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Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) PreventionPhase 3EngageNCT06134804

A Study of 9-valent Extraintestinal Pathogenic Escherichia Coli Vaccine (ExPEC9V) and High-dose Quadrivalent Influenza Vaccine, With and Without Co-administration, in Adults Aged 65 Years or Older

A Phase 3 study testing ExPEC9V and HD quadrivalent influenza vaccine in people with Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) Prevention, run by Janssen Research & Development, LLC at 41 sites in 4 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to show that high-dose quadrivalent seasonal influenza vaccine (HD QIV) given together with 9-valent extraintestinal pathogenic Escherichia coli vaccine (ExPEC9V) does not induce lower antibody response against each of the 4 influenza vaccine strains, as compared to HD QIV given alone and… Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
What is being tested?
ExPEC9V and HD quadrivalent influenza vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
959 participants
Where
41 sitesin 4 countries
Study dates
24 Oct 2023to 26 Jul 2024
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 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Must be medically stable at the time of vaccination such that, according to the judgment of the investigator, hospitalization within the study period is not anticipated and the participant appears likely to be able to remain on study through the end of protocol specified follow-up. A stable medical condition is defined as disease not requiring significant change in therapy during the 6 weeks before enrollment and when hospitalization for worsening of the disease is not anticipated. Participants will be included on the basis of physical examination, medical history, and vital signs performed between informed consent form (ICF) signature and vaccination
  • Participant must be: a) postmenopausal (postmenopausal state is defined as no menses for 12 months without an alternative medical cause); and b) not intending to conceive by any methods
  • Must sign an ICF indicating that the participant understands the purpose, procedures and potential risks and benefits of the study, and is willing to participate in the study
  • Willing and able to adhere to the lifestyle restrictions specified in this protocol
  • Agrees to not donate blood from the time of vaccination until 3 months after receiving the last dose of study vaccine

Who cannot join

  • History of an underlying clinically significant acute or uncontrolled chronic medical condition or significant cognitive impairment or physical examination findings for which, in the opinion of the investigator, participation would not be in the best interest of the participant (for example, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments
  • Known or suspected allergy or history of severe allergic reaction, anaphylaxis, or other serious adverse reactions to vaccines or vaccine excipients
  • History of severe allergic reactions (for example anaphylaxis) to any component of the high-dose (HD) quadrivalent seasonal influenza vaccine, including egg protein, or following a previous dose of any influenza vaccine
  • Has had major surgery (per the investigator's judgment) within 4 weeks before administration of the first study vaccine or will not have recovered from surgery per the investigator's judgment at time of vaccination
  • History of acute polyneuropathy (for example, Guillain-Barré syndrome) or chronic inflammatory demyelinating polyneuropathy

Trial locations and contacts

41 sites in 4 countries.

41 sites in 4 countries

United States24 sites
  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30331

  • Benchmark Clinical Research - Austin

    Austin, Texas, 78705

  • Optimal Research

    Austin, Texas, 78744

  • Tekton Research Inc.

    Beaumont, Texas, 77706

  • Synexus Clinical Research US Inc

    Chicago, Illinois, 60602

  • CTI Clinical Trial and Consulting Services

    Cincinnati, Ohio, 45212

  • Velocity Clinical Research

    Cleveland, Ohio, 44122

  • Synexus Clinical Research US Inc

    Creve Coeur, Missouri, 63141

  • Velocity Clinical Research

    East Greenwich, Rhode Island, 02818

  • Synexus Radiant Research, Inc

    Evansville, Indiana, 47714

  • Medical Affiliated Research Center Inc. (MARC)

    Huntsville, Alabama, 35801

  • Alliance for Multispeciality Research

    Knoxville, Tennessee, 37909

  • Alliance for Multispeciality Research

    Lexington, Kentucky, 40509

  • Optimal Research

    Melbourne, Florida, 32934

  • Pharmax Research Clinic Inc

    Miami, Florida, 33126

  • Suncoast Research Associates, LLC

    Miami, Florida, 33173

  • Alliance for Multispeciality Research

    Mobile, Alabama, 36608

  • Heartland Research Associates, LLC

    Newton, Kansas, 67114

  • Optimal Research

    Peoria, Illinois, 61614

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • Velocity Clinical Research

    Savannah, Georgia, 31406

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • Heartland Research Associates, an AMR Company

    Wichita, Kansas, 67207

  • Accellacare

    Wilmington, North Carolina, 28401

Other trials in United States

Poland11 sites
  • Synexus Polska Sp. z o.o. Oddzial w Gdansku

    Gdansk, 80 382

  • PUNKT ZDROWIA Hlebowicz Jakubowski Lekarze sp.p.

    Gdansk, 80405

  • Synexus Polska Sp. z o.o. Oddzial w Gdynia

    Gdynia, 81 537

  • Synexus Polska Sp z o o Oddzial w Katowicach

    Katowice, 40 040

  • Pratia MCM Krakow

    Krakow, 30 727

  • Velocity Lublin

    Lublin, 20 362

  • Velocity Staszow

    Staszów, 28 200

  • MICS Centrum Medyczne Torun

    Torun, 87-100

  • MICS Centrum Medyczne Warszawa

    Warsaw, 00 874

  • Synexus Polska Sp z o o Oddzial w Warszawie

    Warsaw, 02 672

  • Synexus Polska Sp z o o Oddzial we Wroclawiu

    Wroclaw, 50 381

Other trials in Poland

Belgium3 sites
  • Universiteit Antwerpen - Centrum voor de Evaluatie van Vaccinaties (CEV)

    Edegem, 2650

  • Center for Vaccinology (CEVAC)

    Ghent, 9000

  • Az Sint-Maarten

    Mechelen, 2800

Other trials in Belgium

Canada3 sites
  • Aggarwal and associates Ltd

    Brampton, Ontario, L6T 0G1

  • Centricity Research- Manna Research (MR) - Quebec Location

    Lévis, Quebec, G6W 0M5

  • Milestone Research

    London, Ontario, N5W 6A2

Other trials in Canada

About this study

Official title: A Phase 3 Randomized Double-blind Controlled Study to Evaluate the Immunogenicity, Safety, and Reactogenicity of ExPEC9V and High-dose Quadrivalent Influenza Vaccine, With and Without Co-administration, in Adults Aged 65 Years or Older

The purpose of this study is to show that high-dose quadrivalent seasonal influenza vaccine (HD QIV) given together with 9-valent extraintestinal pathogenic Escherichia coli vaccine (ExPEC9V) does not induce lower antibody response against each of the 4 influenza vaccine strains, as compared to HD QIV given alone and further show that ExPEC9V given together with HD QIV does not induce lower antibody response against each of the vaccine O-serotype antigens, as compared to ExPEC9V given alone.

Being tested
ExPEC9V, Placebo, HD quadrivalent influenza vaccine

What participants receive

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

  • ExPEC9VBiological

    Also called VAC52416; JNJ-78901563

    ExPEC9V will be administered as an IM injection.

  • PlaceboBiological

    Placebo will be administered as an IM injection.

  • HD quadrivalent influenza vaccineBiological

    HD quadrivalent influenza vaccine will be administered as IM injection.

Study groups in NCT06134804
Study groupRoleWhat they receive
Group 1: Coadministration (CoAd) GroupExperimentalParticipants will receive intramuscular (IM) injection of 9-valent extraintestinal pathogenic Escherichia coli vaccine (ExPEC9V) along with high-dose (HD) quadrivalent influenza vaccine, concomitantly, on Day 1 and placebo on Day 30.
Receives: Biological: ExPEC9V; Biological: Placebo; Biological: HD quadrivalent influenza vaccine
Group 2: Control GroupExperimentalParticipants will receive IM injection of matching placebo along with HD quadrivalent influenza vaccine, concomitantly, on Day 1 and ExPEC9V on Day 30.
Receives: Biological: ExPEC9V; Biological: Placebo; Biological: HD quadrivalent influenza vaccine

What is being measured

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

  1. Hemagglutination Inhibition (HI) Antibody Titers Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of High-Dose (HD) Quadrivalent Seasonal Influenza Vaccine

    HI antibody titers against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza vaccine strains 29 days after the administration of HD quadrivalent seasonal influenza vaccine as measured by HI assay were reported.

    Measured: 29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)

  2. Antibody Titers to Vaccine O-serotype Antigens as Determined by Multiplex Electrochemiluminescent (ECL)-Based Immunoassay 29 Days After Administration of ExPEC9V

    Antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) as determined by ECL based Immunoassay 29 days after administration of ExPEC9V on Day 1 in CoAd group and on Day 30 in Control group were reported.

    Measured: CoAd Group: 29 days after the administration of ExPEC9V on Day 1 (Day 30); Control Group: 29 days after the administration of ExPEC9V on Day 30 (Day 59)

Secondary outcomes (14)
  1. Percentage of Participants With Seroconversion Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of HD Quadrivalent Seasonal Influenza Vaccine

    Seroconversion was defined for each of the 4 influenza vaccine strains as 1) HI titer greater than or equal to (>=) 1:40 in participants with a pre-vaccination HI titer of less than (<) 1:10, or 2) a >=4-fold HI titer increase in participants with a pre-vaccination HI titer of >=1:10.

    Measured: 29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)

  2. Percentage of Participants With Seroprotection Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of HD Quadrivalent Seasonal Influenza Vaccine

    Seroprotection was defined for each of the 4 influenza vaccine strains as HI titer >=1:40 at 29 days after the administration of a HD quadrivalent seasonal influenza vaccine.

    Measured: 29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)

  3. Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) for 14 Days After Each Vaccination

    An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccination. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) events for which participants were to be specifically questioned and which were noted by participants in their participant diary for 14 days post vaccination (day of vaccination and the subsequent 14 days). Solicited local AEs were injection site pain or tenderness, erythema and swelling at the study vaccine injection site.

    Measured: Up to 14 days post-vaccination 1 on Day 1 (Day 1 up to Day 15) and up to 14 days post-vaccination 2 on Day 30 (Day 30 up to Day 44)

  4. Percentage of Participants With Solicited Systemic AEs for 14 Days After Each Vaccination

    An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccination. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine and were pre-defined systemic events for which participants were to be specifically questioned and which were noted by participants in their participant diary for 14 days post vaccination (day of vaccination and the subsequent 14 days). Solicited systemic AEs included fever (body temperature >=100.4 degree Fahrenheit), fatigue, headache, nausea, myalgia, and fever.

    Measured: Up to 14 days post-vaccination 1 on Day 1 (Day 1 up to Day 15) and up to 14 days post-vaccination 2 on Day 30 (Day 30 up to Day 44)

  5. Percentage of Participants With Unsolicited AEs for 29 Days After Each Vaccination

    Percentage of participants with unsolicited AEs for 29 days after each vaccination was reported. An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccination. Unsolicited AEs were all AEs for which the participant was not specifically questioned in the participant diary.

    Measured: Up to 29 days post-vaccination 1 on Day 1 (Day 1 up to Day 30) and up to 29 days post-vaccination 2 on Day 30 (Day 30 up to Day 59)

  6. Percentage of Participants With Medically-attended Adverse Events (MAAEs) From Vaccination 1 Until 6 Months After Vaccination 2

    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. An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccination.

    Measured: From vaccination 1 on Day 1 up to 6 months after vaccination 2 on Day 30 (up to Day 210)

  7. Percentage of Participants With Serious Adverse Events (SAEs) From Vaccination 1 Until 6 Months After Vaccination 2

    Percentage of participants with SAEs from vaccination 1 to until 6 months after vaccination 2 was reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: 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.

    Measured: From vaccination 1 on Day 1 up to 6 months after vaccination 2 on Day 30 (up to Day 210)

  8. Geometric Mean Titers of O-serotype Antigens and EPA as Determined by Multiplex ECL-based Immunoassay

    Antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) and EPA as determined by multiplex ECL-based immunoassay were reported.

    Measured: CoAd Group: Day 1 (Day of ExPEC9V vaccination), Day 30 (29 days after ExPEC9V vaccination), Day 59 (58 days after ExPEC9V vaccination); Control Group: Day 30 (Day of ExPEC9V vaccination), Day 59 (29 days after ExPEC9V vaccination)

  9. CoAd Group: Opsonophagocytic Geometric Mean Titers of O-serotype Antigens as Determined by Multiplex Opsonophagocytic Killing Assay (MOPA)

    Opsonophagocytic antibody titers to vaccine O-serotype antigens O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75 as determined by MOPA were reported.

    Measured: 29 days after the administration of ExPEC9V vaccine on Day 1 (Day 30)

  10. Control Group: Opsonophagocytic Geometric Mean Titers of O-serotype Antigens as Determined by Multiplex Opsonophagocytic Killing Assay (MOPA)

    Opsonophagocytic antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) as determined by MOPA were reported.

    Measured: 29 days after the administration of ExPEC9V vaccine on Day 30 (Day 59)

  11. CoAd Group: Antibody Titers to Vaccine O-serotype Antigens in Participants With and Without History of Urinary Tract Infection (UTI) at Enrollment as Determined by Multiplex ECL-based Immunoassay

    Antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) in participants with and without history of UTI at enrollment as determined by multiplex ECL-based immunoassay were reported.

    Measured: 29 days after the administration of ExPEC9V on Day 1 (Day 30)

  12. Control Group: Antibody Titers to Vaccine O-serotype Antigens in Participants With and Without History of UTI at Enrollment as Determined by Multiplex ECL-based Immunoassay

    Antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) in participants with and without history of UTI at enrollment as determined by multiplex ECL-based immunoassay were reported.

    Measured: 29 days after the administration of ExPEC9V on Day 30 (Day 59)

  13. CoAd Group: Opsonophagocytic Antibody Titers to Vaccine O-serotype Antigens in Participants With and Without History of UTI at Enrollment as Determined by Multiplex Opsonophagocytic Killing Assay (MOPA)

    Opsonophagocytic antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) in participants with and without history of UTI at enrollment as determined by MOPA were reported.

    Measured: 29 days after the administration of ExPEC9V on Day 1 (Day 30)

  14. Control Group: Opsonophagocytic Antibody Titers to Vaccine O-serotype Antigens in Participants With and Without History of UTI at Enrollment as Determined by Multiplex Opsonophagocytic Killing Assay (MOPA)

    Opsonophagocytic antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) in participants with and without history of UTI at enrollment as determined by MOPA were reported.

    Measured: 29 days after the administration of ExPEC9V on Day 30 (Day 59)

Timeline

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

  1. First posted18 Nov 2023
  2. Study start24 Oct 2023
  3. Primary completion19 Feb 2024
  4. Study completion26 Jul 2024

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
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
959 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06134804
Sponsor's protocol ID
CR109338
Other IDs
2023-504168-40-00, VAC52416BAC3002, 2023
Acronym
Engage
Status last verified
Mar 2026
First submitted
13 Nov 2023
Last updated
3 Apr 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ExPEC9V and HD quadrivalent influenza vaccine in people with Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) Prevention, run by Janssen Research & Development, LLC at 41 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 5 inclusion and 5 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 3 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in United States, Poland, Belgium, Canada. 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 3 Apr 2026). 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?

Hemagglutination Inhibition (HI) Antibody Titers Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of High-Dose (HD) Quadrivalent Seasonal Influenza Vaccine (time frame: 29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)). 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?
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 3 Apr 2026.

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