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Quadrivalent Inactivated Influenza High Dose

Phase 2

Influenza Immunization | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: Sep 12, 2025

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment306

FDA Designations

No designations recorded

Clinical trial landscape

Quadrivalent Inactivated Influenza High Dose · 1 trial · 2 indications

Phase 2 1
NCT04969276Study of a Quadrivalent High-Dose Influenza Vaccine and a Moderna COVID-19 Vaccine Administered Either Concomitantly or Singly in Participants 65 Years of Age and Older Previously Vaccinated With a 2-dose Schedule of Moderna COVID-19 VaccineInfluenza Immunization
COMPLETED306 Analytics
PHASE2COMPLETED
Study of a Quadrivalent High-Dose Influenza Vaccine and a Moderna COVID-19 Vaccine Administered Either Concomitantly or Singly in Participants 65 Years of Age and Older Previously Vaccinated With a 2-dose Schedule of Moderna COVID-19 Vaccine
Influenza ImmunizationUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Immediate Unsolicited Adverse Events (AEs)
Within 30 minutes post vaccination

An AE was any untoward medical occurrence in a clinical study 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 prelisted in the case report form (CRF) in terms of diagnosis and onset window post-vaccination. All participants were observed for 30 minutes after vaccination, and any unsolicited AEs that occurred during that time were recorded as immediate unsolicited AEs in the CRF. Reported AEs for each arm were presented as pre-specified in the study protocol.

Number of Participants With Solicited Injection Site Reactions
Within 7 days post-vaccination

A solicited reaction (SR) was an "expected" adverse reaction (sign or symptom) observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF. Solicited injection site reactions included injection site pain, axillary swelling and tenderness, injection site erythema, injection site swelling, injection site induration, and injection site bruising. Reported AEs for each arm were presented as pre-specified in the study protocol.

Number of Participants With Solicited Systemic Reactions
Within 7 days post-vaccination

A SR was an "expected" adverse reaction (sign or symptom) observed and reported under the conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRF. Solicited systemic reactions included fever, headache, malaise, myalgia, arthralgia, shivering, fatigue, nausea and vomiting. Reported AEs for each arm were presented as pre-specified in the study protocol.

Number of Participants With Unsolicited Adverse Events
Within 21 days post-vaccination

An AE was any untoward medical occurrence in a clinical study 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 prelisted in the CRF in terms of diagnosis and/or onset window post-vaccination. Reported AEs for each arm were presented as pre-specified in the study protocol.

Number of Participants With Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESIs)
From Day 1 up to 6 months post-vaccination

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. AESIs was defined as one of scientific and medical concern specific to the sponsor's study intervention or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor was done. Reported AEs for each arm were presented as pre-specified in the study protocol.

Number of Participants With Medically Attended Adverse Events (MAAEs)
From Day 1 up to 6 months post-vaccination

A MAAE was a new onset or a worsening of a condition that prompted the participant or participant's parent/legally acceptable representative to seek unplanned medical advice at a physician's office or emergency department including medical advice seeking during the study visit or routine medical care. Reported AEs for each arm were presented as pre-specified in the study protocol.

Geometric Mean Titers (GMTs) of Influenza Vaccine and COVID-19 Vaccine Antibodies at Day 1
Day 1 (pre-vaccination)

GMTs of anti-influenza and anti-COVID-19 antibodies were measured using hemagglutination inhibition (HAI) assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata, and B/Victoria. Titers were expressed in terms of 1/dilution.

Geometric Mean Titers (GMTs) of Influenza Vaccine and COVID-19 Vaccine Antibodies at Day 22
Day 22 (post-vaccination)

GMTs of anti-influenza and anti-COVID-19 antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata, and B/Victoria. Titers were expressed in terms of 1/dilution.

Geometric Mean Titers Ratio (GMTR) of Influenza Vaccine and COVID-19 Vaccine Antibodies
Day 1 (pre-vaccination) and Day 22 (post-vaccination)

GMTs of anti-influenza and anti-COVID-19 antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata. GMTRs were calculated as the ratio of GMTs post-vaccination (on Day 22) and pre-vaccination (on Day 1) i.e., Day 22/Day 01.

Percentage of Participants With Antibody Titers Greater Than or Equal to (>=)10 (1/Dilution)
Day 1 (pre-vaccination)

Anti-influenza and anti-COVID 19 antibodies were measured using HAI assay method for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata. Percentage of participants with HAI titers \>=10 (1/dilution) are reported in the outcome measure.

Percentage of Participants Achieving Seroconversion Against Influenza and COVID-19 Virus Antigens
Day 22 (post-vaccination)

Anti-influenza and anti-COVID-19 antibodies were measured by HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata. Seroconversion was defined as either a pre-vaccination HAI titer less than (\<)10 (1/dilution) and a post-vaccination titer \>=40 (1/dilution) or a pre-vaccination titer \>=10 (1/dilution) and a \>= four-fold increase in post-vaccination titer at Day 22.

Percentage of Participants With Antibody Titers >=40 (1/Dilution)
Day 1 (pre-vaccination)

Anti-influenza and anti-COVID 19 antibodies were measured using HAI assay method for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata. Percentage of participants with HAI titers \>=40 (1/dilution) are reported in the outcome measure.

Geometric Mean Concentration (GMC) of Anti-S Binding Immunoglobulin G (IgG) Antibodies
Day 1 (pre-vaccination)

GMCs of Anti-S binding IgG antibodies were assessed using enzyme-linked immunosorbent assay (ELISA) method and were measured in binding antibody units/milliliter (BAU/mL).

Geometric Mean Concentration Ratio (GMCR) of Anti-S Binding IgG Antibodies
Day 1 (pre-vaccination) and Day 22 (post-vaccination)

GMCs of Anti-S binding IgG antibodies were assessed using ELISA method. GMCR was calculated as the ratio of GMC post-vaccination (on Day 22) and pre-vaccination (on Day 1) i.e., Day 22/Day 01.

Percentage of Participants With >=2-Fold and >=4-Fold Rise in Anti-S Binding IgG Antibodies
Day 22 (post-vaccination)

Percentage of participants with \>=2-fold and \>=4-fold rise in Anti-S binding IgG antibodies at Day 22 (post-vaccination) are reported in this outcome measure. Percentage of participants with \>=2-fold rise are those for whom the computed value at Day 22 was \*2 compared to the computed value at Day 1 and percentage of participants with \>=4-fold rise are those for whom the computed value at Day 22 was \*4 compared to the computed value at Day 1.

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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group 1: Fluzone High-Dose (HD) Quadrivalent Influenza Vaccine and COVID-19 VaccineEXPERIMENTALParticipants received an injection of 0.7 milliliters (mL), fluzone HD quadrivalent influenza vaccine, co-administered with 0.5 mL COVID-19 vaccine, intramuscularly (IM) on Day 1.
Group 2: Fluzone HD Quadrivalent Influenza VaccineACTIVE_COMPARATORParticipants received a single injection of 0.7 mL fluzone HD quadrivalent influenza vaccine, IM on Day 1.
Group 3: COVID-19 VaccineACTIVE_COMPARATORParticipants received a single injection of 0.5 mL COVID-19 mRNA Vaccine, IM on Day 1.

Interventions

NameTypeDescription
Quadrivalent Inactivated Influenza High DoseBIOLOGICALSterile suspension for injection in a pre-filled syringe Intramuscular injection
COVID-19 mRNA Vaccine (nucleoside modified)BIOLOGICALSterile suspension (white to off-white) in multidose vial Intramuscular injection
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Eligibility Criteria

Age Range65 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites6

Inclusion Criteria: * Aged greater than or equal to \>= 65 years of age on the day of inclusion. * In good health or with underlying medical condition(s) that were judged to be stable by the Investigator. A stable medical condition was defined as disease not requiring significant change in therapy ...

Countries:United States
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Frequently asked questions about Quadrivalent Inactivated Influenza High Dose

What is Quadrivalent Inactivated Influenza High Dose used for?

Quadrivalent Inactivated Influenza High Dose is used for influenza immunization in adults 65 years of age and older. It is an investigational high-dose quadrivalent influenza vaccine being studied for its ability to provide protection against influenza in this older adult population.

Who makes Quadrivalent Inactivated Influenza High Dose?

Quadrivalent Inactivated Influenza High Dose is being developed by Sanofi, a biopharmaceutical company traded on the stock exchange under the ticker symbol SNY. Sanofi is conducting clinical research to evaluate this high-dose influenza vaccine candidate.

What phase is Quadrivalent Inactivated Influenza High Dose in?

Quadrivalent Inactivated Influenza High Dose is in Phase 2 clinical development. It is an investigational vaccine and has not been approved by regulatory authorities. A Phase 2 clinical trial has been completed to evaluate its safety and immunogenicity.

What clinical trials is Quadrivalent Inactivated Influenza High Dose in?

Quadrivalent Inactivated Influenza High Dose was studied in a completed Phase 2 clinical trial registered as NCT04969276. This trial enrolled 306 participants aged 65 years and older in the United States and evaluated the vaccine when administered concomitantly or singly with a Moderna COVID-19 vaccine.

Is Quadrivalent Inactivated Influenza High Dose the same as a standard flu shot?

Quadrivalent Inactivated Influenza High Dose is a high-dose quadrivalent inactivated influenza vaccine, meaning it contains four influenza virus strains at a higher dose than standard influenza vaccines. It is specifically being studied for use in adults 65 years and older to potentially provide enhanced immune response.