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.
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
- Type of treatment
- Vaccines, Injection or infusion
- 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
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
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
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.
- Conditions
- Influenza Immunization
- 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 group | Role | What they receive |
|---|---|---|
| Group 9 to 17 years old | Experimental | Participants 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 old | Experimental | Participants 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.
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
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)
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
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
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
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
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)
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)
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)
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.
- First posted23 Aug 2022
- Study start27 Oct 2022
- Primary completion27 Oct 2023
- Study completion27 Oct 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Influenza ImmunizationStudies of the same condition, open and under way.
- More trials run by Sanofi Pasteur, a Sanofi CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Sanofi Pasteur, a Sanofi Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi Pasteur, a Sanofi Company
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 9 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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.
- ClinicalTrials.gov ID
- NCT05513053
- Acronym / sponsor ID
- VAP00027
- Conditions
- Influenza Immunization
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,308 participants (actual)
- Lead sponsor
- Sanofi Pasteur, a Sanofi CompanyIndustry (pharma, biotech, devices)
- Study start
- 27 Oct 2022 (actual)
- Primary completion
- 27 Oct 2023 (actual)
- Study completion
- 27 Oct 2023 (actual)
- First posted
- 23 Aug 2022 (actual)
- Results
- Posted 30 May 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
The participation duration was approximately 6 months for each participant.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 9 to 17 years old | Experimental | Biological: Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NHParticipants of 9 to 17 years old who received RIV4 single intramuscular (IM) injection at D01 |
| Group 18 to 49 years old | Experimental | Biological: Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NHParticipants of 18 to 49 years old who received RIV4 single intramuscular (IM) injection at D01 |
Who may qualify
- Ages
- 9 to 49 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (6 listed)
- 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)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NHAlso: Supemtek / Flublok QuadrivalentPharmaceutical form: Solution for injection Route of administration: intramuscular | Biological | Group 18 to 49 years old, Group 9 to 17 years old |
Primary outcome
Geometric Mean Titers (GMTs) Against Influenza Vaccine Antibodies at Day 29
Time frame: 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.
Percentage of Participants With Seroconversion for Influenza Vaccine Antibodies at Day 29
Time frame: 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.
8 secondary outcomes
GMTs Against Influenza Vaccine Antibodies at Day 1
Time frame: Pre-vaccination on Day 1
Percentage of Participants With Detectable HAI Titers >=10 and >=40 for Influenza Vaccine Antibodies at Days 1 and 29
Time frame: On Days 1 and 29
Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine Antibodies
Time frame: On Days 1 and 29
Number of Participants With Immediate Unsolicited Adverse Events (AEs)
Time frame: Within 30 minutes post-vaccination on Day 1
Number of Participants With Solicited Injection Site Reactions and Systemic Reactions
Time frame: From Day 1 up to 7 days post-vaccination (up to Day 8)
Number of Participants With Unsolicited AEs
Time frame: From Day 1 up to 28 days post-vaccination (up to Day 29)
Number of Participants With Medically Attended Adverse Events (MAAEs)
Time frame: From Day 1 up to 28 days post-vaccination (up to Day 29)
Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)
Time frame: From Day 1 up to 6 months post-vaccination, 181 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40412421Folegatti 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.
- VAP00027 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi Pasteur, a Sanofi Company
35 sites in 4 countries: see every site and its status.
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.