A Phase 3 interventional study of QIVc and Comparator in Influenza, Human, sponsored by Seqirus. Completed at 74 sites in 15 countries. Open to participants aged 6 Months to 47 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-04.
Sponsored by Seqirus (part of CSL Limited) · Phase 3, Interventional, and Prevention
This phase 3 clinical study is a randomized, observer-blind, multicenter study of QIVc versus a non-influenza vaccine in subjects 6 months though 47 months of age. The purpose of this study is to evaluate efficacy of QIVc in the prevention of laboratory confirmed influenza A or B disease in children 6 through 47 months of age, compared to a non-influenza vaccine.
2,356 studies on the registry are indexed under Influenza, Human; 184 are open to participants now.
This study's enrollment of 5,723 is above the median of 227 across 1,957 interventional studies indexed under Influenza, Human.
Browse Influenza, Human studies →Seqirus is the lead sponsor of 53 studies on the registry; none are open to participants now.
Of its 15 completed or terminated interventional studies of FDA-regulated products, 10 (67%) have results posted.
First submitted after Seqirus became part of CSL Limited.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
In order to participate in this study, all subjects must meet all of the inclusion criteria described.
If applicable, prior to receipt of second study vaccination, subjects must be evaluated to confirm that they are eligible for subsequent vaccination. If subjects do not meet the criteria of the original inclusion criteria listed above, they should not receive additional vaccinations.
Exclusion Criteria:
Additional eligibility criteria are provided in the study protocol.
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Cell-derived Quadrivalent Influenza Vaccine
Biological: QIVc
Non-influenza Comparator
Biological: Comparator
QIVc is a quadrivalent vaccine and contains 2 influenza type A strains and 2 influenza type B lineages recommended by World Health Organization (WHO) for inclusion in the quadrivalent vaccine formulation for the influenza season corresponding to the season of conduct of study.
Also known as: Flucelvax Quadrivalent
Meningococcal Group C Polysaccharide Conjugate Vaccine (NeisVac-C)
Efficacy Endpoint: First Occurrence of Reverse Transcription-polymerase Chain Reaction (RT-PCR) Confirmed Influenza, Due to Any Influenza Type A and/or B Virus Regardless of Antigenic Match
First occurrence of RT-PCR confirmed influenza, due to any influenza Type A and/or B virus regardless of antigenic match to the influenza strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined influenza-like illness (ILI) symptoms
Time frame: >14 days after last vaccination in the treatment period up to Day 181 or end of influenza season, whichever was longer (previously vaccinated subjects), or up to Day 209 or end of influenza season, whichever was longer (not previously vaccinated subjects)
Efficacy Endpoint: First Occurrence of Culture Confirmed Influenza, Due to Influenza Type A and/or B Virus Antigenically Matched by Ferret Antigenicity Testing to the Strains Selected for the Seasonal Influenza Vaccine
First occurrence of culture confirmed influenza, due to influenza Type A and/or B virus antigenically matched by ferret antigenicity testing to the strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined ILI symptoms
Time frame: >14 days after last vaccination in the treatment period up to Day 181 or end of influenza season, whichever was longer (previously vaccinated subjects), or up to Day 209 or end of influenza season, whichever was longer (not previously vaccinated subjects)
Efficacy Endpoint: First Occurrence of Culture Confirmed Influenza Caused by Influenza Virus Strains Antigenically Dissimilar to the Influenza Strains Selected for the Seasonal Influenza Vaccine
First occurrence of culture confirmed influenza caused by influenza virus strains antigenically dissimilar to the influenza strains selected for the seasonal vaccine occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined ILI symptoms
Time frame: >14 days after last vaccination in the treatment period up to Day 181 or end of influenza season, whichever was longer (previously vaccinated subjects), or up to Day 209 or end of influenza season, whichever was longer (not previously vaccinated subjects)
Efficacy Endpoint: First Occurrence of Culture Confirmed Influenza Due to Any Influenza Type A and/or Type B Virus Regardless of Antigenic Match to the Influenza Strains Selected for the Seasonal Influenza Vaccine
First occurrence of culture confirmed influenza due to any influenza Type A and/or Type B virus regardless of antigenic match to the influenza strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined ILI symptoms
Time frame: >14 days after last vaccination in the treatment period up to Day 181 or end of influenza season, whichever was longer (previously vaccinated subjects), or up to Day 209 or end of influenza season, whichever was longer (not previously vaccinated subjects)
Efficacy Endpoint: First Occurrence of RT-PCR Confirmed Moderate-to-severe Influenza Due to Any Influenza Type A and/or Type B Virus Regardless of Antigenic Match to the Influenza Strains Selected for the Seasonal Influenza Vaccine
First occurrence of RT-PCR confirmed moderate-to-severe influenza due to any influenza Type A and/or Type B virus regardless of antigenic match to the influenza strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season
Time frame: >14 days after last vaccination in the treatment period up to Day 181 or end of influenza season, whichever was longer (previously vaccinated subjects), or up to Day 209 or end of influenza season, whichever was longer (not previously vaccinated subjects)
Immunogenicity Endpoint: Prevaccination and Postvaccination Geometric Mean Titer (GMT) (HI Assay)
The measures for immunogenicity are determined by a hemagglutination inhibition (HI) assay prior to first vaccination and 28 days after last vaccination for all four influenza strains HI = hemagglutination inhibition Adjusted GMTs are presented
Time frame: Day 1 and Day 29 for previously vaccinated subjects; Day 1 and Day 57 for not previously vaccinated subjects
Immunogenicity Endpoint: Seroconversion Rates (SCR) (HI Assay)
The measures for immunogenicity are determined by a HI assay prior to first vaccination and 28 days after last vaccination for all four influenza strains SCR is defined as the percentage of subjects with either a prevaccination HI titer \<1:10 and a postvaccination HI titer ≥1:40, or a prevaccination HI titer ≥1:10 and a ≥4-fold increase in postvaccination HI titer
Time frame: Day 1 through Day 29 for previously vaccinated subjects; Day 1 through Day 57 for not previously vaccinated subjects
Immunogenicity Endpoint: Geometric Mean Ratio (GMR) (HI Assay)
The measures for immunogenicity are determined by a hemagglutination inhibition (HI) assay prior to first vaccination and 28 days after last vaccination for all four influenza strains GMR is the geometric mean of the fold increase of postvaccination HI titer over the prevaccination HI titer Adjusted GMRs are presented
Time frame: Day 1 through Day 29 for previously vaccinated subjects; Day 1 through Day 57 for not previously vaccinated subjects
Immunogenicity Endpoint: Prevaccination and Postvaccination Geometric Mean Titer (GMT) (MN Assay)
The measures for immunogenicity are determined by a microneutralization (MN) assay prior to first vaccination and 28 days after last vaccination for all four influenza strains
Time frame: Day 1 and Day 29 for previously vaccinated subjects; Day 1 and Day 57 for not previously vaccinated subjects
Immunogenicity Endpoint: Seroconversion Rates (SCR) (MN Assay)
The measures for immunogenicity are determined by a MN assay prior to first vaccination and 28 days after last vaccination for all four influenza strains SCR is defined as the percentage of subjects with either a prevaccination MN titer \<1:10 and a postvaccination MN titer ≥1:40, or a prevaccination MN titer ≥1:10 and a ≥4-fold increase in postvaccination MN titer
Time frame: Day 1 through Day 29 for previously vaccinated subjects; Day 1 through Day 57 for not previously vaccinated subjects
Immunogenicity Endpoint: Geometric Mean Ratio (GMR) (MN Assay)
The measures for immunogenicity are determined by a MN assay prior to first vaccination and 28 days after last vaccination for all four influenza strains GMR is the geometric mean of the fold increase of post-vaccination MN titer over the pre-vaccination MN titer
Time frame: Day 1 through Day 29 for previously vaccinated subjects; Day 1 through Day 57 for not previously vaccinated subjects
Safety Endpoint: Percentage of Subjects With Solicited Local and Systemic Adverse Events (AEs)
Percentage of subjects with solicited local and systemic AEs assessed for 7 days following each vaccination in the QIVc group and in the comparator group
Time frame: 7 days following each vaccination in the treatment period, ie, Day 1 to Day 7 for previously vaccinated subjects and Day 1 to Day 7 and Day 29 to Day 35 for not previously vaccinated subjects
Safety Endpoint: Percentage of Subjects With Unsolicited AEs
Percentage of subjects with any unsolicited AEs assessed in the QIVc group and in the comparator group until 28 days after each vaccination
Time frame: 28 days after each vaccination in the treatment period, ie, Day 1 to Day 29 for previously vaccinated subjects and Day 1 to Day 57 for not previously vaccinated subjects
Safety Endpoint: Percentage of Subjects With SAEs, NOCDs, AEs Leading to Withdrawal From the Study or Vaccination
Percentage of subjects with serious adverse events (SAEs), new onset of chronic disease (NOCD), AEs leading to withdrawal from the study or vaccination, and all medications associated with these events in the QIVc group and in the comparator group Note: The time frame for assessment of these AEs was Day 1 through Study Completion as indicated below. Subjects aged 6 months through 11 months at enrollment in countries without NeisVac-C vaccine marketing authorization had an additional study visit 28 days later (ie, Day 237).
Time frame: Day 1 through Study Completion, ie, Day 1 to Day 181 or end of influenza season, whichever was longer, for previously vaccinated subjects and Day 1 to Day 209 or end of influenza season, whichever was longer, for not previously vaccinated subjects
Safety Endpoint: Percentage of Subjects With Medically-attended AEs
Percentage of subjects with medically-attended AEs within 30 days after ILI onset in the QIVc group and in the comparator group
Time frame: If a subject experienced an ILI during approximately 8 months of study participation, medically-attended AEs were collected for the 30-day period after onset of the ILI (defined as the first day that a subject meets the criteria for protocol-defined ILI)
| Milestone | QIVc | Comparator |
|---|---|---|
| Started | 2860 | 2863 |
| Completed | 2794 | 2766 |
| Not completed | 66 | 97 |
| Withdrew: Death | 1 | 2 |
| Withdrew: Withdrawal by subject | 37 | 45 |
| Withdrew: Lost to follow-up | 19 | 25 |
| Withdrew: Protocol violation | 0 | 2 |
| Withdrew: Other | 9 | 23 |
First occurrence of RT-PCR confirmed influenza, due to any influenza Type A and/or B virus regardless of antigenic match to the influenza strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined influenza-like illness (ILI) symptoms
| Cases | QIVc | Comparator |
|---|---|---|
| Efficacy Endpoint: First Occurrence of Reverse Transcription-polymerase Chain Reaction (RT-PCR) Confirmed Influenza, Due to Any Influenza Type A and/or B Virus Regardless of Antigenic Match | 104 | 173 |
First occurrence of culture confirmed influenza, due to influenza Type A and/or B virus antigenically matched by ferret antigenicity testing to the strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined ILI symptoms
| Cases | QIVc | Comparator |
|---|---|---|
| Efficacy Endpoint: First Occurrence of Culture Confirmed Influenza, Due to Influenza Type A and/or B Virus Antigenically Matched by Ferret Antigenicity Testing to the Strains Selected for the Seasonal Influenza Vaccine | 44 | 82 |
First occurrence of culture confirmed influenza caused by influenza virus strains antigenically dissimilar to the influenza strains selected for the seasonal vaccine occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined ILI symptoms
| Cases | QIVc | Comparator |
|---|---|---|
| Efficacy Endpoint: First Occurrence of Culture Confirmed Influenza Caused by Influenza Virus Strains Antigenically Dissimilar to the Influenza Strains Selected for the Seasonal Influenza Vaccine | 20 | 43 |
First occurrence of culture confirmed influenza due to any influenza Type A and/or Type B virus regardless of antigenic match to the influenza strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season, in association with protocol-defined ILI symptoms
| Cases | QIVc | Comparator |
|---|---|---|
| Efficacy Endpoint: First Occurrence of Culture Confirmed Influenza Due to Any Influenza Type A and/or Type B Virus Regardless of Antigenic Match to the Influenza Strains Selected for the Seasonal Influenza Vaccine | 61 | 121 |
First occurrence of RT-PCR confirmed moderate-to-severe influenza due to any influenza Type A and/or Type B virus regardless of antigenic match to the influenza strains selected for the seasonal influenza vaccine, occurring at \>14 days after the last vaccination and until the end of the influenza season
| Cases | QIVc | Comparator |
|---|---|---|
| Efficacy Endpoint: First Occurrence of RT-PCR Confirmed Moderate-to-severe Influenza Due to Any Influenza Type A and/or Type B Virus Regardless of Antigenic Match to the Influenza Strains Selected for the Seasonal Influenza Vaccine | 0 | 9 |
The measures for immunogenicity are determined by a hemagglutination inhibition (HI) assay prior to first vaccination and 28 days after last vaccination for all four influenza strains HI = hemagglutination inhibition Adjusted GMTs are presented
| Geometric mean titer | QIVc (Season 1) | Comparator (Season 1) | QIVc (Season 2) | Comparator (Season 2) | QIVc (Season 3) | Comparator (Season 3) | QIVc (Season 4) | Comparator (Season 4) | QIVc (Season 5) | Comparator (Season 5) |
|---|---|---|---|---|---|---|---|---|---|---|
| A/H1N1 Day 1 HI GMT | 40.06 (21.41 to 74.97) | 44.28 (24.19 to 81.07) | 22.99 (9.52 to 55.49) | 27.50 (11.60 to 65.18) | 10.15 (4.45 to 23.13) | 8.72 (3.87 to 19.60) | 57.83 (34.41 to 97.19) | 58.00 (34.81 to 96.64) | 13.60 (1.97 to 93.97) | 13.94 (1.95 to 99.61) |
| A/H1N1 Day 29/57 HI GMT | 126.39 (68.37 to 233.66) | 60.33 (33.32 to 109.21) | 60.77 (33.77 to 109.38) | 11.24 (6.32 to 20.02) | 49.38 (22.92 to 106.39) | 5.45 (2.56 to 11.58) | 149.01 (96.96 to 229.01) | 81.71 (53.55 to 124.68) | 362.71 (74.42 to 1767.89) | 60.84 (12.14 to 304.84) |
| A/H3N2 Day 1 HI GMT | NA (NA to NA) | NA (NA to NA) | 12.21 (5.59 to 26.70) | 14.14 (6.57 to 30.41) | NA (NA to NA) | NA (NA to NA) | 46.38 (21.09 to 101.98) | 35.62 (16.41 to 77.30) | 82.67 (19.98 to 342.16) | 120.80 (28.47 to 512.58) |
| A/H3N2 Day 29/57 HI GMT | NA (NA to NA) | NA (NA to NA) | 95.36 (43.91 to 207.07) | 8.79 (4.11 to 18.77) | NA (NA to NA) | NA (NA to NA) | 67.88 (36.64 to 125.77) | 38.85 (21.22 to 71.10) | 440.30 (127.04 to 1526.08) | 57.87 (16.29 to 205.63) |
| B/Yamagata Day 1 HI GMT | 11.66 (8.26 to 16.46) | 11.53 (8.27 to 16.09) | 9.87 (6.86 to 14.22) | 8.22 (5.75 to 11.75) | 7.65 (4.25 to 13.79) | 7.54 (4.19 to 13.57) | 8.96 (6.78 to 11.84) | 9.49 (7.22 to 12.48) | 7.30 (4.19 to 12.73) | 7.35 (4.18 to 12.95) |
| B/Yamagata Day 29/57 HI GMT | 18.94 (13.07 to 27.46) | 6.90 (4.82 to 9.87) | 23.65 (14.04 to 39.85) | 13.57 (8.17 to 22.53) | 13.85 (6.91 to 27.77) | 5.26 (2.63 to 10.53) | 13.80 (8.95 to 21.28) | 4.70 (3.06 to 7.22) | 53.72 (20.85 to 138.40) | 8.04 (3.07 to 21.06) |
| B/Victoria Day 1 HI GMT | 7.40 (5.35 to 10.24) | 8.36 (6.11 to 11.43) | 9.37 (7.46 to 11.76) | 9.31 (7.45 to 11.63) | 8.34 (5.40 to 12.90) | 9.39 (6.12 to 14.42) | 5.82 (5.18 to 6.53) | 6.08 (5.42 to 6.82) | 7.84 (1.38 to 44.61) | 5.92 (1.01 to 34.73) |
| B/Victoria Day 29/57 HI GMT | 14.97 (10.42 to 21.49) | 7.01 (4.94 to 9.95) | 16.84 (11.32 to 25.07) | 8.82 (5.97 to 13.02) | 9.54 (5.60 to 16.25) | 4.88 (2.89 to 8.26) | 23.92 (13.98 to 40.92) | 4.67 (2.73 to 7.97) | 539.53 (158.62 to 1835.19) | 45.34 (13.01 to 157.93) |
The measures for immunogenicity are determined by a HI assay prior to first vaccination and 28 days after last vaccination for all four influenza strains SCR is defined as the percentage of subjects with either a prevaccination HI titer \<1:10 and a postvaccination HI titer ≥1:40, or a prevaccination HI titer ≥1:10 and a ≥4-fold increase in postvaccination HI titer
| Percentage of participants | QIVc (Season 1) | Comparator (Season 1) | QIVc (Season 2) | Comparator (Season 2) | QIVc (Season 3) | Comparator (Season 3) | QIVc (Season 4) | Comparator (Season 4) | QIVc (Season 5) | Comparator (Season 5) |
|---|---|---|---|---|---|---|---|---|---|---|
| A/H1N1 SCR HI Titer | 45.54 (36.10 to 55.22) | 12.04 (6.57 to 19.70) | 57.01 (47.08 to 66.54) | 3.60 (0.99 to 8.97) | 68.47 (58.96 to 76.96) | 2.68 (0.56 to 7.63) | 29.89 (20.54 to 40.65) | 4.71 (1.30 to 11.61) | 75.00 (65.75 to 82.83) | 12.96 (7.27 to 20.79) |
| A/H3N2 SCR HI Titer | NA (NA to NA) | NA (NA to NA) | 70.09 (60.48 to 78.56) | 6.31 (2.57 to 12.56) | NA (NA to NA) | NA (NA to NA) | 44.83 (34.15 to 55.87) | 28.24 (19.00 to 39.04) | 84.26 (76.00 to 90.55) | 15.74 (9.45 to 24.00) |
| B/Yamagata SCR HI Titer | 37.50 (28.53 to 47.15) | 3.70 (1.02 to 9.21) | 24.30 (16.53 to 33.54) | 6.31 (2.57 to 12.56) | 23.42 (15.91 to 32.41) | 0.90 (0.02 to 4.92) | 29.89 (20.54 to 40.65) | 1.18 (0.03 to 6.38) | 66.67 (56.95 to 75.45) | 3.70 (1.02 to 9.21) |
| B/Victoria SCR HI Titer | 24.11 (16.53 to 33.10) | 2.78 (0.58 to 7.90) | 13.08 (7.34 to 20.98) | 0.90 (0.02 to 4.92) | 9.91 (5.05 to 17.04) | 0.00 (NA to NA) | 42.53 (31.99 to 53.59) | 3.53 (0.73 to 9.97) | 80.56 (71.83 to 87.54) | 8.33 (3.88 to 15.23) |
The measures for immunogenicity are determined by a hemagglutination inhibition (HI) assay prior to first vaccination and 28 days after last vaccination for all four influenza strains GMR is the geometric mean of the fold increase of postvaccination HI titer over the prevaccination HI titer Adjusted GMRs are presented
| Geometric mean ratio | QIVc (Season 1) | Comparator (Season 1) | QIVc (Season 2) | Comparator (Season 2) | QIVc (Season 3) | Comparator (Season 3) | QIVc (Season 4) | Comparator (Season 4) | QIVc (Season 5) | Comparator (Season 5) |
|---|---|---|---|---|---|---|---|---|---|---|
| A/H1N1 GMR HI Titer | 3.36 (1.69 to 6.66) | 1.53 (0.79 to 2.95) | 3.71 (2.04 to 6.73) | 0.67 (0.37 to 1.20) | 6.28 (2.91 to 13.56) | 0.70 (0.33 to 1.50) | 2.59 (1.51 to 4.45) | 1.42 (0.83 to 2.41) | 19.20 (3.61 to 102.12) | 3.20 (0.58 to 17.52) |
| A/H3N2 GMR HI Titer | NA (NA to NA) | NA (NA to NA) | 7.43 (2.95 to 18.75) | 0.62 (0.25 to 1.54) | NA (NA to NA) | NA (NA to NA) | 1.81 (0.86 to 3.81) | 1.19 (0.57 to 2.48) | 7.14 (1.81 to 28.16) | 0.80 (0.20 to 3.24) |
| B/Yamagata GMR HI Titer | 2.52 (1.75 to 3.63) | 0.92 (0.65 to 1.31) | 3.38 (2.02 to 5.67) | 1.96 (1.18 to 3.25) | 1.95 (0.91 to 4.15) | 0.75 (0.35 to 1.59) | 2.03 (1.32 to 3.13) | 0.68 (0.44 to 1.04) | 8.04 (3.12 to 20.72) | 1.20 (0.46 to 3.15) |
| B/Victoria GMR HI Titer | 2.01 (1.37 to 2.96) | 0.90 (0.62 to 1.30) | 1.79 (1.15 to 2.79) | 0.94 (0.61 to 1.46) | 1.43 (0.83 to 2.44) | 0.71 (0.42 to 1.21) | 4.44 (2.62 to 7.55) | 0.85 (0.51 to 1.43) | 32.55 (8.85 to 119.71) | 2.95 (0.78 to 11.09) |
The measures for immunogenicity are determined by a microneutralization (MN) assay prior to first vaccination and 28 days after last vaccination for all four influenza strains
| Geometric mean titer | QIVc (Season 1) | Comparator (Season 1) | QIVc (Season 2) | Comparator (Season 2) | QIVc (Season 3) | Comparator (Season 3) | QIVc (Season 4) | Comparator (Season 4) | QIVc (Season 5) | Comparator (Season 5) |
|---|---|---|---|---|---|---|---|---|---|---|
| A/H1N1 Day 1 MN GMT | 22.06 (9.53 to 51.07) | 31.10 (13.83 to 69.92) | 57.54 (18.79 to 176.16) | 55.89 (18.69 to 167.19) | 61.40 (16.51 to 228.37) | 43.43 (11.93 to 158.11) | 32.15 (19.17 to 53.90) | 35.32 (21.25 to 58.71) | 113.94 (36.64 to 354.34) | 115.49 (36.41 to 366.35) |
| A/H1N1 Day 29/57 MN GMT | 329.08 (196.16 to 552.06) | 36.24 (21.97 to 59.79) | 473.15 (247.69 to 903.85) | 66.69 (35.39 to 125.71) | 459.87 (157.55 to 1342.31) | 19.32 (6.76 to 55.21) | 86.91 (58.51 to 129.11) | 46.51 (31.53 to 68.60) | 352.09 (110.01 to 1126.90) | 86.61 (26.51 to 282.92) |
| A/H3N2 Day 1 MN GMT | 6.92 (4.91 to 9.76) | 6.29 (4.51 to 8.76) | 4.96 (4.19 to 5.88) | 4.80 (4.07 to 5.67) | 7.02 (3.18 to 15.51) | 8.33 (3.82 to 18.16) | 17.70 (10.34 to 30.31) | 15.77 (9.29 to 26.76) | 26.08 (7.79 to 87.37) | 25.98 (7.59 to 88.87) |
| A/H3N2 Day 29/57 MN GMT | 27.55 (18.70 to 40.58) | 10.95 (7.52 to 15.94) | 12.04 (7.60 to 19.08) | 5.31 (3.38 to 8.34) | 57.93 (28.43 to 118.06) | 10.49 (5.21 to 21.09) | 35.99 (18.52 to 69.94) | 14.78 (7.70 to 28.34) | 139.97 (41.52 to 471.84) | 30.22 (8.78 to 104.08) |
| B/Yamagata Day 1 MN GMT | 76.91 (53.50 to 110.55) | 66.14 (46.60 to 93.87) | 65.25 (35.87 to 118.70) | 60.03 (33.41 to 107.86) | 15.33 (7.73 to 30.41) | 15.26 (7.78 to 29.93) | 53.41 (32.42 to 88.00) | 54.11 (33.12 to 88.41) | 51.81 (23.27 to 115.35) | 45.20 (20.02 to 102.06) |
| B/Yamagata Day 29/57 MN GMT | 278.89 (202.31 to 384.46) | 88.67 (65.06 to 120.84) | 283.42 (183.07 to 438.79) | 126.59 (82.43 to 194.41) | 55.17 (27.19 to 111.92) | 19.24 (9.59 to 38.59) | 84.60 (55.74 to 128.38) | 52.11 (34.57 to 78.55) | 169.24 (75.01 to 381.86) | 49.34 (21.58 to 112.85) |
| B/Victoria Day 1 MN GMT | 6.07 (4.82 to 7.65) | 6.64 (5.31 to 8.30) | 4.99 (4.16 to 5.99) | 5.18 (4.33 to 6.18) | 9.09 (4.80 to 17.24) | 10.71 (5.71 to 20.09) | 8.79 (6.40 to 12.07) | 7.72 (5.66 to 10.55) | 15.97 (2.53 to 100.98) | 12.20 (1.87 to 79.68) |
| B/Victoria Day 29/57 MN GMT | 14.23 (10.95 to 18.51) | 7.00 (5.44 to 9.02) | 5.29 (4.03 to 6.92) | 5.26 (4.04 to 6.85) | 26.81 (14.06 to 51.12) | 9.65 (5.12 to 18.20) | 121.02 (59.56 to 245.87) | 5.99 (2.99 to 11.97) | 938.65 (230.67 to 3819.51) | 39.32 (9.41 to 164.32) |
The measures for immunogenicity are determined by a MN assay prior to first vaccination and 28 days after last vaccination for all four influenza strains SCR is defined as the percentage of subjects with either a prevaccination MN titer \<1:10 and a postvaccination MN titer ≥1:40, or a prevaccination MN titer ≥1:10 and a ≥4-fold increase in postvaccination MN titer
| Percentage of participants | QIVc (Season 1) | Comparator (Season 1) | QIVc (Season 2) | Comparator (Season 2) | QIVc (Season 3) | Comparator (Season 3) | QIVc (Season 4) | Comparator (Season 4) | QIVc (Season 5) | Comparator (Season 5) |
|---|---|---|---|---|---|---|---|---|---|---|
| A/H1N1 SCR (%) MN Titer | 73.21 (64.02 to 81.14) | 2.78 (0.58 to 7.90) | 74.77 (65.45 to 82.67) | 4.50 (1.48 to 10.20) | 87.39 (79.74 to 92.93) | 4.46 (1.47 to 10.11) | 32.18 (22.56 to 43.06) | 7.06 (2.63 to 14.73) | 68.52 (58.88 to 77.12) | 15.74 (9.45 to 24.00) |
| A/H3N2 SCR (%) MN Titer | 38.39 (29.36 to 48.06) | 4.63 (1.52 to 10.47) | 20.56 (13.36 to 29.46) | 1.80 (0.22 to 6.36) | 57.66 (47.92 to 66.98) | 1.79 (0.22 to 6.30) | 33.33 (23.58 to 44.25) | 10.59 (4.96 to 19.15) | 71.30 (61.80 to 79.59) | 15.74 (9.45 to 24.00) |
| B/Yamagata SCR (%) MN Titer | 46.43 (36.95 to 56.10) | 0.93 (0.02 to 5.05) | 30.84 (22.27 to 40.50) | 3.60 (0.99 to 8.97) | 36.94 (27.97 to 46.62) | 4.46 (1.47 to 10.11) | 19.54 (11.81 to 29.43) | 4.71 (1.30 to 11.61) | 54.63 (44.76 to 64.24) | 7.41 (3.25 to 14.07) |
| B/Victoria SCR (%) MN Titer | 20.54 (13.49 to 29.20) | 0.93 (0.02 to 5.05) | 0.93 (0.02 to 5.10) | 2.70 (0.56 to 7.70) | 25.23 (17.46 to 34.35) | 0.89 (0.02 to 4.87) | 87.36 (78.50 to 93.52) | 7.06 (2.63 to 14.73) | 94.44 (88.30 to 97.93) | 9.26 (4.53 to 16.37) |
The measures for immunogenicity are determined by a MN assay prior to first vaccination and 28 days after last vaccination for all four influenza strains GMR is the geometric mean of the fold increase of post-vaccination MN titer over the pre-vaccination MN titer
| Geometric mean ratio | QIVc (Season 1) | Comparator (Season 1) | QIVc (Season 2) | Comparator (Season 2) | QIVc (Season 3) | Comparator (Season 3) | QIVc (Season 4) | Comparator (Season 4) | QIVc (Season 5) | Comparator (Season 5) |
|---|---|---|---|---|---|---|---|---|---|---|
| A/H1N1 GMR MN Titer | 16.16 (9.52 to 27.45) | 1.70 (1.02 to 2.83) | 8.12 (4.19 to 15.75) | 1.15 (0.60 to 2.20) | 17.55 (5.72 to 53.86) | 0.81 (0.27 to 2.44) | 2.37 (1.54 to 3.67) | 1.23 (0.80 to 1.88) | 3.47 (1.07 to 11.24) | 0.85 (0.26 to 2.81) |
| A/H3N2 GMR MN Titer | 3.28 (2.23 to 4.84) | 1.32 (0.91 to 1.92) | 2.14 (1.35 to 3.40) | 0.93 (0.59 to 1.46) | 5.92 (2.79 to 12.56) | 1.01 (0.48 to 2.13) | 2.74 (1.39 to 5.38) | 1.16 (0.60 to 2.26) | 4.40 (1.30 to 14.88) | 0.95 (0.27 to 3.28) |
| B/Yamagata GMR MN Titer | 3.93 (2.81 to 5.49) | 1.30 (0.94 to 1.79) | 3.05 (1.95 to 4.75) | 1.38 (0.89 to 2.13) | 3.15 (1.47 to 6.71) | 1.10 (0.52 to 2.32) | 1.82 (1.15 to 2.88) | 1.11 (0.71 to 1.75) | 3.81 (1.56 to 9.33) | 1.19 (0.48 to 2.95) |
| B/Victoria GMR MN Titer | 2.17 (1.67 to 2.82) | 1.07 (0.83 to 1.37) | 1.04 (0.77 to 1.40) | 1.01 (0.75 to 1.35) | 2.74 (1.37 to 5.47) | 0.92 (0.47 to 1.83) | 16.90 (8.36 to 34.19) | 0.86 (0.43 to 1.72) | 31.51 (7.19 to 138.05) | 1.42 (0.31 to 6.37) |
Percentage of subjects with solicited local and systemic AEs assessed for 7 days following each vaccination in the QIVc group and in the comparator group
| Percentage of participants | QIVc | Comparator |
|---|---|---|
| Solicited AEs | 55.8 | 60.8 |
| Solicited Local AEs | 32.3 | 40.4 |
| Solicited Systemic AEs | 40.9 | 42.5 |
| Analgesic/Antipyretic Use | 14.5 | 15.0 |
Percentage of subjects with any unsolicited AEs assessed in the QIVc group and in the comparator group until 28 days after each vaccination
| Percentage of participants | QIVc | Comparator |
|---|---|---|
| Any AE | 42.5 | 45.4 |
| Any related AE | 4.2 | 3.6 |
Percentage of subjects with serious adverse events (SAEs), new onset of chronic disease (NOCD), AEs leading to withdrawal from the study or vaccination, and all medications associated with these events in the QIVc group and in the comparator group Note: The time frame for assessment of these AEs was Day 1 through Study Completion as indicated below. Subjects aged 6 months through 11 months at enrollment in countries without NeisVac-C vaccine marketing authorization had an additional study visit 28 days later (ie, Day 237).
| Percentage of participants | QIVc | Comparator |
|---|---|---|
| SAE | 2.2 | 3.0 |
| Related SAE | 0 | 0.04 |
| NOCD | 0.7 | 0.4 |
| AE leading to study withdrawal | 0 | 0 |
| AE leading to study vaccine withdrawal | 0 | 0.1 |
Percentage of subjects with medically-attended AEs within 30 days after ILI onset in the QIVc group and in the comparator group
| Percentage of participants | QIVc | Comparator |
|---|---|---|
| Safety Endpoint: Percentage of Subjects With Medically-attended AEs | 28.9 | 32.6 |
Collected over Unsolicited AEs: Day 1 through Study Completion, ie, Day 1 to Day 181/end of influenza season for previously vaccinated subjects and Day 1 to Day 209/end of influenza season for not previously vaccinated subjects Solicited AEs: 7 days following each vaccination in the treatment period, ie, Day 1 to Day 7 for previously vaccinated subjects and Day 1 to Day 7 and Day 29 to Day 35 for not previously vaccinated subjects. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| QIVc | 1/2,856 (0%) | 64/2,856 (2.2%) | 2,050/2,856 (71.8%) |
| Comparator | 2/2,841 (0.1%) | 84/2,841 (3%) | 2,126/2,841 (74.8%) |
| Event | QIVc | Comparator |
|---|---|---|
| PneumoniaInfections and infestations | 15/2856 | 24/2841 |
| GastroenteritisInfections and infestations | 8/2856 | 12/2841 |
| Dengue feverInfections and infestations | 6/2856 | 7/2841 |
| InfluenzaInfections and infestations | 3/2856 | 6/2841 |
| Febrile convulsionNervous system disorders | 5/2856 | 3/2841 |
| Viral infectionInfections and infestations | 4/2856 | 0/2841 |
| BronchiolitisInfections and infestations | 2/2856 | 3/2841 |
| BronchitisInfections and infestations | 1/2856 | 3/2841 |
| TonsillitisInfections and infestations | 0/2856 | 3/2841 |
| Respiratory syncytial virus bronchitisInfections and infestations | 2/2856 | 2/2841 |
| Event | QIVc | Comparator |
|---|---|---|
| Injection site painGeneral disorders | 816/2856 | 889/2841 |
| Injection site erythemaGeneral disorders | 717/2856 | 884/2841 |
| Injection site indurationGeneral disorders | 464/2856 | 730/2841 |
| IrritabilityPsychiatric disorders | 659/2856 | 706/2841 |
| Upper respiratory tract infectionInfections and infestations | 576/2856 | 634/2841 |
| SomnolenceNervous system disorders | 514/2856 | 522/2841 |
| Eating disorderPsychiatric disorders | 447/2856 | 455/2841 |
| DiarrhoeaGastrointestinal disorders | 372/2856 | 372/2841 |
| Injection site bruisingGeneral disorders | 303/2856 | 339/2841 |
| PyrexiaGeneral disorders | 307/2856 | 307/2841 |
| Age, Continuous(months) | QIVc | Comparator | Total |
|---|---|---|---|
| Mean | 25.8 ± 11.9 | 25.9 ± 11.9 | 25.9 ± 11.9 |
| Age, Customized(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| 6 months through 23 months | 1268 | 1264 | 2532 |
| 24 months through 47 months | 1592 | 1599 | 3191 |
| Sex: Female, Male(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| Female | 1418 | 1333 | 2751 |
| Male | 1442 | 1530 | 2972 |
| Ethnicity (NIH/OMB)(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| Hispanic or Latino | 155 | 157 | 312 |
| Not Hispanic or Latino | 2696 | 2697 | 5393 |
| Unknown or Not Reported | 9 | 9 | 18 |
| Race/Ethnicity, Customized(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1098 | 1096 | 2194 |
| Black or African American | 348 | 349 | 697 |
| Native Hawaiian or Other Pacific Islander | 0 | 1 | 1 |
| White | 1239 | 1234 | 2473 |
| Other | 175 | 183 | 358 |
| Region of Enrollment(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| Romania | 38 | 33 | 71 |
| Czechia | 41 | 38 | 79 |
| Philippines | 608 | 609 | 1217 |
| Ukraine | 184 | 183 | 367 |
| Malaysia | 31 | 34 | 65 |
| Thailand | 72 | 69 | 141 |
| New Zealand | 7 | 7 | 14 |
| Bangladesh | 101 | 99 | 200 |
| Latvia | 3 | 2 | 5 |
| Pakistan | 279 | 282 | 561 |
| Poland | 217 | 220 | 437 |
| Honduras | 147 | 151 | 298 |
| South Africa | 376 | 380 | 756 |
| Bulgaria | 131 | 135 | 266 |
| Estonia | 625 | 621 | 1246 |
| Previous influenza vaccination(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| Previously vaccinated | 48 | 62 | 110 |
| Not previously vaccinated | 2812 | 2801 | 5613 |
| Participants enrolled in each influenza season(Participants) | QIVc | Comparator | Total |
|---|---|---|---|
| Season 1 | 344 | 349 | 693 |
| Season 2 | 497 | 489 | 986 |
| Season 3 | 525 | 521 | 1046 |
| Season 4 | 496 | 504 | 1000 |
| Season 5 | 998 | 1000 | 1998 |
1 further baseline measures are reported on the registry.
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Yes — Seqirus will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact Seqirus at seqirus.clinicaltrials@seqirus.com.
Supporting information: Study protocol, Statistical analysis plan
Time frame: Requests for IPD will generally be considered once review by major regulatory authorities (ie FDA, EMA) is complete and the primary publication is available.
Access criteria: Proposed research should seek to answer a previously unanswered important medical or scientific question. Applicable country specific privacy and other laws and regulations will be considered and may prevent sharing of IPD. If the request is approved and the researcher has executed an appropriate data sharing agreement, IPD that has been appropriately anonymized will be available.
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