Trial Outcomes & Findings for Study of Fluzone® Quadrivalent, Fluzone® Intradermal, and Fluzone® High-Dose, Influenza Vaccines in Adults (NCT NCT02258334)

NCT ID: NCT02258334

Last Updated: 2015-10-19

Results Overview

Injection-site reactions: Pain, Erythema, Swelling, Induration, and Ecchymosis. Systemic reactions: Fever (Temperature), Headache, Malaise, Myalgia, and Shivering. Grade 3 Injection-site reactions: Pain, Significant, prevents daily activity; Erythema, Swelling, Induration, and Ecchymosis, \>100 mm. Grade 3 Systemic reactions: Fever, ≥39.0°C or ≥102.1°F; Headache, Malaise, Myalgia, and Shivering, Significant, prevents daily activity.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

208 participants

Primary outcome timeframe

Day 0 up to Day 7 post-vaccination

Results posted on

2015-10-19

Participant Flow

Study participants were enrolled from 01 October 2014 to 07 November 2014 at 4 clinical sites in the United States.

A total of 208 participants who met all of the inclusion criteria and none of the exclusion criteria were enrolled and vaccinated in this study.

Participant milestones

Participant milestones
Measure
Group 1
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Overall Study
STARTED
50
54
52
52
Overall Study
COMPLETED
49
54
52
52
Overall Study
NOT COMPLETED
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Overall Study
Adverse Event
1
0
0
0

Baseline Characteristics

Study of Fluzone® Quadrivalent, Fluzone® Intradermal, and Fluzone® High-Dose, Influenza Vaccines in Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=50 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=54 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 Participants
Adults ≥ 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 Participants
Adults ≥ 65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Total
n=208 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
50 Participants
n=5 Participants
54 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
104 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
52 Participants
n=5 Participants
52 Participants
n=4 Participants
104 Participants
n=21 Participants
Age, Continuous
Age Continuous
44.8 Years
STANDARD_DEVIATION 14.9 • n=5 Participants
48.0 Years
STANDARD_DEVIATION 12.1 • n=7 Participants
73.9 Years
STANDARD_DEVIATION 5.0 • n=5 Participants
72.2 Years
STANDARD_DEVIATION 5.4 • n=4 Participants
59.8 Years
STANDARD_DEVIATION 16.8 • n=21 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
33 Participants
n=7 Participants
32 Participants
n=5 Participants
31 Participants
n=4 Participants
127 Participants
n=21 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
21 Participants
n=7 Participants
20 Participants
n=5 Participants
21 Participants
n=4 Participants
81 Participants
n=21 Participants
Region of Enrollment
United States
50 Participants
n=5 Participants
54 Participants
n=7 Participants
52 Participants
n=5 Participants
52 Participants
n=4 Participants
208 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 0 up to Day 7 post-vaccination

Population: Solicited injection-site and systemic reactions were assessed in the Safety Analysis Set.

Injection-site reactions: Pain, Erythema, Swelling, Induration, and Ecchymosis. Systemic reactions: Fever (Temperature), Headache, Malaise, Myalgia, and Shivering. Grade 3 Injection-site reactions: Pain, Significant, prevents daily activity; Erythema, Swelling, Induration, and Ecchymosis, \>100 mm. Grade 3 Systemic reactions: Fever, ≥39.0°C or ≥102.1°F; Headache, Malaise, Myalgia, and Shivering, Significant, prevents daily activity.

Outcome measures

Outcome measures
Measure
Group 1
n=49 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=54 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Injection-site Pain
0.0 Percentage of participants
1.9 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Injection-site Erythema
6.1 Percentage of participants
35.2 Percentage of participants
3.8 Percentage of participants
7.7 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Injection site Erythema
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Injection-site Swelling
4.1 Percentage of participants
22.2 Percentage of participants
5.8 Percentage of participants
5.8 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Injection-site Swelling
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Injection-site Induration
6.1 Percentage of participants
18.5 Percentage of participants
0 Percentage of participants
1.9 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Injection-site Induration
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Injection-site Ecchymosis
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Fever
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Fever
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Headache
28.6 Percentage of participants
18.5 Percentage of participants
17.3 Percentage of participants
25.0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Headache
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
1.9 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Malaise
16.3 Percentage of participants
27.8 Percentage of participants
9.6 Percentage of participants
15.4 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Malaise
0.0 Percentage of participants
1.9 Percentage of participants
0 Percentage of participants
1.9 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Myalgia
26.5 Percentage of participants
25.9 Percentage of participants
23.1 Percentage of participants
28.8 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Myalgia
0.0 Percentage of participants
1.9 Percentage of participants
1.9 Percentage of participants
1.9 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Shivering
4.1 Percentage of participants
9.3 Percentage of participants
1.9 Percentage of participants
1.9 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Grade 3 Shivering
0.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Injection-site Pain
53.1 Percentage of participants
51.9 Percentage of participants
36.5 Percentage of participants
40.4 Percentage of participants
Percentage of Participants Reporting Solicited Injection-site and Solicited Systemic Reactions Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
Injection-site Ecchymosis
2.0 Percentage of participants
5.6 Percentage of participants
0 Percentage of participants
1.9 Percentage of participants

SECONDARY outcome

Timeframe: Day 0 (pre-vaccination) and Day 21 post-vaccination

Population: Geometric mean titers were assessed in the Per-Protocol Analysis Set.

Geometric mean titers of antibodies to Fluzone® Quadrivalent, Fluzone® Intradermal, and Fluzone® High-Dose vaccine antigens were assessed using the hemagglutination inhibition (HAI) assay.

Outcome measures

Outcome measures
Measure
Group 1
n=49 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=53 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
A/H1N1; Pre-vaccination (N=49,52,52,52)
153 Titers (1/dilution)
Interval 90.6 to 260.0
148 Titers (1/dilution)
Interval 94.3 to 231.0
148 Titers (1/dilution)
Interval 96.7 to 226.0
171 Titers (1/dilution)
Interval 124.0 to 237.0
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
A/H1N1; Post-vaccination (N=49,53,52,52)
707 Titers (1/dilution)
Interval 490.0 to 1020.0
632 Titers (1/dilution)
Interval 459.0 to 870.0
288 Titers (1/dilution)
Interval 200.0 to 414.0
386 Titers (1/dilution)
Interval 294.0 to 506.0
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
A/H3N2; Pre-vaccination (N=49,53,52,52)
139 Titers (1/dilution)
Interval 90.9 to 212.0
147 Titers (1/dilution)
Interval 97.6 to 221.0
168 Titers (1/dilution)
Interval 119.0 to 237.0
275 Titers (1/dilution)
Interval 193.0 to 390.0
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
A/H3N2; Post-vaccination (N=49,53,52,52)
613 Titers (1/dilution)
Interval 439.0 to 857.0
648 Titers (1/dilution)
Interval 470.0 to 894.0
349 Titers (1/dilution)
Interval 244.0 to 499.0
680 Titers (1/dilution)
Interval 490.0 to 942.0
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
B (Yamagata); Pre-vaccination (N=49,53,52,52)
596 Titers (1/dilution)
Interval 400.0 to 888.0
471 Titers (1/dilution)
Interval 324.0 to 684.0
471 Titers (1/dilution)
Interval 342.0 to 649.0
465 Titers (1/dilution)
Interval 340.0 to 635.0
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
B (Yamagata); Post-vaccination (N=49,53,52,52)
1836 Titers (1/dilution)
Interval 1376.0 to 2449.0
1272 Titers (1/dilution)
Interval 906.0 to 1785.0
864 Titers (1/dilution)
Interval 651.0 to 1146.0
994 Titers (1/dilution)
Interval 777.0 to 1270.0
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
B (Victoria); Pre-vaccination (N=49,0,52,0)
252 Titers (1/dilution)
Interval 164.0 to 385.0
NA Titers (1/dilution)
B (Victoria) antigen was not in the administered vaccine
273 Titers (1/dilution)
Interval 195.0 to 382.0
NA Titers (1/dilution)
B (Victoria) antigen was not in the administered vaccine
Geometric Mean Titers (GMTs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Before and Following Vaccination With the Respective Vaccine.
B (Victoria); Post-vaccination (N=49,0,52,0)
1119 Titers (1/dilution)
Interval 838.0 to 1495.0
NA Titers (1/dilution)
B (Victoria) antigen was not in the administered vaccine
568 Titers (1/dilution)
Interval 430.0 to 750.0
NA Titers (1/dilution)
B (Victoria) antigen was not in the administered vaccine

SECONDARY outcome

Timeframe: Day 0 (pre-vaccination) and Day 21 post-vaccination

Population: Seroprotection was assessed in the Per-Protocol Analysis Set.

Antibodies to Fluzone® Quadrivalent, Fluzone® Intradermal, and Fluzone® High-Dose vaccine antigens were assessed using the hemagglutination inhibition (HAI) assay. Seroprotection was defined as a titer ≥40 (l/dilution \[dil\]) at pre-vaccination and 21 days after vaccination.

Outcome measures

Outcome measures
Measure
Group 1
n=49 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=53 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
B (Yamagata); Pre-vaccination (N=49,53,52,52)
98.0 Percentage of participants
98.1 Percentage of participants
96.2 Percentage of participants
100.0 Percentage of participants
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
B (Yamagata); Post-vaccination (N=49,53,52,52)
100.0 Percentage of participants
100.0 Percentage of participants
100.0 Percentage of participants
100.0 Percentage of participants
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
A/H1N1; Pre-vaccination (N=49,52,52,52)
77.6 Percentage of participants
84.6 Percentage of participants
82.7 Percentage of participants
90.4 Percentage of participants
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
A/H1N1; Post-vaccination (N=49,53,52,52)
98.0 Percentage of participants
100.0 Percentage of participants
92.3 Percentage of participants
100.0 Percentage of participants
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
A/H3N2; Pre-vaccination (N=49,53,52,52)
81.6 Percentage of participants
83.0 Percentage of participants
90.4 Percentage of participants
96.2 Percentage of participants
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
A/H3N2; Post-vaccination (N=49,53,52,52)
98.0 Percentage of participants
100.0 Percentage of participants
94.2 Percentage of participants
100.0 Percentage of participants
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
B (Victoria); Pre-vaccination (n=49,0,52,0)
91.8 Percentage of participants
NA Percentage of participants
B (Victoria) antigen was not in the administered vaccine
94.2 Percentage of participants
NA Percentage of participants
B (Victoria) antigen was not in the administered vaccine
Percentage of Participants With Seroprotection Before and Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine.
B (Victoria); Post-vaccination (N=49,0,52,0)
100.0 Percentage of participants
NA Percentage of participants
B (Victoria) antigen was not in the administered vaccine
100.0 Percentage of participants
NA Percentage of participants
B (Victoria) antigen was not in the administered vaccine

SECONDARY outcome

Timeframe: Day 21 post-vaccination

Population: Seroconversion was assessed in the Per-Protocol Analysis Set.

Antibodies to Fluzone® Quadrivalent, Fluzone® Intradermal, and Fluzone® High-Dose vaccine antigens were assessed using the hemagglutination inhibition (HAI) assay. Seroconversion was defined as either a pre-vaccination titer \< 10 (1/dil) and a post-vaccination titer ≥ 40 (1/dil) or a pre-vaccination titer ≥ 10 (1/dil) and a ≥ 4-fold increase in post-vaccination titer 21 days after vaccination.

Outcome measures

Outcome measures
Measure
Group 1
n=49 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=53 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Percentage of Participants With Seroconversion Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
A/H1N1 (N=49,52,52,52)
34.7 Percentage of participants
42.3 Percentage of participants
15.4 Percentage of participants
28.8 Percentage of participants
Percentage of Participants With Seroconversion Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
A/H3N2 (N=49,53,52,52)
38.8 Percentage of participants
39.6 Percentage of participants
23.1 Percentage of participants
26.9 Percentage of participants
Percentage of Participants With Seroconversion Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
B (Yamagata) (N=49,53,52,52)
28.6 Percentage of participants
28.3 Percentage of participants
15.4 Percentage of participants
21.2 Percentage of participants
Percentage of Participants With Seroconversion Following Vaccination With the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine
B (Victoria) (N=49,0,52,0)
51.0 Percentage of participants
NA Percentage of participants
B (Victoria) antigen was not in the administered vaccine
23.1 Percentage of participants
NA Percentage of participants
B (Victoria) antigen was not in the administered vaccine

SECONDARY outcome

Timeframe: Day 21 post-vaccination

Population: Geometric mean titer ratios were assessed in the Per-Protocol Analysis Set.

Geometric mean titer ratios of antibodies to Fluzone® Quadrivalent, Fluzone® Intradermal, and Fluzone® High-Dose vaccine antigens were assessed using the hemagglutination inhibition (HAI) assay.

Outcome measures

Outcome measures
Measure
Group 1
n=49 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=53 Participants
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 Participants
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High-Dose vaccine.
Geometric Mean Titer Ratios (GMTRs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Following Vaccination With the Respective Vaccine
A/H1N1 (N=49,52,52,52)
4.32 Titer ratios
Interval 2.66 to 7.04
3.92 Titer ratios
Interval 2.54 to 6.06
1.91 Titer ratios
Interval 1.53 to 2.38
2.25 Titer ratios
Interval 1.79 to 2.83
Geometric Mean Titer Ratios (GMTRs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Following Vaccination With the Respective Vaccine
A/H3N2 (N=49,53,52,52)
4.26 Titer ratios
Interval 2.83 to 6.42
4.24 Titer ratios
Interval 2.93 to 6.14
2.08 Titer ratios
Interval 1.65 to 2.62
2.48 Titer ratios
Interval 1.97 to 3.12
Geometric Mean Titer Ratios (GMTRs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Following Vaccination With the Respective Vaccine
B (Yamagata) (N=49,53,52,52)
3.08 Titer ratios
Interval 2.21 to 4.29
2.70 Titer ratios
Interval 1.95 to 3.74
1.83 Titer ratios
Interval 1.48 to 2.28
2.14 Titer ratios
Interval 1.72 to 2.65
Geometric Mean Titer Ratios (GMTRs) of Antibodies to the 2014-2015 Formulation of Fluzone® Quadrivalent or Fluzone® Intradermal or Fluzone® High-Dose Vaccine Antigens Following Vaccination With the Respective Vaccine
B (Victoria) (N=49,0,52,0)
4.39 Titer ratios
Interval 3.05 to 6.3
NA Titer ratios
B (Victoria) antigen was not in the administered vaccine
2.08 Titer ratios
Interval 1.62 to 2.68
NA Titer ratios
B (Victoria) antigen was not in the administered vaccine

Adverse Events

Group 1

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Group 2

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Group 3

Serious events: 1 serious events
Other events: 19 other events
Deaths: 0 deaths

Group 4

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1
n=49 participants at risk
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=54 participants at risk
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 participants at risk
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 participants at risk
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High Dose vaccine.
Gastrointestinal disorders
Haematochezia
0.00%
0/49 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
0.00%
0/54 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
1.9%
1/52 • Number of events 1 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
0.00%
0/52 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.

Other adverse events

Other adverse events
Measure
Group 1
n=49 participants at risk
Adults 18 to \< 65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 2
n=54 participants at risk
Adults 18 to \< 65 years of age randomly assigned to receive an intradermal dose of Fluzone Intradermal vaccine.
Group 3
n=52 participants at risk
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone Quadrivalent vaccine.
Group 4
n=52 participants at risk
Adults ≥65 years of age randomly assigned to receive an intramuscular dose of Fluzone High Dose vaccine.
General disorders
Injection site Pain
53.1%
26/49 • Number of events 26 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
51.9%
28/54 • Number of events 28 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
36.5%
19/52 • Number of events 19 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
40.4%
21/52 • Number of events 21 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
General disorders
Injection site Erythema
6.1%
3/49 • Number of events 3 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
35.2%
19/54 • Number of events 19 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
3.8%
2/52 • Number of events 2 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
7.7%
4/52 • Number of events 4 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
General disorders
Injection site Swelling
4.1%
2/49 • Number of events 2 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
22.2%
12/54 • Number of events 12 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
5.8%
3/52 • Number of events 3 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
5.8%
3/52 • Number of events 3 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
General disorders
Injection site Induration
6.1%
3/49 • Number of events 3 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
18.5%
10/54 • Number of events 10 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
0.00%
0/52 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
1.9%
1/52 • Number of events 1 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
General disorders
Injection site Ecchymosis
2.0%
1/49 • Number of events 1 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
5.6%
3/54 • Number of events 3 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
0.00%
0/52 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
1.9%
1/52 • Number of events 1 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
Nervous system disorders
Headache
28.6%
14/49 • Number of events 14 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
18.5%
10/54 • Number of events 10 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
17.3%
9/52 • Number of events 9 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
25.0%
13/52 • Number of events 13 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
General disorders
Malaise
16.3%
8/49 • Number of events 8 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
27.8%
15/54 • Number of events 15 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
9.6%
5/52 • Number of events 5 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
15.4%
8/52 • Number of events 8 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
Musculoskeletal and connective tissue disorders
Myalgia
26.5%
13/49 • Number of events 13 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
25.9%
14/54 • Number of events 14 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
23.1%
12/52 • Number of events 12 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
28.8%
15/52 • Number of events 15 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
General disorders
Shivering
4.1%
2/49 • Number of events 2 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
9.3%
5/54 • Number of events 5 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
1.9%
1/52 • Number of events 1 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.
1.9%
1/52 • Number of events 1 • Adverse event data were collected from Day 0 (post-vaccination) up to Day 21 post-vaccination.

Additional Information

Medical Director

Sanofi Pasteur Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications
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Restriction type: OTHER