
Last updated
2013-10-23

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

Conditions

Influenza

Keywords

Influenza, Quadrivalent Inactivated Influenza Vaccine, Trivalent Inactivated Influenza Vaccine, Influenza viruses

Brief summary

The aim of the study is to evaluate a prototype quadrivalent influenza vaccine (QIV), the licensed 2010-2011 trivalent influenza vaccine (TIV) containing the primary B strain, and the investigational TIV containing the alternate B strain in adult subjects. Primary Objective: * To demonstrate non-inferiority of antibody responses to QIV compared with licensed 2010-2011 TIV (containing the primary B strain) and investigational TIV (containing the alternate B strain) as assessed by geometric mean titer (GMT) ratios for each of the four virus strains separately among subjects 65 years of age and older Observational Objective: * To describe the safety profiles of TIV among subjects 18 years of age and older and QIV in subjects 65 years and older, as assessed by solicited injection site and systemic adverse events (AEs) collected for 7 days post-vaccination, unsolicited adverse events collected from 21 days post-vaccination, and adverse events of special interest and serious adverse events (SAEs) collected from Visit 1 to Visit 2.

Detailed description

All participants will receive a single dose of their assigned vaccine during Visit 1. They will be followed up for safety and immunogenicity through Day 21 post-vaccination (Visit 2)

Interventions

BIOLOGICALInvestigational Quadrivalent Inactivated Influenza Vaccine, No Preservative

0.5 mL, Intramuscular

BIOLOGICALInvestigational Trivalent Inactivated Influenza Vaccine, No Preservative

0.5 mL, Intramuscular

BIOLOGICALFluzone®: 2010-2011 Trivalent Inactivated Influenza Vaccine, No Preservative

0.5 mL, Intramuscular

Sponsors

Sanofi Pasteur, a Sanofi Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Subject is 18 years of age or older on the day of inclusion. * Informed consent form (ICF) has been signed and dated. * Able to attend all scheduled visits and to comply with all trial procedures. * For a woman of childbearing potential, use of an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination until at least 4 weeks post-vaccination.

Exclusion criteria

* Known pregnancy, or a positive urine pregnancy test. * Currently breastfeeding a child. * History of serious adverse reaction to any influenza vaccine. * Receipt of any vaccine in the 4 weeks preceding the trial vaccination. * Planned receipt of any vaccine between Visit 1 and Visit 2. * Participation in another interventional clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 4 weeks preceding the first study vaccination or during the course of the study. * Receipt of any influenza vaccine since 01 August 2010 (including 2009 H1N1 monovalent vaccine). * Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances. * Receipt of blood or blood-derived products in the past 3 months, which might interfere with assessment of the immune response. * Thrombocytopenia, bleeding disorder, or receipt of anticoagulants contraindicating intramuscular vaccination. * Any condition that in the opinion of the Investigator would pose a health risk to the subject if enrolled or could interfere with the evaluation of the vaccine. * Personal history of Guillain-Barré Syndrome (GBS). * Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months). * Any chronic illness that, in the opinion of the Investigator, is not well controlled or that may interfere with trial conduct or completion or with assessment of adverse events. * Known seropositivity for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. * Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily. * Current alcohol or drug use that, in the opinion of the Investigator, might interfere with the ability to comply with trial procedures. * Identified as employees of the Investigator or study center, with direct involvement in the proposed study or other studies under the direction of that Investigator or study center, as well as family members (i.e., immediate, husband, wife and their children, adopted or natural) of the employees or the Investigator.

Design outcomes

Primary

MeasureTime frameDescription
Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.Day 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by hemagglutination inhibition (HAI) assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.
Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.Day 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.
Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderDay 0 and Day 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Other

MeasureTime frameDescription
Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderDay 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10. Seroconversion was defined as either a pre-vaccination HAI titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.
Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.Day 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \< 10. Seroconversion was defined as either a pre-vaccination HAI titer \< 1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Day 0 up to day 21 post-vaccinationSolicited injection site reactions: Pain, Erythema and Swelling; Solicited systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia. Grade 3 Injection site reactions: Pain - Significant; prevents daily activity; Erythema and Swelling \>100 mm. Grade 3 solicited systemic reactions: Fever (Temperature) ≥102.1°F; Headache, Malaise, and Myalgia - Significant; prevents daily activity.
Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.Day 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10. Seroconversion was defined as either a pre-vaccination HAI titer \< 1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥ 1:10 and ≥ four-fold increase in post-vaccination titers.
Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.Day 21 post-vaccinationImmunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10. Seroprotection was defined as a pre-vaccination and post-vaccination titer ≥ 1:40 (l/dil)

Countries

United States

Participant flow

Recruitment details

The study participants were enrolled from 08 October through 01 December 2010 in 12 clinic centers in the US.

Pre-assignment details

A total of 739 participants who met all the inclusion criteria and none of the exclusion criteria were enrolled, randomized and vaccinated in the study.

Participants by arm

ArmCount
Group 1 (Investigational Quadrivalent Influenza Vaccine)
Participants aged 65 years and older who received the Investigational Quadrivalent Influenza Vaccine
225
Group 2 (Investigational Trivalent Influenza Vaccine)
Participants aged 65 years and older who received the Investigational Trivalent Influenza Vaccine
225
Group 3 (Licensed Trivalent Influenza Vaccine)
Participants aged 65 years and older who received the received the Licensed 2010-2011 Trivalent Influenza Vaccine
225
Group 4 (Licensed Trivalent Influenza Vaccine)
Participants aged 18 to less than 65 years who received the Licensed 2010-2011 Trivalent Influenza Vaccine
64
Total739

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0010
Overall StudyLost to Follow-up1000
Overall StudyProtocol Violation0011

Baseline characteristics

CharacteristicGroup 2 (Investigational Trivalent Influenza Vaccine)Group 3 (Licensed Trivalent Influenza Vaccine)Group 1 (Investigational Quadrivalent Influenza Vaccine)Group 4 (Licensed Trivalent Influenza Vaccine)Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
225 Participants225 Participants225 Participants0 Participants675 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants64 Participants64 Participants
Age Continuous72.8 Years
STANDARD_DEVIATION 5.6
72.8 Years
STANDARD_DEVIATION 5.3
72.4 Years
STANDARD_DEVIATION 5.7
46.0 Years
STANDARD_DEVIATION 11.6
70.4 Years
STANDARD_DEVIATION 9.8
Region of Enrollment
United States
225 Participants225 Participants225 Participants64 Participants739 Participants
Sex: Female, Male
Female
121 Participants126 Participants129 Participants27 Participants403 Participants
Sex: Female, Male
Male
104 Participants99 Participants96 Participants37 Participants336 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
73 / 22552 / 22564 / 22531 / 64
serious
Total, serious adverse events
0 / 2251 / 2252 / 2250 / 64

Outcome results

Primary

Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Time frame: Day 21 post-vaccination

Population: Geometric Mean Titers to the influenza vaccine B strains (cross-reactive antibody) were determined in randomized and vaccinated participants, per-protocol population

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 221, 0, 0)73.8 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 0, 219, 0)61.1 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 221, 0, 0)42.2 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 0, 219, 0)NA Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 221, 0, 0)NA Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or After Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 0, 219, 0)28.5 Titers
Primary

Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.

Immunogenicity outcomes were assessed in serum samples by hemagglutination inhibition (HAI) assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Time frame: Day 21 post-vaccination

Population: Geometric mean titers to the influenza vaccine B antigens were determined in randomized and vaccinated participants, per-protocol population. Data presented for participants with valid serology results for the B antigens, including results reported as less or greater than lower limit of quantitation (\<LLOQ or \>ULOQ).

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 0, 219, 0)73.8 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 221, 0, 0)61.1 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 0, 219, 0)NA Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 221, 0, 0)54.8 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 0, 219, 0)57.9 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines With Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 221, 0, 0)NA Titers
Primary

Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or Older

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Time frame: Day 0 and Day 21 post-vaccination

Population: Geometric Mean Titers to the influenza vaccine antigens were determined in randomized and vaccinated participants, per-protocol population

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Pre-vaccination21.7 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Post-vaccination231 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Pre-vaccination52.3 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Post vaccination501 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Pre-vaccination27.1 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Post-vaccination73.8 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Pre-vaccination20.2 Titers
Group 1 (Investigational Quadrivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Post-vaccination61.1 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Post-vaccination42.2 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Pre-vaccination28.5 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Post-vaccination271 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Post-vaccination54.8 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Pre-vaccination19.7 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Post vaccination360 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Pre-vaccination42.3 Titers
Group 2 (Investigational Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Pre-vaccination21.1 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Pre-vaccination18.7 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Pre-vaccination48.3 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Post vaccination291 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Pre-vaccination29.0 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Post-vaccination57.9 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Post-vaccination28.5 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Pre-vaccination24.8 Titers
Group 3 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Post-vaccination269 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Pre-vaccination33.0 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H3N2, Post vaccination503 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Post-vaccination728 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderA/H1N1, Pre-vaccination26.7 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Pre-vaccination18.9 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Post-vaccination48.6 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Florida, Pre-vaccination19.5 Titers
Group 4 (Licensed Trivalent Influenza Vaccine)Geometric Mean Titers Against the Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines (TIV) in Participants Aged 18 Years or OlderB/Brisbane, Post-vaccination97.7 Titers
Other Pre-specified

Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.

Solicited injection site reactions: Pain, Erythema and Swelling; Solicited systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia. Grade 3 Injection site reactions: Pain - Significant; prevents daily activity; Erythema and Swelling \>100 mm. Grade 3 solicited systemic reactions: Fever (Temperature) ≥102.1°F; Headache, Malaise, and Myalgia - Significant; prevents daily activity.

Time frame: Day 0 up to day 21 post-vaccination

Population: Solicited injection site and systemic reactions were assessed in all randomized and vaccinated participants, safety population.

ArmMeasureGroupValue (NUMBER)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Headache (224, 225, 224, 63)30 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Fever (224, 225, 223, 63)1 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Swelling (224, 224, 224, 63)4 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Myalgia (224, 225, 224, 63)1 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Fever (224, 225, 223, 63)3 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Swelling (224, 224, 224, 630 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade Malaise (224, 225, 224, 63)1 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Pain (224, 225, 224, 63)73 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Erythema (224, 224, 224, 63)6 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Myalgia (224, 225, 224, 63)41 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Malaise (224, 225, 224, 63)24 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Headache (224, 225, 224, 63)1 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Erythema (224, 224, 224, 630 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Pain (224, 225, 224, 63)2 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Malaise (224, 225, 224, 63)26 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Pain (224, 225, 224, 63)52 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Pain (224, 225, 224, 63)0 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Erythema (224, 224, 224, 63)3 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Erythema (224, 224, 224, 630 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Swelling (224, 224, 224, 63)0 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Swelling (224, 224, 224, 630 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Fever (224, 225, 223, 63)2 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Fever (224, 225, 223, 63)1 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Headache (224, 225, 224, 63)26 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Headache (224, 225, 224, 63)1 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade Malaise (224, 225, 224, 63)2 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Myalgia (224, 225, 224, 63)32 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Myalgia (224, 225, 224, 63)1 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Malaise (224, 225, 224, 63)14 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Myalgia (224, 225, 224, 63)41 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Pain (224, 225, 224, 63)0 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Erythema (224, 224, 224, 630 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade Malaise (224, 225, 224, 63)0 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Pain (224, 225, 224, 63)64 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Headache (224, 225, 224, 63)0 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Fever (224, 225, 223, 63)0 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Swelling (224, 224, 224, 630 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Erythema (224, 224, 224, 63)3 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Swelling (224, 224, 224, 63)3 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Myalgia (224, 225, 224, 63)0 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Fever (224, 225, 223, 63)0 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Headache (224, 225, 224, 63)26 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Fever (224, 225, 223, 63)2 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Fever (224, 225, 223, 63)0 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Myalgia (224, 225, 224, 63)22 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Headache (224, 225, 224, 63)16 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Erythema (224, 224, 224, 63)3 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Headache (224, 225, 224, 63)1 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Pain (224, 225, 224, 63)0 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Malaise (224, 225, 224, 63)16 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Myalgia (224, 225, 224, 63)1 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade Malaise (224, 225, 224, 63)1 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Swelling (224, 224, 224, 63)5 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Injection site Pain (224, 225, 224, 63)31 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Swelling (224, 224, 224, 630 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines.Grade 3 Injection site Erythema (224, 224, 224, 630 Participants
Other Pre-specified

Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \< 10. Seroconversion was defined as either a pre-vaccination HAI titer \< 1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.

Time frame: Day 21 post-vaccination

Population: Seroconversion with respect to influenza vaccine B strains (corresponding B strains) was determined in randomized and vaccinated adult participants, per-protocol population

ArmMeasureGroupValue (NUMBER)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 0, 219, 0)63 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 221, 0, 0)73 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 0, 219, 0)NA Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 221, 0, 0)69 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 0, 219, 0)41 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines (TIV) With Corresponding B Strains in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 221, 0, 0)NA Participants
Other Pre-specified

Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10. Seroconversion was defined as either a pre-vaccination HAI titer \< 1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥ 1:10 and ≥ four-fold increase in post-vaccination titers.

Time frame: Day 21 post-vaccination

Population: Seroconversion to influenza vaccine B Strains (cross-reactive antibody) was determined in randomized and vaccinated participants, per-protocol population

ArmMeasureGroupValue (NUMBER)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 221, 0, 0)63 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 0, 219, 0)73 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 221, 0, 0)19 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 0, 219, 0)NA Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Brisbane/60/2008 (220, 221, 0, 0)NA Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines Without Corresponding B Strain in Participants Aged 65 Years and Older.B/Florida/04/2006 (220, 0, 219, 0)20 Participants
Other Pre-specified

Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and Older

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10. Seroconversion was defined as either a pre-vaccination HAI titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.

Time frame: Day 21 post-vaccination

Population: Seroconversion to influenza vaccine antigens were determined in randomized and vaccinated participants, per-protocol population.

ArmMeasureGroupValue (NUMBER)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A1N1145 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A3N2152 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Brisbane/60/200863 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Florida/04/200673 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A3N2139 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Florida/04/200669 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A1N1161 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Brisbane/60/200819 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A1N1146 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Florida/04/200620 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Brisbane/60/200841 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A3N2122 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Florida/04/200618 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A1N146 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderA/A3N250 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroconversion Against Influenza Virus Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years and OlderB/Brisbane/60/200827 Participants
Other Pre-specified

Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10. Seroprotection was defined as a pre-vaccination and post-vaccination titer ≥ 1:40 (l/dil)

Time frame: Day 21 post-vaccination

Population: Seroprotection to vaccine antigens were determined in randomized and vaccinated participants, per-protocol population

ArmMeasureGroupValue (NUMBER)
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Pre-vaccination70 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Post-vaccination201 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Pre-vaccination129 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Post-vaccination220 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Pre-vaccination101 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Post-vaccination171 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Pre-vaccination75 Participants
Group 1 (Investigational Quadrivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Post-vaccination161 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Post-vaccination133 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Pre-vaccination108 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Post-vaccination203 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Post-vaccination149 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Pre-vaccination67 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Post-vaccination212 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Pre-vaccination119 Participants
Group 2 (Investigational Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Pre-vaccination70 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Pre-vaccination68 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Pre-vaccination131 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Post-vaccination209 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Pre-vaccination108 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Post-vaccination157 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Post-vaccination101 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Pre-vaccination78 Participants
Group 3 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Post-vaccination200 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Pre-vaccination27 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H3N2 Post-vaccination57 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Post-vaccination58 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.A/H1N1 Pre-vaccination27 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Pre-vaccination21 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Post-vaccination38 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Florida Pre-vaccination18 Participants
Group 4 (Licensed Trivalent Influenza Vaccine)Seroprotection Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or With Trivalent Influenza Vaccines in Participants Aged 18 Years or Older.B/Brisbane Post-vaccination54 Participants

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026