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A Clinical Study to Evaluate the Immunogenicity and Safety of an Adjuvanted Quadrivalent Influenza Vaccine Compared With a Licensed Quadrivalent Vaccine in Adults 50 to 64 Years of Age

A Phase 3, Randomized, Observer-blind, Controlled, Multicenter, Clinical Study to Evaluate Immunogenicity and Safety of an MF59-adjuvanted Quadrivalent Subunit Inactivated Influenza Vaccine in Comparison With a Licensed Quadrivalent Influenza Vaccine, in Adults 50 to 64 Years of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05044195
Enrollment
2044
Registered
2021-09-14
Start date
2021-09-30
Completion date
2022-09-09
Last updated
2023-09-28

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

Conditions

Influenza, Human

Keywords

Influenza, Vaccine, MF59 adjuvant

Brief summary

This Phase 3 study is a randomized, observer-blind immunogenicity and safety study of aQIV (an MF59-adjuvanted quadrivalent influenza vaccine) compared with a licensed quadrivalent influenza vaccine in adults 50 to 64 years of age.

Interventions

BIOLOGICALaQIV

Participants receive a 0.5-mL intramuscular dose of aQIV on Day 1

BIOLOGICALComparator QIV

Participants receive a 0.5-mL intramuscular dose of Comparator QIV on Day 1

Sponsors

Seqirus
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

In order to participate in this study, all subjects must meet ALL of the following inclusion criteria: * Individuals 50 to 64 years of age (i.e. 50 to ≤64 years) on the day of informed consent * Individuals who have voluntarily given written consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry * Individuals who can comply with study procedures including follow-up * Males, females of non-childbearing potential or females of childbearing potential who are using an effective birth control method, at least 30 days prior to informed consent, which they intend to use for at least 2 months after the study vaccination

Exclusion criteria

In order to participate in this study, all subjects must not meet ANY of the

Design outcomes

Primary

MeasureTime frameDescription
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 22The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.
Immunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 1 to Day 22The SCR defined as the percentage of subjects with either a prevaccination HI titer \<1:10 and a postvaccination (Day 22) HI titer ≥1:40, or with either a prevaccination HI titer ≥1:10 and a ≥4-fold increase in postvaccination HI titer. The SCR difference is defined as the Comparator QIV SCR minus the aQIV SCR.
Immunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 22The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Secondary

MeasureTime frameDescription
Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 1 to Day 181The GMFI is defined as the geometric mean of the fold increase of postvaccination HI titer over the prevaccination HI titer.
Immunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 1 to Day 181Percentage of subjects with a titer ≥1:40 on Day 1, Day 22, and Day 181 as determined by HI assay against each of the four vaccine strains
Safety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationDay 1 through Day 7Number and percentage of subjects with solicited local and systemic AEs occurring for 7 days following vaccination
Safety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationDay 1 through Day 22The percentage of subjects with at least one unsolicited AE occurring 21 days following vaccination The severity of AEs is based on the maximum severity associated with a Preferred Term for a reported AE. Related AEs include possibly related AEs, probably related AEs and AEs with missing relatedness assessment. The severity and relatedness of AEs were determined by the investigator. For the any AE summary by severity, a subject with multiple AEs is counted according to the highest severity of their reported AEs.
Safety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)Day 1 through Day 271The percentage of subjects with any SAE, AE leading to withdrawal, or AESI during the study period
Immunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 1 to Day 181The SCR defined as the percentage of subjects with either a prevaccination HI titer \<1:10 and a postvaccination (Day 22 or Day 181) HI titer ≥1:40, or with either a prevaccination HI titer ≥1:10 and a ≥4-fold increase in postvaccination HI titer.
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 181The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.
Immunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsDay 1 to Day 181GMTs on Day 1 (prior to vaccination), Day 22 (3 weeks after vaccination), and Day 181 (6 months after vaccination) as determined by HI assay against each of the four vaccine strains

Other

MeasureTime frameDescription
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)Day 22The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)Day 22The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)Day 22The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Countries

Estonia, Germany, United States

Participant flow

Recruitment details

Subjects were enrolled in the 2021/2022 Northern Hemisphere influenza season from 29 centers in Estonia (6 centers), Germany (11 centers), and the United States (12 centers).

Pre-assignment details

In total, 2044 subjects were enrolled in the study.

Participants by arm

ArmCount
aQIV
Adjuvanted QIV containing 2 influenza type A strains and 2 influenza type B strains aQIV: Participants receive a 0.5-mL intramuscular dose of aQIV on Day 1
1,027
Comparator QIV
Non-adjuvanted comparator QIV containing 2 influenza type A strains and 2 influenza type B strains Comparator QIV: Participants receive a 0.5-mL intramuscular dose of Comparator QIV on Day 1
1,017
Total2,044

Baseline characteristics

CharacteristicTotalaQIVComparator QIV
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
2044 Participants1027 Participants1017 Participants
Age, Continuous57.8 years
STANDARD_DEVIATION 4.19
57.8 years
STANDARD_DEVIATION 4.17
57.8 years
STANDARD_DEVIATION 4.21
Age, Customized
50 to 59 years
1205 Participants609 Participants596 Participants
Age, Customized
60 to 64 years
839 Participants418 Participants421 Participants
Comorbidity Risk Score
<50
1831 Participants912 Participants919 Participants
Comorbidity Risk Score
≥50
213 Participants115 Participants98 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
26 Participants14 Participants12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2014 Participants1013 Participants1001 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants0 Participants4 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
5 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Asian
6 Participants2 Participants4 Participants
Race/Ethnicity, Customized
Black or African American
75 Participants39 Participants36 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Other
2 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
1954 Participants982 Participants972 Participants
Received an influenza vaccination in the previous 3 influenza seasons
No
860 Participants441 Participants419 Participants
Received an influenza vaccination in the previous 3 influenza seasons
Yes
1184 Participants586 Participants598 Participants
Region of Enrollment
Estonia
787 Participants391 Participants396 Participants
Region of Enrollment
Germany
513 Participants259 Participants254 Participants
Region of Enrollment
United States
744 Participants377 Participants367 Participants
Sex: Female, Male
Female
1250 Participants635 Participants615 Participants
Sex: Female, Male
Male
794 Participants392 Participants402 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 1,0270 / 1,016
other
Total, other adverse events
660 / 1,020519 / 1,008
serious
Total, serious adverse events
31 / 1,02731 / 1,016

Outcome results

Primary

Immunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Time frame: Day 22

Population: Per Protocol Set (PPS) Immunogenicity, defined as all subjects in the Full Analysis Set (FAS) Immunogenicity who: had both Day 1 and Day 22 immunogenicity assessment; correctly received the vaccine (ie, received the vaccine to which the subjects were randomized and at the scheduled time points); had no protocol deviations leading to exclusion as defined prior to unblinding/analysis; were not excluded due to other reasons defined prior to unblinding or analysis. Note: Adjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1731.90 Titer
aQIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata154.40 Titer
aQIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2347.89 Titer
aQIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria144.41 Titer
Comparator QIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2313.16 Titer
Comparator QIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1586.85 Titer
Comparator QIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria143.32 Titer
Comparator QIVImmunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata145.74 Titer
Comparison: A/H1N195% CI: [0.738, 0.871]
Comparison: A/H3N295% CI: [0.819, 0.989]
Comparison: B/Yamagata95% CI: [0.88, 1.012]
Comparison: B/Victoria95% CI: [0.923, 1.067]
Primary

Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Time frame: Day 22

Population: FAS Immunogenicity, defined as all subjects in the All Enrolled Set who were randomized, received study vaccination and provided immunogenicity data at any time point. Note: Adjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1729.17 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2347.09 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata155.19 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria143.73 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria143.74 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1589.07 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata146.89 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2315.69 Titer
Comparison: A/H1N195% CI: [0.745, 0.876]
Comparison: A/H3N295% CI: [0.829, 0.998]
Comparison: B/Yamagata95% CI: [0.884, 1.014]
Comparison: B/Victoria95% CI: [0.931, 1.075]
Primary

Immunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

The SCR defined as the percentage of subjects with either a prevaccination HI titer \<1:10 and a postvaccination (Day 22) HI titer ≥1:40, or with either a prevaccination HI titer ≥1:10 and a ≥4-fold increase in postvaccination HI titer. The SCR difference is defined as the Comparator QIV SCR minus the aQIV SCR.

Time frame: Day 1 to Day 22

Population: PPS Immunogenicity

ArmMeasureGroupValue (NUMBER)
aQIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N181.2 percentage of participants
aQIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N263.6 percentage of participants
aQIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata43.4 percentage of participants
aQIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria44.5 percentage of participants
Comparator QIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria40.6 percentage of participants
Comparator QIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N176.8 percentage of participants
Comparator QIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata41.0 percentage of participants
Comparator QIVImmunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N261.8 percentage of participants
Comparison: B/Victoria95% CI: [-8.31, 0.45]
Comparison: A/H1N195% CI: [-7.97, -0.74]
Comparison: A/H3N295% CI: [-6.14, 2.48]
Comparison: B/Yamagata95% CI: [-6.77, 2]
Secondary

Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

The GMFI is defined as the geometric mean of the fold increase of postvaccination HI titer over the prevaccination HI titer.

Time frame: Day 1 to Day 181

Population: FAS Immunogenicity

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Fold increase Day 22 HI Titer13.07 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Fold increase Day 181 HI Titer6.22 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Fold increase Day 22 HI Titer7.09 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Fold increase Day 181 HI Titer3.29 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Fold increase Day 22 HI Titer3.77 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Fold increase Day 181 HI Titer2.03 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Fold increase Day 22 HI Titer3.73 Fold Increase
aQIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Fold increase Day 181 HI Titer2.06 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Fold increase Day 181 HI Titer2.05 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Fold increase Day 22 HI Titer11.00 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Fold increase Day 22 HI Titer3.50 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Fold increase Day 181 HI Titer5.47 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Fold increase Day 22 HI Titer3.60 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Fold increase Day 22 HI Titer6.31 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Fold increase Day 181 HI Titer2.01 Fold Increase
Comparator QIVImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Fold increase Day 181 HI Titer3.08 Fold Increase
Secondary

Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Time frame: Day 181

Population: FAS Immunogenicity. Note: Adjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1351.73 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2165.17 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata83.42 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria79.51 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2157.34 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1306.11 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria81.73 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata84.53 Titer
Comparison: A/H1N195% CI: [0.803, 0.944]
Comparison: A/H3N295% CI: [0.88, 1.032]
Comparison: B/Yamagata95% CI: [0.953, 1.077]
Comparison: B/Victoria95% CI: [0.963, 1.098]
Secondary

Immunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

GMTs on Day 1 (prior to vaccination), Day 22 (3 weeks after vaccination), and Day 181 (6 months after vaccination) as determined by HI assay against each of the four vaccine strains

Time frame: Day 1 to Day 181

Population: FAS Immunogenicity. Note: Unadjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 1 GMT54.37 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 22 GMT708.36 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 181 GMT330.76 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 1 GMT45.97 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 22 GMT323.40 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 181 GMT151.92 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 1 GMT38.50 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 22 GMT144.30 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 181 GMT76.87 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 1 GMT36.24 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 22 GMT134.45 Titer
aQIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 181 GMT74.17 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 22 GMT132.45 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 1 GMT50.41 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 1 GMT38.33 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 22 GMT553.70 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 1 GMT37.06 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 181 GMT276.24 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 22 GMT134.15 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 1 GMT46.54 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 181 GMT75.99 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 22 GMT292.50 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 181 GMT77.34 Titer
Comparator QIVImmunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 181 GMT143.80 Titer
Secondary

Immunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

The SCR defined as the percentage of subjects with either a prevaccination HI titer \<1:10 and a postvaccination (Day 22 or Day 181) HI titer ≥1:40, or with either a prevaccination HI titer ≥1:10 and a ≥4-fold increase in postvaccination HI titer.

Time frame: Day 1 to Day 181

Population: FAS Immunogenicity

ArmMeasureGroupValue (NUMBER)
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 22 SCR80.8 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 181 SCR64.5 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 22 SCR63.4 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 181 SCR39.4 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 22 SCR42.9 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 181 SCR22.4 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 22 SCR43.9 percentage of participants
aQIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 181 SCR24.3 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 181 SCR23.6 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 22 SCR77.1 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 22 SCR41.1 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 Day 181 SCR56.1 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria Day 22 SCR40.6 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 22 SCR61.8 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata Day 181 SCR22.4 percentage of participants
Comparator QIVImmunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 Day 181 SCR38.6 percentage of participants
Secondary

Immunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains

Percentage of subjects with a titer ≥1:40 on Day 1, Day 22, and Day 181 as determined by HI assay against each of the four vaccine strains

Time frame: Day 1 to Day 181

Population: FAS Immunogenicity

ArmMeasureGroupValue (NUMBER)
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 HI Titer ≥1:40 at Day 18198.2 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata HI Titer ≥1:40 at Day 2295.9 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 HI Titer ≥1:40 at Day 2297.5 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata HI Titer ≥1:40 at Day 18183.9 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 HI Titer ≥1:40 at Day 2299.7 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria HI Titer ≥1:40 at Day 158.5 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 HI Titer ≥1:40 at Day 18192.0 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria HI Titer ≥1:40 at Day 2294.4 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 HI Titer ≥1:40 at Day 160.3 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria HI Titer ≥1:40 at Day 18183.4 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata HI Titer ≥1:40 at Day 160.8 percentage of participants
aQIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 HI Titer ≥1:40 at Day 165.2 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata HI Titer ≥1:40 at Day 161.9 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 HI Titer ≥1:40 at Day 2299.2 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 HI Titer ≥1:40 at Day 18196.3 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 HI Titer ≥1:40 at Day 161.7 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 HI Titer ≥1:40 at Day 2297.3 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H3N2 HI Titer ≥1:40 at Day 18189.9 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsA/H1N1 HI Titer ≥1:40 at Day 164.2 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata HI Titer ≥1:40 at Day 2294.6 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Yamagata HI Titer ≥1:40 at Day 18184.0 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria HI Titer ≥1:40 at Day 160.4 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria HI Titer ≥1:40 at Day 2293.3 percentage of participants
Comparator QIVImmunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine StrainsB/Victoria HI Titer ≥1:40 at Day 18184.3 percentage of participants
Secondary

Safety Endpoint: All Unsolicited AEs for 21 Days Following Vaccination

The percentage of subjects with at least one unsolicited AE occurring 21 days following vaccination The severity of AEs is based on the maximum severity associated with a Preferred Term for a reported AE. Related AEs include possibly related AEs, probably related AEs and AEs with missing relatedness assessment. The severity and relatedness of AEs were determined by the investigator. For the any AE summary by severity, a subject with multiple AEs is counted according to the highest severity of their reported AEs.

Time frame: Day 1 through Day 22

Population: Unsolicited Safety Set, defined as all subjects in the All Exposed Set with any unsolicited AE data. Note: Subjects are categorized according to the maximum symptom severity.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
aQIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE (Mild)116 Participants
aQIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE (Severe)2 Participants
aQIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE (Moderate)51 Participants
aQIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationRelated AE33 Participants
aQIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE169 Participants
Comparator QIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationRelated AE32 Participants
Comparator QIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE172 Participants
Comparator QIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE (Mild)115 Participants
Comparator QIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE (Moderate)50 Participants
Comparator QIVSafety Endpoint: All Unsolicited AEs for 21 Days Following VaccinationAny AE (Severe)7 Participants
Secondary

Safety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)

The percentage of subjects with any SAE, AE leading to withdrawal, or AESI during the study period

Time frame: Day 1 through Day 271

Population: Unsolicited Safety Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
aQIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)AESI2 Participants
aQIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)SAE31 Participants
aQIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)Related SAE0 Participants
aQIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)AE leading to study withdrawal0 Participants
aQIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)Death1 Participants
Comparator QIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)Death0 Participants
Comparator QIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)AE leading to study withdrawal1 Participants
Comparator QIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)SAE31 Participants
Comparator QIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)AESI0 Participants
Comparator QIVSafety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)Related SAE1 Participants
Secondary

Safety Endpoint: Solicited Local and Systemic AEs for 7 Days Following Vaccination

Number and percentage of subjects with solicited local and systemic AEs occurring for 7 days following vaccination

Time frame: Day 1 through Day 7

Population: Solicited Safety Set, defined as all subjects in the All Exposed Set with any solicited AE data including temperature measurements or use of analgesics/antipyretics

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
aQIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAny Solicited AEs672 Participants
aQIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAny Solicited Local AEs508 Participants
aQIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAny Solicited Systemic AEs462 Participants
aQIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAnalgesic/Antipyretic Use132 Participants
Comparator QIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAnalgesic/Antipyretic Use97 Participants
Comparator QIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAny Solicited AEs541 Participants
Comparator QIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAny Solicited Systemic AEs403 Participants
Comparator QIVSafety Endpoint: Solicited Local and Systemic AEs for 7 Days Following VaccinationAny Solicited Local AEs306 Participants
Other Pre-specified

Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)

The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Time frame: Day 22

Population: FAS Immunogenicity. Subgroup analysis by age (50 to 59 years; 60 to 64 years). Note: Adjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H1N1 (50 to 59 years)674.25 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H3N2 (50 to 59 years)345.83 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Yamagata (50 to 59 years)161.27 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Victoria (50 to 59 years)167.60 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H1N1 (60 to 64 years)806.65 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H3N2 (60 to 64 years)348.59 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Yamagata (60 to 64 years)148.20 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Victoria (60 to 64 years)119.64 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Victoria (60 to 64 years)121.16 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H1N1 (50 to 59 years)565.33 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H1N1 (60 to 64 years)618.90 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H3N2 (50 to 59 years)319.55 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Yamagata (60 to 64 years)144.34 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Yamagata (50 to 59 years)149.36 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)A/H3N2 (60 to 64 years)310.23 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Age (Subgroup Analysis)B/Victoria (50 to 59 years)165.81 Titer
Comparison: A/H1N1 (50 to 59 years)95% CI: [0.751, 0.936]
Comparison: A/H3N2 (50 to 59 years)95% CI: [0.821, 1.04]
Comparison: B/Yamagata (50 to 59 years)95% CI: [0.845, 1.015]
Comparison: B/Victoria (50 to 59 years)95% CI: [0.901, 1.087]
Comparison: A/H1N1 (60 to 64 years)95% CI: [0.681, 0.864]
Comparison: A/H3N2 (60 to 64 years)95% CI: [0.766, 1.033]
Comparison: B/Yamagata (60 to 64 years)95% CI: [0.879, 1.079]
Comparison: B/Victoria (60 to 64 years)95% CI: [0.905, 1.133]
Other Pre-specified

Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)

The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Time frame: Day 22

Population: FAS Immunogenicity. Subgroup analysis by comorbidity risk score (\<50; ≥50). Note: Adjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H1N1 (Comorbidity Risk Score <50)715.26 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H3N2 (Comorbidity Risk Score <50)337.43 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Yamagata (Comorbidity Risk Score <50)150.17 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Victoria (Comorbidity Risk Score <50)139.76 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H1N1 (Comorbidity Risk Score ≥50)812.59 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H3N2 (Comorbidity Risk Score ≥50)453.60 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Yamagata (Comorbidity Risk Score ≥50)198.10 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Victoria (Comorbidity Risk Score ≥50)174.79 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Victoria (Comorbidity Risk Score ≥50)158.12 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H1N1 (Comorbidity Risk Score <50)586.42 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H1N1 (Comorbidity Risk Score ≥50)573.86 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H3N2 (Comorbidity Risk Score <50)314.75 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Yamagata (Comorbidity Risk Score ≥50)153.05 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Yamagata (Comorbidity Risk Score <50)145.98 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)A/H3N2 (Comorbidity Risk Score ≥50)333.16 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Comorbidity Risk Score (Subgroup Analysis)B/Victoria (Comorbidity Risk Score <50)141.58 Titer
Comparison: A/H1N1 (Comorbidity Risk Score \<50)95% CI: [0.752, 0.894]
Comparison: A/H3N2 (Comorbidity Risk Score \<50)95% CI: [0.846, 1.029]
Comparison: B/Yamagata (Comorbidity Risk Score \<50)95% CI: [0.904, 1.046]
Comparison: B/Victoria (Comorbidity Risk Score \<50)95% CI: [0.938, 1.094]
Comparison: A/H1N1 (Comorbidity Risk Score ≥50)95% CI: [0.553, 0.902]
Comparison: A/H3N2 (Comorbidity Risk Score ≥50)95% CI: [0.549, 0.982]
Comparison: B/Yamagata (Comorbidity Risk Score ≥50)95% CI: [0.638, 0.935]
Comparison: B/Victoria (Comorbidity Risk Score ≥50)95% CI: [0.739, 1.107]
Other Pre-specified

Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)

The GMT ratio is defined as the geometric mean of the postvaccination HI titer for Comparator QIV over the geometric mean of the postvaccination HI titer for aQIV.

Time frame: Day 22

Population: FAS Immunogenicity. Subgroup analysis by influenza vaccination history (Received at least one influenza vaccination within the previous 3 influenza seasons: yes; no). Note: Adjusted GMTs are presented.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H1N1 (yes)648.75 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H3N2 (yes)279.61 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Yamagata (yes)116.48 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Victoria (yes)101.89 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H1N1 (no)755.46 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H3N2 (no)389.77 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Yamagata (no)188.78 Titer
aQIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Victoria (no)185.31 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Victoria (no)186.65 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H1N1 (yes)547.54 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H1N1 (no)582.90 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H3N2 (yes)282.44 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Yamagata (no)178.45 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Yamagata (yes)110.37 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)A/H3N2 (no)312.38 Titer
Comparator QIVImmunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains by Influenza Vaccination History (Subgroup Analysis)B/Victoria (yes)101.59 Titer
Comparison: A/H1N1 (yes)95% CI: [0.761, 0.935]
Comparison: A/H3N2 (yes)95% CI: [0.904, 1.128]
Comparison: B/Yamagata (yes)95% CI: [0.883, 1.016]
Comparison: B/Victoria (yes)95% CI: [0.926, 1.073]
Comparison: A/H1N1 (no)95% CI: [0.677, 0.88]
Comparison: A/H3N2 (no)95% CI: [0.683, 0.941]
Comparison: B/Yamagata (no)95% CI: [0.831, 1.076]
Comparison: B/Victoria (no)95% CI: [0.881, 1.151]

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