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Quadrivalent RIV with H3 strain 1

Phase 1

Influenza Immunisation | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: Sep 17, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment210
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04451954Study of Recombinant Influenza Vaccine Containing Different H3 Antigens Without or With Adjuvant in Healthy Adult SubjectsPHASE1 COMPLETED 210Jul 2, 2020Sep 20, 2021Sep 17, 20255 United States
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Study Endpoints
Primary Endpoints
Number of participants with immediate adverse events
Within 30 minutes after vaccination

Immediate adverse events are unsolicited systemic adverse events reported in the 30 minutes after vaccination

Number of participants with solicited injection site or systemic reactions
From Day 0 to Day 7

Solicited injection site reactions: injection site pain, erythema, swelling, induration and bruising; solicited systemic reactions: fever, headache, malaise, and myalgia

Number of participants with unsolicited adverse events
From Day 0 to Day 28

Unsolicited (spontaneously reported) adverse events not not fulfilling criteria for solicited reactions

Number of participants with serious adverse events
From Day 0 to Day 365

Serious adverse events are collected throughout the study

Number of participants with adverse events of special interest
From Day 0 to Day 365

Adverse events of special interest are collected throughout the study

Clinical safety laboratory test results
From Day 0 to Day 7

Laboratory tests include complete blood count (CBC), platelet count, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, serum creatinine, serum lipase, and serum amylase)

HAI and SN antibody titers against influenza antigens in the quadrivalent RIV control vaccine
From Day 0 to Day 365

Influenza antibody titers are measured by HAI and SN assays

Individual HAI and SN titers ratio against influenza antigens in the quadrivalent RIV control vaccine
From Day 0 to Day 90

Titers ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, and Day 90/Day 0

Number of participants with seroconversion to influenza antigens in the quadrivalent RIV control vaccine
From Day 0 to Day 28

Seroconversion is defined as HAI antibody titer \< 10 \[1/dil\] at Day 0 and post-injection titer ≥ 40 \[1/dil\] at Day 28, or titer ≥ 10 \[1/dil\] at Day 0 and a ≥ 4-fold increase in titer \[1/dil\] at Day 28)

HAI Ab titer ≥ 40 [1/dil]
From Day 0 to Day 365

Influenza vaccine antibody titers are measured by HAI assay

2-fold and 4-fold increase in SN titers
From Day 0 to Day 28

Influenza vaccine antibody titers are measured by SN assay

Secondary Endpoints
HAI antibody titers against influenza H3 antigens not present in the vaccine formulations and the SN antibody titers against each of the H3 antigens
Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365
Individual HAI titer ratios against influenza H3 antigens not present in the vaccine formulations and individual SN titer ratio against each of the H3 antigens
From Day 0 to Day 90
Number of participants with seroconversion to influenza H3 antigens not present in the vaccine formulations
Day 0 and Day 28
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group 1: Quadrivalent RIV with H3 strain 1, without adjuvantEXPERIMENTAL1 injection of quadrivalent RIV containing H3 strain 1, without adjuvant, in participants ≥ 50 years old
Group 2: Quadrivalent RIV with H3 strain 1, with adjuvantEXPERIMENTAL1 injection of quadrivalent RIV containing H3 strain 1, with adjuvant, in participants ≥ 50 years old
Group 3: Quadrivalent RIV with H3 strain 2, without adjuvantEXPERIMENTAL1 injection of quadrivalent RIV containing H3 strain 2, without adjuvant, in participants ≥ 50 years old
Group 4: Quadrivalent RIV with H3 strain 2, with adjuvantEXPERIMENTAL1 injection of quadrivalent RIV containing H3 strain 2, with adjuvant, in participants ≥ 50 years old
Group 5: Quadrivalent RIV Control, without adjuvantACTIVE_COMPARATOR1 injection of quadrivalent RIV containing 2018-19 Northern Hemisphere (NH) recommended H3 strain, without adjuvant, in participants ≥ 50 years old
Group 6: Quadrivalent RIV Control, with adjuvantACTIVE_COMPARATOR1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, with adjuvant, in participants ≥ 50 years old
Group 7: Quadrivalent RIV Control, without adjuvantACTIVE_COMPARATOR1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, without adjuvant, in participants 18-30 years old
Interventions
NameTypeDescription
Quadrivalent RIV with H3 strain 1BIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
Quadrivalent RIV with H3 strain 1 and adjuvantBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
Quadrivalent RIV with H3 strain 2BIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
Quadrivalent RIV with H3 strain 2 and adjuvantBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
Quadrivalent RIV with 2018-2019 NH H3 strainBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
Quadrivalent RIV with 2018-2019 NH H3 strain and adjuvantBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: Intramuscular
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites5

Inclusion criteria : * Older adults: Aged 50 years and older on the day of inclusion Young adults: Aged 18 to 30 years on the day of inclusion * Informed consent form has been signed and dated * Able to attend all scheduled visits and to comply with all trial procedures Exclusion criteria: * Part...

Countries:United States
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