Trial Outcomes & Findings for A Study of Ad26.COV2.S and Influenza Vaccines in Healthy Adults (NCT NCT05091307)

NCT ID: NCT05091307

Last Updated: 2025-05-25

Results Overview

GMTs of HI antibodies were measured using hemagglutination inhibition (HAI) assay against each of four influenza vaccine strains (A/Victoria \[H1N1\], A/Cambodia \[H3N2\], B/Victoria \[B/Victoria\] and B/Phuket \[B/Yamagata\]). This outcome measure was planned to be analyzed for specified arms only. PPII=Per-protocol influenza immunogenicity.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

861 participants

Primary outcome timeframe

28 days after vaccination with seasonal quadrivalent standard-dose influenza vaccine (Day 29)

Results posted on

2025-05-25

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Overall Study
STARTED
382
386
47
46
Overall Study
Treated
382
384
47
46
Overall Study
COMPLETED
312
316
43
44
Overall Study
NOT COMPLETED
70
70
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Overall Study
Death
0
0
1
0
Overall Study
Lost to Follow-up
33
33
2
0
Overall Study
Physician Decision
1
0
0
0
Overall Study
Protocol Violation
1
0
0
0
Overall Study
Withdrawal by Subject
16
16
0
1
Overall Study
Covid-19 Vaccine/Treatment
14
15
1
1
Overall Study
Initiated Prohibited Medication
1
0
0
0
Overall Study
Other
4
4
0
0
Overall Study
Randomized but not vaccinated
0
2
0
0

Baseline Characteristics

A Study of Ad26.COV2.S and Influenza Vaccines in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Total
n=859 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
336 Participants
n=5 Participants
337 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
673 Participants
n=21 Participants
Age, Categorical
>=65 years
46 Participants
n=5 Participants
47 Participants
n=7 Participants
47 Participants
n=5 Participants
46 Participants
n=4 Participants
186 Participants
n=21 Participants
Age, Continuous
46.2 years
STANDARD_DEVIATION 14.92 • n=5 Participants
45.5 years
STANDARD_DEVIATION 15.25 • n=7 Participants
71.1 years
STANDARD_DEVIATION 4.58 • n=5 Participants
71.3 years
STANDARD_DEVIATION 5.29 • n=4 Participants
48.6 years
STANDARD_DEVIATION 16.35 • n=21 Participants
Sex: Female, Male
Female
191 Participants
n=5 Participants
177 Participants
n=7 Participants
22 Participants
n=5 Participants
33 Participants
n=4 Participants
423 Participants
n=21 Participants
Sex: Female, Male
Male
191 Participants
n=5 Participants
207 Participants
n=7 Participants
25 Participants
n=5 Participants
13 Participants
n=4 Participants
436 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
117 Participants
n=5 Participants
109 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
234 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
262 Participants
n=5 Participants
274 Participants
n=7 Participants
43 Participants
n=5 Participants
42 Participants
n=4 Participants
621 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
Asian
7 Participants
n=5 Participants
10 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
19 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
48 Participants
n=5 Participants
52 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
100 Participants
n=21 Participants
Race (NIH/OMB)
White
311 Participants
n=5 Participants
310 Participants
n=7 Participants
46 Participants
n=5 Participants
45 Participants
n=4 Participants
712 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
9 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
12 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
5 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
11 Participants
n=21 Participants
Region of Enrollment
Belgium
24 Participants
n=5 Participants
26 Participants
n=7 Participants
25 Participants
n=5 Participants
24 Participants
n=4 Participants
99 Participants
n=21 Participants
Region of Enrollment
Poland
52 Participants
n=5 Participants
51 Participants
n=7 Participants
8 Participants
n=5 Participants
3 Participants
n=4 Participants
114 Participants
n=21 Participants
Region of Enrollment
United States
306 Participants
n=5 Participants
307 Participants
n=7 Participants
14 Participants
n=5 Participants
19 Participants
n=4 Participants
646 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 28 days after vaccination with seasonal quadrivalent standard-dose influenza vaccine (Day 29)

Population: The PPII set included all randomized participants who received Ad26.COV2.S vaccine in combination with seasonal influenza vaccine for co-administration group and those who received seasonal influenza vaccine alone for control group, for whom immunogenicity data were available for at least one of influenza strains in vaccine. Participants with major protocol deviation were excluded from PPII analysis. 'N' (number of participants analyzed)=participants who were evaluable for this outcome measure.

GMTs of HI antibodies were measured using hemagglutination inhibition (HAI) assay against each of four influenza vaccine strains (A/Victoria \[H1N1\], A/Cambodia \[H3N2\], B/Victoria \[B/Victoria\] and B/Phuket \[B/Yamagata\]). This outcome measure was planned to be analyzed for specified arms only. PPII=Per-protocol influenza immunogenicity.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=320 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=333 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Groups 1 and 2: Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent Standard-dose Influenza Vaccine
A/Victoria (H1N1)
306 Titers
Interval 271.0 to 346.0
393 Titers
Interval 348.0 to 445.0
Groups 1 and 2: Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent Standard-dose Influenza Vaccine
A/Cambodia (H3N2)
134 Titers
Interval 119.0 to 150.0
165 Titers
Interval 147.0 to 186.0
Groups 1 and 2: Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent Standard-dose Influenza Vaccine
B/Victoria (B/Victoria)
38 Titers
Interval 34.0 to 43.0
38 Titers
Interval 33.0 to 43.0
Groups 1 and 2: Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent Standard-dose Influenza Vaccine
B/Phuket (B/Yamagata)
32 Titers
Interval 29.0 to 36.0
33 Titers
Interval 30.0 to 37.0

PRIMARY outcome

Timeframe: 28 days after vaccination with Ad26.COV2.S vaccine (Group 1: Day 29, Group 2: Day 57)

Population: The per protocol SARS-CoV-2 immunogenicity set (PPSI) included all randomized participants who received Ad26.COV2.S vaccine in combination with seasonal influenza vaccine for co-administration group and Ad26.COV2.S vaccine alone for control group, and for whom immunogenicity data was available. Here, 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.

GMCs of antibody titers measured by S-ELISA at 28 days after administration of Ad26.COV2.S vaccine was reported. This outcome measure was planned to be analyzed for specified arms only. Seronegative participants (at Day 1) who became serology positive during the study, participants with positive molecular test for severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) and major protocol deviation were excluded from PPSI analysis.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=257 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=209 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Groups 1 and 2: Geometric Mean Concentrations (GMCs) of Antibodies Measured by Spiked-Enzyme-linked Immunosorbent Assay (S-ELISA) 28 Days After Administration of Ad26.COV2.S Vaccine
22531 ELISA Unit per milliliter (EU/mL)
Interval 20140.0 to 25205.0
25035 ELISA Unit per milliliter (EU/mL)
Interval 22189.0 to 28246.0

SECONDARY outcome

Timeframe: 7 days after first vaccination on Day 1 (up to Day 8); 7 days after second vaccination on Day 29 (up to Day 36)

Population: The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration. Here, 'n' (number analyzed) signifies participants who were evaluated at each specified category.

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With Solicited Local Adverse Events (AEs) up to 7 Days After Each Vaccination
After first vaccination
261 Participants
204 Participants
23 Participants
21 Participants
Number of Participants With Solicited Local Adverse Events (AEs) up to 7 Days After Each Vaccination
After second vaccination
34 Participants
210 Participants
3 Participants
24 Participants

SECONDARY outcome

Timeframe: 7 days after first vaccination on Day 1 (up to Day 8); 7 days after second vaccination on Day 29 (up to Day 36)

Population: The FAS included all randomized participants with at least 1 documented study vaccine administration. Here, 'n' (number analyzed) signifies participants who were evaluated at each specified category.

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs included fever (defined as body temperature of 38.0-degree celsius or higher), headache, fatigue, myalgia, nausea, vomiting were collected within 7 days after each vaccination.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With Solicited Systemic AEs up to 7 Days After Each Vaccination
After first vaccination
256 Participants
205 Participants
30 Participants
26 Participants
Number of Participants With Solicited Systemic AEs up to 7 Days After Each Vaccination
After second vaccination
84 Participants
208 Participants
8 Participants
22 Participants

SECONDARY outcome

Timeframe: 28 days after first vaccination on Day 1 (up to Day 29); 28 days after second vaccination on Day 29 (up to Day 57)

Population: The FAS included all randomized participants with at least 1 documented study vaccine administration. Here, 'n' (number analyzed) signifies participants who were evaluated at each specified category.

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Unsolicited AEs were all AEs for which the participant is not specifically questioned in the participant diary.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With Unsolicited AEs up to 28 Days After Each Vaccination
After first vaccination
71 Participants
71 Participants
10 Participants
9 Participants
Number of Participants With Unsolicited AEs up to 28 Days After Each Vaccination
After second vaccination
36 Participants
50 Participants
11 Participants
8 Participants

SECONDARY outcome

Timeframe: From Day 1 (post-vaccination) to end of the study (up to 12.5 months)

Population: The FAS included all randomized participants with at least 1 documented study vaccine administration.

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. SAE was any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With Serious Adverse Events (SAEs)
9 Participants
7 Participants
1 Participants
2 Participants

SECONDARY outcome

Timeframe: From Day 1 (post-vaccination) to end of the study (up to 12.5 months)

Population: The FAS included all randomized participants with at least 1 documented study vaccine administration.

Number of participants with MAAEs was reported. MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. New onset of chronic diseases was collected as part of the MAAEs.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With Medically-attended Adverse Events (MAAEs)
51 Participants
51 Participants
11 Participants
16 Participants

SECONDARY outcome

Timeframe: From Day 1 (post-vaccination) to end of the study (up to 12.5 months)

Population: The FAS included all randomized participants with at least 1 documented study vaccine administration.

Number of participants with AESIs was reported. AESIs were significant AEs that were judged to be of special interest because of clinical importance, known or suspected class effects, or based on nonclinical signals. Thrombosis with Thrombocytopenia Syndrome (TTS), a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia, was considered to be an AESI in this study. A suspected TTS case was defined as: Thrombotic events: suspected deep vessel venous or arterial thrombotic events; Thrombocytopenia, defined as platelet count below 150,000/microliter.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With Adverse Events of Special Interest (AESIs)
9 Participants
12 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: From Day 1 (post-vaccination) to end of the study (up to 12.5 months)

Population: The FAS included all randomized participants with at least 1 documented study vaccine administration.

Number of participants with AE leading to withdrawal from the study was reported.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Number of Participants With AEs Leading to Withdrawal From the Study
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 28 days after vaccination with seasonal quadrivalent high-dose influenza vaccine (Day 29)

Population: The PPII set included all randomized participants who received Ad26.COV2.S vaccine in combination with a seasonal influenza vaccine for the coadministration group and those who received a seasonal influenza vaccine alone for the control group, for whom immunogenicity data were available for at least one of the influenza strains in the vaccine. Here, 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.

GMTs of HI antibodies were measured using hemagglutination inhibition (HAI) assay against each of four influenza vaccine strains (A/Victoria \[H1N1\], A/Tasmania\[H3N2\], B/Washington \[B/Victoria\] and B/Phuket \[B/Yamagata\]). This outcome measure was planned to be analyzed for specified arms only.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=43 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=41 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Groups 3 and 4: GMTs of HI Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent High-dose Influenza Vaccine
A/Victoria (H1N1)
286 Titers
Interval 204.0 to 400.0
484 Titers
Interval 369.0 to 636.0
Groups 3 and 4: GMTs of HI Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent High-dose Influenza Vaccine
A/Tasmania (H3N2)
284 Titers
Interval 200.0 to 402.0
509 Titers
Interval 365.0 to 711.0
Groups 3 and 4: GMTs of HI Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent High-dose Influenza Vaccine
B/Washington (B/Victoria)
61 Titers
Interval 46.0 to 81.0
75 Titers
Interval 53.0 to 106.0
Groups 3 and 4: GMTs of HI Antibodies Against Each of the Four Influenza Vaccine Strains 28 Days After the Administration of a Seasonal Quadrivalent High-dose Influenza Vaccine
B/Phuket (B/Yamagata)
38 Titers
Interval 29.0 to 50.0
39 Titers
Interval 30.0 to 52.0

SECONDARY outcome

Timeframe: 28 days after vaccination with Ad26.COV2.S vaccine (Group 3: Day 29, Group 4: Day 57)

Population: The PPSI included all randomized participants who received Ad26.COV2.S vaccine in combination with seasonal influenza vaccine for the co-administration group and Ad26.COV2.S vaccine alone for the control group, and for whom immunogenicity data was available. Here, 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.

GMCs of antibody titers measured by S-ELISA at 28 days after administration of Ad26.COV2.S vaccine was reported. This outcome measure was planned to be analyzed for specified arms only. Seronegative participants (at Day 1) who became serology positive during the study, participants with positive molecular test for SARSCoV-2 and major protocol deviation were excluded from PPSI analysis.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=39 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=33 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3 and 4: GMCs of Antibodies Measured by S-ELISA 28 Days After Administration of Ad26.COV2.S Vaccine
17569 EU/mL
Interval 13391.0 to 23051.0
20743 EU/mL
Interval 12732.0 to 33794.0

SECONDARY outcome

Timeframe: 28 days after the administration of Ad26.COV2.S vaccine (that is, for Groups 1 and 3: Day 29; for Groups 2 and 4: Day 57)

Population: PPSI included all randomized participants who received Ad26.COV2.S vaccine in combination with seasonal influenza vaccine for co-administration group and Ad26.COV2.S vaccine alone for control group and for whom immunogenicity data was available. Participants with positive molecular test for SARSCoV-2 were also excluded. Here, 'N'(number of participants analyzed)=who were evaluable for this outcome measure, 'n'(number analyzed)=participant who were evaluated at specified timepoint.

GMCs of antibodies measured by S-ELISA 28 days after administration of Ad26.COV.S vaccine in Covid-19 vaccine naive participants was reported. In the below data table, '0' in the number analyzed field signifies that none of the participants were evaluable at the specified timepoint.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=46 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=40 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=1 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
GMCs of Antibodies Measured by S-ELISA 28 Days After Administration of Ad26.COV2.S Vaccine in COVID-19 Vaccine Naive Participants
10340 EU/mL
Interval 6557.0 to 16306.0
14704 EU/mL
Interval 9010.0 to 23998.0
38905 EU/mL
Here, 'NA' indicated that lower limit and upper limit of 95% confidence interval could not be estimated as only 1 participant was analyzed on Day 57 in Group 4.

SECONDARY outcome

Timeframe: 28 days after the administration of a seasonal quadrivalent influenza vaccine (Day 29)

Population: The PPII set included all randomized participants who received Ad26.COV2.S vaccine in combination with seasonal influenza vaccine for co-administration group and those who received seasonal influenza vaccine alone for control group, for whom immunogenicity data were available for at least one of influenza strains in vaccine. Participants with major protocol deviation were excluded from PPII analysis. 'N' (number of participants analyzed)=participants who were evaluable for this outcome measure.

Seroconversion was defined for each of the 4 influenza vaccine strains (For group 1 and 2: A/Victoria \[H1N1\], A/Cambodia \[H3N2\], B/Victoria \[B/Victoria\], B/Phuket \[B/Yamagata\]; For group 3 and 4: A/Victoria \[H1N1\], B/Phuket (B/Yamagata), A/Tasmania \[H3N2\], B/Washington \[B/Victoria\]) at 28 days after the administration of a seasonal quadrivalent (high-dose and standard-dose) influenza vaccine: HI titer greater than or equal to (\>=) 1:40 in participants with a pre-vaccination HI titer of less than (\<) 1:10, or a \>=4-fold HI titer increase in participants with a pre-vaccination HI titer of \>= 1:10. In the below data table, '0' in the number analyzed field signifies that none of the participants were evaluable at the specified timepoint.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=320 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=333 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=43 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=41 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Percentage of Participants With Seroconversion for Each of the 4 Influenza Vaccine Strains at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
A/Victoria (H1N1)
64.1 Percentage of participants
Interval 58.5 to 69.3
70.0 Percentage of participants
Interval 64.7 to 74.8
65.1 Percentage of participants
Interval 49.1 to 79.0
70.7 Percentage of participants
Interval 54.5 to 83.9
Percentage of Participants With Seroconversion for Each of the 4 Influenza Vaccine Strains at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
A/Cambodia (H3N2)
39.1 Percentage of participants
Interval 33.7 to 44.6
46.8 Percentage of participants
Interval 41.4 to 52.4
Percentage of Participants With Seroconversion for Each of the 4 Influenza Vaccine Strains at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
B/Victoria (B/Victoria)
42.8 Percentage of participants
Interval 37.3 to 48.4
43.5 Percentage of participants
Interval 38.1 to 49.1
Percentage of Participants With Seroconversion for Each of the 4 Influenza Vaccine Strains at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
B/Phuket (B/Yamagata)
35.3 Percentage of participants
Interval 30.1 to 40.8
36.9 Percentage of participants
Interval 31.7 to 42.4
37.2 Percentage of participants
Interval 23.0 to 53.3
34.1 Percentage of participants
Interval 20.1 to 50.6
Percentage of Participants With Seroconversion for Each of the 4 Influenza Vaccine Strains at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
A/Tasmania (H3N2)
72.1 Percentage of participants
Interval 56.3 to 84.7
70.7 Percentage of participants
Interval 54.5 to 83.9
Percentage of Participants With Seroconversion for Each of the 4 Influenza Vaccine Strains at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
B/Washington (B/Victoria)
41.9 Percentage of participants
Interval 27.0 to 57.9
53.7 Percentage of participants
Interval 37.4 to 69.3

SECONDARY outcome

Timeframe: 28 days after the administration of a seasonal quadrivalent influenza vaccine (Day 29)

Population: The PPII set included all randomized participants who received Ad26.COV2.S vaccine in combination with seasonal influenza vaccine for coadministration group and those who received seasonal influenza vaccine alone for control group, for whom immunogenicity data were available for at least one of influenza strains in vaccine. Participants with major protocol deviation were excluded from PPII analysis. 'N' (number of participants analyzed)=participants who were evaluable for this outcome measure.

Seroprotection was defined for each of the 4 influenza vaccine strains (For group 1 and 2: A/Victoria \[H1N1\], A/Cambodia \[H3N2\], B/Victoria \[B/Victoria\], B/Phuket \[B/Yamagata\]; For group 3 and 4: A/Victoria \[H1N1\], B/Phuket (B/Yamagata), A/Tasmania \[H3N2\], B/Washington \[B/Victoria\]) as HI titer \>=1:40 at 28 days after the administration of a seasonal quadrivalent (high-dose and standard-dose) influenza vaccine. In the below data table, '0' in the number analyzed field signifies that none of the participants were evaluable at the specified timepoint.

Outcome measures

Outcome measures
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=320 Participants
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=333 Participants
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=43 Participants
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=41 Participants
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Percentage of Participants With Seroprotection for Each of the 4 Influenza Vaccine Strains as HI Titer >= 1:40 at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
A/Victoria (H1N1)
97.8 Percentage of participants
Interval 95.5 to 99.1
97.3 Percentage of participants
Interval 94.9 to 98.8
100.0 Percentage of participants
Interval 91.8 to 100.0
100.0 Percentage of participants
Interval 91.4 to 100.0
Percentage of Participants With Seroprotection for Each of the 4 Influenza Vaccine Strains as HI Titer >= 1:40 at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
A/Cambodia (H3N2)
92.8 Percentage of participants
Interval 89.4 to 95.4
93.4 Percentage of participants
Interval 90.2 to 95.8
Percentage of Participants With Seroprotection for Each of the 4 Influenza Vaccine Strains as HI Titer >= 1:40 at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
B/Victoria (B/Victoria)
56.9 Percentage of participants
Interval 51.2 to 62.4
57.4 Percentage of participants
Interval 51.8 to 62.7
Percentage of Participants With Seroprotection for Each of the 4 Influenza Vaccine Strains as HI Titer >= 1:40 at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
B/Phuket (B/Yamagata)
52.2 Percentage of participants
Interval 46.6 to 57.8
55.0 Percentage of participants
Interval 49.4 to 60.4
62.8 Percentage of participants
Interval 46.7 to 77.0
63.4 Percentage of participants
Interval 46.9 to 77.9
Percentage of Participants With Seroprotection for Each of the 4 Influenza Vaccine Strains as HI Titer >= 1:40 at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
A/Tasmania (H3N2)
97.7 Percentage of participants
Interval 87.7 to 99.9
100.0 Percentage of participants
Interval 91.4 to 100.0
Percentage of Participants With Seroprotection for Each of the 4 Influenza Vaccine Strains as HI Titer >= 1:40 at 28 Days After the Administration of a Seasonal Quadrivalent (High-dose and Standard-dose) Influenza Vaccine
B/Washington (B/Victoria)
79.1 Percentage of participants
Interval 64.0 to 90.0
82.9 Percentage of participants
Interval 67.9 to 92.8

Adverse Events

Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo

Serious events: 9 serious events
Other events: 45 other events
Deaths: 0 deaths

Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S

Serious events: 7 serious events
Other events: 45 other events
Deaths: 0 deaths

Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo

Serious events: 1 serious events
Other events: 11 other events
Deaths: 1 deaths

Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 participants at risk
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 participants at risk
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 participants at risk
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 participants at risk
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Blood and lymphatic system disorders
Thrombocytopenia
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Cardiac disorders
Cardiac Arrest
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
2.1%
1/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Cardiac disorders
Chronic Left Ventricular Failure
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Hepatobiliary disorders
Biliary Obstruction
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Infections and infestations
Covid-19
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Infections and infestations
Staphylococcal Infection
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Injury, poisoning and procedural complications
Fibula Fracture
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Injury, poisoning and procedural complications
Joint Injury
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
2.2%
1/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastrointestinal Neoplasm
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Polycythaemia Vera
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Nervous system disorders
Optic Neuritis
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Psychiatric disorders
Bipolar Disorder
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Renal and urinary disorders
Calculus Urinary
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
2.2%
1/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Reproductive system and breast disorders
Abnormal Uterine Bleeding
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Respiratory, thoracic and mediastinal disorders
Pulmonary Oedema
0.00%
0/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.26%
1/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Skin and subcutaneous tissue disorders
Skin Ulcer
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Vascular disorders
Deep Vein Thrombosis
0.26%
1/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
0.00%
0/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.

Other adverse events

Other adverse events
Measure
Group 1: Ad26.COV2.S + Quadrivalent (Q) Standard-Dose (SD) Influenza Vaccine and Placebo
n=382 participants at risk
Participants aged greater than or equal to (\>=) 18 years and older received a single intramuscular (IM) injection of Ad26.COV2.S at 5\*10\^10 viral particles (vp) dose level and a seasonal Q SD influenza vaccine with 60 micrograms (mcg) hemagglutinin (HA) on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 2: Placebo + Q SD Influenza Vaccine and Ad26.COV2.S
n=384 participants at risk
Participants aged \>=18 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q SD influenza vaccine with 60 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Group 3: Ad26.COV2.S + Q High Dose (HD) Influenza Vaccine and Placebo
n=47 participants at risk
Participants aged \>=65 years and older received a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level and a seasonal Q HD influenza vaccine with 240 mcg HA on Day 1 followed by a single IM injection of placebo (matched to Ad26.COV2.S) on Day 29.
Group 4: Placebo + Q HD Influenza Vaccine and Ad26.COV2.S
n=46 participants at risk
Participants aged \>=65 years and older received a single IM injection of placebo (matched to Ad26.COV2.S) and a seasonal Q HD influenza vaccine with 240 mcg of HA on Day 1 followed by a single IM injection of Ad26.COV2.S at 5\*10\^10 vp dose level on Day 29.
Infections and infestations
Covid-19
11.0%
42/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
10.9%
42/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
21.3%
10/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
10.9%
5/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
Infections and infestations
Nasopharyngitis
0.79%
3/382 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
1.3%
5/384 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
4.3%
2/47 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.
6.5%
3/46 • From Day 1 (post-vaccination) to end of the study (up to 12.5 months)
The full analysis set (FAS) included all randomized participants with at least 1 documented study vaccine administration.

Additional Information

Medical Leader

Janssen Vaccines & Prevention B.V.

Phone: 844-434-4210

Results disclosure agreements

  • Principal investigator is a sponsor employee If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will with hold such publication for up to an additional 60 days.
  • Publication restrictions are in place

Restriction type: OTHER