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    Clinical Trial Results:
    Effect of High-Dose Quadrivalent Influenza Vaccine (Efluelda®) versus Standard-Dose (QIV-SD), in subjects 65 years of age and older on innate immunity, including gene expression.

    Summary
    EudraCT number
    2021-004573-32
    Trial protocol
    FR  
    Global end of trial date
    14 Feb 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    19 Aug 2023
    First version publication date
    19 Aug 2023
    Other versions
    Summary report(s)
    INFLUOMICS_abstract_CSR RIPH1_V1.0_20230517

    Trial information

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    Trial identification
    Sponsor protocol code
    21-05
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05154383
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Centre Hospitalier Annecy Genevois
    Sponsor organisation address
    1 avenue de l'hôpital, Epagny Metz-Tessy, France, 74370
    Public contact
    DRCI - Marion GHIDI, Centre Hospitalier Annecy Genevois, 033 450637031, mghidi@ch-annecygenevois.fr
    Scientific contact
    DRCI - Marion GHIDI, Centre Hospitalier Annecy Genevois, 033 450637031, mghidi@ch-annecygenevois.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    17 Apr 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Jul 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Feb 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the effect of QIV-HD and QIV-SD vaccines in subjects 65 years of age and older on: - the early systemic innate immune response through transcriptomic analysis i.e. innate gene signature including interferon signaling pathways, - innate cells including antigen presenting and inflammatory cells, - gene signature associate with adaptive immune response before and after the influenza vaccination, - humoral immunity i.e. HI titers, at different time points.
    Protection of trial subjects
    The study was performed in compliance with the requirements of the French Agency for the Safety of Health Products (Agence Nationale de la Sécurité du Médicament et des Produits de Santé - ANSM). The study gained initial full regulatory approval from the 2021/10/05, CHANGE was issued with the following EudraCT number 2021-004573-32. First protocol amendment was approved by the regulatory approval on 2022/01/24.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    15 Nov 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 59
    Worldwide total number of subjects
    59
    EEA total number of subjects
    59
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    59
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Number of patients planned: 60 evaluable subjects (volunteers). Number of patients randomized and analyzed: 59 (one was excluded before randomization because diagnosed with an active high-grade lymphoma, which is corresponding to a non-inclusion criterion). 28 subjects received QIV-SD vaccine and 31 subjects received QIV-HD vaccine.

    Pre-assignment
    Screening details
    Inclusion criteria : - Aged 65 years or older, the day of inclusion Non-inclusion criteria : - Any vaccine injection (including for COVID-19) in the 4 weeks preceding study inclusion - Plan to receive any vaccine (including for COVID-19) in the 24 hours following study inclusion - Already vaccinated against influenza for 2021-2022 season

    Period 1
    Period 1 title
    Visit 1: 7 days before vaccination visit
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    QIV-HD
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Efluelda
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Dose: Each 0.7mL dose contains 60 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Arm title
    QIV-SD
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    InfluvacTetra
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use, Injection
    Dosage and administration details
    Each 0.5mL dose contains 15 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Number of subjects in period 1
    QIV-HD QIV-SD
    Started
    31
    28
    Completed
    31
    28
    Period 2
    Period 2 title
    Visit 2: vaccination visit (day 0)
    Is this the baseline period?
    Yes [1]
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    QIV-HD
    Arm description
    Subjects who receive the Sanofi Pasteur Quadrivalent Influenza Vaccine High-Dose Quadrivalent vaccine.
    Arm type
    Experimental

    Investigational medicinal product name
    Efluelda
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Dose: Each 0.7mL dose contains 60 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Arm title
    QIV-SD
    Arm description
    Subjects who received Quadrivalent Influenza Vaccine - Standard-Dose.
    Arm type
    Active comparator

    Investigational medicinal product name
    InfluvacTetra
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Each 0.5mL dose contains 15 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Notes
    [1] - Period 1 is not the baseline period. It is expected that period 1 will be the baseline period.
    Justification: Visit 1 correspond to the inclusion visit and informed consent form signature (= Day -7). Visit 2 will take place 7 days after Visit 1, and correspond to the randomization and vaccine administration (= Day 0).
    Number of subjects in period 2
    QIV-HD QIV-SD
    Started
    31
    28
    Completed
    31
    28
    Period 3
    Period 3 title
    Visit 3: 1 days after vaccination visit
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    QIV-HD
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Efluelda
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Dose: Each 0.7mL dose contains 60 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Arm title
    QIV-SD
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    InfluvacTetra
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Each 0.5mL dose contains 15 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Number of subjects in period 3
    QIV-HD QIV-SD
    Started
    31
    28
    Completed
    31
    28
    Period 4
    Period 4 title
    Visit 4: 21 days after vaccination visit
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    QIV-HD
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Efluelda
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Dose: Each 0.7mL dose contains 60 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Arm title
    QIV-SD
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    InfluvacTetra
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Each 0.5mL dose contains 15 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Number of subjects in period 4
    QIV-HD QIV-SD
    Started
    31
    28
    Completed
    31
    28
    Period 5
    Period 5 title
    Visit 5: 90 days after vaccination visit
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    QIV-HD
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Efluelda
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Dose: Each 0.7mL dose contains 60 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Arm title
    QIV-SD
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    InfluvacTetra
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Each 0.5mL dose contains 15 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Number of subjects in period 5
    QIV-HD QIV-SD
    Started
    31
    28
    Completed
    31
    28
    Period 6
    Period 6 title
    Visit6: 210 days after vaccination visit
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    QIV-HD
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Efluelda
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Dose: Each 0.7mL dose contains 60 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Arm title
    QIV-SD
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    InfluvacTetra
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Injection , Intramuscular use
    Dosage and administration details
    Each 0.5mL dose contains 15 μg hemagglutinin (HA) of each influenza strain. Strains were determined based on World Health Organization (WHO) and European Union (EU) recommendations for the 2021-2022 Northern Hemisphere (NH) influenza season. Injected into the upper arm (deltoid area).

    Number of subjects in period 6
    QIV-HD QIV-SD
    Started
    31
    28
    Completed
    31
    28

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    QIV-HD
    Reporting group description
    Subjects who receive the Sanofi Pasteur Quadrivalent Influenza Vaccine High-Dose Quadrivalent vaccine.

    Reporting group title
    QIV-SD
    Reporting group description
    Subjects who received Quadrivalent Influenza Vaccine - Standard-Dose.

    Reporting group values
    QIV-HD QIV-SD Total
    Number of subjects
    31 28 59
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    70 (69 to 74) 70 (67 to 72) -
    Gender categorical
    Units: Subjects
        Female
    14 11 25
        Male
    17 17 34
    Body Mass Index (BMI)
    BMI = weight[kg] / height²[m²]
    Units: kg/m²
        median (inter-quartile range (Q1-Q3))
    -
    Charlson Comorbidity Index (CCI)
    Age-adjusted Charlson comorbidity score
    Units: Points
        median (inter-quartile range (Q1-Q3))
    -
    Subject analysis sets

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    The Full analysis set (FAS) was comprised of the 59 trial participants who received one dose of the study vaccines and had a post-vaccination blood sample. Participants were randomized with equal probability into two subsets: QIV-SD (N = 28) and QIV-HD (N = 31) vaccine groups.

    Subject analysis set title
    Per Protocol (PP)
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The Per protocol (PP) population is strictly overlapping with the FAS

    Subject analysis set title
    Safety Set (SS)
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The Safety set (SS) population is strictly overlapping with the FAS

    Subject analysis sets values
    Full Analysis Set (FAS) Per Protocol (PP) Safety Set (SS)
    Number of subjects
    59
    59
    59
    Age categorical
    Units: Subjects
        In utero
        Preterm newborn infants (gestational age < 37 wks)
        Newborns (0-27 days)
        Infants and toddlers (28 days-23 months)
        Children (2-11 years)
        Adolescents (12-17 years)
        Adults (18-64 years)
        From 65-84 years
        85 years and over
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    70 (68 to 73)
    70 (68 to 73)
    70 (68 to 73)
    Gender categorical
    Units: Subjects
        Female
    25
    25
    25
        Male
    34
    34
    34
    Body Mass Index (BMI)
    BMI = weight[kg] / height²[m²]
    Units: kg/m²
        median (inter-quartile range (Q1-Q3))
    24 (23 to 27)
    24 (23 to 27)
    24 (23 to 27)
    Charlson Comorbidity Index (CCI)
    Age-adjusted Charlson comorbidity score
    Units: Points
        median (inter-quartile range (Q1-Q3))
    3.0 (2.0 to 4.0)
    3.0 (2.0 to 4.0)
    3.0 (2.0 to 4.0)

    End points

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    End points reporting groups
    Reporting group title
    QIV-HD
    Reporting group description
    -

    Reporting group title
    QIV-SD
    Reporting group description
    -
    Reporting group title
    QIV-HD
    Reporting group description
    Subjects who receive the Sanofi Pasteur Quadrivalent Influenza Vaccine High-Dose Quadrivalent vaccine.

    Reporting group title
    QIV-SD
    Reporting group description
    Subjects who received Quadrivalent Influenza Vaccine - Standard-Dose.
    Reporting group title
    QIV-HD
    Reporting group description
    -

    Reporting group title
    QIV-SD
    Reporting group description
    -
    Reporting group title
    QIV-HD
    Reporting group description
    -

    Reporting group title
    QIV-SD
    Reporting group description
    -
    Reporting group title
    QIV-HD
    Reporting group description
    -

    Reporting group title
    QIV-SD
    Reporting group description
    -
    Reporting group title
    QIV-HD
    Reporting group description
    -

    Reporting group title
    QIV-SD
    Reporting group description
    -

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    The Full analysis set (FAS) was comprised of the 59 trial participants who received one dose of the study vaccines and had a post-vaccination blood sample. Participants were randomized with equal probability into two subsets: QIV-SD (N = 28) and QIV-HD (N = 31) vaccine groups.

    Subject analysis set title
    Per Protocol (PP)
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The Per protocol (PP) population is strictly overlapping with the FAS

    Subject analysis set title
    Safety Set (SS)
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The Safety set (SS) population is strictly overlapping with the FAS

    Primary: Immunogenicity

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    End point title
    Immunogenicity [1]
    End point description
    Parameters were presented by vaccine group, and against flu strain, with their 95% Confidence Interval (95%CI) for D21, D90, and D210: 1. Geometric Mean (GM) of titers on D0 and (D21, D90, D210) with and without log transformation 2. Distribution of titers against flu 3. Rate of subjects with titer ≥ 1:10 on D0 and (D21, D90, D210) 4. Rate of subjects with titer ≥ 1:40 on D0 and (D21, D90, D210) - Seroprotection 5. Seroconversion or significant increase rate from D0 to (D21, D90, D210) 6. GM of titer ratio (D21, D90, D210)/D0 (immunological response): a. Individual evolution of ratios b. Distribution of evolution of ratios c. Mean evolution of ratios 7. Evolution of (log) antibody titers over time
    End point type
    Primary
    End point timeframe
    D0, D21, D90, and D210
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Multiple influenza strains
    End point values
    QIV-HD QIV-SD QIV-HD QIV-HD QIV-SD QIV-HD QIV-SD QIV-SD Full Analysis Set (FAS) Per Protocol (PP)
    Number of subjects analysed
    31
    28
    31
    31
    28
    31
    28
    28
    59
    59
    Units: titers
        geometric mean (confidence interval 95%)
    38.7 (24.8 to 52.6)
    38.2 (25.5 to 50.9)
    222.9 (156.3 to 289.5)
    372.9 (267.9 to 477.9)
    259.2 (178.1 to 340.3)
    546.5 (353.6 to 739.4)
    302.1 (118.6 to 485.6)
    199.1 (132.0 to 266.2)
    247.5 (183.5 to 311.4)
    247.5 (183.5 to 311.4)
    No statistical analyses for this end point

    Secondary: Transcriptomic

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    End point title
    Transcriptomic
    End point description
    See protocol
    End point type
    Secondary
    End point timeframe
    D0 and D1
    End point values
    QIV-HD QIV-SD Full Analysis Set (FAS)
    Number of subjects analysed
    31
    27
    58
    Units: Differential Gene Expression
        number (not applicable)
    293
    65
    358
    No statistical analyses for this end point

    Secondary: Safety

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    End point title
    Safety
    End point description
    Occurence of ILI and other adverse events
    End point type
    Secondary
    End point timeframe
    D0 to D210
    End point values
    QIV-HD QIV-SD Safety Set (SS)
    Number of subjects analysed
    31
    28
    59
    Units: Number of event
    4
    1
    5
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Immediate Post-vaccination Observation Period : participants will be kept under observation for 15 minutes after each vaccination. Adverse events of special interest and SAEs will be collected throughout the study from Visit 1 to Visit 6.
    Adverse event reporting additional description
    Information on SAEs will be collected and assessed throughout the study, from Visit 1 to Visit 6. However, before the first study product administration, only SAEs related to study procedures are to be collected in the CRF. All SAEs will be recorded and reported to the Sponsor and under no circumstance should this exceed 24 hours.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25
    Reporting groups
    Reporting group title
    QIV-HD
    Reporting group description
    -

    Reporting group title
    QIV-SD
    Reporting group description
    -

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: 5 serious adverse events. 0 non-serious adverse event.
    Serious adverse events
    QIV-HD QIV-SD
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 31 (9.68%)
    1 / 28 (3.57%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    5 years and 1 month
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    5 days
         subjects affected / exposed
    0 / 31 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    189 days
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    231 days
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    5 days
         subjects affected / exposed
    1 / 31 (3.23%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    QIV-HD QIV-SD
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 31 (0.00%)
    0 / 28 (0.00%)

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    24 Jan 2022
    - Modification of a non-inclusion criterion (reduction of the vaccination exclusion period in the study to 24 hours after administration of the influenza vaccine instead of 4 weeks, i.e. COVID vaccination possible after the last blood sample in the study, intended for transcriptomic and cytometric analyses). - Complete pharmacy circuit updated (ordering, labeling, stock management, and InfluvacTetra® vaccine chosen as comparator). - Updating of the insurance certificate to include 70 patients in order to reach the 60 evaluable patients stipulated in the protocol.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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