Clinical trial • Phase III • Infectious Disease

INFLUENZA VIRUS A/DARWIN/9/2021 SAN-010 (H3N2); INFLUENZA VIRUS B/AUSTRIA/1359417/2021-LIKE STRAIN; A/VICTORIA/4897/2022 (H1N1)PDM09-LIKE STRAIN for Influenza

Phase III trial of INFLUENZA VIRUS A/DARWIN/9/2021 SAN-010 (H3N2); INFLUENZA VIRUS B/AUSTRIA/1359417/2021-LIKE STRAIN; A/VICTORIA/4897/2022 (H1N1)PDM09-LI…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Influenza
Trial Stage
Phase III
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
14-03-2025
First CTIS Authorization Date
17-06-2025

Trial design

Randomised, efluelda (efluelda injektionssuspension; trivalent inactivated influenza vaccine; listed as 60 microgram ha per strain in product name) and influvac (influvac, suspension for injection 0.5 ml). no additional dosing schedule details for comparators stated in the summary; study assesses responses at day 29 after first vaccination and after revaccination.-controlled Phase III trial across 45 sites in Bulgaria, Estonia, Spain and others.

Randomised
Yes
Comparator
Efluelda (Efluelda Injektionssuspension; trivalent inactivated influenza vaccine; listed as 60 microgram HA per strain in product name) and Influvac (Influvac, suspension for injection 0.5 ml). No additional dosing schedule details for comparators stated in the summary; study assesses responses at Day 29 after first vaccination and after revaccination.
Target Sample Size
1193
Trial Duration For Participant
183

Eligibility

Recruits 1193 No vulnerable populations were selected for inclusion. Subjects must be adults (≥60 years) and must be willing and able to give informed consent; consent is provided by the participant (no assent procedures described). Female participants are required to be postmenopausal as specified in the inclusion criteria..

Vulnerable Population
No vulnerable populations were selected for inclusion. Subjects must be adults (≥60 years) and must be willing and able to give informed consent; consent is provided by the participant (no assent procedures described). Female participants are required to be postmenopausal as specified in the inclusion criteria.

Inclusion criteria

  • {"criterion_text":"- 1. Willing and able to give informed consent and able to adhere to all protocol-required study procedures."}
  • {"criterion_text":"- 2. Adults ≥ 60 years of age who are overall healthy in the clinical judgment of the investigator based on the medical history and clinical assessment (including physical examination, vital signs, clinical laboratory tests). Subjects may have underlying illnesses as long as their symptoms/signs are controlled. If on regular prescribed medication for a condition, the medication dose must have been stable for at least 3 months preceding study vaccination."}
  • {"criterion_text":"- 3. Female subjects must be postmenopausal, defined as female subjects with at least 1 year of absence of menstruation or follicle-stimulating hormone and luteinizing hormone values of ovarian suppression."}
  • {"criterion_text":"- 4. Ability to comply with study requirements, including the use of an application on a personal device (i.e., smartphone, tablet, etc.) or a provisioned device to record solicited events and other per-protocol required data."}

Exclusion criteria

  • {"criterion_text":"- 1. History of allergy to egg or chicken proteins, or history of any reaction or hypersensitivity to a previous dose of influenza vaccine components."}
  • {"criterion_text":"- 19. Any concurrent condition that in the opinion of the investigator would pose a health risk to the subject if enrolled or could interfere with the evaluation of the study vaccine including (but not limited to) bleeding disorder, immunodeficiency, seizure disorder, or acute or progressive hepatic, renal, neurological, neuromuscular, or psychiatric disease."}
  • {"criterion_text":"- 20. Any other reason that, in the investigator’s opinion, prohibits the inclusion of the subject into the study."}
  • {"criterion_text":"- 2. History of serious adverse reaction to any influenza vaccine."}
  • {"criterion_text":"- 3. History of Guillain-Barré syndrome."}
  • {"criterion_text":"- 4. Laboratory confirmed influenza infection or vaccination against influenza in the 6 months preceding enrollment."}
  • {"criterion_text":"- 5. Receipt of any vaccine within the preceding 4 weeks of study vaccination or planned vaccination within the 4-week period following each study vaccination."}
  • {"criterion_text":"- 7. Having fever and/or acute disease or infection on the day of the first study vaccination (enrollment can be deferred for up to 2 weeks, provided the subject remains otherwise eligible). - Fever is defined as body temperature ≥ 38.0°C (measured by oral method). - Subjects with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator."}
  • {"criterion_text":"- 8. Immunocompromising condition or immunosuppressive therapy within 6 months preceding enrollment."}
  • {"criterion_text":"- 9. Thrombocytopenia or bleeding disorder contraindicating intramuscular vaccination."}
  • {"criterion_text":"- 10. Chronic use of systemic corticosteroids at a dose ≥ 20 mg/day of prednisone or equivalent for 14 consecutive days or more, prior to the first study vaccination or planned use thereof during the study. Topical use of corticosteroids (e.g., cream, ocular drops, inhalation and intranasal sprays), within the dosage noted on the product label, is allowed."}
  • {"criterion_text":"- 11. Chronic systemic administration (defined as more than 14 days) of immunosuppressant or immune-modifying medication (such as monoclonal antibodies) for five elimination half-lives or the proposed time in Appendix 16.5, whichever is longer, prior to the first study vaccination or planned use thereof during the study."}
  • {"criterion_text":"- 6. Planned administration of any influenza vaccine (other than the study vaccine) for the entire study period."}
  • {"criterion_text":"- 12. Receipt of blood or blood products within 3 months preceding enrollment."}
  • {"criterion_text":"- 13. Being a solid organ or bone marrow/stem cell transplant recipient."}
  • {"criterion_text":"- 14. Use of cytotoxic drugs, anticancer chemotherapy, or radiation therapy within 36 months before the day of study vaccination."}
  • {"criterion_text":"- 15. Receipt of another investigational agent within 30 days prior to study vaccination, or planned use during the entire study period."}
  • {"criterion_text":"- 16. Known drug or alcohol abuse."}
  • {"criterion_text":"- 17. Planned surgery requiring a general anesthetic, or planned surgery requiring inpatient hospitalization for at least 24 hours during the entire study period."}
  • {"criterion_text":"- 18. Being an employee of the Sponsor/CRO conducting this study, personnel of the study site or placed in an institution by regulatory or legal ordinance."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Postvaccination HI GMTs for each of the three strains 28 days (Day 29) after the first vaccination.","definition_or_measurement_approach":"Measured as hemagglutination-inhibition (HI) geometric mean titers (GMTs) for each of the three strains at Day 29 after the first vaccination."}

Secondary endpoints

  • {"endpoint_text":"- 1. Postvaccination HI GMTs for each of the three strains after the revaccination.","definition_or_measurement_approach":"Measured as HI geometric mean titers (GMTs) for each of the three strains after revaccination."}
  • {"endpoint_text":"- 2. Postvaccination VN GMTs for each of the three strains after the first and the revaccination.","definition_or_measurement_approach":"Measured as virus neutralization (VN) geometric mean titers (GMTs) for each strain after first vaccination and after revaccination."}
  • {"endpoint_text":"- 3. Postvaccination HI and VN geometric mean fold increases (GMFIs) and seroconversion rates after the first and the revaccination.","definition_or_measurement_approach":"Calculated GMFIs for HI and VN assays and seroconversion rates after first vaccination and after revaccination."}
  • {"endpoint_text":"- 4. Postvaccination reverse cumulative distribution (RCD) curves for HI and VN titers for each of the three strains after the first and the revaccination.","definition_or_measurement_approach":"RCD curves generated from HI and VN titer distributions for each strain after first vaccination and revaccination."}
  • {"endpoint_text":"- 5. Postvaccination CMI values.","definition_or_measurement_approach":"Cell-mediated immunity (CMI) values measured postvaccination (assay specifics not detailed in the summary)."}
  • {"endpoint_text":"- 6. Unsolicited (i.e., spontaneously reported) AEs within 28 days following each vaccination, including SAEs, AESIs, MAEs, and NCIs.","definition_or_measurement_approach":"Collection and reporting of unsolicited adverse events during the 28-day window after each vaccination, including serious adverse events (SAEs), adverse events of special interest (AESIs), medically attended events (MAEs), and new chronic illnesses (NCIs)."}
  • {"endpoint_text":"- 7. Serious adverse events, AESIs, MAEs, and NCIs from Day 29 to Month 6 postvaccination (first vaccination only).","definition_or_measurement_approach":"Safety surveillance for SAEs, AESIs, MAEs, and NCIs from Day 29 through Month 6 after the first vaccination."}
  • {"endpoint_text":"- 8. Solicited (i.e., prelisted in subject eDiary) injection site adverse reactions and systemic adverse reactions within 7 days following each vaccination. The following adverse reactions will be assessed (injection site): erythema, swelling, induration, pain, and ecchymosis, and (systemic): fever, headache, fatigue, malaise, myalgia, arthralgia, sweating, and shivering.","definition_or_measurement_approach":"Solicited local and systemic adverse reactions recorded in subject eDiary within 7 days after each vaccination; specific solicited events listed in the endpoint."}

Recruitment

Registry Or Advocacy Recruitment
True, Fundacion De Oftalmologia Medica De La Comunitat Valenciana; Vaccinopolis
Digital Remote Recruitment
True, includes social media ads, website messages, pre-screening webforms, email reminders and SMS; eDiary/app used by participants to record solicited events.
Planned Sample Size
1193
Recruitment Window Months
14
Consent Approach
Informed consent obtained directly from each participant (participants must be willing and able to give informed consent). Subject information and informed consent forms are available in multiple language versions (documents present for English, Bulgarian, Estonian, Russian, French, Dutch and others across country packages). No assent procedures (study population is adults ≥60 years).

Methods

  • Flyers and posters (K2_Flyer, K2_Poster) in multiple language versions for local use at sites and community locations.
  • Print advertisements (K2_Print Ad) in local media.
  • Radio scripts (K2_Radio Script) for broadcast recruitment messages.
  • Patient letters and GP letters (K2_Patient Letter, K2_GP Letter) sent to potential participants or healthcare providers.
  • Phone call outreach (K2_Phone Call) and SMS reminders (K2_SMS to Potential Pt).
  • Social media campaigns and website messages (K2_Social Media, K2_Website) including pre-screening webforms (K2_Pre-Screening via webform).
  • Local site and research clinic outreach (site-specific materials such as K2_Recruit mat_FVR_FP, K2_Recruit mat_MeVac_FP).
  • Recruitment partnerships/campaigns such as Vaccinopolis materials (K2_..._Vaccinopolis) where used.

Geography

Total Number Of Sites
45
Total Number Of Participants
1193

Bulgaria

Earliest CTIS Part Ii Submission Date
30-05-2025
Latest Decision Or Authorization Date
19-06-2025
Processing Time Days
20
Number Of Sites
14
Number Of Participants
364

Sites

Site Name
Multi-Profile Hospital For Active Treatment Dr. Stamen Iliev AD
Department Name
Department of Pneumology and Phthisiology
Contact Person Name
Lidiya Nikolcheva- Todorova
Contact Person Email
dr.lidiya.nikolcheva@gmail.com
Site Name
Medical Center New Polyclinic Gabrovo Ltd.
Contact Person Name
Miroslav Stoyanov
Contact Person Email
dr.miroslav.stoyanov@gmail.com
Site Name
Medical Center Hera EOOD
Contact Person Name
Kiril Palaveev
Contact Person Email
emil.kostov@heraclinics.com
Site Name
Medical Center Hera EOOD
Contact Person Name
Lyubomir Hristov
Contact Person Email
office@heraclinics.com
Site Name
Multiprofile Hospital For Active Treatment Dr. Tota Venkova AD
Department Name
Internal Department
Contact Person Name
Krasimir Donchev
Contact Person Email
dr.krasimir.donchev@gmail.com
Site Name
Medical Centre Pratia Clinic EOOD
Contact Person Name
Mihail Kirov
Contact Person Email
dr.mihail.kirov@gmail.com
Site Name
Dcc 1 Sevlievo EOOD
Contact Person Name
Ivo Stanchev
Contact Person Email
dr.ivo.stanchev@gmail.com
Site Name
Medical Center Hera - Kyustendil EOOD
Contact Person Name
Iliana Gogeva
Contact Person Email
Iliana.gogeva@heraclinics.com
Site Name
Specialized Hospital For Active Treatment Of Pneumo-Phthisiatric Diseases Dr. Dimitar Gramatikov-Ruse
Department Name
Pulmonоlogy Department
Contact Person Name
Hristo Metev
Contact Person Email
h_metev_2003@yahoo.com
Site Name
Medical Center Excelsior OOD
Contact Person Name
Todor Popov
Contact Person Email
stalevajoana@gmail.com
Site Name
University Multiprofile Hospital For Active Treatment And Emergency Medicine N I Pirogov
Department Name
Internal Diseases Clinic
Contact Person Name
Diana Slaveva Mladenova
Contact Person Email
i.mladenova@rdservices.org
Site Name
Multiprofile Hospital For Active Treatment St Panteleimon Plovdiv Ltd.
Department Name
Internal Diseases Department
Contact Person Name
Atanas Parev
Contact Person Email
dr.atanas.parev@gmail.bg
Site Name
Asclepius Medical Center OOD
Contact Person Name
Elena Gyuzeleva
Contact Person Email
mc.asklepii2014@gmail.com
Site Name
Dcc 1 Sevlievo EOOD
Contact Person Name
Mladen Penchev
Contact Person Email
mlpenchev@gmail.com

Estonia

Earliest CTIS Part Ii Submission Date
11-06-2025
Latest Decision Or Authorization Date
25-06-2025
Processing Time Days
14
Number Of Sites
6
Number Of Participants
240

Sites

Site Name
Innomedica OÜ
Department Name
Treatment and Research Center
Contact Person Name
Jaak Talli
Contact Person Email
info@innomedica.ee
Site Name
Kliiniliste Uuringute Keskus OÜ
Department Name
Clinical Research Centre
Contact Person Name
Airi Poder
Contact Person Email
uuringud@std.ee
Site Name
Merelahe TK OÜ
Department Name
Family Doctors Centre
Contact Person Name
Riin Lanno
Contact Person Email
georg.lanno@merelahe.ee
Site Name
Tartu University Hospital
Department Name
Lung Clinic
Contact Person Name
Jogi Rain
Contact Person Email
rain.jogi@kliinikum.ee
Site Name
Center for Clinical and Basic Research AS
Department Name
Outpatient clinic
Contact Person Name
Ivo Valter
Contact Person Email
ivo.valter@globalaes.com
Site Name
Al Mare Perearstikeskus OU
Department Name
Family Doctors Centre
Contact Person Name
Kaia Kiiroja
Contact Person Email
kaia@almarearstid.ee

Spain

Earliest CTIS Part Ii Submission Date
23-05-2025
Latest Decision Or Authorization Date
23-06-2025
Processing Time Days
31
Number Of Sites
8
Number Of Participants
133

Sites

Site Name
Hospital Clinico San Carlos
Department Name
Internal Medicine
Contact Person Name
Vicente Estrada Perez
Site Name
Futuremeds Spain S.L.
Department Name
Internal Medicine
Contact Person Name
Antonio Clavo
Contact Person Email
antonio.clavo@futuremeds.com
Site Name
Fundacion De Oftalmologia Medica De La Comunitat Valenciana
Department Name
Vaccine Research
Contact Person Name
Lina Perez Bravo
Contact Person Email
lina.perez@fisabio.es
Site Name
Futuremeds Spain S.L.
Department Name
Internal Medicine
Contact Person Name
Miguel Genebat Gonzalez
Contact Person Email
miguel.genebat@futuremeds.com
Site Name
Hospital Quironsalud Barcelona
Department Name
Internal Medicine
Contact Person Name
Fernando Cereto Castro
Contact Person Email
fernando.cereto@quironsalud.es
Site Name
Hospital Universitario Hm Torrelodones
Department Name
Vaccine Research
Contact Person Name
Silvina Laura Natalini Martinez
Contact Person Email
slnatalini@hmhospitales.com
Site Name
Futuremeds Spain S.L.
Department Name
Internal Medicine
Contact Person Name
Ana Maria Moreno Collado
Contact Person Email
ana.moreno@futuremeds.com
Site Name
Hospital Universitario La Paz
Department Name
Clinical Pharmacology, Clinical Trials Unit
Contact Person Name
Alicia Marin Candon
Contact Person Email
amcandon@salud.madrid.org

Finland

Earliest CTIS Part Ii Submission Date
20-05-2025
Latest Decision Or Authorization Date
27-06-2025
Processing Time Days
38
Number Of Sites
11
Number Of Participants
276

Sites

Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Järvenpää vaccine research clinic
Contact Person Name
Miia Virta
Contact Person Email
miia.virta@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Tampere vaccine research clinic
Contact Person Name
Oskari Pitkänen
Contact Person Email
oskari.pitkanen@fvr.fi
Site Name
Suomen Terveystalo Oy
Department Name
Turku
Contact Person Name
Niklas Lindblad
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Seinäjoki vaccine research clinic
Contact Person Name
Hilkka Liitsola
Contact Person Email
hilkka.liitsola@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Kokkola vaccine research clinic
Contact Person Name
Pauliina Paavola
Contact Person Email
pauliina.paavola@fvr.fi
Site Name
HUS-Yhtymae
Department Name
Meilahti Vaccine Research Center MeVac
Contact Person Name
Anu Kantele
Contact Person Email
anu.kantele@hus.fi
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Oulu vaccine research clinic
Contact Person Name
Satu Kokko
Contact Person Email
satu.kokko@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Turku vaccine research clinic
Contact Person Name
Ulpu Elonsalo
Contact Person Email
ulpu.elonsalo@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Helsinki vaccine research clinic
Contact Person Name
Ulpu Elonsalo
Contact Person Email
ulpu.elonsalo@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy
Department Name
FVR Espoo vaccine research clinic
Contact Person Name
Benita Ukkonen
Contact Person Email
benita.ukkonen@fvr.fi
Site Name
Suomen Terveystalo Oy
Department Name
Jyväskylä
Contact Person Name
Jussi Ojanperä
Contact Person Email
jussi.ojanpera@terveystalo.com

Belgium

Earliest CTIS Part Ii Submission Date
21-05-2025
Latest Decision Or Authorization Date
18-07-2025
Processing Time Days
58
Number Of Sites
6
Number Of Participants
180

Sites

Site Name
Pneumocare
Department Name
Pulmonology
Contact Person Name
Jean-Benoît Martinot
Contact Person Email
martinot.j@respisom.be
Site Name
Jan Yperman Ziekenhuis
Department Name
Nephrology, Infectious Diseases and General Internal Medicine
Contact Person Name
Wim Terryn
Contact Person Email
Wim.terryn@yperman.net
Site Name
Ziekenhuis Oost Limburg
Department Name
Cardiology
Contact Person Name
David Verhaert
Contact Person Email
David.verhaert@zol.be
Site Name
Emmaues
Department Name
Pulmonology
Contact Person Name
Muriel Lins
Contact Person Email
muriel.lins@emmaus.be
Site Name
University Of Antwerp
Department Name
Centre of Evaluation of Vaccination
Contact Person Name
Ilse De Coster
Contact Person Email
Ilse.decoster@uantwerpen.be
Site Name
Universitair Ziekenhuis Gent
Department Name
Center for Vaccinology (CEVAC)
Contact Person Name
Isabel Leroux-Roels
Contact Person Email
isabel.lerouxroels@uzgent.be

Sponsor

Primary sponsor

Full Name
Abbott Biologicals B.V.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Netherlands

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
Operational sponsor duties including site identification, CDA analysis, pharmacovigilance and other sponsor duties (codes reported in dataset)

Third parties

  • {"country":"United Kingdom","full_name":"MESM Ltd","duties_or_roles":"Ancillary supplies","organisation_type":"Industry"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Sponsor duties codes: 1,10,11,12,15 (Site identification, CDA analysis, pharmacovigilance),5,6,8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient reimbursement + payments","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Italy","full_name":"Vismederi S.r.l.","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
Trivalent Influenza Vaccine - High Dose (TIV-HD)
Active Substance
INFLUENZA VIRUS A/DARWIN/9/2021 SAN-010 (H3N2); INFLUENZA VIRUS B/AUSTRIA/1359417/2021-LIKE STRAIN; A/VICTORIA/4897/2022 (H1N1)PDM09-LIKE STRAIN
Modality
Vaccine
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Authorisation Status
Not authorised (prodAuthStatus=1 indicated in dataset)
Starting Dose
180 µg (maxTotalDoseAmount: 180 µg total)
Frequency
Single vaccination (study assesses first vaccination and revaccination)
Maximum Dose
180 µg
Investigational Product Name
Influvac, suspensie voor injectie 0,5 ml (Influvac)
Active Substance
INFLUENZA VIRUS B/AUSTRIA/1359417/2021-LIKE STRAIN; A/VICTORIA/4897/2022 (H1N1)PDM09-LIKE STRAIN; INFLUENZA A VIRUS/THAILAND/8/2022 (H3N2)-LIKE STRAIN (inactivated)
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
Intramuscular injection
Authorisation Status
Authorized (prodAuthStatus=2 indicated in dataset)
Starting Dose
45 µg (maxTotalDoseAmount: 45 µg total)
Frequency
Single vaccination (as comparator)
Maximum Dose
45 µg
Investigational Product Name
Efluelda Injektionssuspension in einer Fertigspritze
Active Substance
INFLUENZA VIRUS A/DARWIN/9/2021 SAN-010 (H3N2); INFLUENZA VIRUS B/MICHIGAN/01/2021; INFLUENZA A/VICTORIA/4897/2022 IVR-238 (H1N1), INACTIVATED
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
Intramuscular injection
Authorisation Status
Authorized (prodAuthStatus=2 indicated in dataset)
Starting Dose
180 µg total (product described as 60 microgram HA per strain -> total 180 µg)
Frequency
Single vaccination (as comparator)
Maximum Dose
180 µg

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