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RIV

Phase 2

COVID-19 Immunization | Vaccine | Infectious Disease |Sanofi|Trials Updated: May 5, 2026

RIV development status

Highest phase Phase 2 run by Pfizer (NCT06237049)
Phase scored for SNYPhase 1
Registered trials 1 across 1 sponsor since Feb 2024

RIV target and mechanism

ModalityVaccine

Also known as RIV (recombinant influenza vaccine)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment980

FDA Designations

No designations recorded

RIV clinical trials

RIV · 1 trial · 2 indications

Phase 1 1
NCT06695130Study of a Combination Vaccine Comprised of Different Recombinant Spike Antigen Levels of a Matrix-M Adjuvanted Recombinant COVID-19 Vaccine and Recombinant Influenza Vaccine in Adult Participants 50 Years of Age and OlderCOVID-19 Immunization
COMPLETED980 Analytics
PHASE1COMPLETED
Study of a Combination Vaccine Comprised of Different Recombinant Spike Antigen Levels of a Matrix-M Adjuvanted Recombinant COVID-19 Vaccine and Recombinant Influenza Vaccine in Adult Participants 50 Years of Age and Older
COVID-19 ImmunizationUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants with immediate adverse events (AEs)
Immediate adverse events are any unsolicited systemic adverse events reported in the 30 minutes after vaccination

Within the 30 minutes after vaccination

Number of participants with solicited injection site reactions
Up to 7 each days after vaccination

Solicited injection site reactions include injection site pain, erythema and swelling

Number of participants with solicited systemic reactions
Up to 7 days after each vaccination

Solicited systemic reactions include fever, headache, fatigue, myalgia and chills

Number of participants with unsolicited AEs
Up to 28 days after each vaccination

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

Number of participants with adverse events of special interest (AESIs)
Up to 180 days after each vaccination

AESIs

Number of participants with medical attended adverse events (MAAEs)
Up to 180 days after each vaccination

MAAEs

Number of participants with MAAEs relating to predefined PIMDs
From Day 182 through 12 months following the last study vaccination

MAAEs relating to predefined PIMDs

Number of participants with serious adverse events (SAEs)
Up to 180 days after each vaccination

SAEs

Number of participants with related SAEs
From Day 182 through 12 months following the last study intervention

Related SAEs

Number of participants with MAAEs relating to predefined PIMDs that meet the criteria for SAEs
From Day 182 through 12 months following the last study vaccination

MAAEs relating to predefined PIMDs that meet the criteria for SAEs

Geometric mean (GM) of HAI titers in all participants
At Day 01 and Day 30

HAI titers

Geometric mean ratio (GMR) of HAI titers in all participants
At Day 01 and Day 30

Individual HAI titers ratio Day 30/Day 01

GM of SARS-CoV-2 neutralizing titers in all participants
At Day 01 and Day 30

SARS-CoV-2 neutralizing titers

GMR of SARS-CoV-2 neutralizing titers ratio D30/D01 in all participants
At Day 01 and Day 30

Individual SARS-CoV-2 neutralizingtiters ratio Day 30/Day 01

Secondary Endpoints

Percentage of participants with seroconversion in all participants
At Day 30
Percentage of participants with HAI titer ≥ 10 (1/dil) in all participants
At Day 01 and Day 30
Percentage of participants with HAI titer ≥ 40 (1/dil) in all participants
At Day 01 and Day 30
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group 1: RIV (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 2: rC19 (dose 1) (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 3: RIV (in right or left deltoid) and rC19 (dose 1) (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 4: RIV + rC19 (dose 1) (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 5: RIV + rC19 (dose 2) (in right or left deltoid) and placeboEXPERIMENTALtwo IM injections on D01
Group 6: RIV + rC19 (dose 3) (in right or left deltoid) and placeboEXPERIMENTALtwo IM injections on D01
Group 7: RIV + rC19 (dose 4) (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01

Interventions

NameTypeDescription
RIV (recombinant influenza vaccine)BIOLOGICALInfluenza, inactivated, split virus or surface antigen
rC19 (dose 1)BIOLOGICALProtein subunit
RIV + rC19 (dose 1)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
RIV + rC19 (dose 2)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
RIV + rC19 (dose 3)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
RIV + rC19 (dose 4)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
Placebo (0.9% NaCl)OTHERNormal saline
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites12

Inclusion Criteria: Inclusion criteria to be checked at Screening Visit: * Aged 50 years or older on the day of inclusion Informed consent * Informed consent form has been signed and dated. * Able to attend all scheduled visits and to comply with all study procedures. * Participant must be able to...

Countries:United States
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Frequently asked questions about RIV

What is RIV?

RIV is a recombinant influenza vaccine developed by Sanofi. It is being studied in a Phase 1 clinical trial as part of a combination vaccine approach that pairs recombinant influenza vaccine with a Matrix-M adjuvanted recombinant COVID-19 vaccine in adults 50 years of age and older.

What is RIV used for?

RIV is being evaluated for influenza immunization and, in its current clinical program, for COVID-19 immunization as part of a combination vaccine. The Phase 1 study enrolled adults 50 years of age and older in the United States to assess the combination of recombinant influenza vaccine with a Matrix-M adjuvanted recombinant COVID-19 vaccine.

Who makes RIV?

RIV is developed by Sanofi, which trades on the New York Stock Exchange under the ticker SNY. Sanofi is the sponsor of the clinical program evaluating the recombinant influenza vaccine, including its use in a combination vaccine with a Matrix-M adjuvanted recombinant COVID-19 vaccine.

What phase is RIV in?

RIV is in Phase 1 clinical development. The single Phase 1 trial of the combination vaccine containing recombinant influenza vaccine has been completed, and no active trials are currently listed. RIV is investigational and has not been approved by the FDA for any indication.

What clinical trials is RIV in?

RIV has been studied in one Phase 1 trial, NCT06695130, titled a study of a combination vaccine comprised of different recombinant spike antigen levels of a Matrix-M adjuvanted recombinant COVID-19 vaccine and recombinant influenza vaccine in adult participants 50 years of age and older. The trial enrolled 980 participants in the United States and is completed.

Is RIV the same as recombinant influenza vaccine?

Yes, RIV stands for recombinant influenza vaccine. RIV is the shorthand name used for the recombinant influenza vaccine developed by Sanofi, and the two terms refer to the same vaccine asset being evaluated in the Phase 1 combination vaccine study.