ClinicalTrials.gg
RecruitingNCT07926217Updated Nov 9, 2026

High-Dose Versus Standard-Dose Influenza Vaccine in Patients With Hematologic Malignancies Receiving B-Cell-Depleting Therapy

A Phase 2 interventional study of High-dose inactivated influenza vaccine and Standard-dose inactivated influenza vaccine in Hematologic Malignancy and Influenza, sponsored by Sung-Han Kim. Recruiting at 1 site in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Sung-Han Kim · Phase 2, Interventional, and Prevention

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

This randomized trial will compare the immune responses to high-dose and standard-dose influenza vaccines in 60 adults with blood cancers (hematologic malignancies) who have received B-cell-depleting therapy. Participants will be assigned by chance, in a 1:1 ratio, to receive one of the two vaccines. Antibody and T-cell responses will be measured before and after vaccination. Participants and their treating clinicians will know which vaccine is given. Laboratory staff who measure and interpret the immune responses will not know which vaccine each participant received until the laboratory results are finalized.

Read the detailed description

This single-center, randomized, parallel-group trial with blinded laboratory outcome assessment will compare the immunogenicity of high-dose and standard-dose inactivated influenza vaccines in adults with hematologic malignancies who have received B-cell-depleting therapy as defined in the protocol. A total of 60 participants will be randomized in a 1:1 ratio at Asan Medical Center in Seoul, Republic of Korea.

Humoral immunogenicity will be assessed using hemagglutination inhibition assays. Cellular immunogenicity will be assessed using intracellular cytokine staining of influenza OLP-stimulated peripheral blood mononuclear cells to quantify cytokine-expressing CD4-positive and CD8-positive T cells, including polyfunctional cells that co-express at least two of IFN-γ, TNF-α, and IL-2.

Participants, treating clinicians, and personnel administering the vaccines will know the vaccine assignment. Laboratory personnel performing and interpreting the immunogenicity assays will receive coded specimens and remain blinded to vaccine assignment until assay measurements, gating, quality control, and laboratory results are finalized. Statistical analysts will not be blinded to treatment allocation. Blinding applies to laboratory immunogenicity outcomes only.

02

Conditions studied

  • Hematologic Malignancy
  • Influenza
03

In context

Hematologic Neoplasms

1,444 studies on the registry are indexed under Hematologic Neoplasms; 420 are open to participants now.

This study's planned enrollment of 60 is above the median of 46 across 1,044 interventional studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

Sung-Han Kim is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Adults aged 19 years or older
  • Confirmed diagnosis of hematologic
  • Has received B-cell-depleting therapy (anti-CD20 antibody, bispecific antibody, or CAR-T cell therapy) within 2 years before vaccination
  • Able and willing to provide written and comply with study procedures

Exclusion criteria

Exclusion Criteria:

  • Known to influenza vaccine components
  • Influenza vaccination within the preceding 6 months
  • Difficulty with repeated venipuncture or blood sampling (e.g., poor vascular access or bleeding tendency)
  • Cognitive or psychiatric impairment precluding understanding of or cooperation with study procedures
  • Any other condition deemed clinically inappropriate for study participation at investigator discretion
Terms in these criteria, in plain language(3)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    High dose influenza vaccine

    Participants receive a single intramuscular dose of high-dose trivalent inactivated influenza vaccine (Efluelda), containing 60 micrograms of hemagglutinin per strain, on Day 0.

    Biological: High-dose inactivated influenza vaccine

  • Active comparator
    Standard-Dose Influenza Vaccine

    Participants receive a single intramuscular dose of standard-dose trivalent inactivated influenza vaccine, containing 15 micrograms of hemagglutinin per strain, on Day 0.

    Biological: Standard-dose inactivated influenza vaccine

Interventions

  • BiologicalHigh-dose inactivated influenza vaccine

    Trivalent inactivated influenza vaccine containing 60 micrograms of hemagglutinin per strain, administered as a single intramuscular injection on Day 0. It contains four times the hemagglutinin antigen per strain of the standard-dose vaccine.

    Also known as: Efluelda

  • BiologicalStandard-dose inactivated influenza vaccine

    Trivalent inactivated influenza vaccine containing 15 micrograms of hemagglutinin per strain, administered as a single intramuscular injection on Day 0. It is the comparator for the high-dose vaccine.

06

What researchers measure

Primary outcomes

  1. Seroconversion Rate at Day 28 After Influenza Vaccination

    Percentage of participants with seroconversion, measured by hemagglutination inhibition (HAI) assay and defined in the study protocol. Seroconversion is analyzed as seroconversion to at least one vaccine strain (each participant counted once) and separately for each vaccine strain.

    Time frame: Day 28 (±7 days) after vaccination

Secondary outcomes

  1. Geometric Mean Fold Rise of Hemagglutination Inhibition Titer

    Geometric mean of the within-participant ratio of post-vaccination to baseline HAI titer, reported for each vaccine strain.

    Time frame: Day 28 (±7 days), Day 180 (±30 days), and Day 365 (±30 days) after vaccination

  2. Proportion of Participants With Hemagglutination Inhibition Titer of at Least 1:40

    Percentage of participants with an HAI titer of 1:40 or greater, reported for each vaccine strain.

    Time frame: Day 28 (±7 days), Day 180 (±30 days), and Day 365 (±30 days) after vaccination

  3. Frequency of Polyfunctional Influenza-Specific CD4-Positive and CD8-Positive T Cells

    Percentage of CD4-positive and CD8-positive T cells co-expressing at least two of IFN-gamma, TNF-alpha, and IL-2 after stimulation with influenza hemagglutinin overlapping peptide pools, measured by intracellular cytokine staining

    Time frame: Baseline and Day 28 (±7 days) after vaccination

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Hall VG, Smibert OC, Sullivan SG, Lim C, Barr IG, Peck H, Fuge-Larsen P, Demajo J, Klimevski E, Tennakoon S, Saunders NR, Joyce T, Whitechurch A, Khot A, Anderson MA, Trubiano JA, Yong MK, Worth LJ, Spelman T, Slavin MA, Teh BW. Influenza Vaccination Strategies in Patients with Hematologic Cancer. N Engl J Med. 2025 Jan 16;392(3):306-308. doi: 10.1056/NEJMc2406750. No abstract available. PubMed 39813653 ↗
  • Branagan AR, Duffy E, Gan G, Li F, Foster C, Verma R, Zhang L, Parker TL, Seropian S, Cooper DL, Brandt D, Kortmansky J, Witt D, Ferencz TM, Dhodapkar KM, Dhodapkar MV. Tandem high-dose influenza vaccination is associated with more durable serologic immunity in patients with plasma cell dyscrasias. Blood Adv. 2021 Mar 9;5(5):1535-1539. doi: 10.1182/bloodadvances.2020003880. PubMed 33683337 ↗
  • Natori Y, Humar A, Lipton J, Kim DD, Ashton P, Hoschler K, Kumar D. A pilot randomized trial of adjuvanted influenza vaccine in adult allogeneic hematopoietic stem cell transplant recipients. Bone Marrow Transplant. 2017 Jul;52(7):1016-1021. doi: 10.1038/bmt.2017.24. Epub 2017 Mar 6. PubMed 28263288 ↗
  • Halasa NB, Savani BN, Asokan I, Kassim A, Simons R, Summers C, Bourgeois J, Clifton C, Vaughan LA, Lucid C, Wang L, Fonnesbeck C, Jagasia M. Randomized Double-Blind Study of the Safety and Immunogenicity of Standard-Dose Trivalent Inactivated Influenza Vaccine versus High-Dose Trivalent Inactivated Influenza Vaccine in Adult Hematopoietic Stem Cell Transplantation Patients. Biol Blood Marrow Transplant. 2016 Mar;22(3):528-35. doi: 10.1016/j.bbmt.2015.12.003. Epub 2015 Dec 17. PubMed 26705931 ↗
  • Thomas LD, Batarseh E, Hamdan L, Haddadin Z, Dulek D, Kalams S, Stewart LS, Stahl AL, Rahman H, Amarin JZ, Hayek H, Ison M, Overton ET, Pergam SA, Spieker AJ, Halasa NB; Adult HCT Flu Study. Comparison of Two High-Dose Versus Two Standard-Dose Influenza Vaccines in Adult Allogeneic Hematopoietic Cell Transplant Recipients. Clin Infect Dis. 2023 Dec 15;77(12):1723-1732. doi: 10.1093/cid/ciad458. PubMed 39219510 ↗
  • Grohskopf LA, Blanton LH, Ferdinands JM, Reed C, Dugan VG, Daskalakis DC. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2025-26 Influenza Season. MMWR Morb Mortal Wkly Rep. 2025 Aug 28;74(32):500-507. doi: 10.15585/mmwr.mm7432a2. PubMed 40879559 ↗
  • von Lilienfeld-Toal M, Khawaja F, Compagno F, Robin C, Pinana JL, Cesaro S, Einsele H, Ljungman P, Navarro D, Boeckh M, Chemaly RF, Hirsch HH. Community-acquired respiratory virus infections in patients with haematological malignancies or undergoing haematopoietic cell transplantation: updated recommendations from the 10th European Conference on Infections in Leukaemia. Lancet Infect Dis. 2026 Mar;26(3):e193-e206. doi: 10.1016/S1473-3099(25)00365-2. Epub 2025 Aug 27. PubMed 40885198 ↗
  • Scott J, Abers MS, Marwah HK, McCann NC, Meyerowitz EA, Richterman A, Fleming DF, Holmes EJ, Moat LE, Redepenning SG, Smith EA, Stoddart CJ, Sundaram ME, Ulrich AK, Alba C, Anderson CJ, Arpey MK, Borre E, Ladines-Lim J, Mehr AJ, Rich K, Watts C, Basta NE, Jarolimova J, Walensky RP, Dugdale CM. Updated Evidence for Covid-19, RSV, and Influenza Vaccines for 2025-2026. N Engl J Med. 2025 Dec 4;393(22):2221-2242. doi: 10.1056/NEJMsa2514268. Epub 2025 Oct 29. PubMed 41160817 ↗
  • Kinoshita H, Walti CS, Webber K, Pezzella G, Jensen-Wachspress M, Lang H, Shuey K, Boonyaratanakornkit J, Pergam SA, Chu HY, Bollard CM, Keller MD, Hill JA. T Cell Immune Response to Influenza Vaccination When Administered Prior to and Following Autologous Chimeric Antigen Receptor-Modified T Cell Therapy. Transplant Cell Ther. 2025 May;31(5):327-338. doi: 10.1016/j.jtct.2025.02.019. Epub 2025 Mar 1. PubMed 40032074 ↗
  • Rivera-Izquierdo M, Verdejo-Ianez A, Morales-Portillo A, Gonzalez-Alcaide M, Lainez-Ramos-Bossini AJ, Martinez-Ruiz V, Fernandez-Martinez NF, Martin-delosReyes LM, Jimenez-Mejias E, Guerrero-Fernandez de Alba I, Valero-Ubierna MDC, Lardelli-Claret P, Schoenenberger-Arnaiz JA, Jimenez-Moleon JJ. High-dose versus standard-dose influenza vaccine for immunocompromised patients: A systematic review and meta-analysis of randomised clinical trials. J Infect. 2025 Aug;91(2):106538. doi: 10.1016/j.jinf.2025.106538. Epub 2025 Jun 23. PubMed 40562238 ↗
  • Hall VG, Nguyen THO, Smibert OC, Allen LF, Sullivan SG, Fox A, Carolan L, Wheatley AK, Kent SJ, Gilbertson B, Lim C, Barr IG, Peck H, Fuge-Larsen P, Klimevski E, Tennakoon S, Saunders NR, Joyce T, Whitechurch A, Khot A, Anderson MA, Trubiano JA, Worth LJ, Yong MK, Slavin MA, Kedzierska K, Teh BW. Influenza-Specific T-Cell Responses to Vaccination Are Independent of Underlying Hematological Malignancy: Analysis of a Randomized Influenza Vaccination Trial. J Infect Dis. 2025 Dec 20;232(6):1319-1329. doi: 10.1093/infdis/jiaf297. PubMed 40600710 ↗
  • Lewis NM, Harker EJ, Cleary S, Zhu Y, Grijalva CG, Chappell JD, Rhoads JP, Baughman A, Casey JD, Blair PW, Jones ID, Johnson CA, Halasa NB, Lauring AS, Martin ET, Gaglani M, Ghamande S, Columbus C, Steingrub JS, Duggal A, Felzer JR, Prekker ME, Peltan ID, Brown SM, Hager DN, Gong MN, Mohamed A, Exline MC, Khan A, Ferguson SAN, Mosier J, Qadir N, Chang SY, Ginde AA, Zepeski A, Mallow C, Harris ES, Johnson NJ, Gibbs KW, Kwon JH, Vaughn IA, Ramesh M, Safdar B, Surie D, Dawood FS, Ellington S, Self WH. Vaccine Effectiveness Against Influenza A(H1N1), A(H3N2), and B-Associated Hospitalizations, United States, 1 September 2023 to 31 May 2024. J Infect Dis. 2025 Oct 15;232(4):e626-e636. doi: 10.1093/infdis/jiaf185. PubMed 40198276 ↗
  • Goepfert P, Katz MJ, Kaul D, Sharma T, Kaur D, Falck-Ytter Y, Baden L. IDSA 2025 Guideline on the Use of Vaccines for the Prevention of Seasonal Influenza Infections in Immunocompromised Patients. Clin Infect Dis. 2026 Aug 24;82(Suppl 3):i117-i122. doi: 10.1093/cid/ciag116. PubMed 41762115 ↗
  • Whitaker JA, Parikh SA, Shanafelt TD, Kay NE, Kennedy RB, Grill DE, Goergen KM, Call TG, Kendarian SS, Ding W, Poland GA. The humoral immune response to high-dose influenza vaccine in persons with monoclonal B-cell lymphocytosis (MBL) and chronic lymphocytic leukemia (CLL). Vaccine. 2021 Feb 12;39(7):1122-1130. doi: 10.1016/j.vaccine.2021.01.001. Epub 2021 Jan 16. PubMed 33461835 ↗
  • Teh BW, Leung VKY, Mordant FL, Sullivan SG, Joyce T, Harrison SJ, Khvorov A, Barr IG, Subbarao K, Slavin MA, Worth LJ. A Randomized Trial of Two 2-Dose Influenza Vaccination Strategies for Patients Following Autologous Hematopoietic Stem Cell Transplantation. Clin Infect Dis. 2021 Dec 6;73(11):e4269-e4277. doi: 10.1093/cid/ciaa1711. PubMed 33175132 ↗
  • Beck CR, McKenzie BC, Hashim AB, Harris RC; University of Nottingham Influenza and the ImmunoCompromised (UNIIC) Study Group,; Nguyen-Van-Tam JS. Influenza vaccination for immunocompromised patients: systematic review and meta-analysis by etiology. J Infect Dis. 2012 Oct;206(8):1250-9. doi: 10.1093/infdis/jis487. Epub 2012 Aug 16. PubMed 22904335 ↗

Individual participant data

Plan to share: Undecided — Individual participant data are not planned to be shared at this time because of participant privacy and confidentiality considerations. The principal investigator will consider data sharing after registration and will update this statement before the results are published.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2026 (actual). Primary completion is estimated for Dec 2027, 13 months after the start.

Of 114 non-industry phase 2 interventional studies under Hematologic Neoplasms, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 42 and three quarters within 95. This study's planned 13 months is below that.

Counting every sponsor, half of 136 studies reached it within 57 months; a quarter within 40 and three quarters within 94.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 3, 2026
First posted
Nov 9, 2026
StartActual
Nov 2, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Nov 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07926217
Lead sponsor
Sung-Han Kim
Responsible party
Sung-Han Kim (Professor, Asan Medical Center) — Sponsor-investigator
First posted
Nov 9, 2026
Start date
Nov 2, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

So Yun Lim, MD, PhD
Contact
soyun_lim@amc.seoul.kr
+82-2-3010-3303 ext. +82-10-4120-38
Sung-Han Kim, MD, PhD
Contact
shkimmd@amc.seoul.kr
+82-2-3010-3305

Oversight

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

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