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Adjuvanted Seasonal Recombinant Quadrivalent Virus-Like Particles (QVLP) Influenza Vaccine in Adults 65 Years of Age and Older

A Randomized, Partially-Blinded, Active Comparator-Controlled, Dose-Ranging, Safety, Tolerability, and Immunogenicity Phase 1/2 Study of an Adjuvanted Seasonal Recombinant Quadrivalent VLP Influenza Vaccine in Adults 65 Years of Age and Older

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04622592
Enrollment
209
Registered
2020-11-10
Start date
2020-11-02
Completion date
2022-04-26
Last updated
2023-07-21

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

Conditions

Influenza

Keywords

vaccine, safety, immunogenicity, plant-made, virus-like particle, hemagglutinin

Brief summary

This randomized, partially-blinded, active comparator-controlled was conducted at multiple sites globally. The composition of QVLP used in this study includes a mix of recombinant H1, H3, and two B hemagglutinin proteins expressed as VLPs and is based on the 2020-2021 influenza virus strains. In this study, 3 dose levels (15 μg/strain, 30 μg/strain, and 45 μg/strain) of QVLP were planned to be tested in combination with 2 dose levels of AS03 adjuvant (full and half dose) in a single-dose regimen to select a dose level of QVLP and adjuvant dose level-combination that is safe and effective for further development. Participants participated in this study for up to approximately 13 months, during which the first visit was scheduled for screening (up to 7 days in advance of vaccine administration) and the second visit on Day 0 was scheduled for vaccine administration. Telephone contacts were made on Day 1, Day 8, and monthly (starting after Day 28) until the end of the study for safety assessments, including concomitant medication use review. Blood draws at the clinic site for key safety assessments were made on Day 3, and Day 28 and for key immunogenicity assessments on Day 0, Day 28, Day 182 (6-month follow-up), and Day 365 (12-month follow-up).

Detailed description

In this study, a partially-blinded design was applied whereby the following individuals did not have access to treatment allocation (i.e. remained blind) throughout the entire study duration: the participants, the Investigators and all personnel involved in the clinical conduct of the study (except the staff involved in the preparation and administration of the study vaccine, the quality assurance auditor, and quality control reviewers), Medicago clinical staff and medical staff involved in safety evaluations (e.g. causality assessments), and all personnel involved in sample analysis at the central and testing laboratories. A total of 209 participants were randomized to the study, divided into 8 groups receiving different adjuvant dose level-combinations of QVLP or Fluzone HD Quad (60 µg/strain). The majority of participants (126 participants) received QVLP 30 μg/strain with full dose AS03 (42 participants), QVLP 30 μg/strain unadjuvanted (41 participants) or Fluzone HD Quad (43 participants), while in 5 other groups with 83 participants enrolled in total the enrollment was discontinued prematurely due to recruitment challenges caused by COVID-19 pandemic.

Interventions

BIOLOGICALInstramuscular vaccine

On Day 0, a single injection of the assigned dose of the vaccine into the deltoid region of the arm

Sponsors

Medicago
Lead SponsorINDUSTRY

Study design

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

Masking description

Observer-blind

Eligibility

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

Inclusion criteria

1. Participants read, understood, and signed the informed consent form prior to participating in the study; participants also completed study-related procedures and communicated with the study staff at visits and by phone during the study; 2. Male and female participants 65 years of age and older at the Vaccination visit (Visit 2); 3. Participants had a body mass index (BMI) \< 30 kg/m2 at the Vaccination visit (Visit 2); 4. Participants were considered by the Investigator to be reliable and likely to cooperate with the assessment procedures and be available for the duration of the study; 5. Participants were non-institutionalized (e.g. not living in rehabilitation centers or old-age homes; living in an elderly community was acceptable) and had no acute or evolving medical problems prior to study participation and no clinically relevant abnormalities that could jeopardize participant safety or interfere with study assessments, as assessed by the Investigator and determined by medical history, physical examination, serology, clinical chemistry and hematology tests, urinalysis, and vital signs. Investigator discretion was permitted with this inclusion criterion; Note: Participants with a pre-existing chronic disease were allowed to participate if the disease was stable and, according to the Investigator's judgment, the condition was unlikely to confound the results of the study or pose additional risk to the participant by participating in the study. Stable disease was generally defined as no new onset or exacerbation of pre-existing chronic disease 3 months prior to vaccination. Based on the Investigator's judgment, participants with more recent stabilization of a disease were also eligible.

Exclusion criteria

1. According to the Investigator's opinion, significant acute or chronic, uncontrolled medical or neuropsychiatric illness. Acute disease was defined as presence of any moderate or severe acute illness with or without a fever within 48 hours prior to the Vaccination visit (Visit 2). Uncontrolled was defined as: * Requiring a new medical or surgical treatment during the 3 months prior to study vaccine administration; * Required any significant change in a chronic medication (i.e. drug, dose, frequency) during the 3 months prior to study vaccine administration due to uncontrolled symptoms or drug toxicity unless the innocuous nature of the medication change met the criteria outlined in inclusion criterion #5 and was appropriately justified and documented by the Investigator. Note: Investigator discretion was permitted with this exclusion criterion. 2. Any confirmed or suspected current immunosuppressive condition or immunodeficiency, including cancer, human immunodeficiency virus, hepatitis B or C infection (participants with a history of cured hepatitis B or C infection without any signs of immunodeficiency at present time were allowed). Investigator discretion was permitted with this exclusion criterion; 3. Current autoimmune disease requiring systemic treatment (such as rheumatoid arthritis, systemic lupus erythematosus, or multiple sclerosis). Investigator discretion was permitted with this exclusion criterion, and participants were eligible to participate with appropriate written justification in the source document (i.e. participants with a history of autoimmune disease who were disease-free without treatment for 3 years or more, or on stable thyroid replacement therapy, mild psoriasis \[i.e. a small number of minor plaques requiring no systemic treatment\], etc.); 4. Administration of any non-influenza vaccine within 30 days prior to the Vaccination visit (Visit 2); planned administration of any vaccine up to Day 28 of the study. Immunization on an emergency basis during the study was evaluated on case-by-case basis by the Investigator. Note: Administration of an authorized COVID-19 vaccine prior to or during the study was acceptable; 5. Administration of influenza vaccine within 6 months prior to the Vaccination visit (Visit 2) or planned administration of influenza vaccine (other than the study vaccine) up to completion of the study; 6. Administration of any adjuvanted or investigational influenza vaccine within 1 year prior to randomization or planned administration prior to the completion of the study; 7. Use of any investigational or non-registered product within 30 days or five half-lives, whichever is longer, prior to the Vaccination visit (Visit 2) or planned use during the study period. Participants who were in a prolonged post-administration observation period of another investigational or marketed drug clinical study, for which there was no ongoing exposure to the investigational or marketed product and all scheduled on-site visits were completed, were allowed to take part in this study, if all other eligibility criteria were met; 8. Administration of any medication or treatment that may alter the vaccine immune responses, such as: * Systemic glucocorticoids at a dose exceeding 10 mg of prednisone (or equivalent) per day for more than 7 consecutive days or for 10 or more days in total, within 1 month prior to the Vaccination visit (Visit 2). Inhaled, nasal, intraarticular, ophthalmic, dermatological, and other topical glucocorticoids were permitted; * Cytotoxic, antineoplastic or immunosuppressant drugs - within 36 months prior to the Vaccination visit (Visit 2); * Any immunoglobulin preparations or blood products, blood transfusion - within 6 months prior to the Vaccination visit (Visit 2); 9. Use of any prescription antiviral drugs with the intention of COVID-19 prophylaxis, including those that were thought to be effective for prevention of COVID-19 but had not been licensed for this indication, within 1 month prior to the Vaccination visit (Visit 2); 10. Participants at high risk of contracting SARS-CoV-2/COVID-19 infection, including, but not limited to, individuals with known close contact with: * anyone residing in, visiting, or working at a health care or long-term care institution (i.e. long-term care facilities, acute care hospitals, rehabilitation hospitals, mental health hospitals, emergency departments); * anyone with laboratory-confirmed SARS-CoV-2/COVID-19 infection within 2 weeks prior to vaccine administration; * anyone who traveled outside the country for any duration within 30 days before the study vaccination; 11. History of allergy to any of the constituents of QVLP, any components of Fluzone HD Quad, the adjuvant AS03, egg, or tobacco; 12. History of anaphylactic allergic reactions to plants or plants components (including fruits and nuts); 13. Participants with a history of Guillain-Barré Syndrome; 14. Personal or family (first-degree relatives) history of narcolepsy; 15. Use of prophylactic medications (e.g. antihistamines \[H1 receptor antagonists\], nonsteroidal anti-inflammatory drugs \[NSAIDs\], systemic and topical glucocorticoids, non-opioid and opioid analgesics) within 24 hours prior to the Vaccination visit (Visit 2) to prevent or pre-empt symptoms due to vaccination; 16. Had a rash, dermatological condition, tattoos, muscle mass, or any other abnormalities at the injection site that could interfere with injection site reaction rating. Investigator discretion was permitted with this exclusion criterion; 17. Participants identified as an Investigator or employee of the Investigator or clinical site with direct involvement in this study, or identified as an immediate family member (i.e. parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in this study, or any employees of Medicago.

Design outcomes

Primary

MeasureTime frameDescription
Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0Day 0 (pre-vaccination)The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28Day 28The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28Day 0 (pre-vaccination) up to Day 28Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \< 10) pre-vaccination (Day 0) to an HI titer of ≥ 40 on Day 28 was measured using an HI assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28Day 0 (pre-vaccination) up to Day 28Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)Day 0 (pre-vaccination), Day 28GMFR, the geometric mean of the ratio of GMTs (Day 28/Day 0) in each treatment group was measured using an HI assay for the homologous strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Number of Participants With at Least One Immediate Adverse Event (AE)Up to 30 minutes post-vaccinationAn AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling, and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck.
Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Up to 30 minutes post-vaccinationAn AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling, and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the United States Food and Drug Administration Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4).
Number of Participants With at Least One Immediate AE Related to Vaccination30 minutes post-vaccinationAn AE is defined in OM #6. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. A related AE is an event where the investigator determined that the relationship to study vaccine was Possibly Related, Probably Related or Definitely Related. If a participant reported multiple occurrences of the same AE, only the most closely related occurrence was presented. The causal relationship of all solicited local and systemic AEs was considered related to vaccination. Participants with any related AE was reported.
Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 7Day 0 (pre-vaccination) up to Day 7An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling, and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck.
Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Day 0 (pre-vaccination) up to Day 7An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4).
Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 28Day 0 (pre-vaccination) up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product.
Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Day 0 (pre-vaccination) up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4).
Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 28Day 0 (pre-vaccination) up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. A related AE was an event where the Investigator determined that the relationship to study vaccine was Possibly Related, Probably Related or Definitely Related. If a participant reported multiple occurrences of the same AE, only the most closely related occurrence was presented. Participants with any related AE were reported.
Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 28Day 1 up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.
Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 28Day 1 up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product.
Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 28Day 1 up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, Potential Immune-Mediated Diseases (pIMDs), and other AESIs. Participants with any AESI were reported.
Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 28Day 1 up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs are defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a healthcare provider.
Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 28Day 1 up to Day 28All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility was interpreted broadly; the only clear exceptions were degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases had to be reported.
Number of Participants With the Occurrence of Death From Day 1 up to Day 28Day 1 up to Day 28The number of participants in each treatment group with an occurrence of death was assessed.
Number of Participants With at Least One SAE From Day 29 up to Day 182Day 29 up to Day 182An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.
Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 182Day 29 up to Day 182An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The number of participants with at least one AE leading to withdrawal was assessed.
Number of Participants With at Least One AESI From Day 29 up to Day 182Day 29 up to Day 182An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, pIMDs, and other AESIs. Participants with any AESI were reported.
Number of Participants With at Least One MAAE From Day 29 up to Day 182Day 29 up to Day 182An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs are defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.
Number of Participants With at Least One New NOCD From Day 29 up to Day 182Day 29 up to Day 182All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility was interpreted broadly; the only clear exceptions were degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases were reported.
Number of Participants With an Occurrence of Death From Day 29 up to Day 182Day 29 up to Day 182The number of participants in each treatment group with an occurrence of death was assessed.
Number of Participants With at Least One SAE From Day 183 up to Day 365Day 183 up to the end of study (Day 365)An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.
Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 365Day 183 up to the end of study (Day 365)An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The number of participants with at least one AE leading to withdrawal was assessed.
Number of Participants With at Least One AESI From Day 183 up to Day 365Day 183 up to the end of study (Day 365)An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, pIMDs, and other AESIs. Participants with any AESI were reported.
Number of Participants With at Least One MAAE From Day 183 up to Day 365Day 183 up to the end of study (Day 365)An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs were defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.
Number of Participants With at Least One NOCD From Day 183 up to Day 365Day 183 up to the end of study (Day 365)All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility should be interpreted broadly; the only clear exceptions are degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases should be reported.
Number of Participants With an Occurrence of Death From Day 183 up to Day 365Day 183 up to the end of study (Day 365)The number of participants in each treatment group with an occurrence of death was assessed.
Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 0Day 0 (pre-vaccination)Participants were monitored for any abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the testing laboratory's normal range was classified as clinically significant or not clinically significant by the site investigator, with appropriate documentation.
Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Day 3Participants were monitored for any abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the testing laboratory's normal range was classified as clinically significant or not clinically significant by the site investigator, with appropriate documentation.
Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Day 28Participants were monitored for any abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, and pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, and platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, cholesterol, phosphate, potassium, protein, sodium, triglycerides, and urea nitrogen). Any laboratory result outside of the testing laboratory's normal range was classified as clinically significant or not clinically significant by the site investigator, with appropriate documentation.

Secondary

MeasureTime frameDescription
Number of Participants With at Least One NOCD From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination StatusDay 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility was interpreted broadly; the only clear exceptions were degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases had to be reported. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With the Occurrence of Death From Day 1 up to Day 28, From Day 29 to Day 182, and From Day 183 to Day 365, Stratified by Prior Influenza Vaccination StatusDay 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365The number of participants in each treatment group with an occurrence of death was assessed. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365Day 182, Day 365The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3, Stratified by Prior Influenza Vaccination StatusDay 3Participants were monitored for abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the normal range was classified as clinically significant or not clinically significant by the site investigator. It was planned that the endpoint would be analyzed if \>25% of the participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28, Stratified by Prior Influenza Vaccination StatusDay 28Participants were monitored for abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the normal range was classified as clinically significant or not clinically significant by the site investigator. It was planned that the endpoint would be analyzed if \>25% of the participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 0, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination)Participants were monitored for abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the normal range was classified as clinically significant or not clinically significant by the site investigator. It was planned that the endpoint would be analyzed if \>25% of the participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365Day 0 (pre-vaccination) up to Day 182 and up to Day 365Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 182 and Day 0 and Day 365 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 182 and Day 365 was measured using an HI assay for the following homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365Day 0 (pre-vaccination) up to Day 182 and up to Day 365Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 182 and on Day 365 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage)
GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)Day 0 (pre-vaccination), Day 182, Day 365GMFR: the geometric mean of the ratio of GMTs (Day 182/Day 0 and Day 365/Day 0) measured using an HI assay for the homologous strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
GMTs of HI Antibody Response for Each Heterologous Influenza StrainDay 0 (pre-vaccination), Day 28The GMTs in each treatment group were measured using an HI assay for the heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage).
Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainDay 0 (pre-vaccination) up to Day 28Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 28 was measured using an HI assay for the heterologous influenza strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage).
Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainDay 0 (pre-vaccination) up to Day 28Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the heterologous influenza strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage)
GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainDay 0 (pre-vaccination), Day 28GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an HI assay for the heterologous strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage).
GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainDay 0 (pre-vaccination), Day 28The GMTs in each treatment group were measured using an MN assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainDay 0 (pre-vaccination) up to Day 28Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable MN titer (i.e. \<10) pre-vaccination (Day 0) to an MN titer of ≥40 on Day 28 was measured using an MN assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainDay 0 (pre-vaccination), Day 28GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an MN assay for the homologous strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).
GMTs of HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination), Day 28The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 28 was measured using an HI assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination), Day 28GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an HI assay for the homologous strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
GMTs of HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination), Day 28The GMTs in each treatment group were measured using an HI assay for the heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 28 was measured using an HI assay for the following heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the following heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
GMFR Measured by HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination), Day 28GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an HI assay for the heterologous strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
GMTs of MN Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination), Day 28The GMTs in each treatment group were measured using an MN assay for the following homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable MN titer (i.e. \<10) pre-vaccination (Day 0) to an MN titer of ≥40 on Day 28 was measured using an MN assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
GMFR Measured by MN Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination), Day 28GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an MN assay for the strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Immediate AE, Stratified by Prior Influenza Vaccination StatusUp to 30 minutes post-vaccinationAn AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4, Stratified by Prior Influenza Vaccination StatusUp to 30 minutes post-vaccinationAn AE is defined in OM #6. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Immediate AE Related to Vaccination, Stratified by Prior Influenza Vaccination StatusUp to 30 minutes post-vaccinationAn AE is defined in OM #6. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. A related AE is an event where the investigator determined that the relationship to study vaccine was Possibly Related, Probably Related, or Definitely Related. If a participant reported multiple occurrences of the same AE, only the most closely related occurrence was presented. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Solicited Local or Systemic AE, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 7An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 7An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Unsolicited AE, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One Unsolicited AE Related to Vaccination, Stratified by Prior Influenza Vaccination StatusDay 0 (pre-vaccination) up to Day 28An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. A related AE was an event where the Investigator determined that the relationship to study vaccine was Possibly Related, Probably Related, or Definitely Related. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One SAE From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination StatusDay 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination StatusDay 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One AESI From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination StatusDay 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, pIMDs, and other AESIs. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.
Number of Participants With at Least One MAAE From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination StatusDay 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs are defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Countries

United States

Participant flow

Recruitment details

Participants were randomized at an equal ratio into 8 treatment groups to receive Quadrivalent Virus-Like Particles (QVLP) vaccine adjuvanted with AS03 (full and half dose), QVLP vaccine unadjuvanted or Fluzone HD Quad vaccine.

Pre-assignment details

Participants were healthy adult males and females 65 years of age and older.

Participants by arm

ArmCount
QVLP15+Full AS03
Participants received one IM injection (total volume 0.7 mL) of 15 μg/strain of the Quadrivalent VLP Influenza Vaccine adjuvanted with full dose of AS03 on Day 0 into the deltoid region of the non-dominant arm (if possible).
19
QVLP15+Half AS03
Participants received one IM injection (total volume 0.7 mL) of 15 μg/strain of the Quadrivalent VLP Influenza Vaccine adjuvanted with half dose of AS03 on Day 0 into the deltoid region of the non-dominant arm (if possible).
9
QVLP30+Full AS03
Participants received one IM injection (total volume 0.7 mL) of 30 μg/strain of the Quadrivalent VLP Influenza Vaccine adjuvanted with full dose of AS03 on Day 0into the deltoid region of the non-dominant arm (if possible).
42
QVLP30+Half AS03
Participants received one IM injection (total volume 0.7 mL) of 30 μg/strain of the Quadrivalent VLP Influenza Vaccine adjuvanted with half dose of AS03 on Day 0 into the deltoid region of the non-dominant arm (if possible).
19
QVLP45+Full AS03
Participants received one IM injection (total volume 0.7 mL) of 45 μg/strain of the Quadrivalent VLP Influenza Vaccine adjuvanted with full dose of AS03 on Day 0 into the deltoid region of the non-dominant arm (if possible).
23
QVLP45+Half AS03
Participants received one IM injection (total volume 0.7 mL) of 45 μg/strain of the Quadrivalent VLP Influenza Vaccine adjuvanted with half dose of AS03 on Day 0 into the deltoid region of the non-dominant arm (if possible).
13
QVLP30 Unadjuvanted
Participants received one IM injection of 0.7 mL of 30 μg/strain of the Quadrivalent VLP Influenza Vaccine unadjuvanted on Day 0 into the deltoid region of the non-dominant arm (if possible)..
41
Fluzone HD Quad
Participants received one IM injection of 0.7 mL of 60 μg/strain of the Fluzone HD Quadrivalent Influenza Vaccine on Day 0 into the deltoid region of the non-dominant arm (if possible).
43
Total209

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyDeath00100001
Overall StudyLost to Follow-up00031022
Overall StudyOther than specified above00100000
Overall StudyPhysician Decision00001000
Overall StudyWithdrawal by Subject10200014

Baseline characteristics

CharacteristicQVLP15+Full AS03QVLP15+Half AS03QVLP30+Full AS03QVLP30+Half AS03QVLP45+Full AS03QVLP45+Half AS03QVLP30 UnadjuvantedFluzone HD QuadTotal
Age, Customized
65-74 years
14 Participants7 Participants33 Participants14 Participants17 Participants10 Participants33 Participants34 Participants162 Participants
Age, Customized
≥75 years
5 Participants2 Participants9 Participants5 Participants6 Participants3 Participants8 Participants9 Participants47 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants0 Participants2 Participants0 Participants0 Participants0 Participants4 Participants1 Participants10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants9 Participants40 Participants19 Participants23 Participants13 Participants37 Participants42 Participants199 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Immunization History
Both Influenza and Non-influenza
1 Participants0 Participants9 Participants0 Participants0 Participants0 Participants5 Participants8 Participants23 Participants
Immunization History
None
10 Participants5 Participants15 Participants13 Participants13 Participants8 Participants18 Participants18 Participants100 Participants
Immunization History
Only influenza
6 Participants3 Participants16 Participants6 Participants9 Participants4 Participants15 Participants15 Participants74 Participants
Immunization History
Only non-influenza
2 Participants1 Participants2 Participants0 Participants1 Participants1 Participants3 Participants2 Participants12 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants0 Participants1 Participants1 Participants0 Participants2 Participants0 Participants5 Participants
Race (NIH/OMB)
Black or African American
2 Participants0 Participants2 Participants0 Participants3 Participants0 Participants0 Participants1 Participants8 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
17 Participants8 Participants40 Participants18 Participants19 Participants13 Participants39 Participants42 Participants196 Participants
Sex: Female, Male
Female
8 Participants6 Participants24 Participants10 Participants10 Participants4 Participants24 Participants29 Participants115 Participants
Sex: Female, Male
Male
11 Participants3 Participants18 Participants9 Participants13 Participants9 Participants17 Participants14 Participants94 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
0 / 190 / 91 / 420 / 190 / 230 / 130 / 411 / 43
other
Total, other adverse events
10 / 195 / 919 / 426 / 195 / 234 / 1318 / 4116 / 43
serious
Total, serious adverse events
1 / 192 / 96 / 422 / 191 / 230 / 131 / 415 / 43

Outcome results

Primary

Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)

GMFR, the geometric mean of the ratio of GMTs (Day 28/Day 0) in each treatment group was measured using an HI assay for the homologous strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

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

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N14.0142 ratio
QVLP15+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N24.7572 ratio
QVLP15+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage3.3872 ratio
QVLP15+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage2.7180 ratio
QVLP15+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage2.0988 ratio
QVLP15+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N25.1509 ratio
QVLP15+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N15.9788 ratio
QVLP15+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage2.7245 ratio
QVLP30+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N13.2024 ratio
QVLP30+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage3.0230 ratio
QVLP30+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N28.4563 ratio
QVLP30+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage3.3189 ratio
QVLP30+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N12.5570 ratio
QVLP30+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N28.0508 ratio
QVLP30+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage1.7591 ratio
QVLP30+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage2.9769 ratio
QVLP45+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage2.2729 ratio
QVLP45+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage2.5016 ratio
QVLP45+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N26.3791 ratio
QVLP45+Full AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N12.5408 ratio
QVLP45+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage2.4588 ratio
QVLP45+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage2.3219 ratio
QVLP45+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N27.3718 ratio
QVLP45+Half AS03Geometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N13.4414 ratio
QVLP30 UnadjuvantedGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage1.8734 ratio
QVLP30 UnadjuvantedGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N12.3058 ratio
QVLP30 UnadjuvantedGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage1.8422 ratio
QVLP30 UnadjuvantedGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N27.6527 ratio
Fluzone HD QuadGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H3N27.5907 ratio
Fluzone HD QuadGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Yamagata lineage4.4642 ratio
Fluzone HD QuadGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)B/Victoria lineage3.7317 ratio
Fluzone HD QuadGeometric Mean Fold Rise (GMFR) Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 28/Day 0)H1N12.9661 ratio
Primary

Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0

The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination)

Population: Per protocol (PP) set included participants with a Day 0 and any post-vaccination immunogenicity assessment who completed the study with no major protocol deviations related to participant eligibility, the ability to develop a valid immune response, prohibited medication use, or the immunogenicity analyses; and who received QVLP or the active comparators.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage27.2713 titers
QVLP15+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N242.9963 titers
QVLP15+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage32.6846 titers
QVLP15+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N187.5704 titers
QVLP15+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N235.6256 titers
QVLP15+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage58.7285 titers
QVLP15+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage38.5215 titers
QVLP15+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N171.2385 titers
QVLP30+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage46.6653 titers
QVLP30+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N169.1840 titers
QVLP30+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage35.1259 titers
QVLP30+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N253.5390 titers
QVLP30+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage21.1180 titers
QVLP30+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N160.7941 titers
QVLP30+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N228.2789 titers
QVLP30+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage24.8494 titers
QVLP45+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N226.8632 titers
QVLP45+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage23.9640 titers
QVLP45+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N165.5830 titers
QVLP45+Full AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage36.7938 titers
QVLP45+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N257.9959 titers
QVLP45+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage61.2554 titers
QVLP45+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N152.1449 titers
QVLP45+Half AS03Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage21.0585 titers
QVLP30 UnadjuvantedGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage31.8921 titers
QVLP30 UnadjuvantedGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N180.6590 titers
QVLP30 UnadjuvantedGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage36.3962 titers
QVLP30 UnadjuvantedGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N253.9648 titers
Fluzone HD QuadGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H3N250.3624 titers
Fluzone HD QuadGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Yamagata lineage31.1646 titers
Fluzone HD QuadGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0H1N171.9561 titers
Fluzone HD QuadGeometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain on Day 0B/Victoria lineage26.5681 titers
Primary

GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28

The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 28

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage95.0432 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1296.2330 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2205.4037 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage91.4846 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage76.9675 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2217.8171 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1419.3985 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage117.6911 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage121.7513 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2399.5021 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage108.9616 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1222.1740 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2319.7171 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage81.3894 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1168.9548 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage48.0076 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2255.5949 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage67.2848 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1174.3779 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage81.3375 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage113.1054 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage58.0067 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1214.6073 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2355.9261 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage59.0477 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1165.0534 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage67.2196 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2369.0050 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1208.8559 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2352.6912 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage114.1339 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage137.4894 titers
Primary

Number of Participants With an Occurrence of Death From Day 183 up to Day 365

The number of participants in each treatment group with an occurrence of death was assessed.

Time frame: Day 183 up to the end of study (Day 365)

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With an Occurrence of Death From Day 183 up to Day 3650 Participants
QVLP15+Half AS03Number of Participants With an Occurrence of Death From Day 183 up to Day 3650 Participants
QVLP30+Full AS03Number of Participants With an Occurrence of Death From Day 183 up to Day 3651 Participants
QVLP30+Half AS03Number of Participants With an Occurrence of Death From Day 183 up to Day 3650 Participants
QVLP45+Full AS03Number of Participants With an Occurrence of Death From Day 183 up to Day 3650 Participants
QVLP45+Half AS03Number of Participants With an Occurrence of Death From Day 183 up to Day 3650 Participants
QVLP30 UnadjuvantedNumber of Participants With an Occurrence of Death From Day 183 up to Day 3650 Participants
Fluzone HD QuadNumber of Participants With an Occurrence of Death From Day 183 up to Day 3651 Participants
Primary

Number of Participants With an Occurrence of Death From Day 29 up to Day 182

The number of participants in each treatment group with an occurrence of death was assessed.

Time frame: Day 29 up to Day 182

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
QVLP15+Half AS03Number of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
QVLP30+Full AS03Number of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
QVLP30+Half AS03Number of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
QVLP45+Full AS03Number of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
QVLP45+Half AS03Number of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
QVLP30 UnadjuvantedNumber of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
Fluzone HD QuadNumber of Participants With an Occurrence of Death From Day 29 up to Day 1820 Participants
Primary

Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, Potential Immune-Mediated Diseases (pIMDs), and other AESIs. Participants with any AESI were reported.

Time frame: Day 1 up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 281 Participants
QVLP15+Half AS03Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
QVLP30+Full AS03Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
QVLP30+Half AS03Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
QVLP45+Full AS03Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
QVLP45+Half AS03Number of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
Fluzone HD QuadNumber of Participants With at Least One Adverse Event of Special Interest (AESI) From Day 1 up to Day 280 Participants
Primary

Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 365

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The number of participants with at least one AE leading to withdrawal was assessed.

Time frame: Day 183 up to the end of study (Day 365)

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3650 Participants
QVLP15+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3650 Participants
QVLP30+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3651 Participants
QVLP30+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3650 Participants
QVLP45+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3650 Participants
QVLP45+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3650 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3650 Participants
Fluzone HD QuadNumber of Participants With at Least One AE Leading to Withdrawal From the Study From Day 183 up to Day 3651 Participants
Primary

Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product.

Time frame: Day 1 up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
QVLP15+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
QVLP30+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
QVLP30+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
QVLP45+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
QVLP45+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
Fluzone HD QuadNumber of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 280 Participants
Primary

Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 182

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The number of participants with at least one AE leading to withdrawal was assessed.

Time frame: Day 29 up to Day 182

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
QVLP15+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
QVLP30+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
QVLP30+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
QVLP45+Full AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
QVLP45+Half AS03Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
Fluzone HD QuadNumber of Participants With at Least One AE Leading to Withdrawal From the Study From Day 29 up to Day 1820 Participants
Primary

Number of Participants With at Least One AESI From Day 183 up to Day 365

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, pIMDs, and other AESIs. Participants with any AESI were reported.

Time frame: Day 183 up to the end of study (Day 365)

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
QVLP15+Half AS03Number of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
QVLP30+Full AS03Number of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
QVLP30+Half AS03Number of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
QVLP45+Full AS03Number of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
QVLP45+Half AS03Number of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
Fluzone HD QuadNumber of Participants With at Least One AESI From Day 183 up to Day 3650 Participants
Primary

Number of Participants With at Least One AESI From Day 29 up to Day 182

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, pIMDs, and other AESIs. Participants with any AESI were reported.

Time frame: Day 29 up to Day 182

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
QVLP15+Half AS03Number of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
QVLP30+Full AS03Number of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
QVLP30+Half AS03Number of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
QVLP45+Full AS03Number of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
QVLP45+Half AS03Number of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
Fluzone HD QuadNumber of Participants With at Least One AESI From Day 29 up to Day 1820 Participants
Primary

Number of Participants With at Least One Immediate Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling, and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck.

Time frame: Up to 30 minutes post-vaccination

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Immediate Adverse Event (AE)1 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate Adverse Event (AE)0 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate Adverse Event (AE)4 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate Adverse Event (AE)3 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate Adverse Event (AE)5 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate Adverse Event (AE)1 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate Adverse Event (AE)5 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate Adverse Event (AE)4 Participants
Primary

Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling, and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the United States Food and Drug Administration Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4).

Time frame: Up to 30 minutes post-vaccination

Population: Participants in SAS with at least one immediate AE.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
QVLP15+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP15+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 11 Participants
QVLP15+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 10 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 14 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 13 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 21 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 14 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 11 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 14 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 31 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 40 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 14 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 30 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4Immediate solicited AE Grade 20 Participants
Primary

Number of Participants With at Least One Immediate AE Related to Vaccination

An AE is defined in OM #6. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. A related AE is an event where the investigator determined that the relationship to study vaccine was Possibly Related, Probably Related or Definitely Related. If a participant reported multiple occurrences of the same AE, only the most closely related occurrence was presented. The causal relationship of all solicited local and systemic AEs was considered related to vaccination. Participants with any related AE was reported.

Time frame: 30 minutes post-vaccination

Population: Participants in SAS with at least one immediate AE.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE1 Participants
QVLP15+Full AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE0 Participants
QVLP15+Half AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
QVLP30+Full AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE4 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE3 Participants
QVLP30+Half AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
QVLP45+Full AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE5 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
QVLP45+Half AS03Number of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE1 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE5 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate AE Related to VaccinationRelated immediate unsolicited AE0 Participants
Fluzone HD QuadNumber of Participants With at Least One Immediate AE Related to VaccinationRelated immediate solicited AE4 Participants
Primary

Number of Participants With at Least One MAAE From Day 183 up to Day 365

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs were defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.

Time frame: Day 183 up to the end of study (Day 365)

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One MAAE From Day 183 up to Day 3653 Participants
QVLP15+Half AS03Number of Participants With at Least One MAAE From Day 183 up to Day 3652 Participants
QVLP30+Full AS03Number of Participants With at Least One MAAE From Day 183 up to Day 3658 Participants
QVLP30+Half AS03Number of Participants With at Least One MAAE From Day 183 up to Day 3654 Participants
QVLP45+Full AS03Number of Participants With at Least One MAAE From Day 183 up to Day 3650 Participants
QVLP45+Half AS03Number of Participants With at Least One MAAE From Day 183 up to Day 3653 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One MAAE From Day 183 up to Day 3655 Participants
Fluzone HD QuadNumber of Participants With at Least One MAAE From Day 183 up to Day 3654 Participants
Primary

Number of Participants With at Least One MAAE From Day 29 up to Day 182

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs are defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.

Time frame: Day 29 up to Day 182

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One MAAE From Day 29 up to Day 1823 Participants
QVLP15+Half AS03Number of Participants With at Least One MAAE From Day 29 up to Day 1821 Participants
QVLP30+Full AS03Number of Participants With at Least One MAAE From Day 29 up to Day 18214 Participants
QVLP30+Half AS03Number of Participants With at Least One MAAE From Day 29 up to Day 1823 Participants
QVLP45+Full AS03Number of Participants With at Least One MAAE From Day 29 up to Day 1822 Participants
QVLP45+Half AS03Number of Participants With at Least One MAAE From Day 29 up to Day 1822 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One MAAE From Day 29 up to Day 1826 Participants
Fluzone HD QuadNumber of Participants With at Least One MAAE From Day 29 up to Day 18212 Participants
Primary

Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs are defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a healthcare provider.

Time frame: Day 1 up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 282 Participants
QVLP15+Half AS03Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 280 Participants
QVLP30+Full AS03Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 283 Participants
QVLP30+Half AS03Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 281 Participants
QVLP45+Full AS03Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 281 Participants
QVLP45+Half AS03Number of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 287 Participants
Fluzone HD QuadNumber of Participants With at Least One Medically Attended AE (MAAE) From Day 1 up to Day 287 Participants
Primary

Number of Participants With at Least One New NOCD From Day 29 up to Day 182

All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility was interpreted broadly; the only clear exceptions were degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases were reported.

Time frame: Day 29 up to Day 182

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One New NOCD From Day 29 up to Day 1820 Participants
QVLP15+Half AS03Number of Participants With at Least One New NOCD From Day 29 up to Day 1820 Participants
QVLP30+Full AS03Number of Participants With at Least One New NOCD From Day 29 up to Day 1822 Participants
QVLP30+Half AS03Number of Participants With at Least One New NOCD From Day 29 up to Day 1820 Participants
QVLP45+Full AS03Number of Participants With at Least One New NOCD From Day 29 up to Day 1821 Participants
QVLP45+Half AS03Number of Participants With at Least One New NOCD From Day 29 up to Day 1820 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One New NOCD From Day 29 up to Day 1822 Participants
Fluzone HD QuadNumber of Participants With at Least One New NOCD From Day 29 up to Day 1820 Participants
Primary

Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 28

All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility was interpreted broadly; the only clear exceptions were degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases had to be reported.

Time frame: Day 1 up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
QVLP15+Half AS03Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
QVLP30+Full AS03Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
QVLP30+Half AS03Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
QVLP45+Full AS03Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
QVLP45+Half AS03Number of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
Fluzone HD QuadNumber of Participants With at Least One New Onset Clinical Disease (NOCD) From Day 1 up to Day 280 Participants
Primary

Number of Participants With at Least One NOCD From Day 183 up to Day 365

All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility should be interpreted broadly; the only clear exceptions are degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases should be reported.

Time frame: Day 183 up to the end of study (Day 365)

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One NOCD From Day 183 up to Day 3651 Participants
QVLP15+Half AS03Number of Participants With at Least One NOCD From Day 183 up to Day 3650 Participants
QVLP30+Full AS03Number of Participants With at Least One NOCD From Day 183 up to Day 3651 Participants
QVLP30+Half AS03Number of Participants With at Least One NOCD From Day 183 up to Day 3650 Participants
QVLP45+Full AS03Number of Participants With at Least One NOCD From Day 183 up to Day 3650 Participants
QVLP45+Half AS03Number of Participants With at Least One NOCD From Day 183 up to Day 3651 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One NOCD From Day 183 up to Day 3650 Participants
Fluzone HD QuadNumber of Participants With at Least One NOCD From Day 183 up to Day 3650 Participants
Primary

Number of Participants With at Least One SAE From Day 183 up to Day 365

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.

Time frame: Day 183 up to the end of study (Day 365)

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One SAE From Day 183 up to Day 3650 Participants
QVLP15+Half AS03Number of Participants With at Least One SAE From Day 183 up to Day 3651 Participants
QVLP30+Full AS03Number of Participants With at Least One SAE From Day 183 up to Day 3656 Participants
QVLP30+Half AS03Number of Participants With at Least One SAE From Day 183 up to Day 3651 Participants
QVLP45+Full AS03Number of Participants With at Least One SAE From Day 183 up to Day 3650 Participants
QVLP45+Half AS03Number of Participants With at Least One SAE From Day 183 up to Day 3650 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One SAE From Day 183 up to Day 3651 Participants
Fluzone HD QuadNumber of Participants With at Least One SAE From Day 183 up to Day 3652 Participants
Primary

Number of Participants With at Least One SAE From Day 29 up to Day 182

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.

Time frame: Day 29 up to Day 182

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One SAE From Day 29 up to Day 1820 Participants
QVLP15+Half AS03Number of Participants With at Least One SAE From Day 29 up to Day 1821 Participants
QVLP30+Full AS03Number of Participants With at Least One SAE From Day 29 up to Day 1822 Participants
QVLP30+Half AS03Number of Participants With at Least One SAE From Day 29 up to Day 1821 Participants
QVLP45+Full AS03Number of Participants With at Least One SAE From Day 29 up to Day 1821 Participants
QVLP45+Half AS03Number of Participants With at Least One SAE From Day 29 up to Day 1820 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One SAE From Day 29 up to Day 1820 Participants
Fluzone HD QuadNumber of Participants With at Least One SAE From Day 29 up to Day 1825 Participants
Primary

Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.

Time frame: Day 1 up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 281 Participants
QVLP15+Half AS03Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 281 Participants
QVLP30+Full AS03Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 280 Participants
QVLP30+Half AS03Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 280 Participants
QVLP45+Full AS03Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 280 Participants
QVLP45+Half AS03Number of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 280 Participants
Fluzone HD QuadNumber of Participants With at Least One Serious Adverse Events (SAE) From Day 1 up to Day 280 Participants
Primary

Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 7

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling, and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck.

Time frame: Day 0 (pre-vaccination) up to Day 7

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 712 Participants
QVLP15+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 75 Participants
QVLP30+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 737 Participants
QVLP30+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 712 Participants
QVLP45+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 714 Participants
QVLP45+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 78 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 726 Participants
Fluzone HD QuadNumber of Participants With at Least One Solicited Local or Systemic AE From Day 0 up to Day 725 Participants
Primary

Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4).

Time frame: Day 0 (pre-vaccination) up to Day 7

Population: Participants in SAS with at least one solicited local or systemic AE.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 23 Participants
QVLP15+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 41 Participants
QVLP15+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 18 Participants
QVLP15+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 30 Participants
QVLP15+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 30 Participants
QVLP15+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 13 Participants
QVLP15+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 40 Participants
QVLP15+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 22 Participants
QVLP30+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 121 Participants
QVLP30+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 213 Participants
QVLP30+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 33 Participants
QVLP30+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 40 Participants
QVLP30+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 40 Participants
QVLP30+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 24 Participants
QVLP30+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 30 Participants
QVLP30+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 18 Participants
QVLP45+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 15 Participants
QVLP45+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 27 Participants
QVLP45+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 41 Participants
QVLP45+Full AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 31 Participants
QVLP45+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 17 Participants
QVLP45+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 21 Participants
QVLP45+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 40 Participants
QVLP45+Half AS03Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 30 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 33 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 116 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 27 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 40 Participants
Fluzone HD QuadNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 25 Participants
Fluzone HD QuadNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 116 Participants
Fluzone HD QuadNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 34 Participants
Fluzone HD QuadNumber of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 7Solicited AE of Grade 40 Participants
Primary

Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 286 Participants
QVLP15+Half AS03Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 284 Participants
QVLP30+Full AS03Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 286 Participants
QVLP30+Half AS03Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 283 Participants
QVLP45+Full AS03Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 281 Participants
QVLP45+Half AS03Number of Participants With at Least One Unsolicited AE From Day 0 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Unsolicited AE From Day 0 up to Day 288 Participants
Fluzone HD QuadNumber of Participants With at Least One Unsolicited AE From Day 0 up to Day 287 Participants
Primary

Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4).

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in SAS with at least one unsolicited AE.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 21 Participants
QVLP15+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP15+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 32 Participants
QVLP15+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 13 Participants
QVLP15+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP15+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 20 Participants
QVLP15+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 11 Participants
QVLP15+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 33 Participants
QVLP30+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 11 Participants
QVLP30+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP30+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 31 Participants
QVLP30+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 24 Participants
QVLP30+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 20 Participants
QVLP30+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP30+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 13 Participants
QVLP30+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 30 Participants
QVLP45+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 10 Participants
QVLP45+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 30 Participants
QVLP45+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP45+Full AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 21 Participants
QVLP45+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 30 Participants
QVLP45+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 20 Participants
QVLP45+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 10 Participants
QVLP45+Half AS03Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 30 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 24 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 14 Participants
Fluzone HD QuadNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 12 Participants
Fluzone HD QuadNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 24 Participants
Fluzone HD QuadNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 31 Participants
Fluzone HD QuadNumber of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4 From Day 0 up to Day 28Unsolicited AE Grade 40 Participants
Primary

Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 28

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. A related AE was an event where the Investigator determined that the relationship to study vaccine was Possibly Related, Probably Related or Definitely Related. If a participant reported multiple occurrences of the same AE, only the most closely related occurrence was presented. Participants with any related AE were reported.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in SAS with at least one unsolicited AE.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 283 Participants
QVLP15+Half AS03Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 282 Participants
QVLP30+Full AS03Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 282 Participants
QVLP30+Half AS03Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 280 Participants
QVLP45+Full AS03Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 280 Participants
QVLP45+Half AS03Number of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 280 Participants
Fluzone HD QuadNumber of Participants With at Least One Unsolicited AE Related to Vaccination From Day 0 up to Day 281 Participants
Primary

Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 0

Participants were monitored for any abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the testing laboratory's normal range was classified as clinically significant or not clinically significant by the site investigator, with appropriate documentation.

Time frame: Day 0 (pre-vaccination)

Population: SAS. Only participants with at least one clinically significant laboratory parameter are reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 00 Participants
Primary

Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28

Participants were monitored for any abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, and pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, and platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, cholesterol, phosphate, potassium, protein, sodium, triglycerides, and urea nitrogen). Any laboratory result outside of the testing laboratory's normal range was classified as clinically significant or not clinically significant by the site investigator, with appropriate documentation.

Time frame: Day 28

Population: SAS. Only participants with at least one clinically significant abnormal laboratory finding are reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant1 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant1 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant1 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine occult blood - abnormal, clinically significant0 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine specimen appearance - abnormal, clinically significant0 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28Urine protein - abnormal, clinically significant0 Participants
Primary

Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3

Participants were monitored for any abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the testing laboratory's normal range was classified as clinically significant or not clinically significant by the site investigator, with appropriate documentation.

Time frame: Day 3

Population: SAS. Only participants with at least one clinically significant abnormal laboratory finding are reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant1 Participants
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP15+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant1 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
QVLP15+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP30+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant1 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
QVLP30+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
QVLP45+Full AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant1 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
QVLP45+Half AS03Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant0 Participants
QVLP30 UnadjuvantedNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine glucose - abnormal, clinically significant0 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine protein - abnormal, clinically significant0 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine specimen appearance - abnormal, clinically significant1 Participants
Fluzone HD QuadNumber of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3Urine occult blood - abnormal, clinically significant0 Participants
Primary

Number of Participants With the Occurrence of Death From Day 1 up to Day 28

The number of participants in each treatment group with an occurrence of death was assessed.

Time frame: Day 1 up to Day 28

Population: SAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
QVLP15+Full AS03Number of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
QVLP15+Half AS03Number of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
QVLP30+Full AS03Number of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
QVLP30+Half AS03Number of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
QVLP45+Full AS03Number of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
QVLP45+Half AS03Number of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
QVLP30 UnadjuvantedNumber of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
Fluzone HD QuadNumber of Participants With the Occurrence of Death From Day 1 up to Day 280 Participants
Primary

Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \< 10) pre-vaccination (Day 0) to an HI titer of ≥ 40 on Day 28 was measured using an HI assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N238.9 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage44.4 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage33.3 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N138.9 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage33.3 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage22.2 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N155.6 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N255.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N136.8 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage31.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N265.8 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage26.3 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N263.2 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage36.8 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N142.1 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage21.1 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N125.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N270.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage30.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage30.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N261.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage30.8 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N130.8 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage15.4 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N129.4 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage23.5 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage14.7 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N247.1 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage38.5 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N264.1 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage46.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N138.5 percentage of participants
Primary

Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28

Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1100 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N288.9 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage88.9 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage77.8 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1100 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage88.9 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N288.9 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage77.8 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage97.4 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N297.4 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage76.3 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1100 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N294.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage63.2 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage68.4 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N194.7 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage80.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N190.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2100 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage80.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage76.9 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1100 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N2100 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage84.6 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N297.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage67.6 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1100 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage82.4 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Victoria lineage89.7 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H1N1100 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28H3N292.3 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 28B/Yamagata lineage89.7 percentage of participants
Secondary

GMFR Measured by HI Antibody Response for Each Heterologous Influenza Strain

GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an HI assay for the heterologous strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage).

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

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N22.8906 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage1.7604 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N14.6104 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N22.3315 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage1.8557 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N17.7661 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage2.2441 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N22.6710 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N13.6764 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N22.2043 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N12.4044 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage1.3040 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N21.7248 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N12.2511 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage1.6675 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N14.1198 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N21.6487 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage1.4026 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N23.2113 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N12.7513 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage1.7975 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N24.5766 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage3.5002 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N15.0566 ratio
Secondary

GMFR Measured by HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an HI assay for the heterologous strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

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

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)

GMFR: the geometric mean of the ratio of GMTs (Day 182/Day 0 and Day 365/Day 0) measured using an HI assay for the homologous strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination), Day 182, Day 365

Population: Participants in PP Set with available data at each timepoint were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.5914 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 00.9854 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 01.7840 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 02.7326 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 03.5029 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.1788 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.3110 ratio
QVLP15+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 02.8586 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 05.3618 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 02.2667 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 03.7625 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.4345 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 04.6671 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.8261 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.1979 ratio
QVLP15+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.2056 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.3892 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 04.0557 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.1944 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 01.6031 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.4557 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.3199 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 02.4366 ratio
QVLP30+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 03.7985 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.2518 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 05.5988 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 03.6059 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.2063 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.2508 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.4917 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 01.6790 ratio
QVLP30+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 01.9075 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 04.0497 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.1095 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 01.6075 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 02.6792 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.1448 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.1462 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.1803 ratio
QVLP45+Full AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 01.7392 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.0689 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 01.9829 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 00.9986 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.0238 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 04.5291 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 02.2374 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 02.7253 ratio
QVLP45+Half AS03GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 05.3933 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 05.2951 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 04.6788 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 01.5400 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.3226 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 02.1950 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.2542 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.1041 ratio
QVLP30 UnadjuvantedGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.5232 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 365/Day 01.3656 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 182/Day 01.7267 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H1N1: Day 365/Day 01.1081 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 182/Day 02.7380 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)H3N2: Day 365/Day 02.8866 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 182/Day 01.5720 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Yamagata lineage: Day 365/Day 01.3422 ratio
Fluzone HD QuadGMFR Measured by HI Antibody Response for Each Homologous Influenza Strain (Day 182/Day 0 and Day 365/Day 0)B/Victoria lineage: Day 182/Day 01.4098 ratio
Secondary

GMFR Measured by HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an HI assay for the homologous strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

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

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

GMFR Measured by MN Antibody Response for Each Homologous Influenza Strain

GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an MN assay for the homologous strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

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

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N21.8781 ratio
QVLP15+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage1.7152 ratio
QVLP15+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N16.0914 ratio
QVLP15+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage1.7366 ratio
QVLP15+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N22.7393 ratio
QVLP15+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N112.7121 ratio
QVLP15+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage1.8812 ratio
QVLP15+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage4.4083 ratio
QVLP30+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage2.3239 ratio
QVLP30+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N15.2592 ratio
QVLP30+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N22.1798 ratio
QVLP30+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage2.4424 ratio
QVLP30+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N22.0133 ratio
QVLP30+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N14.0415 ratio
QVLP30+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage2.3549 ratio
QVLP30+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage1.3802 ratio
QVLP45+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage2.4501 ratio
QVLP45+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N14.0654 ratio
QVLP45+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N22.1935 ratio
QVLP45+Full AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage1.7651 ratio
QVLP45+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N21.8735 ratio
QVLP45+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage2.8024 ratio
QVLP45+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage1.3086 ratio
QVLP45+Half AS03GMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N16.3495 ratio
QVLP30 UnadjuvantedGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N22.1377 ratio
QVLP30 UnadjuvantedGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N13.4096 ratio
QVLP30 UnadjuvantedGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage1.5535 ratio
QVLP30 UnadjuvantedGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage1.8310 ratio
Fluzone HD QuadGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage3.8216 ratio
Fluzone HD QuadGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH1N16.5345 ratio
Fluzone HD QuadGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainH3N22.8084 ratio
Fluzone HD QuadGMFR Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage3.5437 ratio
Secondary

GMFR Measured by MN Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

GMFR: the geometric mean of the ratio of GMTs (Day 28/Day 0) measured using an MN assay for the strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

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

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

GMTs of HI Antibody Response for Each Heterologous Influenza Strain

The GMTs in each treatment group were measured using an HI assay for the heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage).

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

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 038.5796 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 090.8941 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2839.2478 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 022.6953 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 2889.5835 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28290.5308 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 2856.5609 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28418.9367 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 021.6012 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2858.8887 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 038.4838 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 060.8920 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 057.0448 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 032.0958 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28191.9608 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 2879.9144 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 034.2028 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2865.9266 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 029.8495 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 014.9040 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 017.5909 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 2847.9629 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 2890.8596 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2822.2497 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28107.3121 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 018.0797 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 045.6156 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2831.8255 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 016.9318 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 2836.6176 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28168.6130 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 030.5442 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 035.0221 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2827.5162 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 2848.0514 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 018.4484 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28141.5521 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 28108.5069 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 058.6793 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 026.9646 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 040.3477 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2845.6899 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 2859.6513 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 036.2950 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage: Day 014.8765 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Heterologous Influenza StrainH1N1: Day 28210.6752 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 28121.5473 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Heterologous Influenza StrainH3N2: Day 025.6289 titers
Secondary

GMTs of HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

The GMTs in each treatment group were measured using an HI assay for the heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

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

Population: The analysis were not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365

The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 182, Day 365

Population: Participants in PP Set with available data at each time point were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18245.3843 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18233.2709 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182119.5465 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36538.5246 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36540.6922 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 365145.2654 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182226.2152 titers
QVLP15+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365156.9806 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365217.4477 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182332.5919 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18244.8356 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36565.9800 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36544.9239 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182153.9351 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 365160.1136 titers
QVLP15+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18283.0475 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36532.2612 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18250.0023 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182175.6786 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36555.2532 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36597.7443 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18259.2611 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182178.9880 titers
QVLP30+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365189.1376 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18239.9246 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36534.7689 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 365103.0787 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36531.7135 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18233.5742 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365210.9250 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182129.4173 titers
QVLP30+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182129.5061 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 365109.2066 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182118.8437 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18299.1267 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365141.6148 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18230.1800 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36530.8130 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18242.7246 titers
QVLP45+Full AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36539.9398 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36524.0753 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182214.5054 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18233.1521 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365265.6521 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 365156.0724 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182220.4298 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18252.2104 titers
QVLP45+Half AS03GMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36550.8227 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365254.8805 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182164.9504 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 365124.5817 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182219.2384 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36545.4888 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36549.0601 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18246.0555 titers
QVLP30 UnadjuvantedGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18237.2192 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18251.3900 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182131.0605 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36545.1481 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36579.1142 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18243.4396 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182121.7951 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36539.9694 titers
Fluzone HD QuadGMTs of HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 365135.1917 titers
Secondary

GMTs of HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

The GMTs in each treatment group were measured using an HI assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

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

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza Strain

The GMTs in each treatment group were measured using an MN assay for the homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

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

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 0123.9489 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2825.7962 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 025.7760 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 0195.2871 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 016.3090 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28887.6906 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2842.3874 titers
QVLP15+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28198.6618 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 017.5404 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 0107.6687 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 281956.7218 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28332.5998 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2834.2802 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 025.9287 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 0216.6401 titers
QVLP15+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 28104.7367 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 034.8450 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 0127.4353 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2870.2059 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2838.0649 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 018.9617 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 096.9336 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28205.2176 titers
QVLP30+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28663.8670 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 015.8462 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 0137.0522 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28495.8821 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 084.7454 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28186.1487 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 010.7232 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2815.4893 titers
QVLP30+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2836.2627 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 0122.6834 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2821.5952 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 015.3550 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 065.5761 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28532.9893 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 010.8996 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2845.4444 titers
QVLP45+Full AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28188.4193 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2875.8887 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28196.9789 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 029.8305 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2815.7214 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 010.2622 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 093.8593 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28693.3781 titers
QVLP45+Half AS03GMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 0129.3964 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28434.8282 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28216.0005 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 0141.0830 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 020.6308 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2833.2720 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2830.5144 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 022.2014 titers
QVLP30 UnadjuvantedGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 098.8487 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 014.2585 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 022.3655 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 28754.0606 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Victoria lineage: Day 2864.2444 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH1N1: Day 089.1100 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 28273.0912 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage: Day 2864.2153 titers
Fluzone HD QuadGMTs of Microneutralization (MN) Antibody Response for Each Homologous Influenza StrainH3N2: Day 0100.5515 titers
Secondary

GMTs of MN Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

The GMTs in each treatment group were measured using an MN assay for the following homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

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

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One AE Leading to Withdrawal From the Study From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One AESI From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. AESIs included hypersensitivity reactions, narcolepsy, pIMDs, and other AESIs. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Immediate AE of Grade 1, 2, 3, or 4, Stratified by Prior Influenza Vaccination Status

An AE is defined in OM #6. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Up to 30 minutes post-vaccination

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Immediate AE Related to Vaccination, Stratified by Prior Influenza Vaccination Status

An AE is defined in OM #6. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. A related AE is an event where the investigator determined that the relationship to study vaccine was Possibly Related, Probably Related, or Definitely Related. If a participant reported multiple occurrences of the same AE, only the most closely related occurrence was presented. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Up to 30 minutes post-vaccination

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Immediate AE, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Immediate AEs were defined as any solicited (local and systemic) and unsolicited AEs that started up to 30 minutes after vaccination. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Up to 30 minutes post-vaccination

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One MAAE From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. MAAEs are defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One NOCD From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination Status

All NOCDs that may plausibly have an allergic, autoimmune or inflammatory component were assessed and reported. Plausibility was interpreted broadly; the only clear exceptions were degenerative conditions such as osteoarthritis, age-related physiologic changes and life-style diseases. In this context, most cancers, cardiac conditions, and kidney diseases had to be reported. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One SAE From Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Solicited Local or Systemic AE of Grade 1, 2, 3, or 4, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 7

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Solicited Local or Systemic AE, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. Solicited local AEs included erythema, swelling and pain at the injection site. Solicited systemic AEs included fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 7

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Unsolicited AE of Grade 1, 2, 3, or 4, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. The intensity of the AEs was graded according to the FDA Toxicity Grading Scale: mild (Grade 1), moderate (Grade 2), severe (Grade 3), or potentially life threatening (Grade 4). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Unsolicited AE Related to Vaccination, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. A related AE was an event where the Investigator determined that the relationship to study vaccine was Possibly Related, Probably Related, or Definitely Related. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With at Least One Unsolicited AE, Stratified by Prior Influenza Vaccination Status

An AE is defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product, with or without a causal relationship with the treatment. An AE can be any favorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to a medicinal product. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 0, Stratified by Prior Influenza Vaccination Status

Participants were monitored for abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the normal range was classified as clinically significant or not clinically significant by the site investigator. It was planned that the endpoint would be analyzed if \>25% of the participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination)

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 28, Stratified by Prior Influenza Vaccination Status

Participants were monitored for abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the normal range was classified as clinically significant or not clinically significant by the site investigator. It was planned that the endpoint would be analyzed if \>25% of the participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With Clinically Significant Abnormal Urine, Hematological, and Blood Biochemistry Values on Day 3, Stratified by Prior Influenza Vaccination Status

Participants were monitored for abnormal findings in urine parameters (urine color, glucose, occult blood, protein, specific gravity, specimen appearance, pH), hematological parameters (basophils, leukocytes, eosinophils, erythrocytes mean corpuscular hemoglobin, erythrocytes, hematocrit, hemoglobin, lymphocytes, mean platelet volume, monocytes, neutrophils, platelets), and blood chemistry parameters (alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, calcium, chloride, cholesterol, creatinine, gamma glutamyl transferase, glucose, HDL and LDL cholesterol, phosphate, potassium, protein, sodium, triglycerides, urea nitrogen). Any laboratory result outside of the normal range was classified as clinically significant or not clinically significant by the site investigator. It was planned that the endpoint would be analyzed if \>25% of the participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 3

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Number of Participants With the Occurrence of Death From Day 1 up to Day 28, From Day 29 to Day 182, and From Day 183 to Day 365, Stratified by Prior Influenza Vaccination Status

The number of participants in each treatment group with an occurrence of death was assessed. It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 1 up to Day 28, Day 29 up to Day 182, and Day 183 up to Day 365

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza Strain

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 28 was measured using an HI assay for the heterologous influenza strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N216.7 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage11.1 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N133.3 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N155.6 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage11.1 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N233.3 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N136.8 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N218.4 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage13.2 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N226.3 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N131.6 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage5.3 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage15.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N220.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N125.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N215.4 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage7.7 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N138.5 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N229.4 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N129.4 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage11.8 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N253.8 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage46.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N153.8 percentage of participants
Secondary

Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 28 was measured using an HI assay for the following heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 182 and Day 0 and Day 365 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 182 and Day 365 was measured using an HI assay for the following homologous influenza strains: A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination) up to Day 182 and up to Day 365

Population: Participants in PP Set with available data at each timepoint were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36511.1 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18231.6 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36527.8 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18215.8 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3655.6 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 1825.3 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36538.9 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18236.8 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36533.3 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36522.2 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18255.6 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18255.6 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36544.4 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18211.1 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36511.1 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18222.2 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3659.7 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18232.4 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36522.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36538.7 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3659.7 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18213.5 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18213.5 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18216.2 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 1820 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3656.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18227.8 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18250.0 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36526.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18222.2 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36520.0 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36546.7 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36560.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18242.9 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 1829.5 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18228.6 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36515.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18219.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36525.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3655.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36561.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36538.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18238.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3650 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 1827.7 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3650 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 1820 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18238.5 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18217.6 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 1825.9 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3653.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18247.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36512.5 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3653.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36553.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18229.4 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18224.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36519.4 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36516.1 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36545.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18245.5 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18227.3 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18221.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36512.9 percentage of participants
Secondary

Percentage of Participants With Seroconversion Measured by HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable HI titer (i.e. \<10) pre-vaccination (Day 0) to an HI titer of ≥40 on Day 28 was measured using an HI assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza Strain

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable MN titer (i.e. \<10) pre-vaccination (Day 0) to an MN titer of ≥40 on Day 28 was measured using an MN assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage).

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage20.0 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N212.5 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N138.9 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage5.6 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage12.5 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N150.0 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N242.9 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage25.0 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage17.2 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N215.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage18.9 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N155.3 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage7.1 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage29.4 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N226.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N133.3 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage22.2 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage26.3 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N142.1 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N242.1 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N210.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage30.8 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N161.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage0 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage3.8 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N133.3 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage15.2 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N217.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Victoria lineage43.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH3N235.3 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainH1N159.5 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza StrainB/Yamagata lineage34.5 percentage of participants
Secondary

Percentage of Participants With Seroconversion Measured by MN Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

Seroconversion rate: the percentage of participants in a given treatment group with either a ≥4-fold increase in reciprocal HI titers between Day 0 and Day 28 or a rise of undetectable MN titer (i.e. \<10) pre-vaccination (Day 0) to an MN titer of ≥40 on Day 28 was measured using an MN assay for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza Strain

Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the heterologous influenza strains A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage)

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: Participants in PP Set with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage61.1 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N272.2 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N1100 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage77.8 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N266.7 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N1100 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N189.5 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage71.1 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N273.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage42.1 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N178.9 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N257.9 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage45.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N180.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N255.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N184.6 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage61.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N253.8 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N279.4 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N188.2 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage64.7 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH3N289.7 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainB/Victoria lineage76.9 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza StrainH1N192.3 percentage of participants
Secondary

Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Heterologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the following heterologous influenza strains: A/Brisbane/02/2018 (H1N1), A/Kansas/14/2017 (H3N2), and B/Maryland/15/2016 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

Secondary

Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365

Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 182 and on Day 365 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage)

Time frame: Day 0 (pre-vaccination) up to Day 182 and up to Day 365

Population: Participants in PP Set with available data at each timepoint were analyzed.

ArmMeasureGroupValue (NUMBER)
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36538.9 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18289.5 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18247.4 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36511.1 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3655.6 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182100 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36527.8 percentage of participants
QVLP15+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18257.9 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182100 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36544.4 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18288.9 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18277.8 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36533.3 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36511.1 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36522.2 percentage of participants
QVLP15+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18288.9 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36538.7 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3659.7 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36522.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18294.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18294.6 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18262.2 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3659.7 percentage of participants
QVLP30+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18275.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18250.0 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36526.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36546.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18250.0 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18283.3 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36520.0 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3656.7 percentage of participants
QVLP30+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18294.4 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3655.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18290.5 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18266.7 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36525.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18238.1 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18281.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36560.0 percentage of participants
QVLP45+Full AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36515.0 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36538.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3650 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36561.5 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 182100 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 182100 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18246.2 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18269.2 percentage of participants
QVLP45+Half AS03Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3650 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18291.2 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36512.5 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36553.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18258.8 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 3653.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18261.8 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 3653.1 percentage of participants
QVLP30 UnadjuvantedPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18294.1 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 36516.1 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 18297.0 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H1N1: Day 36512.9 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 18284.8 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365H3N2: Day 36545.2 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 18269.7 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Yamagata lineage: Day 36519.4 percentage of participants
Fluzone HD QuadPercentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain on Day 182 and Day 365B/Victoria lineage: Day 18266.7 percentage of participants
Secondary

Percentage of Participants With Seroprotection Measured by HI Antibody Response for Each Homologous Influenza Strain, Stratified by Prior Influenza Vaccination Status

Seroprotection rate: the percentage of participants in a given treatment group attaining a reciprocal HI titer of ≥40 on Day 28 (the percentage of vaccine recipients with a serum HI titer of at least 1:40 following vaccination) for the homologous influenza strains A/Hawaii/70/2019 (H1N1), A/Minnesota/41/2019 (H3N2), B/Singapore/INFKK-16-0569/2016 (B/Yamagata lineage), and B/Washington/02/2019 (B/Victoria lineage). It was planned that the endpoint would be analyzed only if \>25% of the enrolled participants had received a standard influenza vaccine during the 12 months prior to study vaccination.

Time frame: Day 0 (pre-vaccination) up to Day 28

Population: The analysis was not performed because less than 25% of the enrolled participants had received a standard influenza vaccine during the last 12 months prior to study vaccination.

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