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Standard-Dose Quadrivalent Influenza Vaccine

Phase 3

Influenza | Small molecule | Infectious Disease |Sanofi|Last Updated: Sep 16, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials4
Total Enrollment24,250

FDA Designations

No designations recorded

Clinical trial landscape

Standard-Dose Quadrivalent Influenza Vaccine · 4 trials · 1 indication

Phase 3 3Phase 2 1
NCT04210349Study of Shenzhen Quadrivalent Inactivated Influenza Vaccine Versus the Shenzhen Trivalent Inactivated Influenza Vaccine in Chinese Subjects From 6 Months of AgeInfluenza
COMPLETED7,106 Analytics
NCT03765437Safety of a Quadrivalent Influenza Vaccine (VaxigripTetra™) in Subjects Aged 6 Months and Older in VietnamInfluenza
COMPLETED230 Analytics
NCT01240746Study of Quadrivalent Influenza Vaccine Among ChildrenInfluenza
COMPLETED4,363 Analytics
PHASE3COMPLETED
Study of Shenzhen Quadrivalent Inactivated Influenza Vaccine Versus the Shenzhen Trivalent Inactivated Influenza Vaccine in Chinese Subjects From 6 Months of Age
InfluenzaUnlock trial analytics
PHASE3COMPLETED
Safety of a Quadrivalent Influenza Vaccine (VaxigripTetra™) in Subjects Aged 6 Months and Older in Vietnam
InfluenzaUnlock trial analytics
PHASE3COMPLETED
Study of Quadrivalent Influenza Vaccine Among Children
InfluenzaUnlock trial analytics

Study Endpoints

Primary Endpoints

Geometric Mean Titers of Influenza Antibodies for Subjects 6-35 months
28 days post-final vaccination

Geometric mean titers will be assessed by a hemagglutination (HAI) method

Participants Achieving Seroconversion Against Antigens for Subjects 6-35 months
28 days post-final vaccination

Influenza antibodies will be assessed using the HAI method.

Geometric Mean Titers of Antibodies for Subjects ≥ 3 years
Day 28

Geometric mean titers will be assessed by a HAI method

Number of Participants Achieving Seroconversion Against Antigens for Subjects ≥ 3 years
Day 28

Influenza antibodies will be assessed using the HAI method.

Number of Participants with Immediate Adverse Events
Within 30 minutes after vaccination

Immediate adverse events includes unsolicited systemic adverse events occuring within 30 minutes after vaccination

Number of Participants With Solicited Injection Site or Systemic Reactions
Within 7 days after vaccination

Injection site reactions: injection site tenderness/pain, erythema, swelling, induration, and ecchymosis. Systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost, and irritability for toddlers aged \<= 23 months and fever, headache, malaise, myalgia and shivering for participants aged \> 2 years.

Number of Participants with Unsolicited Adverse Events
Within 28 days after vaccination

Adverse events other than solicited reactions

Number of Participants with Serious Adverse Events
From Day 0 to Day 56 for participants in Group A and from Day 0 to 6 months after last vaccination for participants in Group 1 through Group 5.

Serious adverse events (including adverse event of special interest) are assessed throughout the study.

Number of participants reporting solicited injection site reactions or systemic reactions
Within 7 days after vaccination

Injection site reactions: tenderness/pain, erythema, swelling, induration, and haemorrhage. Systemic reactions: participants ≤ 23 months: fever, vomiting, crying abnormal, drowsiness, appetite lost, and irritability; participants 2 years and older: fever, headache, malaise, myalgia, and shivering.

Geometric Mean Titers Against Influenza A Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines in All Participants
Day 28 post final vaccination

Immunogenicity outcomes were assessed in serum samples by hemagglutination inhibition (HAI) assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines With Corresponding B Strain in All Participants
Day 28 post final vaccination

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Geometric Mean Titers Against Influenza B Strains After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines Without Corresponding B Strain in All Participants
Day 28 post final vaccination

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Geometric Mean Titers Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines in Participants Aged 6 Months to Less Than 36 Months.
Day 28 post final vaccination

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Geometric Mean Titers Against Influenza Vaccine Antigens After Vaccination With Fluzone® Quadrivalent Influenza Vaccine or Trivalent Influenza Vaccines in Participants Aged 3 Years to Less Than 9 Years.
Day 28 post-vaccination

Immunogenicity outcomes were assessed in serum samples by HAI assay. The lower limit of quantitation (LLOQ) was set at the lowest dilution used in the assay, 1/10. Titers below this level were reported as \<10.

Number of persons contacted by recruitment letter
Up to 8 months
Number of participants included and randomized to QIV-HD or QIV-SD
Up to 8 months
Agreement between randomization assignment and actual received vaccine
Up to 8 months
Balance between groups in terms of number of subjects in each arm and baseline characteristics
Up to 8 months
Comparison of baseline characteristics for the QIV-HD and QIV-SD groups to the overall Danish general population aged 65-79 years
Up to 8 months
Comparison of baseline characteristics for the QIV-HD and QIV-SD groups to the population aged 65-79 years in the DLVS database used for recruitment
Up to 8 months
Description of event rates and calculation of relative vaccine effectiveness for hospitalization for influenza and/or pneumonia
>= 14 days after vaccination up to 8 months post-vaccination

First hospitalization with a primary (A) diagnosis code for influenza or pneumonia of at least 1 night duration

Description of event rates and calculation of relative vaccine effectiveness for hospitalization for respiratory disease
>= 14 days after vaccination up to 8 months post-vaccination

First hospitalization with a primary (A) diagnosis code for respiratory disease of at least 1 night duration

Description of event rates and calculation of relative vaccine effectiveness for hospitalization for cardio-respiratory disease
>= 14 days after vaccination up to 8 months post-vaccination

First hospitalization with a primary (A) diagnosis code for cardio-respiratory disease of at least 1 night duration

Description of event rates and calculation of relative vaccine effectiveness for hospitalization for cardiovascular disease
>= 14 days after vaccination up to 8 months post-vaccination

First hospitalization with a primary (A) diagnosis code for cardiovascular disease of at least 1 night duration

Description of event rates and calculation of relative vaccine effectiveness for hospitalization from any cause
>= 14 days after vaccination up to 8 months post-vaccination

First hospitalization with any diagnosis code of at least 1 night duration

Description of event rates and calculation of relative vaccine effectiveness for all-cause mortality
>= 14 days after vaccination up to 8 months post-vaccination

Death from any cause

Description of event rates and calculation of relative vaccine effectiveness for hospitalization for COVID-19
>= 14 days after vaccination up to 8 months post-vaccination

First hospitalization with a primary (A) diagnosis code for COVID-19 of at least 1 night duration

Secondary Endpoints

Geometric Mean Titers of Antibodies
Day 0 and 28 days post-final vaccination
Geometric Mean Individual Titer Ratio
Day 0 and 28 days post-final vaccination
Number of Participants with Detectable Titer ≥ 10 (1/dilution [1/dil])
Day 0 and 28 days post-final vaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group A: 6 to 35 months, previously unvaccinated, step 1EXPERIMENTALParticipants will receive two injections of SP Shz QIV 0.5 mL at Day 0 and Day 28
Group 1: 6 to 35 months, step 2EXPERIMENTALParticipants will receive one injection of SP Shz QIV 0.25 mL or SP Shz QIV 0.5 mL at Day 0 or SP Shz TIV1 0.25 mL or SP Shz TIV2 0.25 mL at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.
Group 2: 3 to 8 years, step 2EXPERIMENTALParticipants will receive one injection of SP Shz QIV 0.5 mL or SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.
Group 3: 9 to 17 years, step 2EXPERIMENTALParticipants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.
Group 4: 18 to 60 years, step 2EXPERIMENTALParticipants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.
Group 5: >=61 yearsEXPERIMENTALParticipants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.
Quadrivalent Influenza VaccineEXPERIMENTALQuadrivalent Influenza Vaccine (split-virion, inactivated) Northern hemisphere seasonal formulation 2018-2019
Group 1: Licensed 2010-2011 TIVACTIVE_COMPARATORParticipants will receive the Licensed 2010-2011 Trivalent Influenza Vaccine containing the primary B strain.
Group 2: Investigational TIVEXPERIMENTALParticipants will receive the Investigational Trivalent Influenza Vaccine containing the alternate B strain
Group 3: Investigational QIVEXPERIMENTALParticipants will receive the investigational Quadrivalent Influenza Vaccine
Standard-Dose Quadrivalent Influenza VaccineACTIVE_COMPARATORQIV-SD single injection at Day 0
High-Dose Quadrivalent Influenza VaccineEXPERIMENTALQIV-HD single injection at Day 0

Interventions

NameTypeDescription
Quadrivalent Influenza VaccineBIOLOGICALPharmaceutical form: Suspension for injection Route of administration: intramuscular
Trivalent Influenza Vaccine 1 SP Shz TIV1BIOLOGICALPharmaceutical form: Suspension for injection Route of administration: intramuscular
Trivalent Influenza Vaccine 2 SP Shz TIV2BIOLOGICALPharmaceutical form: Suspension for injection Route of administration: intramuscular
Licensed 2010-2011 Trivalent Influenza Vaccine, No PreservativeBIOLOGICAL0.25 mL (6 to 35 months) or 0.5 mL (3 to \<9 years), Intramuscular
Investigational Trivalent Influenza Vaccine with alternate B strain, No PreservativeBIOLOGICAL0.25 mL (6 to 35 months) or 0.5 mL (3 to \<9 years), Intramuscular
Quadrivalent Influenza Vaccine, No PreservativeBIOLOGICAL0.25 mL (6 to 35 months), or 0.5 mL(3 to \<9 years), Intramuscular
Standard-Dose Quadrivalent Influenza VaccineDRUGFor the control arm, the standard-dose quadrivalent influenza vaccines Influvactetra® and Vaxigriptetra will be used.
High-Dose Quadrivalent Influenza VaccineDRUGFor the control arm, the high-dose quadrivalent influenza vaccine Efluelda®/Fluzone® High-Dose Quadrivalent will be used.
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Eligibility Criteria

Age Range6 Months to N/A
SexALL
Healthy VolunteersYes
Study Sites7

Inclusion criteria : * Aged ≥ 6 months on the day of the first study visit/inclusion * In good health or with underlying medical condition(s) that are judged to be stable by the investigator. Medically-stable is defined as: * No new diagnosis OR * No new class of prescription drug initiated du...

Countries:ChinaVietnamUnited StatesDenmark
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Frequently asked questions about Standard-Dose Quadrivalent Influenza Vaccine

What is High-Dose Quadrivalent Influenza Vaccine used for?

High-Dose Quadrivalent Influenza Vaccine is used for the prevention of influenza in adults and children. It is an investigational vaccine being studied in healthy volunteers and in the general population to protect against seasonal flu. The vaccine is designed to provide immunity against four influenza virus strains.

Who makes High-Dose Quadrivalent Influenza Vaccine?

Sanofi (ticker: SNY) is developing High-Dose Quadrivalent Influenza Vaccine. The company is conducting clinical trials to evaluate the vaccine's safety and effectiveness in preventing influenza across different age groups and geographic regions.

What phase is High-Dose Quadrivalent Influenza Vaccine in?

High-Dose Quadrivalent Influenza Vaccine is in Phase 3 clinical development. It is an investigational vaccine, meaning it has not yet been approved by regulatory authorities. Sanofi has completed four clinical trials, including three Phase 3 studies and one Phase 2 study, with a total enrollment of 24,250 participants.

What clinical trials is High-Dose Quadrivalent Influenza Vaccine in?

High-Dose Quadrivalent Influenza Vaccine has completed four clinical trials. These include NCT01240746, a Phase 3 study in children in the United States; NCT03765437, a Phase 3 safety study in Vietnam; NCT04210349, a Phase 3 study in China; and NCT05048589, a Phase 2 feasibility study in Danish adults aged 65-79 years.

Is High-Dose Quadrivalent Influenza Vaccine the same as VaxigripTetra?

High-Dose Quadrivalent Influenza Vaccine is not the same as VaxigripTetra. VaxigripTetra is a standard-dose quadrivalent influenza vaccine, while High-Dose Quadrivalent Influenza Vaccine contains a higher antigen dose. They are distinct vaccine formulations developed by Sanofi for influenza prevention.