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Influenza ImmunizationPhase 3NCT05513053

Study With Quadrivalent Recombinant Influenza Vaccine (RIV4) in Participants 9 Through 49 Years of Age.

A Phase 3 study testing Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH in people with Influenza Immunization, run by Sanofi Pasteur, a Sanofi Company at 35 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to demonstrate the non-inferiority (NI) of the HAI immune response of RIV4 in participants aged 9 to 17 years vs participants aged 18 to 49 years and to describe the immunogenicity and safety profile of RIV4 in all participants. Read more about this study

Who is it for?
Ages 9 to 49 yearsHealthy volunteers can take part
Conditions the study is for
Influenza Immunization
What is being tested?
Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,308 participants
Where
35 sitesin 4 countries
Study dates
27 Oct 2022to 27 Oct 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 9 to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Aged 9 to 49 years on the day of inclusion
  • A female participant was eligible to participate if she was not pregnant or breastfeeding and one of the following conditions applies: 1) was of non-childbearing potential. To be considered of non-childbearing potential, a female should have been pre-menarche, post-menopausal for at least 1 year, or surgically sterile OR 2) was of childbearing potential and agreed to use an effective contraceptive method or abstinence from at least 4 weeks prior to the first study intervention administration until at least 4 weeks after the last study intervention administration
  • Assent form or informed consent form had been signed and dated by the participant (based on local regulations), and if applicable informed consent form had been signed and dated by the parent(s) or another legally acceptable representative

Who cannot join

  • Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances
  • Thrombocytopenia
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination based on the Investigator's judgment
  • Personal or family history of Guillain-Barre Syndrome (GBS)
  • Personal history of clinically significant development delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder NOTE: The above information was not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

35 sites in 4 countries.

35 sites in 4 countries

United States21 sites
  • Benchmark Research - Austin Site Number : 8400004

    Austin, Texas, 78705

  • Kentucky Pediatics / Adult Research Site Number : 8400010

    Bardstown, Kentucky, 40004

  • Rainbow Pediatrics Site Number : 8400014

    Barnwell, South Carolina, 29812

  • Meridian Clinical Research Site Number : 8400006

    Binghamton, New York, 13905

  • Alabama Clinical Therapeutics North Tower Site Number : 8400024

    Birmingham, Alabama, 35205

  • Birmingham Pediatric Associates Site Number : 8400023

    Birmingham, Alabama, 35205

  • Coastal Pediatric Research Charleston Site Number : 8400005

    Charleston, South Carolina, 29414

  • Ohio Pediatric Research Site Number : 8400020

    Dayton, Ohio, 45414

  • The Children's Clinic Of Jonesboro PA Site Number : 8400025

    Jonesboro, Arkansas, 72401

  • Velocity Clinical Research Lincoln Site Number : 8400013

    Lincoln, Nebraska, 68510

  • Velocity Clinical Research Site Number : 8400012

    New Orleans, Louisiana, 70119

  • AMR - Newton Site Number : 8400021

    Newton, Kansas, 67114

  • Meridian Clinical Research Norfolk Site Number : 8400011

    Norfolk, Nebraska, 68701

  • Coastal Carolina Research Center - N Charleston Site Number : 8400022

    North Charleston, South Carolina, 29405

  • Velocity Clinical Research, Omaha Site Number : 8400009

    Omaha, Nebraska, 68134

  • Velocity Clinical Research Portsmouth Site Number : 8400015

    Portsmouth, Virginia, 23703

  • JBR Clinical Research Site Number : 8400001

    Salt Lake City, Utah, 84107

  • J. Lewis Research Site Number : 8400017

    Salt Lake City, Utah, 84109

  • California Research Foundation Site Number : 8400003

    San Diego, California, 92123-1881

  • Meridian Clinical Research- Sioux City Site Number : 8400007

    Sioux City, Iowa, 51106

  • Velocity Clinical Research Vestal Site Number : 8400016

    Vestal, New York, 13850

Other trials in United States

Poland8 sites
  • Investigational Site Number : 6160010

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-048

  • Investigational Site Number : 6160007

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-079

  • Investigational Site Number : 6160003

    Bydgoszcz, 85-796

  • Investigational Site Number : 6160004

    PuÅ'awy, Lubusz Voivodeship, 24-100

  • Investigational Site Number : 6160005

    Siemianowice Śląskie, Silesian Voivodeship, 41-103

  • Investigational Site Number : 6160006

    Tarnów, 33-100

  • Investigational Site Number : 6160008

    Warsaw, 02-637

  • Investigational Site Number : 6160012

    Wroclaw, 53-149

Other trials in Poland

Spain5 sites
  • Investigational Site Number : 7240006

    Centelles, Barcelona [Barcelona], 08540

  • Investigational Site Number : 7240018

    Madrid, 28660

  • Investigational Site Number : 7240005

    Málaga, 29015

  • Investigational Site Number : 7240001

    Móstoles, 28938

  • Investigational Site Number : 7240007

    Seville, 41014

Other trials in Spain

Czechia1 site
  • Investigational Site Number : 2030001

    Jindřichův Hradec, 37701

Other trials in Czechia

About this study

Official title: Immunogenicity and Safety of Quadrivalent Recombinant Influenza Vaccine (RIV4) in Children and Adolescents Aged 9 to 17 Years and Adults Aged 18 to 49 Years.

The purpose of this study was to demonstrate the non-inferiority (NI) of the HAI immune response of RIV4 in participants aged 9 to 17 years vs participants aged 18 to 49 years and to describe the immunogenicity and safety profile of RIV4 in all participants.

Read the detailed description

The participation duration was approximately 6 months for each participant.

Being tested
Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NHBiological

    Also called Supemtek / Flublok Quadrivalent

    Pharmaceutical form: Solution for injection Route of administration: intramuscular

Study groups in NCT05513053
Study groupRoleWhat they receive
Group 9 to 17 years oldExperimentalParticipants of 9 to 17 years old who received RIV4 single intramuscular (IM) injection at D01
Receives: Biological: Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH
Group 18 to 49 years oldExperimentalParticipants of 18 to 49 years old who received RIV4 single intramuscular (IM) injection at D01
Receives: Biological: Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Geometric Mean Titers (GMTs) Against Influenza Vaccine Antibodies at Day 29

    GMTs of anti-influenza antibodies were measured using individual hemagglutination inhibition (HAI) assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages.

    Measured: Day 29

  2. Percentage of Participants With Seroconversion for Influenza Vaccine Antibodies at Day 29

    Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages. Seroconversion was defined as either a pre-vaccination titer less than (<) 1:10 (1/dilution) at Day 1 and a post-vaccination titer greater than or equal to (>=) 1: 40 (1/dilution) at Day 29 or a pre-vaccination titer >= 1:10 at Day 1 and a >= 4-fold increase in post-vaccination titer.

    Measured: Day 29

Secondary outcomes (8)
  1. GMTs Against Influenza Vaccine Antibodies at Day 1

    GMTs of anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages.

    Measured: Pre-vaccination on Day 1

  2. Percentage of Participants With Detectable HAI Titers >=10 and >=40 for Influenza Vaccine Antibodies at Days 1 and 29

    Antibody titers were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages. Percentage of participants with antibody titers >=10 and >=40 against influenza vaccine antibodies at Day 1 and Day 29 were reported in this outcome measure.

    Measured: On Days 1 and 29

  3. Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine Antibodies

    GMTR was the ratio of the individual titers post-vaccination over pre-vaccination. The GMTs were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages.

    Measured: On Days 1 and 29

  4. Number of Participants With Immediate Unsolicited Adverse Events (AEs)

    An AE was any untoward medical occurrence in a clinical investigation participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, that is, prelisted in the CRF in terms of diagnosis and/or onset window post-vaccination. All participants were observed for 30 minutes after vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs.

    Measured: Within 30 minutes post-vaccination on Day 1

  5. Number of Participants With Solicited Injection Site Reactions and Systemic Reactions

    A solicited reaction was an expected adverse reaction (sign or symptom) observed and reported under the conditions (nature and onset) prelisted in the protocol and CRF and considered as related to the study intervention administered. An injection site reaction was an AR at and around the injection site and were commonly inflammatory reactions. Solicited systemic reactions were systemic AEs and those occurring during the specified collection period were always considered related to the intervention even if there was evidence of alternative etiology.

    Measured: From Day 1 up to 7 days post-vaccination (up to Day 8)

  6. Number of Participants With Unsolicited AEs

    An AE was any untoward medical occurrence in a clinical investigation participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, that is, prelisted in the CRF in terms of diagnosis and/or onset window post-vaccination.

    Measured: From Day 1 up to 28 days post-vaccination (up to Day 29)

  7. Number of Participants With Medically Attended Adverse Events (MAAEs)

    An MAAE was a new onset or a worsening of a condition that prompted the participant or participant's parent/guardian to seek unplanned medical advice at a physician's office or emergency department.

    Measured: From Day 1 up to 28 days post-vaccination (up to Day 29)

  8. Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)

    An SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event. An AESI was defined as one of scientific and medical concern specific to the Sponsor's study intervention, events for which ongoing monitoring and rapid communication by the investigator to the sponsor was done.

    Measured: From Day 1 up to 6 months post-vaccination, 181 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Aug 2022
  2. Study start27 Oct 2022
  3. Primary completion27 Oct 2023
  4. Study completion27 Oct 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,308 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05513053
Sponsor's protocol ID
VAP00027
Other IDs
U1111-1260-4678, VAP00027, 2022-000577-11
Status last verified
Sep 2025
First submitted
22 Aug 2022
Last updated
9 Sep 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Folegatti PM, Pepin S, Tabar C, Fries K, Talanova O, See S, Essink B, Bertoch T, Drazan D, Natalini Martinez S, Konieczny M, Kaas-Leach K, De Bruijn I. Comparative assessment of immunogenicity and safety of recombinant influenza vaccine in children, adolescents, and adults: results from a phase 3, immunobridging, open-label, non-randomised study. Lancet Infect Dis. 2025 Oct;25(10):1097-1105. doi: 10.1016/S1473-3099(25)00153-7. Epub 2025 May 21.

    PubMed 40412421

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH in people with Influenza Immunization, run by Sanofi Pasteur, a Sanofi Company at 35 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, Poland, Spain, Czechia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Geometric Mean Titers (GMTs) Against Influenza Vaccine Antibodies at Day 29 (time frame: Day 29). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05513053, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2025.

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