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Safety and Immunogenicity of Fluzone® Quadrivalent, Flublok® Quadrivalent, and Fluzone® High-Dose, Influenza Vaccines, 2018-2019 Formulations

Safety and Immunogenicity of Fluzone® Quadrivalent, Flublok® Quadrivalent, and Fluzone® High-Dose, Influenza Vaccines, 2018-2019 Formulations

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03617523
Acronym
GRC90
Enrollment
240
Registered
2018-08-06
Start date
2018-09-10
Completion date
2018-11-12
Last updated
2022-03-29

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

Conditions

Influenza

Brief summary

The primary objectives of this study were: * To describe the immunogenicity of the 2018-2019 formulation of Fluzone® Quadrivalent vaccine in children 6 to less than (\<) 36 months of age and 3 to \<9 years of age, and in adults 18 to \<65 years of age; the immunogenicity of the 2018-2019 formulation of Flublok® Quadrivalent vaccine in adults 18 to \<65 years of age; and the immunogenicity of the 2018-2019 formulation of Fluzone High-Dose vaccine in adults greater than or equal to (\>=) 65 years of age. * To describe the safety of the 2018-2019 formulation of Fluzone Quadrivalent vaccine in children 6 to \<36 months of age and 3 to \<9 years of age, and in adults 18 to \<65 years of age; the safety of the 2018-2019 formulation of Flublok Quadrivalent vaccine in adults 18 to \<65 years of age; and the safety of the 2018-2019 formulation of Fluzone High-Dose vaccine in adults \>=65 years of age.

Detailed description

Study duration per participant was approximately 21 days for adult participants or 28 days for child participants who received one dose of vaccine, and 56 days for participants who received two doses of vaccine.

Interventions

BIOLOGICALFluzone Quadrivalent vaccine, 2018-2019 formulation

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular

BIOLOGICALFlublok Quadrivalent vaccine, 2018-2019 formulation

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular

BIOLOGICALFluzone High-Dose vaccine, 2018-2019 formulation

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular

Sponsors

Sanofi Pasteur, a Sanofi Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

The study was partially randomized. Participants were assigned a vaccine group based on age. Participants in Groups 1, 2, and 5 were not randomly assigned, while participants in Groups 3 and 4 were randomly assigned.

Eligibility

Sex/Gender
ALL
Age
6 Months to No maximum
Healthy volunteers
Yes

Inclusion criteria

: * Aged 6 months to \<9 years or \>=18 years on the day of first study vaccination (study product administration). * For participants 6 to \<12 months of age, born at full term of pregnancy (\>=37 weeks) and with a birth weight \>=2.5 kilograms (kg) (5.5 pounds \[lbs.\]). * Informed consent form (ICF) had been signed and dated by participants \>=18 years of age. * Assent form had been signed and dated by participants 7 to \<9 years of age, and ICF had been signed and dated by parent(s) or guardian(s) for participants 6 months to \<9 years of age. * Participants and parent/guardian (of participants 6 months to \<9 years of age) were able to attend all scheduled visits and to comply with all study procedures.

Exclusion criteria

* Participant was pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination and until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche, or post-menopausal for at least 1 year, or surgically sterile. * Participation at the time of study enrollment (or in the 30 days preceding the first study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure. * Receipt of any vaccine in the 30 days preceding the first study vaccination, or planned receipt of any vaccine before Visit 2 for participants who received 1 dose of influenza vaccine or Visit 3 for participants who received 2 doses of influenza vaccine. * Previous vaccination against influenza (in the 2018-2019 influenza season) with either study vaccine or another vaccine. * Receipt of immune globulins, blood, or blood-derived products in the 3 months preceding planned inclusion. * Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the 6 months preceding planned inclusion; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the 3 months preceding planned inclusion). * Known systemic hypersensitivity to any of the vaccine components, or history of a life- threatening reaction to study vaccine or to a vaccine containing any of the same substances. * Thrombocytopenia, which might be a contraindication for intramuscular vaccination, at the discretion of the Investigator. * Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination. * Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily. * Current alcohol abuse or drug addiction. * Chronic illness that, in the opinion of the Investigator, was at a stage where it might interfere with study conduct or completion. * Moderate or severe acute illness/infection (according to Investigator judgment) on the day of planned vaccination or febrile illness (temperature \>=100.4 degree Fahrenheit \[38.0 degree Celsius\]). A prospective participant was not included in the study until the condition had resolved or the febrile event had subsided. * Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study (participants \>=18 years of age) or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study (all participants). * History of serious adverse reaction to any influenza vaccine. * Personal history of Guillain-Barré syndrome. * Any condition that in the opinion of the Investigator would pose a health risk to the participant if enrolled or could interfere with the evaluation of the vaccine. * Personal history of clinically significant developmental delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder. * Known seropositivity for human immunodeficiency virus, hepatitis B, or hepatitis C. The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsWithin 7 days post any vaccinationA solicited reaction was an adverse event (AE) that was pre-listed in the electronic case report form (eCRF) and considered to be related to vaccination. Solicited injection (Inj.) site reactions: tenderness, erythema and swelling. Solicited systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost and irritability.
Number of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsWithin 7 days post any vaccinationA solicited reaction was an AE that was pre-listed in the eCRF and considered to be related to vaccination. Solicited injection site reactions: pain, erythema and swelling. Solicited systemic reactions: fever, headache, malaise, and myalgia.
Geometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent Vaccine28 days post-final vaccinationGMT of anti-influenza antibodies were measured using a hemagglutination inhibition (HAI) assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage.
Geometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineDay 21 (post-vaccination)GMTs of anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Groups 3 and 4, and using HAI assay for 3 strains: A/H1N1, A/H3N2 and B Victoria lineage in Group 5.
Geometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineDay 0 (pre-vaccination), 28 days post-final vaccinationGMT of anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage. GMTRs were calculated as the ratio of GMTs post-final vaccination and pre-vaccination.
Geometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineDay 0 (pre-vaccination), Day 21 (post-vaccination)GMTs of anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Groups 3 and 4, and using HAI assay for 3 strains: A/H1N1, A/H3N2 and B Victoria lineage in Group 5. GMTRs were calculated as the ratio of GMTs post vaccination and pre-vaccination.
Percentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 228 days post-final vaccinationAnti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage. Seroprotection was defined as antibody titer \>=40 (1/ dilution) at pre-vaccination and at post-final vaccination.
Percentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5Day 21 (post-vaccination)Anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Groups 3 and 4, and using HAI assay for 3 strains: A/H1N1, A/H3N2 and B Victoria lineage in Group 5. Seroprotection was defined as antibody titer \>=40 (1/dilution) at pre-vaccination and at post-final vaccination.
Percentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 228 days post-final vaccinationAnti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage. Seroconversion was defined as either a pre-vaccination titer \<10 (1/dilution) and a post-final vaccination titer \>= 40 (1/dilution) or a pre-vaccination titer \>= 10 (1/dilution) and \>=4-fold increase in post-final vaccination titer.
Percentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5Day 21 (post-vaccination)Anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Group 3 and 4, and using an HAI assay for 3 strains: A/H1N1, A/H3N2, and B Victoria lineage in Group 5. Seroconversion was defined as either a pre-vaccination titer \<10 (1/dilution) and a post-vaccination titer \>= 40 (1/dilution) or a pre-vaccination titer \>= 10 (1/dilution) and \>=4-fold increase in post-vaccination titer.

Countries

United States

Participant flow

Recruitment details

Participants were enrolled from 10 September 2018 to 22 October 2018 at 3 centers in the United States.

Pre-assignment details

A total of 240 participants were enrolled in the study.

Participants by arm

ArmCount
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 Months
Participants (aged 6 to \<36 months) received a 0.25-mL dose of Fluzone Quadrivalent vaccine, intramuscularly, at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.
30
Fluzone Quadrivalent Vaccine Group 2: 3 to <9 Years
Participants (aged 3 to \<9 years) received a 0.5-mL dose of Fluzone Quadrivalent vaccine, intramuscularly, at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.
30
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 Years
Participants (aged 18 to \<65 years) received a 0.5-mL dose of Fluzone Quadrivalent vaccine, intramuscularly, at Day 0.
61
Flublok Quadrivalent Vaccine Group 4: 18 to <65 Years
Participants (aged 18 to \<65 years) received a 0.5-mL dose of Flublok Quadrivalent vaccine, intramuscularly, at Day 0.
59
Fluzone High-Dose Vaccine Group 5: >=65 Years
Participants (aged \>=65 years) received a 0.5-mL dose of Fluzone High-Dose vaccine, intramuscularly, at Day 0.
60
Total240

Baseline characteristics

CharacteristicFluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsTotalFluzone High-Dose Vaccine Group 5: >=65 YearsFlublok Quadrivalent Vaccine Group 4: 18 to <65 YearsFluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsFluzone Quadrivalent Vaccine Group 2: 3 to <9 Years
Age, Continuous1.7 years
STANDARD_DEVIATION 0.44
42.6 years
STANDARD_DEVIATION 26.97
73.6 years
STANDARD_DEVIATION 6.42
46.2 years
STANDARD_DEVIATION 13.44
46.7 years
STANDARD_DEVIATION 13.48
5.9 years
STANDARD_DEVIATION 1.76
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
9 Participants54 Participants4 Participants12 Participants20 Participants9 Participants
Race (NIH/OMB)
More than one race
3 Participants6 Participants0 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
18 Participants180 Participants56 Participants46 Participants41 Participants19 Participants
Sex: Female, Male
Female
13 Participants152 Participants40 Participants42 Participants45 Participants12 Participants
Sex: Female, Male
Male
17 Participants88 Participants20 Participants17 Participants16 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 300 / 300 / 610 / 590 / 60
other
Total, other adverse events
21 / 3013 / 3033 / 6129 / 5934 / 60
serious
Total, serious adverse events
0 / 300 / 300 / 610 / 590 / 60

Outcome results

Primary

Geometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent Vaccine

GMT of anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage. GMTRs were calculated as the ratio of GMTs post-final vaccination and pre-vaccination.

Time frame: Day 0 (pre-vaccination), 28 days post-final vaccination

Population: Analysis was performed on per-protocol analysis set. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H1N1(post-final vaccination/pre-vaccination)9.06 ratio
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H3N2(post-final vaccination/pre-vaccination)3.94 ratio
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Victoria(post-final vaccination/pre-vaccination)8.11 ratio
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Yamagata(post-final vaccination/pre-vaccination)11.8 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H3N2(post-final vaccination/pre-vaccination)6.40 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H1N1(post-final vaccination/pre-vaccination)4.47 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Victoria(post-final vaccination/pre-vaccination)13.3 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios (GMTRs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Yamagata(post-final vaccination/pre-vaccination)8.41 ratio
Primary

Geometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose Vaccine

GMTs of anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Groups 3 and 4, and using HAI assay for 3 strains: A/H1N1, A/H3N2 and B Victoria lineage in Group 5. GMTRs were calculated as the ratio of GMTs post vaccination and pre-vaccination.

Time frame: Day 0 (pre-vaccination), Day 21 (post-vaccination)

Population: Analysis was performed on per-protocol analysis set.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Victoria (post-vaccination/pre-vaccination)3.39 ratio
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H3N2 (post-vaccination/pre-vaccination)3.55 ratio
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H1N1 (post-vaccination/pre-vaccination)2.93 ratio
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Yamagata (post-vaccination/pre-vaccination)2.84 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H3N2 (post-vaccination/pre-vaccination)8.19 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H1N1 (post-vaccination/pre-vaccination)6.34 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Victoria (post-vaccination/pre-vaccination)4.40 ratio
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Yamagata (post-vaccination/pre-vaccination)5.20 ratio
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Victoria (post-vaccination/pre-vaccination)3.65 ratio
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H3N2 (post-vaccination/pre-vaccination)3.69 ratio
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H1N1 (post-vaccination/pre-vaccination)3.07 ratio
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titer Ratios of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Yamagata (post-vaccination/pre-vaccination)NA ratio
Primary

Geometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent Vaccine

GMT of anti-influenza antibodies were measured using a hemagglutination inhibition (HAI) assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage.

Time frame: 28 days post-final vaccination

Population: Analysis was performed on per-protocol analysis set which included participants who received at least 1 dose of the study vaccine and had a valid post-vaccination blood sample result for at least 1 strain without any protocol deviations.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H1N1229 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H3N2239 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Victoria160 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Yamagata295 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Yamagata1343 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H1N11008 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineB Victoria688 titers (1/dilution)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers (GMTs) of Antibodies in Children 6 Months to <9 Years of Age (Groups 1 and 2) Receiving Fluzone Quadrivalent VaccineA/H3N21109 titers (1/dilution)
Primary

Geometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose Vaccine

GMTs of anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Groups 3 and 4, and using HAI assay for 3 strains: A/H1N1, A/H3N2 and B Victoria lineage in Group 5.

Time frame: Day 21 (post-vaccination)

Population: Analysis was performed on per-protocol analysis set.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H3N2379 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Yamagata759 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H1N1525 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Victoria588 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H1N1708 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H3N2644 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Victoria525 titers (1/dilutions)
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Yamagata1102 titers (1/dilutions)
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB YamagataNA titers (1/dilutions)
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineB Victoria453 titers (1/dilutions)
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H3N2359 titers (1/dilutions)
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsGeometric Mean Titers of Antibodies in Adults (Groups 3, 4 and 5) Receiving Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine, or Fluzone High-Dose VaccineA/H1N1266 titers (1/dilutions)
Primary

Number of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic Reactions

A solicited reaction was an adverse event (AE) that was pre-listed in the electronic case report form (eCRF) and considered to be related to vaccination. Solicited injection (Inj.) site reactions: tenderness, erythema and swelling. Solicited systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost and irritability.

Time frame: Within 7 days post any vaccination

Population: Analysis was performed on safety analysis set. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsInjection site tenderness15 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsInjection site erythema3 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsInjection site swelling4 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsFever2 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsVomiting3 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsCrying abnormal4 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsDrowsiness9 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsAppetite lost10 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Group 1: Aged 6 to <36 Months) Reporting Solicited Injection Site Reactions and Systemic ReactionsIrritability12 Participants
Primary

Number of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic Reactions

A solicited reaction was an AE that was pre-listed in the eCRF and considered to be related to vaccination. Solicited injection site reactions: pain, erythema and swelling. Solicited systemic reactions: fever, headache, malaise, and myalgia.

Time frame: Within 7 days post any vaccination

Population: Analysis was performed on safety analysis set.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site erythema5 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsHeadache5 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMalaise6 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site pain9 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site swelling6 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsFever1 Participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMyalgia6 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMalaise11 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsFever0 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsHeadache12 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMyalgia14 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site erythema1 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site swelling2 Participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site pain27 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsHeadache13 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMalaise6 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMyalgia11 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site erythema0 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site swelling0 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsFever0 Participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site pain22 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site swelling3 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMyalgia15 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site pain24 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsInjection site erythema5 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsFever0 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsHeadache11 Participants
Fluzone High-Dose Vaccine Group 5: >=65 YearsNumber of Participants (Groups 2, 3, 4 and 5: Children Aged 3 to <9 Years and Adults 18 to >=65 Years) Reporting Solicited Injection Site Reactions or Systemic ReactionsMalaise9 Participants
Primary

Percentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5

Anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Group 3 and 4, and using an HAI assay for 3 strains: A/H1N1, A/H3N2, and B Victoria lineage in Group 5. Seroconversion was defined as either a pre-vaccination titer \<10 (1/dilution) and a post-vaccination titer \>= 40 (1/dilution) or a pre-vaccination titer \>= 10 (1/dilution) and \>=4-fold increase in post-vaccination titer.

Time frame: Day 21 (post-vaccination)

Population: Analysis was performed on per-protocol analysis set.

ArmMeasureGroupValue (NUMBER)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Yamagata27.9 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H1N132.8 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Victoria32.8 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H3N244.3 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Victoria46.6 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Yamagata55.2 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H3N270.7 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H1N151.7 percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B YamagataNA percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H3N250.0 percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Victoria46.7 percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H1N146.7 percentage of participants
Primary

Percentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2

Anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage. Seroconversion was defined as either a pre-vaccination titer \<10 (1/dilution) and a post-final vaccination titer \>= 40 (1/dilution) or a pre-vaccination titer \>= 10 (1/dilution) and \>=4-fold increase in post-final vaccination titer.

Time frame: 28 days post-final vaccination

Population: Analysis was performed on per-protocol analysis set. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2A/H1N180.0 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2A/H3N256.0 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2B Victoria80.0 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2B Yamagata88.0 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2B Yamagata78.6 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2A/H1N142.9 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2B Victoria92.9 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroconversion to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Group 1 and 2A/H3N264.3 percentage of participants
Primary

Percentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5

Anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage in Groups 3 and 4, and using HAI assay for 3 strains: A/H1N1, A/H3N2 and B Victoria lineage in Group 5. Seroprotection was defined as antibody titer \>=40 (1/dilution) at pre-vaccination and at post-final vaccination.

Time frame: Day 21 (post-vaccination)

Population: Analysis was performed on per-protocol analysis set.

ArmMeasureGroupValue (NUMBER)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Victoria100 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Yamagata100 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H3N298.4 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H1N1100 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H1N1100 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H3N2100 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Yamagata100 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Victoria98.3 percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B YamagataNA percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5B Victoria98.3 percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H3N298.3 percentage of participants
Flublok Quadrivalent Vaccine Group 4: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Either Fluzone Quadrivalent Vaccine, Flublok Quadrivalent Vaccine or Fluzone High Dose Vaccine: Group 3, 4 and 5A/H1N193.3 percentage of participants
Primary

Percentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2

Anti-influenza antibodies were measured using an HAI assay for 4 strains: A/H1N1, A/H3N2, B Victoria lineage, and B Yamagata lineage. Seroprotection was defined as antibody titer \>=40 (1/ dilution) at pre-vaccination and at post-final vaccination.

Time frame: 28 days post-final vaccination

Population: Analysis was performed on per-protocol analysis set.

ArmMeasureGroupValue (NUMBER)
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2B Victoria80.8 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2A/H1N184.6 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2B Yamagata92.3 percentage of participants
Fluzone Quadrivalent Vaccine Group 1: 6 to <36 MonthsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2A/H3N280.8 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2B Yamagata96.6 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2A/H3N296.6 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2B Victoria100 percentage of participants
Fluzone Quadrivalent Vaccine Group 3: 18 to <65 YearsPercentage of Participants With Seroprotection to Influenza Vaccine Antigens After Vaccination With Fluzone Quadrivalent Vaccine: Groups 1 and 2A/H1N196.6 percentage of participants

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