Phase 3
Completed N=2,670
Safety and Immunogenicity of High-Dose Quadrivalent Influenza Vaccine in Participants ≥65 Years in the US
Source: ClinicalTrials.gov NCT03282240 ↗Enrolled (actual)
2,670
Serious AEs
4.8%
Results posted
Dec 2019
Primary outcomePrimary: Geometric Mean Titers (GMTs) of Influenza Antibodies Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine — 312; 387; 362; 374 titers (1/dilution)
◆ Published Evidence
Established
75citations · ~11 / year
Safety and immunogenicity of high-dose quadrivalent influenza vaccine in adults ≥65 years of age: A phase 3 randomized clinical trial.
Summary
This randomized, modified double-blind, active-controlled, multi-center trial assessed the safety and immunogenicity of the high-dose quadrivalent influenza vaccine (QIV-HD) compared to either the licensed or investigational high-dose trivalent influenza vaccine (TIV-HD) in adults.
Linked Publications
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Safety and immunogenicity of high-dose quadrivalent influenza vaccine in adults ≥65 years of age: A phase 3 randomized clinical trial.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Geometric Mean Titers (GMTs) of Influenza Antibodies Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
312; 387; 362; 374; 563; 588 | — |
| PRIMARY Percentage of Participants Achieving Seroconversion Against Antigens Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
50.4; 56.2; 51.2; 53.7; 49.8; 52.9 | — |
| SECONDARY GMTs of B Strains Influenza Antibodies Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
515; 253; 573; 280 | — |
| SECONDARY GMT Ratios of Influenza Antibodies Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
4.38; 5.57; 4.76; 4.65; 4.82; 4.94 | — |
| SECONDARY Percentage of Participants Achieving Seroconversion Against Antigens of B Strains After Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
36.3; 15.5; 46.7; 17.4 | — |
| SECONDARY Percentage of Participants Achieving Seroprotection Against Antigens Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
69.4; 67.9; 70.1; 77.4; 78.1; 77.8 | — |
| SECONDARY Geometric Mean Titers of Influenza Antibodies (Seroneutralization [SN] Assay) Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
412; 427; 416; 497; 536; 593 | — |
| SECONDARY GMTRs of Influenza Antibodies (SN Assay) Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
5.40; 5.05; 4.06; 2.83; 2.50; 2.19 | — |
| SECONDARY Number of Participants With Neutralization Antibody Titers at Day 0 and Day 28 |
97; 99; 98; 95; 96; 91 | — |
| SECONDARY Number of Participants With Two-Fold and Four-Fold Increase in Neutralization Antibody Titer at Day 28 |
74; 71; 64; 43; 50; 41 | — |
| SECONDARY Number of Participants With Detectable Neutralization Antibody Titers at Day 0 and Day 28 |
100; 100; 99; 102; 102; 99 | — |
| SECONDARY Number of Participants Reporting Solicited Injection-site and Systemic Reactions Following Vaccination With Either a High-Dose Quadrivalent Influenza Vaccine or High-Dose Trivalent Influenza Vaccine |
7; 3; 5; 3; 1; 1 | — |
| SECONDARY Number of Participants With Immediate Adverse Event (AEs) |
5; 0; 2 | — |
| SECONDARY Number of Participant With Unsolicited Adverse Event (AE) |
292; 79; 68 | — |
| SECONDARY Number of Participant With Serious Adverse Event |
80; 29; 19 | — |
Eligibility Criteria
Inclusion Criteria
- Aged >= 65 years on the day of inclusion.
- Informed consent form had been signed and dated.
- Able to attend all scheduled visits and to comply with all trial procedures.
Exclusion Criteria
- Participation at the time of trial enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
- Receipt of any vaccine in the 4 weeks (28 days) preceding the trial vaccination or planned receipt of any vaccine prior to Visit 2.
- Previous vaccination against influenza (in the preceding 6 months) with either the trial vaccine or another vaccine.
- Receipt of immune globulins, blood or blood-derived products in the past 3 months.
- 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 or bleeding disorder, contraindicating IM vaccination based on investigator's judgment.
- Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
- Alcohol or substance abuse that, in the opinion of the investigator, might interfere with the trial conduct or completion.
- Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion.
- Identified as an Investigator or employee of the Investigator or trial center with direct involvement in the proposed trial, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed trial.
- Personal or family history of Guillain-Barré syndrome.
- Neoplastic disease or any hematologic malignancy (except localized skin or prostate cancer that is stable at the time of vaccination in the absence of therapy and participants who have a history of neoplastic disease and have been disease free for >= 5 years).
- Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature >= 38.0°C [>= 100.4°F]). A prospective participant should not be included in the trial until the condition has resolved or the febrile event had subsided.
Data sourced from ClinicalTrials.gov (NCT03282240) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.