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Study With Quadrivalent Recombinant Influenza Vaccine (RIV4) Compared With Egg-Based Quadrivalent Influenza Vaccine (IIV4) in Participants Aged 3 to 8 Years

Immunogenicity and Safety of Quadrivalent Recombinant Influenza Vaccine Compared With Egg-Based Standard-Dose Quadrivalent Influenza Vaccine in Children 3 to 8 Years of Age.

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05513391
Enrollment
366
Registered
2022-08-24
Start date
2022-11-10
Completion date
2023-10-03
Last updated
2025-09-09

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

Conditions

Influenza Immunization

Brief summary

The purpose of this study was to demonstrate the non-inferior HAI immune response of quadrivalent recombinant influenza vaccine (RIV4) vs licensed Egg-Based Quadrivalent Influenza Vaccine (IIV4) for the 4 strains based on the egg-derived antigen in all participants aged 3 to 8 years and to describe the immunogenicity and safety profile of RIV4 compared to IIV4 in participants aged 3 to 8 years.

Detailed description

Participants were enrolled on the day of their first vaccination and received 1 or 2 doses 28 days apart of either RIV4 or IIV4; depending on if they were previously vaccinated against influenza or previously unvaccinated against influenza, respectively; and were followed for 6 months after the last vaccination.

Interventions

BIOLOGICALRecombinant influenza vaccine (RIV4)

Pharmaceutical form: solution for injection Route of administration: intramuscular

BIOLOGICALQuadrivalent influenza vaccine (IIV4)

Pharmaceutical form: suspension for injection Route of administration: intramuscular

Sponsors

Sanofi Pasteur, a Sanofi Company
Lead SponsorINDUSTRY

Study design

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

Masking description

Modified double-blind (participant, Sponsor, and Investigator blinded)

Eligibility

Sex/Gender
ALL
Age
3 Years to 8 Years
Healthy volunteers
Yes

Inclusion criteria

* Aged 3 to 8 years on the day of inclusion * Assent form has been signed and dated by the participant (according to local regulations), and informed consent form has been signed and dated by the parent(s) or another legally acceptable representative and by an independent witness, if required by local regulations

Exclusion criteria

* Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) * Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances * Thrombocytopenia * Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination based on the Investigator's judgment * Personal or family history of Guillain-Barre Syndrome (GBS) * Personal history of clinically significant development delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder NOTE: The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial

Design outcomes

Primary

MeasureTime frameDescription
Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationDay 29 [participants previously vaccinated] or Day 57 [participants previously unvaccinated]GMTs of influenza vaccine antibodies were measured using individual hemagglutination inhibition (HAI) assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.
Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationDay 29 [participants previously vaccinated] or Day 57 [participants previously unvaccinated]Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain. SC was defined as either a pre-vaccination HAI titer less than (\<) 10 (1/dilution) and a post-vaccination titer greater than or equal to (≥) 40 (1/dilution) or a pre-vaccination titer ≥ 10 (1/dilution) and a ≥ 4-fold increase in post-vaccination titer.

Secondary

MeasureTime frameDescription
Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesDay 1 (all participants) and Day 29 (participants previously vaccinated) or Day 57 (participants previously unvaccinated)GMTR was the ratio of the individual titers post-vaccination over pre-vaccination. The GMTs of influenza vaccine antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.
Number of Participants With Immediate Unsolicited Adverse Events (AEs)Within 30 minutes post-vaccination on Day 1 (all participants) and Day 29 (participants previously unvaccinated)An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, i.e., pre-listed in the case report form (CRF) in terms of diagnosis and onset window post-vaccination. Immediate events were recorded to capture medically relevant unsolicited systemic AEs which occurred within the first 30 minutes after vaccination.
Number of Participants With Solicited Injection Site Reactions and Systemic ReactionsDay 1 to Day 8 (all participants); Day 29 to Day 36 (participants previously unvaccinated)Solicited injection site reactions were reactions at and around the injection/administration site of the investigational medicinal product (IMP) observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF and considered as being related to the IMP administered at that site. Solicited systemic reactions were systemic AEs observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF, and those occurring during the specified collection period were always considered related to the IMP even if there was evidence of alternative etiology.
GMTs of Influenza Vaccine Antibodies at Day 1Pre-vaccination on Day 1GMTs of influenza vaccine antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.
Number of Participants With Medically Attended Adverse Events (MAAEs)Up to Day 29 (all participants); Up to Day 57 (participants previously unvaccinated)An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An MAAE was a new onset or a worsening of a condition that prompted the participant or participant's parent/legally acceptable representative to seek unplanned medical advice at a physician's office or emergency department.
Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)From the first vaccination up to 6 months after the last vaccination, 209 daysAn SAE was defined as any adverse event that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was other medically important event. An AESI was defined as one of scientific and medical concern specific to the Sponsor's study intervention or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was appropriate.
Number of Participants With Unsolicited AEsUp to Day 29 (all participants); Up to Day 57 (participants previously unvaccinated)An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, i.e., pre-listed in the CRF in terms of diagnosis and onset window post-vaccination.
Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationDay 1 (all participants) and Day 29 (participants previously vaccinated) or Day 57 (participants previously unvaccinated)Antibody titers were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.

Countries

Poland, Spain, United States

Participant flow

Recruitment details

This study was conducted at 31 investigational sites in 3 countries between 10 November 2022 to 03 October 2023.

Pre-assignment details

A total of 366 participants were enrolled in this study and randomized in a 1:1 ratio to receive quadrivalent recombinant influenza vaccine (RIV4) or quadrivalent inactivated influenza vaccine (IIV4). These participants were stratified according to their previous influenza vaccination status and their age.

Participants by arm

ArmCount
RIV4
Participants who were previously vaccinated against influenza received a single IM injection of RIV4 0.5 mL on Day 1. Participants who were previously unvaccinated against influenza received a single IM injection of RIV4 0.5 mL on Day 1 and Day 29.
183
IIV4
Participants who were previously vaccinated against influenza received a single IM injection of IIV4 0.5 mL on Day 1. Participants who were previously unvaccinated against influenza received a single IM injection of IIV4 0.5 mL on Day 1 and Day 29.
183
Total366

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyLost to Follow-up02
Overall StudyProtocol Deviation01
Overall StudyWithdrawal by Parent/Guardian22
Overall StudyWithdrawal by Subject31

Baseline characteristics

CharacteristicRIV4IIV4Total
Age, Continuous5.73 years
STANDARD_DEVIATION 1.72
5.48 years
STANDARD_DEVIATION 1.64
5.60 years
STANDARD_DEVIATION 1.68
Race/Ethnicity, Customized
American Indian or Alaska Native
3 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Black
31 Participants33 Participants64 Participants
Race/Ethnicity, Customized
Mixed origin
4 Participants13 Participants17 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Unknown
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
144 Participants136 Participants280 Participants
Sex: Female, Male
Female
95 Participants93 Participants188 Participants
Sex: Female, Male
Male
88 Participants90 Participants178 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1810 / 181
other
Total, other adverse events
86 / 18198 / 181
serious
Total, serious adverse events
0 / 1811 / 181

Outcome results

Primary

Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last Vaccination

GMTs of influenza vaccine antibodies were measured using individual hemagglutination inhibition (HAI) assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.

Time frame: Day 29 [participants previously vaccinated] or Day 57 [participants previously unvaccinated]

Population: Analysis was performed on the per-protocol analysis set (PPAS)-subset of full analysis set (FAS) which included participants who received 1 dose of the study vaccine and had a post-vaccination blood sample. Only participants with data collected for each category at Day 29 \[participants previously vaccinated\] or Day 57 \[participants previously unvaccinated\] are reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
RIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationB/Yamagata789 titer
RIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationA/H1N1998 titer
RIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationA/H3N22398 titer
RIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationB/Victoria337 titer
IIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationB/Victoria605 titer
IIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationB/Yamagata708 titer
IIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationA/H3N2889 titer
IIV4Geometric Mean Titers (GMTs) of Influenza Vaccine Antibodies 28 Days After the Last VaccinationA/H1N1640 titer
Comparison: Statistical analysis for A/H1N195% CI: [0.948, 1.73]
Comparison: Statistical analysis for A/H3N295% CI: [1.93, 3.3]
Comparison: Statistical analysis for B/Victoria95% CI: [0.397, 0.668]
Comparison: Statistical analysis for B/Yamagata95% CI: [0.799, 1.3]
Primary

Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last Vaccination

Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain. SC was defined as either a pre-vaccination HAI titer less than (\<) 10 (1/dilution) and a post-vaccination titer greater than or equal to (≥) 40 (1/dilution) or a pre-vaccination titer ≥ 10 (1/dilution) and a ≥ 4-fold increase in post-vaccination titer.

Time frame: Day 29 [participants previously vaccinated] or Day 57 [participants previously unvaccinated]

Population: Analysis was performed on the PPAS-subset of FAS which included participants who received 1 dose of the study vaccine and had a post-vaccination blood sample. Only participants with data collected for each category at Day 29 \[participants previously vaccinated\] or Day 57 \[participants previously unvaccinated\] are reported.

ArmMeasureGroupValue (NUMBER)
RIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationA/H1N184.8 percentage of participants
RIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationA/H3N282.3 percentage of participants
RIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationB/Victoria85.4 percentage of participants
RIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationB/Yamagata88.6 percentage of participants
IIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationB/Yamagata82.8 percentage of participants
IIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationA/H1N177.7 percentage of participants
IIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationB/Victoria92.4 percentage of participants
IIV4Percentage of Participants With Seroconversion (SC) Against Antigens 28 Days After the Last VaccinationA/H3N266.9 percentage of participants
Comparison: Statistical analysis for A/H1N195% CI: [-1.55, 15.7]
Comparison: Statistical analysis for A/H3N295% CI: [5.8, 24.7]
Comparison: Statistical analysis for B/Victoria95% CI: [-14.02, 0.1]
Comparison: Statistical analysis for B/Yamagata95% CI: [-1.99, 13.6]
Secondary

Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine Antibodies

GMTR was the ratio of the individual titers post-vaccination over pre-vaccination. The GMTs of influenza vaccine antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.

Time frame: Day 1 (all participants) and Day 29 (participants previously vaccinated) or Day 57 (participants previously unvaccinated)

Population: Analysis was performed on the PPAS-subset of FAS which included participants who received 1 dose of the study vaccine and had a post-vaccination blood sample. Only participants with data collected for each category at Day 1 and Day 29 \[participants previously vaccinated\] or Day 57 \[participants previously unvaccinated\] are reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
RIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesA/H1N114.2 ratio
RIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesA/H3N217.1 ratio
RIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesB/Victoria16.0 ratio
RIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesB/Yamagata12.2 ratio
IIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesB/Yamagata13.1 ratio
IIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesA/H1N113.8 ratio
IIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesB/Victoria32.7 ratio
IIV4Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesA/H3N27.86 ratio
Secondary

GMTs of Influenza Vaccine Antibodies at Day 1

GMTs of influenza vaccine antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.

Time frame: Pre-vaccination on Day 1

Population: Analysis was performed on the PPAS-subset of FAS which included participants who received 1 dose of the study vaccine and had a post-vaccination blood sample. Only participants with data collected for each category at Day 1 are reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
RIV4GMTs of Influenza Vaccine Antibodies at Day 1A/H3N2141 titer
RIV4GMTs of Influenza Vaccine Antibodies at Day 1A/H1N170.5 titer
RIV4GMTs of Influenza Vaccine Antibodies at Day 1B/Yamagata65.2 titer
RIV4GMTs of Influenza Vaccine Antibodies at Day 1B/Victoria20.9 titer
IIV4GMTs of Influenza Vaccine Antibodies at Day 1B/Yamagata54.7 titer
IIV4GMTs of Influenza Vaccine Antibodies at Day 1A/H1N146.5 titer
IIV4GMTs of Influenza Vaccine Antibodies at Day 1B/Victoria18.4 titer
IIV4GMTs of Influenza Vaccine Antibodies at Day 1A/H3N2112 titer
Secondary

Number of Participants With Immediate Unsolicited Adverse Events (AEs)

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, i.e., pre-listed in the case report form (CRF) in terms of diagnosis and onset window post-vaccination. Immediate events were recorded to capture medically relevant unsolicited systemic AEs which occurred within the first 30 minutes after vaccination.

Time frame: Within 30 minutes post-vaccination on Day 1 (all participants) and Day 29 (participants previously unvaccinated)

Population: Safety analysis set included participants who received at least 1 dose of the study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RIV4Number of Participants With Immediate Unsolicited Adverse Events (AEs)0 Participants
IIV4Number of Participants With Immediate Unsolicited Adverse Events (AEs)0 Participants
Secondary

Number of Participants With Medically Attended Adverse Events (MAAEs)

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An MAAE was a new onset or a worsening of a condition that prompted the participant or participant's parent/legally acceptable representative to seek unplanned medical advice at a physician's office or emergency department.

Time frame: Up to Day 29 (all participants); Up to Day 57 (participants previously unvaccinated)

Population: Safety analysis set included participants who received at least 1 dose of the study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RIV4Number of Participants With Medically Attended Adverse Events (MAAEs)18 Participants
IIV4Number of Participants With Medically Attended Adverse Events (MAAEs)12 Participants
Secondary

Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)

An SAE was defined as any adverse event that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was other medically important event. An AESI was defined as one of scientific and medical concern specific to the Sponsor's study intervention or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was appropriate.

Time frame: From the first vaccination up to 6 months after the last vaccination, 209 days

Population: Safety analysis set included participants who received at least 1 dose of the study vaccine.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RIV4Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)AESIs0 Participants
RIV4Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)SAEs0 Participants
IIV4Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)SAEs1 Participants
IIV4Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)AESIs0 Participants
Secondary

Number of Participants With Solicited Injection Site Reactions and Systemic Reactions

Solicited injection site reactions were reactions at and around the injection/administration site of the investigational medicinal product (IMP) observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF and considered as being related to the IMP administered at that site. Solicited systemic reactions were systemic AEs observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF, and those occurring during the specified collection period were always considered related to the IMP even if there was evidence of alternative etiology.

Time frame: Day 1 to Day 8 (all participants); Day 29 to Day 36 (participants previously unvaccinated)

Population: Safety analysis set included participants who received at least 1 dose of the study vaccine. Only participants with data collected for each category up to 7 days post vaccination are reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RIV4Number of Participants With Solicited Injection Site Reactions and Systemic ReactionsSolicited injection site reactions70 Participants
RIV4Number of Participants With Solicited Injection Site Reactions and Systemic ReactionsSolicited systemic reactions50 Participants
IIV4Number of Participants With Solicited Injection Site Reactions and Systemic ReactionsSolicited systemic reactions66 Participants
IIV4Number of Participants With Solicited Injection Site Reactions and Systemic ReactionsSolicited injection site reactions76 Participants
Secondary

Number of Participants With Unsolicited AEs

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, i.e., pre-listed in the CRF in terms of diagnosis and onset window post-vaccination.

Time frame: Up to Day 29 (all participants); Up to Day 57 (participants previously unvaccinated)

Population: Safety analysis set included participants who received at least 1 dose of the study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RIV4Number of Participants With Unsolicited AEs44 Participants
IIV4Number of Participants With Unsolicited AEs47 Participants
Secondary

Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last Vaccination

Antibody titers were measured using HAI assay for 4 influenza virus strains: A/H1N1 strain, A/H3N2 strain, B/Victoria lineage strain, and B/Yamagata lineage strain.

Time frame: Day 1 (all participants) and Day 29 (participants previously vaccinated) or Day 57 (participants previously unvaccinated)

Population: Analysis was performed on the PPAS-subset of FAS which included participants who received 1 dose of the study vaccine and had a post-vaccination blood sample. Only participants with data collected for each category at Day 1 and Day 29 \[participants previously vaccinated\] or Day 57 \[participants previously unvaccinated\] are reported.

ArmMeasureGroupValue (NUMBER)
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Victoria: Day 29 or Day 5792.5 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Yamagata: Day 29 or Day 57100 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H3N2: Day 29 or Day 57100 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H1N1: Day 165.4 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H1N1: Day 29 or Day 5798.7 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H1N1: Day 29 or Day 5797.5 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Victoria: Day 169.8 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H3N2: Day 176.1 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H1N1: Day 178.6 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H3N2: Day 29 or Day 5798.1 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H3N2: Day 187.4 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Victoria: Day 135.8 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Yamagata: Day 169.8 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Yamagata: Day 185.5 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Yamagata: Day 29 or Day 5799.4 percentage of participants
RIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Victoria: Day 29 or Day 5799.4 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Yamagata: Day 29 or Day 5799.4 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Victoria: Day 133.8 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Victoria: Day 29 or Day 5796.8 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H1N1: Day 170.7 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H1N1: Day 29 or Day 5798.1 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H3N2: Day 181.5 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: A/H3N2: Day 29 or Day 5799.4 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Victoria: Day 163.1 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Victoria: Day 29 or Day 57100 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Yamagata: Day 187.3 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 10: B/Yamagata: Day 29 or Day 57100 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H1N1: Day 154.8 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H1N1: Day 29 or Day 5796.2 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H3N2: Day 170.1 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: A/H3N2: Day 29 or Day 5798.1 percentage of participants
IIV4Percentage of Participants With Detectable HAI Titer ≥ 10 and ≥ 40 for Influenza Vaccine Antibodies at Day 1 and 28 Days After the Last VaccinationTiter ≥ 40: B/Yamagata: Day 166.2 percentage of participants

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