ClinicalTrials.gg
CompletedNCT05501561Updated Jun 30, 2026Results posted

Safety and Immunogenicity of Different Formulations of an MF59-Adjuvanted Influenza Vaccine in Older Adults ≥50 Years of Age

A Phase 2 interventional study of Experimental: IIV-A Investigational IIV-A administered as a single dose intramuscularly on Day 1 and Experimental: aIIV-B Investigational aIIV-B administered as a single dose intramuscularly on Day 1 in Influenza, Human, sponsored by Seqirus. Completed at 47 sites in United States. Open to participants aged 50 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-30.

Sponsored by Seqirus (part of CSL Limited) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
1,056
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

This Phase 2, randomized, observer-blind, dose-confirmation clinical study evaluated different formulations of MF59-Adjuvanted Quadrivalent Subunit Inactivated Influenza Vaccine. Approximately 1000 subjects were randomized into 1 of 4 possible treatment groups with approximately 250 participants per group. Every participant received an influenza vaccine injection on Day 1 and were to be followed up for approximately 6 months following injection. The primary immunogenicity analysis is based on Day 29 serology data.

02

Conditions studied

  • Influenza, Human

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Keywords

  • influenza, vaccine, MF59, adjuvant
03

In context

Influenza, Human

2,356 studies on the registry are indexed under Influenza, Human; 184 are open to participants now.

This study's enrollment of 1,056 is above the median of 227 across 1,957 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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.

Inclusion criteria

In order to participate in this study, all subjects must meet ALL of the inclusion criteria described.

  1. Individuals ≥50 years of age on the day of .
  2. 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.
  3. Individuals who can comply with study procedures including follow-up .
  4. Males, females of non- or females of childbearing potential who are using an effective 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

Exclusion Criteria:

In order to participate in this study, all subjects must not meet ANY of the exclusion criteria described below:

  1. Females of who are pregnant, lactating, or who have not adhered to a specified set of methods from at least 30 days prior to and who do not plan to do so for at least 2 months after the study vaccination.
  2. Progressive, unstable or uncontrolled clinical conditions.
  3. , including allergy, to any component of vaccines whose use is foreseen in this study.
  4. History of any medical condition considered an adverse event of special interest (AESI).
  5. Known history of Guillain-Barré syndrome or another demyelinating disease such as encephalomyelitis and transverse myelitis.
  6. Clinical conditions representing a to intramuscular administration of vaccines or blood draw.
  7. Abnormal function of the immune system resulting from:

    1. Clinical conditions.
    2. Systemic administration of (PO/IV/IM) at a dose of ≥20 mg/day of prednisone or equivalent for more than 14 consecutive days within 90 days prior to informed consent5.
    3. Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent.
  8. Receipt of immunoglobulins or any blood products within 180 days prior to informed consent.
  9. Receipt of an or non-registered medicinal product within 30 days prior to informed consent.
  10. Receipt of any COVID-19 vaccine within 14 days (non-replicating vaccines) or 28 days (replicating vaccines) prior to informed consent or plan to receive any COVID-19 vaccine within 7 days from study vaccination
  11. Individuals who received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for ) prior to informed consent or who are planning to receive any vaccine within 28 days from the study vaccines.
  12. Study personnel or immediate family or household member of study personnel.
  13. Receipt of any influenza vaccine within 6 months prior to informed consent, or plan to receive an influenza vaccine during the study period.
  14. Acute (severe) febrile illness,
  15. Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subject due to participation in the study.

    -

Terms in these criteria, in plain language(8)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,056 participants (actual)

Study arms

  • Experimental
    IIV-A Investigational

    Biological: Experimental: IIV-A Investigational IIV-A administered as a single dose intramuscularly on Day 1

  • Experimental
    aIIV-B Investigational

    Biological: Experimental: aIIV-B Investigational aIIV-B administered as a single dose intramuscularly on Day 1

  • Experimental
    aIIV-C Investigational

    Biological: Experimental: aIIV-C Investigational aIIV-C administered as a single dose intramuscularly on Day 1

  • Active comparator
    Licensed IIV

    Biological: Active Comparator: Licensed IIV IIV administered as a single dose intramuscularly on Day 1

Interventions

  • BiologicalExperimental: IIV-A Investigational IIV-A administered as a single dose intramuscularly on Day 1

    Biological/Vaccine: Investigational IIV-A Investigational Quadrivalent Influenza vaccine (higher hemagglutinin \[HA\] dose), containing four influenza virus strains (A/H1N1, A/H3N2, B/Yamagata and Victoria lineage) recommended by the WHO (World Health Organization) for quadrivalent vaccines for the respective season.

  • BiologicalExperimental: aIIV-B Investigational aIIV-B administered as a single dose intramuscularly on Day 1

    Biological/Vaccine: Investigational aIIV-B Investigational MF59 Adjuvanted Quadrivalent Influenza vaccine (higher HA dose, standard dose MF59), containing four influenza virus strains (A/H1N1, A/H3N2, B/Yamagata and Victoria lineage) recommended by the WHO (World Health Organization) for quadrivalent vaccines for the respective season.

  • BiologicalExperimental: aIIV-C Investigational aIIV-C administered as a single dose intramuscularly on Day 1

    Biological/Vaccine: Investigational aIIV-C Investigational MF59 Adjuvanted Quadrivalent Influenza vaccine (higher HA dose, higher dose MF59), containing four influenza virus strains (A/H1N1, A/H3N2, B/Yamagata and Victoria lineage) recommended by the WHO (World Health Organization) for quadrivalent vaccines for the respective season.

  • BiologicalActive Comparator: Licensed IIV IIV administered as a single dose intramuscularly on Day 1

    Biological/Vaccine: Licensed IIV Licensed Non-adjuvanted Quadrivalent Influenza vaccine (standard HA dose), containing four influenza virus strains (A/H1N1, A/H3N2, B/Yamagata and Victoria lineage) recommended by the WHO (World Health Organization) for quadrivalent vaccines for the respective season.

06

What researchers measure

Primary outcomes

  1. Immunogenicity Endpoint: Geometric Mean Titer (GMT): Geometric Mean of Hemagglutination Inhibition (HI) Antibodies at Day 1 and Day 29

    GMTs on Day 1 (prior to vaccination) and Day 29 as determined by HI assay against each of the 4 vaccine strains. No hypothesis testing was performed for the primary immunogenicity objectives.

    Time frame: Day 1 and Day 29

  2. Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) (HI Assay)

    Geometric mean of the fold increase in serum HI titer postvaccination (Day 29) compared to prevaccination (Day 1) for each of the 4 vaccine strains.

    Time frame: Day 1 to Day 29

  3. Immunogenicity Endpoint: Percentages of Subjects With HI Titers ≥1:40 at Day 1 and Day 29

    Percentages of subjects with HI titers ≥1:40 at Day 1 and Day 29 for each of the 4 vaccine strains.

    Time frame: Day 1 and Day 29

  4. Immunogenicity Endpoint: Percentage of Subjects With Seroconversion at Day 29 (HI Assay)

    Seroconversion is defined as ≥4-fold increase in titer postvaccination in those with prevaccination titer equal to or above the lower limit of quantitation (LLOQ; 1:10), or a postvaccination titer ≥1:40 for subjects with baseline titer below the LLOQ (1:10) for HI antibodies.

    Time frame: Day 1 to Day 29

  5. Immunogenicity Endpoint: GMT Ratio (HI Assay)

    The GMT ratio is the geometric mean of the postvaccination HI titer for the investigational vaccine over the geometric mean of the postvaccination HI titer for the licensed IIV vaccine. The Day 29 GMT ratios are calculated for the investigational vaccines with reference to the licensed vaccine, ie, the Day 29 GMT ratios are the ratio of the Day 29 GMTs in the Investigational group (IIV-A Investigational, aIIV-B Investigational, or aIIV-C Investigational) compared with the Day 29 GMTs in the Licensed IIV group (ie, Investigational group/Licensed IIV group). As the licensed vaccine is the reference for the GMT ratio, this parameter is presented as "1" for the Licensed IIV group (ie, Licensed IIV group/Licensed IIV group).

    Time frame: Day 29

  6. Solicited Local or Systemic AEs

    Number and percentage of subjects with solicited local or systemic AEs for 7 days following vaccination, based on the subject reported data (electronic Diary \[eDiary\]). No hypothesis testing was performed for the primary safety objectives.

    Time frame: Day 1 through Day 7

  7. Severe Solicited Local or Systemic AEs

    Number and percentage of subjects with severe solicited local or systemic AEs for 7 days following vaccination, based on the subject reported data (eDiary).

    Time frame: Day 1 through Day 7

  8. Unsolicited AEs

    Number and percentage of subjects with unsolicited AEs for 28 days following vaccination

    Time frame: Day 1 to Day 29

  9. Subjects With Serious Adverse Events (SAEs), AEs Leading to Withdrawal, Adverse Events of Special Interest (AESIs) and Medically-attended Adverse Events (MAAEs)

    Number and percentage of subjects with SAEs, AEs leading to withdrawal from the study, AESIs and non-serious MAAEs

    Time frame: Day 1 to Day 181

Secondary outcomes

  1. Immunogenicity Endpoint: GMT: Geometric Mean of Microneutralization (MN) Antibodies Titer at Days 1 and 29

    GMTs on Day 1 (prior to vaccination) and Day 29 as determined by MN assay against each of the 4 vaccine strains.

    Time frame: Day 1 and Day 29

  2. Immunogenicity Endpoint: GMFI (MN Assay)

    Geometric mean of the fold increase in serum MN titer postvaccination (Day 29) compared to prevaccination (Day 1) for each of the 4 vaccine strains.

    Time frame: Day 1 to Day 29

  3. Immunogenicity Endpoint: Percentages of Subjects With Seroconversion at Day 29 (MN Assay)

    Seroconversion is defined as ≥4-fold increase for subjects with prevaccination MN titers ≥LLOQ (1:10) or as ≥4\*LLOQ (1:10) for subjects with prevaccination MN titer \<LLOQ.

    Time frame: Day 1 to Day 29

  4. Immunogenicity Endpoint: GMT Ratio (MN Assay)

    The GMT ratio is the geometric mean of the postvaccination HI titer for the investigational vaccine over the geometric mean of the postvaccination HI titer for the licensed IIV vaccine. The Day 29 GMT ratios are calculated for the investigational vaccines with reference to the licensed vaccine, ie, the Day 29 GMT ratios are the ratio of the Day 29 GMTs in the Investigational group (IIV-A Investigational, aIIV-B Investigational, or aIIV-C Investigational) compared with the Day 29 GMTs in the Licensed IIV group (ie, Investigational group/Licensed IIV group). As the licensed vaccine is the reference for the GMT ratio, this parameter is presented as "1" for the Licensed IIV group (ie, Licensed IIV group/Licensed IIV group).

    Time frame: Day 29

07

Results

Posted Jun 30, 2026

Participant flow

Participant flow — Overall Study
MilestoneIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Started264265264263
Completed255252253254
Not completed913119
Withdrew: Death0010
Withdrew: Withdrawal by subject1424
Withdrew: Lost to follow-up8974
Withdrew: Other0011

Outcome measures

PrimaryImmunogenicity Endpoint: Geometric Mean Titer (GMT): Geometric Mean of Hemagglutination Inhibition (HI) Antibodies at Day 1 and Day 29

GMTs on Day 1 (prior to vaccination) and Day 29 as determined by HI assay against each of the 4 vaccine strains. No hypothesis testing was performed for the primary immunogenicity objectives.

Time frame:
Day 1 and Day 29
Reported as:
Geometric mean · Geometric mean titer
Immunogenicity Endpoint: Geometric Mean Titer (GMT): Geometric Mean of Hemagglutination Inhibition (HI) Antibodies at Day 1 and Day 29
Geometric mean titerIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 Day 1 HI GMT29.79 (25.54 to 34.74)33.09 (28.39 to 38.56)31.78 (27.26 to 37.04)39.29 (33.63 to 45.90)
A/H1N1 Day 29 HI GMT286.95 (248.32 to 331.60)302.30 (261.92 to 348.92)369.57 (320.08 to 426.71)198.84 (171.89 to 230.02)
A/H3N2 Day 1 HI GMT37.81 (32.89 to 43.46)35.11 (30.57 to 40.32)43.33 (37.72 to 49.78)39.80 (34.57 to 45.82)
A/H3N2 Day 29 HI GMT140.71 (124.12 to 159.52)149.75 (132.15 to 169.69)171.38 (151.25 to 194.18)133.43 (117.54 to 151.47)
B/Yamagata Day 1 HI GMT11.18 (10.07 to 12.40)10.49 (9.45 to 11.63)11.08 (9.99 to 12.29)11.03 (9.93 to 12.25)
B/Yamagata Day 29 HI GMT35.11 (31.49 to 39.15)38.58 (34.61 to 43.00)51.61 (46.30 to 57.53)31.40 (28.12 to 35.06)
B/Victoria Day 1 HI GMT27.39 (23.77 to 31.57)29.35 (25.48 to 33.79)32.05 (27.83 to 36.92)34.57 (29.94 to 39.90)
B/Victoria Day 29 HI GMT210.22 (181.58 to 243.38)200.86 (173.70 to 232.27)232.61 (201.17 to 268.96)183.28 (158.18 to 212.37)
PrimaryImmunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) (HI Assay)

Geometric mean of the fold increase in serum HI titer postvaccination (Day 29) compared to prevaccination (Day 1) for each of the 4 vaccine strains.

Time frame:
Day 1 to Day 29
Reported as:
Geometric mean · Geometric mean fold increase
Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) (HI Assay)
Geometric mean fold increaseIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 HI GMFI (Day 29/Day 1)8.57 (7.28 to 10.08)8.57 (7.29 to 10.08)10.69 (9.09 to 12.57)5.18 (4.40 to 6.11)
A/H3N2 HI GMFI (Day 29/Day 1)3.54 (3.08 to 4.08)3.90 (3.39 to 4.48)4.06 (3.53 to 4.67)3.28 (2.85 to 3.78)
B/Yamagata HI GMFI (Day 29/Day 1)3.08 (2.75 to 3.45)3.46 (3.09 to 3.88)4.54 (4.05 to 5.09)2.77 (2.46 to 3.11)
B/Victoria HI GMFI (Day 29/Day 1)6.71 (5.72 to 7.86)6.21 (5.31 to 7.28)6.92 (5.91 to 8.11)5.27 (4.49 to 6.19)
PrimaryImmunogenicity Endpoint: Percentages of Subjects With HI Titers ≥1:40 at Day 1 and Day 29

Percentages of subjects with HI titers ≥1:40 at Day 1 and Day 29 for each of the 4 vaccine strains.

Time frame:
Day 1 and Day 29
Reported as:
Number · Percentage of participants
Immunogenicity Endpoint: Percentages of Subjects With HI Titers ≥1:40 at Day 1 and Day 29
Percentage of participantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 HI titer ≥1:40 at Day 153.9 (47.6 to 60.1)55.6 (49.3 to 61.8)54.8 (48.5 to 61.0)62.0 (55.7 to 68.0)
A/H1N1 HI titer ≥1:40 at Day 2993.4 (89.6 to 96.1)93.0 (89.2 to 95.8)95.0 (91.6 to 97.3)92.0 (87.9 to 95.0)
A/H3N2 HI titer ≥1:40 at Day 157.0 (50.7 to 63.2)54.9 (48.6 to 61.1)60.6 (54.4 to 66.6)61.6 (55.3 to 67.7)
A/H3N2 HI titer ≥1:40 at Day 2992.6 (88.7 to 95.5)91.8 (87.8 to 94.9)94.2 (90.6 to 96.7)88.4 (83.8 to 92.1)
B/Yamagata HI titer ≥1:40 at Day 114.5 (10.4 to 19.4)11.7 (8.0 to 16.2)13.5 (9.6 to 18.3)14.0 (9.9 to 18.9)
B/Yamagata HI titer ≥1:40 at Day 2951.6 (45.3 to 57.8)52.9 (46.6 to 59.2)66.4 (60.3 to 72.1)51.2 (44.8 to 57.5)
B/Victoria HI titer ≥1:40 at Day 148.8 (42.6 to 55.1)51.8 (45.5 to 58.0)52.9 (46.6 to 59.1)56.8 (50.4 to 63.0)
B/Victoria HI titer ≥1:40 at Day 2990.6 (86.4 to 93.9)92.2 (88.2 to 95.2)93.8 (90.2 to 96.4)92.4 (88.4 to 95.4)
PrimaryImmunogenicity Endpoint: Percentage of Subjects With Seroconversion at Day 29 (HI Assay)

Seroconversion is defined as ≥4-fold increase in titer postvaccination in those with prevaccination titer equal to or above the lower limit of quantitation (LLOQ; 1:10), or a postvaccination titer ≥1:40 for subjects with baseline titer below the LLOQ (1:10) for HI antibodies.

Time frame:
Day 1 to Day 29
Reported as:
Number · Percentage of participants
Immunogenicity Endpoint: Percentage of Subjects With Seroconversion at Day 29 (HI Assay)
Percentage of participantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 Seroconversion at Day 2963.3 (57.1 to 69.2)63.0 (56.8 to 69.0)68.7 (62.7 to 74.3)45.2 (38.9 to 51.6)
A/H3N2 Seroconversion at Day 2942.6 (36.4 to 48.9)44.7 (38.6 to 51.1)45.9 (39.8 to 52.2)39.2 (33.1 to 45.6)
B/Yamagata Seroconversion at Day 2928.9 (23.4 to 34.9)36.2 (30.3 to 42.4)44.8 (38.6 to 51.1)25.6 (20.3 to 31.5)
B/Victoria Seroconversion at Day 2958.6 (52.3 to 64.7)53.7 (47.4 to 59.9)60.2 (54.0 to 66.2)42.8 (36.6 to 49.2)
PrimaryImmunogenicity Endpoint: GMT Ratio (HI Assay)

The GMT ratio is the geometric mean of the postvaccination HI titer for the investigational vaccine over the geometric mean of the postvaccination HI titer for the licensed IIV vaccine. The Day 29 GMT ratios are calculated for the investigational vaccines with reference to the licensed vaccine, ie, the Day 29 GMT ratios are the ratio of the Day 29 GMTs in the Investigational group (IIV-A Investigational, aIIV-B Investigational, or aIIV-C Investigational) compared with the Day 29 GMTs in the Licensed IIV group (ie, Investigational group/Licensed IIV group). As the licensed vaccine is the reference for the GMT ratio, this parameter is presented as "1" for the Licensed IIV group (ie, Licensed IIV group/Licensed IIV group).

Time frame:
Day 29
Reported as:
Geometric mean · GMT ratio
Immunogenicity Endpoint: GMT Ratio (HI Assay)
GMT ratioIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 Day 29 HI GMT Ratio1.44 (1.18 to 1.76)1.52 (1.25 to 1.85)1.86 (1.52 to 2.27)1 (NA to NA)
A/H3N2 Day 29 HI GMT Ratio1.05 (0.89 to 1.25)1.12 (0.94 to 1.33)1.28 (1.08 to 1.53)1 (NA to NA)
B/Yamagata Day 29 HI GMT Ratio1.12 (0.96 to 1.30)1.23 (1.06 to 1.43)1.64 (1.42 to 1.91)1 (NA to NA)
B/Victoria Day 29 HI GMT Ratio1.15 (0.94 to 1.40)1.10 (0.90 to 1.34)1.27 (1.04 to 1.55)1 (NA to NA)
PrimarySolicited Local or Systemic AEs

Number and percentage of subjects with solicited local or systemic AEs for 7 days following vaccination, based on the subject reported data (electronic Diary \[eDiary\]). No hypothesis testing was performed for the primary safety objectives.

Time frame:
Day 1 through Day 7
Reported as:
Count of participants · Participants
Solicited Local or Systemic AEs
ParticipantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Any solicited AE148146177126
Any local solicited AE9411614659
Any systemic solicited AE11793124107
Use of antipyretic/analgesics33365133
PrimarySevere Solicited Local or Systemic AEs

Number and percentage of subjects with severe solicited local or systemic AEs for 7 days following vaccination, based on the subject reported data (eDiary).

Time frame:
Day 1 through Day 7
Reported as:
Count of participants · Participants
Severe Solicited Local or Systemic AEs
ParticipantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Severe solicited local AEs6251
Severe solicited systemic AEs82102
PrimaryUnsolicited AEs

Number and percentage of subjects with unsolicited AEs for 28 days following vaccination

Time frame:
Day 1 to Day 29
Reported as:
Count of participants · Participants
Unsolicited AEs
ParticipantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Any unsolicited AE30102424
Any related unsolicited AE9275
PrimarySubjects With Serious Adverse Events (SAEs), AEs Leading to Withdrawal, Adverse Events of Special Interest (AESIs) and Medically-attended Adverse Events (MAAEs)

Number and percentage of subjects with SAEs, AEs leading to withdrawal from the study, AESIs and non-serious MAAEs

Time frame:
Day 1 to Day 181
Reported as:
Count of participants · Participants
Subjects With Serious Adverse Events (SAEs), AEs Leading to Withdrawal, Adverse Events of Special Interest (AESIs) and Medically-attended Adverse Events (MAAEs)
ParticipantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Any SAE85410
Any related SAE0100
Any AE leading to withdrawal0010
Any AESI0000
Any non-serious MAAE27333842
SecondaryImmunogenicity Endpoint: GMT: Geometric Mean of Microneutralization (MN) Antibodies Titer at Days 1 and 29

GMTs on Day 1 (prior to vaccination) and Day 29 as determined by MN assay against each of the 4 vaccine strains.

Time frame:
Day 1 and Day 29
Reported as:
Geometric mean · Geometric mean titer
Immunogenicity Endpoint: GMT: Geometric Mean of Microneutralization (MN) Antibodies Titer at Days 1 and 29
Geometric mean titerIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 Day 1 MN GMT159.95 (144.14 to 177.51)152.69 (137.67 to 169.36)172.00 (155.05 to 190.80)174.39 (156.96 to 193.76)
A/H1N1 Day 29 MN GMT603.49 (539.24 to 675.38)661.34 (591.17 to 739.84)759.48 (679.03 to 849.47)475.49 (424.40 to 532.73)
A/H3N2 Day 1 MN GMT28.43 (24.54 to 32.94)28.99 (25.04 to 33.56)31.31 (27.04 to 36.26)29.94 (25.80 to 34.75)
A/H3N2 Day 29 MN GMT125.78 (110.91 to 142.65)134.63 (118.79 to 152.58)158.37 (139.71 to 179.52)105.67 (93.04 to 120.01)
B/Yamagata Day 1 MN GMT99.60 (89.35 to 111.03)107.12 (96.15 to 119.34)106.24 (95.34 to 118.37)100.57 (90.11 to 112.24)
B/Yamagata Day 29 MN GMT319.34 (287.79 to 354.35)315.46 (284.51 to 349.77)417.80 (376.74 to 463.33)274.34 (246.95 to 304.77)
B/Victoria Day 1 MN GMT176.85 (152.08 to 205.65)202.90 (174.62 to 235.75)195.97 (168.62 to 227.75)215.80 (185.26 to 251.37)
B/Victoria Day 29 MN GMT1747.02 (1508.87 to 2022.77)1771.75 (1532.35 to 2048.54)2181.94 (1886.48 to 2523.68)1451.90 (1252.81 to 1682.61)
SecondaryImmunogenicity Endpoint: GMFI (MN Assay)

Geometric mean of the fold increase in serum MN titer postvaccination (Day 29) compared to prevaccination (Day 1) for each of the 4 vaccine strains.

Time frame:
Day 1 to Day 29
Reported as:
Geometric mean · Geometric mean fold increase
Immunogenicity Endpoint: GMFI (MN Assay)
Geometric mean fold increaseIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 MN GMFI (Day 29/Day 1)3.59 (3.18 to 4.05)4.01 (3.56 to 4.53)4.37 (3.87 to 4.93)2.72 (2.41 to 3.08)
A/H3N2 MN GMFI (Day 29/Day 1)4.21 (3.70 to 4.79)4.48 (3.94 to 5.10)5.19 (4.56 to 5.91)3.50 (3.07 to 3.99)
B/Yamagata MN GMFI (Day 29/Day 1)2.94 (2.64 to 3.29)2.84 (2.54 to 3.16)3.77 (3.38 to 4.20)2.52 (2.25 to 2.82)
B/Victoria MN GMFI (Day 29/Day 1)8.91 (7.51 to 10.56)8.33 (7.03 to 9.87)10.47 (8.84 to 12.41)6.59 (5.54 to 7.83)
SecondaryImmunogenicity Endpoint: Percentages of Subjects With Seroconversion at Day 29 (MN Assay)

Seroconversion is defined as ≥4-fold increase for subjects with prevaccination MN titers ≥LLOQ (1:10) or as ≥4\*LLOQ (1:10) for subjects with prevaccination MN titer \<LLOQ.

Time frame:
Day 1 to Day 29
Reported as:
Number · Percentage of participants
Immunogenicity Endpoint: Percentages of Subjects With Seroconversion at Day 29 (MN Assay)
Percentage of participantsIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 Seroconversion at Day 2937.5 (31.5 to 43.7)40.5 (34.4 to 46.7)44.0 (37.9 to 50.3)24.0 (18.8 to 29.8)
A/H3N2 Seroconversion at Day 2946.9 (40.6 to 53.2)49.4 (43.1 to 55.7)58.7 (52.4 to 64.7)41.2 (35.0 to 47.6)
B/Yamagata Seroconversion at Day 2928.9 (23.4 to 34.9)26.1 (20.8 to 31.9)42.1 (36.0 to 48.4)22.8 (17.7 to 28.5)
B/Victoria Seroconversion at Day 2964.8 (58.7 to 70.7)60.3 (54.0 to 66.3)70.7 (64.7 to 76.1)50.0 (43.6 to 56.4)
SecondaryImmunogenicity Endpoint: GMT Ratio (MN Assay)

The GMT ratio is the geometric mean of the postvaccination HI titer for the investigational vaccine over the geometric mean of the postvaccination HI titer for the licensed IIV vaccine. The Day 29 GMT ratios are calculated for the investigational vaccines with reference to the licensed vaccine, ie, the Day 29 GMT ratios are the ratio of the Day 29 GMTs in the Investigational group (IIV-A Investigational, aIIV-B Investigational, or aIIV-C Investigational) compared with the Day 29 GMTs in the Licensed IIV group (ie, Investigational group/Licensed IIV group). As the licensed vaccine is the reference for the GMT ratio, this parameter is presented as "1" for the Licensed IIV group (ie, Licensed IIV group/Licensed IIV group).

Time frame:
Day 29
Reported as:
Geometric mean · GMT ratio
Immunogenicity Endpoint: GMT Ratio (MN Assay)
GMT ratioIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
A/H1N1 Day 29 MN GMT Ratio1.27 (1.09 to 1.48)1.39 (1.19 to 1.62)1.60 (1.37 to 1.86)1 (NA to NA)
A/H3N2 Day 29 MN GMT Ratio1.19 (1.00 to 1.42)1.27 (1.07 to 1.51)1.50 (1.26 to 1.78)1 (NA to NA)
B/Yamagata Day 29 MN GMT Ratio1.16 (1.01 to 1.34)1.15 (1.00 to 1.33)1.52 (1.32 to 1.76)1 (NA to NA)
B/Victoria Day 29 MN GMT Ratio1.20 (0.98 to 1.47)1.22 (1.00 to 1.49)1.50 (1.23 to 1.84)1 (NA to NA)

Adverse events

Collected over All-Cause Mortality, SAEs, AEs leading to withdrawal from the study, AESIs and non-serious MAAEs are reported from Day 1 to Day 181; all unsolicited AEs are reported from Day 1 to Day 29. Solicited AEs are reported from Day 1 to Day 7.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
IIV-A Investigational0/264 (0%)8/264 (3%)161/264 (61%)
aIIV-B Investigational0/263 (0%)5/263 (1.9%)162/263 (61.6%)
aIIV-C Investigational1/262 (0.4%)4/262 (1.5%)190/262 (72.5%)
Licensed IIV0/262 (0%)10/262 (3.8%)141/262 (53.8%)
Most frequent serious events
Showing 10 of 33
Most frequent serious events
EventIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders1/2640/2630/2622/262
Acute cardiac eventCardiac disorders0/2640/2631/2620/262
Acute coronary syndromeCardiac disorders0/2640/2630/2621/262
IleusGastrointestinal disorders0/2640/2630/2621/262
Non-cardiac chest painGeneral disorders0/2640/2630/2621/262
Hepatic cirrhosisHepatobiliary disorders0/2640/2630/2621/262
InfluenzaInfections and infestations1/2640/2630/2621/262
CellulitisInfections and infestations0/2640/2630/2621/262
CystitisInfections and infestations0/2640/2630/2621/262
Pneumonia pneumococcalInfections and infestations0/2640/2630/2621/262
Most frequent other events
Most frequent other events
EventIIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIV
Injection Site PainGeneral disorders89/264112/263145/26255/262
FatigueGeneral disorders89/26475/263102/26278/262
HeadacheNervous system disorders62/26448/26350/26252/262
MyalgiaMusculoskeletal and connective tissue disorders36/26435/26350/26229/262
ArthralgiaMusculoskeletal and connective tissue disorders32/26422/26338/26224/262
IndurationSkin and subcutaneous tissue disorders9/26412/26323/2624/262
NauseaGastrointestinal disorders13/26416/26319/26211/262
ErythemaSkin and subcutaneous tissue disorders12/26411/26316/2627/262

Baseline characteristics

Age, Continuous
Age, Continuous(years)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
Mean64.5 ± 9.1464.0 ± 8.5064.1 ± 8.9963.9 ± 7.8864.1 ± 8.63
Age, Customized
Age, Customized(Participants)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
50 to 64 years139138137136550
≥65 years125127127127506
Sex: Female, Male
Sex: Female, Male(Participants)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
Female154154155149612
Male110111109114444
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
Hispanic or Latino29222228101
Not Hispanic or Latino235243238234950
Unknown or Not Reported00415
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
White224213229218884
Black or African American38472838151
Asian124310
American Indian or Alaska Native02125
Native Hawaiian or Pacific Islander01001
Other10225
Body mass index
Body mass index(kg/m^2)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
Mean30.35 ± 6.55230.89 ± 7.38030.69 ± 6.81831.25 ± 6.75830.80 ± 6.883
Vaccinated within 3 previous influenza seasons
Vaccinated within 3 previous influenza seasons(Participants)IIV-A InvestigationalaIIV-B InvestigationalaIIV-C InvestigationalLicensed IIVTotal
Yes190188194188760
No74777075296
08

Study locations

47 sites
  • AMR Tempe
    Tempe, Arizona 85281, United States
  • Marvel Clinical Research
    Huntington Beach, California 92647, United States
  • California Research Center
    San Diego, California 92123, United States
  • The Lynn Institute of The Rockies
    Colorado Springs, Colorado 80920, United States
  • Clinical Research Consulting, LLC
    Milford, Connecticut 06460, United States
  • Innovative Research of West Florida, Inc.
    Clearwater, Florida 33756, United States
  • Velocity Clinical Research - New Smyrna Beach
    Edgewater, Florida 32132, United States
  • CenExel RCA
    Hollywood, Florida 33024, United States
  • Health Awareness INC
    Jupiter, Florida 33458, United States
  • Global Health Research Center
    Miami Lakes, Florida 33016, United States
  • Precision Clinical Research
    Sunrise, Florida 33351, United States
  • Global Health Research Center
    Tampa, Florida 33615, United States
  • Platinum Research Network, LLC
    Savannah, Georgia 31405, United States
  • Meridian Clinical Research - Savannah
    Savannah, Georgia 31406, United States
  • AMR El Dorado
    El Dorado, Kansas 67042, United States
  • AMR Lexington
    Lexington, Kentucky 40509, United States
  • Meridian Clinical Research
    Baton Rouge, Louisiana 70808, United States
  • Medpharmics, LLC
    Metairie, Louisiana 70006, United States
  • Rockville Internal Medicine Group
    Rockville, Maryland 20854, United States
  • MedPharmics LLC
    Biloxi, Mississippi 39531, United States
  • Healthcare Research Network
    Hazelwood, Missouri 63042, United States
  • The Center for Pharmaceutical Research
    Kansas City, Missouri 64114, United States
  • Sundance Clinical Research, LLC
    St Louis, Missouri 63141, United States
  • Meridian Clinical Research
    Bellevue, Nebraska 68005, United States
  • Meridian Clinical Research
    Grand Island, Nebraska 68803, United States
  • Meridian Clinical Research, LLC
    Lincoln, Nebraska 68510, United States
  • Alliance for Multispecialty Research, LLC, Las Vegas
    Las Vegas, Nevada 89119, United States
  • Meridian Clinical Research (Binghamton, NY)
    Binghamton, New York 13901, United States
  • Meridian Clinical Research, LLC
    Endwell, New York 13760, United States
  • Velocity Clinical Research - Syracuse
    Syracuse, New York 13057, United States
  • M3 Wake Research, Inc.
    Raleigh, North Carolina 27612, United States
  • Meridian Clinical Research, LLC
    Cincinnati, Ohio 45219, United States
  • Meridian Clinical Research, LLC
    Cincinnati, Ohio 45246, United States
  • Aventiv Research, Inc. Columbus
    Columbus, Ohio 43213, United States
  • Lynn Health Science Institute
    Oklahoma City, Oklahoma 73112, United States
  • Velocity Clinical Research - Medford
    Medford, Oregon 97504, United States
  • Velocity Clinical Research, Gaffney
    Gaffney, South Carolina 29340, United States
  • Velocity Clinical Research - Greenville
    Greenville, South Carolina 29615, United States
  • Velocity Clinical Research, Spartanburg
    Spartanburg, South Carolina 29303, United States
  • Meridian Clinical Research - Dakota Dunes
    Dakota Dunes, South Dakota 57049, United States
  • AMR Coastal Clinical Research
    Knoxville, Tennessee 37920, United States
  • DM Clinical Research
    Tomball, Texas 77375, United States
  • JBR Clinical Research
    Salt Lake City, Utah 84107, United States
  • Velocity Clinical Research - West Jordan
    West Jordan, Utah 84088, United States
  • CVS pharmacy - Charlottesville
    Charlottesville, Virginia 22902, United States
  • CVS pharmacy - Reston
    Reston, Virginia 20190, United States
  • CVS pharmacy - Richmond
    Richmond, Virginia 23235, United States
09

References and documents

Publications

  • de Looze F, Essink BJ, van Boxmeer J, Andrade C, de Rooij R, Casula D, Xing R, Tovar MP, Albano FR. Immunogenicity and safety of higher-dose cell-based adjuvanted quadrivalent influenza vaccines: Combined results of randomised, controlled dose-finding and dose-confirmation studies. Vaccine. 2026 Apr 19;79:128436. doi: 10.1016/j.vaccine.2026.128436. Epub 2026 Mar 19. PubMed 41855648 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — SEQIRUS supports the release of anonymized subject-level and study-level data in compliance with regulatory requirements, including Clinical Documents which are part of the CTD modules submitted to regulatory agencies for public release. Summary results disclosure is either in document form (e.g., ICH E3 Clinical Study Report synopsis) or structured data form (such as summary results in ClinicalTrials.gov (United States) or eudract.ema.europa.eu (EU Clinical Trial Registry [EU CTR])

Supporting information: Study protocol, Statistical analysis plan

Time frame: SEQIRUS discloses results from clinical studies within 12 months of completion of the study unless otherwise mandated by local laws or regulations.

Access criteria: SEQIRUS will consider requests from qualified scientific and medical researchers to disclose protocols, anonymized subject-level data and study-level data when there is medical, scientific and/or public health interest to ensure the safe use of a Seqirus product licensed on or after 1 January 2014 in the United States (US) and/or the European Union (EU). This applies to Seqirus-sponsored interventional studies initiated after 27 September 2007 and ongoing as of 26 December 2007, that have been included as part of a US or EU submission package which received approval in US and EU on or after 1 January 2014 and have been accepted for publication

Data sharing details ↗ · www.seqirus.us

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05501561
Lead sponsor
Seqirus
Responsible party
Sponsor
First posted
Aug 15, 2022
Start date
Aug 25, 2022
Primary completion
Mar 31, 2023
Completion
Mar 31, 2023
Results posted
Jun 30, 2026
Last update
Jun 30, 2026

Study contacts

Clinical Program Director
study director · Seqirus

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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