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    Clinical Trial Results:
    Immunogenicity and Safety of the Quadrivalent Inactivated Split-Virion Influenza Vaccine in Subjects 6 Months of age and Older in India

    Summary
    EudraCT number
    2022-001441-21
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    28 Jun 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    14 Jan 2024
    First version publication date
    14 Jan 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GQM00023
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    U1111-1254-0403
    Sponsors
    Sponsor organisation name
    Sanofi Pasteur
    Sponsor organisation address
    14 Espace Henry Vallée, Lyon, France, 69007
    Public contact
    Trial Transparency Team, Sanofi Pasteur, Contact-US@sanofi.com
    Scientific contact
    Trial Transparency Team, Sanofi Pasteur, Contact-US@sanofi.com
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    19 Sep 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Jun 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    - To describe the immune response induced by quadrivalent influenza vaccine (QIV) in each age group. - To describe the safety profile of QIV in each age group.
    Protection of trial subjects
    Vaccinations were performed by qualified and trained study personnel. Subjects with allergy to any of the vaccine components were not vaccinated. After vaccination, subjects were also kept under clinical observation for 30 minutes to ensure their safety. Appropriate medical equipment were also available on site in case of any immediate allergic reactions.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    07 Feb 2022
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    India: 401
    Worldwide total number of subjects
    401
    EEA total number of subjects
    0
    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)
    83
    Children (2-11 years)
    175
    Adolescents (12-17 years)
    43
    Adults (18-64 years)
    87
    From 65 to 84 years
    13
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Study subjects were enrolled from 07 February 2022 to 30 May 2022 at 5 active sites in India.

    Pre-assignment
    Screening details
    A total of 401 subjects were enrolled in the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Group 1: QIV: 6 to 35 months
    Arm description
    Subjects aged 6 to 35 months received an injection of 0.5 mililitres (mL) of QIV intramuscularly (IM) on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).
    Arm type
    Experimental

    Investigational medicinal product name
    Quadrivalent influenza vaccine (split-virion, inactivated)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    0.5 mL, single IM on Day 1 for previously vaccinated subjects and 2 doses for previously unvaccinated subjects on Day 1 and 29.

    Arm title
    Group 2: QIV: 3 to 8 years
    Arm description
    Subjects aged 3 to 8 years received an injection of 0.5 mL of QIV IM on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).
    Arm type
    Experimental

    Investigational medicinal product name
    Quadrivalent influenza vaccine (split-virion, inactivated)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    0.5 mL, single IM on Day 1 for previously vaccinated subjects and 2 doses for previously unvaccinated subjects on Day 1 and 29.

    Arm title
    Group 3: QIV: 9 to 17 years
    Arm description
    Subjects aged 9 to 17 years received an injection of 0.5 mL of QIV IM on Day 1.
    Arm type
    Experimental

    Investigational medicinal product name
    Quadrivalent influenza vaccine (split-virion, inactivated)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    0.5 mL, single IM injection on Day 1.

    Arm title
    Group 4: QIV: 18 years and older
    Arm description
    Subjects aged 18 years and older received an injection of 0.5 mL of QIV IM on Day 1.
    Arm type
    Experimental

    Investigational medicinal product name
    Quadrivalent influenza vaccine (split-virion, inactivated)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    0.5 mL, single IM injection on Day 1.

    Number of subjects in period 1
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Started
    103
    98
    100
    100
    Vaccinated at Day 01
    103
    97
    100
    100
    Vaccinated at Day 29
    101 [1]
    94 [2]
    0 [3]
    0 [4]
    Completed
    102
    97
    100
    100
    Not completed
    1
    1
    0
    0
         Withdrawal by subject or parent/guardian
    1
    1
    -
    -
    Notes
    [1] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: Subjects who had received at least a dose of the study vaccine at specified timepoint.
    [2] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: Subjects who had received at least a dose of the study vaccine at specified timepoint.
    [3] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: Group 3 subjects did not receive second dose of vaccination at Day 29.
    [4] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: Group 4 subjects did not receive second dose of vaccination at Day 29.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Group 1: QIV: 6 to 35 months
    Reporting group description
    Subjects aged 6 to 35 months received an injection of 0.5 mililitres (mL) of QIV intramuscularly (IM) on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).

    Reporting group title
    Group 2: QIV: 3 to 8 years
    Reporting group description
    Subjects aged 3 to 8 years received an injection of 0.5 mL of QIV IM on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).

    Reporting group title
    Group 3: QIV: 9 to 17 years
    Reporting group description
    Subjects aged 9 to 17 years received an injection of 0.5 mL of QIV IM on Day 1.

    Reporting group title
    Group 4: QIV: 18 years and older
    Reporting group description
    Subjects aged 18 years and older received an injection of 0.5 mL of QIV IM on Day 1.

    Reporting group values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older Total
    Number of subjects
    103 98 100 100 401
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    1.13 ( 0.571 ) 5.60 ( 1.63 ) 11.4 ( 2.15 ) 38.5 ( 16.1 ) -
    Gender categorical
    Units: Subjects
        Female
    45 47 56 47 195
        Male
    58 51 44 53 206

    End points

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    End points reporting groups
    Reporting group title
    Group 1: QIV: 6 to 35 months
    Reporting group description
    Subjects aged 6 to 35 months received an injection of 0.5 mililitres (mL) of QIV intramuscularly (IM) on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).

    Reporting group title
    Group 2: QIV: 3 to 8 years
    Reporting group description
    Subjects aged 3 to 8 years received an injection of 0.5 mL of QIV IM on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).

    Reporting group title
    Group 3: QIV: 9 to 17 years
    Reporting group description
    Subjects aged 9 to 17 years received an injection of 0.5 mL of QIV IM on Day 1.

    Reporting group title
    Group 4: QIV: 18 years and older
    Reporting group description
    Subjects aged 18 years and older received an injection of 0.5 mL of QIV IM on Day 1.

    Primary: Geometric Mean Titers (GMTs) of Influenza Antibodies

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    End point title
    Geometric Mean Titers (GMTs) of Influenza Antibodies [1]
    End point description
    GMTs of anti-influenza antibodies were measured using hemagglutination inhibition (HAI) assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata and B/Victoria lineage. Titers were expressed in terms of 1/dilution. Analysis was performed on full analysis set (FAS) population that included all subjects who received at least 1 dose of the study vaccine and had a post-vaccination blood sample. The data table excluded results from a trial clinical site with sample management issues.
    End point type
    Primary
    End point timeframe
    Day 1 (pre-vaccination), Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post vaccination; for subjects with 2 vaccinations)
    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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    96
    87
    80
    73
    Units: titer
    geometric mean (confidence interval 95%)
        A/H1N1: Pre-vaccination
    8.05 (6.29 to 10.3)
    16.7 (12.4 to 22.4)
    29.3 (22.6 to 37.9)
    17.3 (13.1 to 22.9)
        A/H3N2: Pre-vaccination
    13.5 (10.1 to 18.1)
    44.0 (31.7 to 61.1)
    85.0 (62.2 to 116)
    89.7 (66.7 to 120)
        B/Yamagata: Pre-vaccination
    11.6 (8.90 to 15.0)
    33.8 (23.5 to 48.6)
    129 (96.6 to 172)
    150 (108 to 208)
        B/Victoria: Pre-vaccination
    8.91 (7.21 to 11.0)
    21.3 (15.3 to 29.6)
    33.9 (24.8 to 46.4)
    26.6 (19.1 to 37.1)
        A/H1N1: Post-vaccination
    397 (305 to 517)
    938 (722 to 1220)
    1384 (1000 to 1915)
    1368 (1043 to 1794)
        A/H3N2: Post-vaccination
    173 (126 to 239)
    682 (535 to 869)
    874 (731 to 1045)
    646 (522 to 800)
        B/Yamagata: Post-vaccination
    440 (335 to 577)
    859 (689 to 1072)
    1325 (1058 to 1659)
    1504 (1157 to 1955)
        B/Victoria: Post-vaccination
    164 (122 to 219)
    369 (276 to 494)
    337 (240 to 474)
    362 (262 to 501)
    No statistical analyses for this end point

    Primary: Geometric Mean Titer Ratios (GMTRs) of Individual HAI Titer

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    End point title
    Geometric Mean Titer Ratios (GMTRs) of Individual HAI Titer [2]
    End point description
    GMTs of anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata and B/Victoria lineage. GMTRs were calculated as the ratio of GMTs post-vaccination (on Day 29 or Day 57) and pre-vaccination (on Day 0). Analysis was performed on FAS population. The data table excluded results from a trial clinical site with sample management issues.
    End point type
    Primary
    End point timeframe
    Day 1 (pre-vaccination), Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post vaccination; for subjects with 2 vaccinations)
    Notes
    [2] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    96
    87
    80
    73
    Units: ratio
    geometric mean (confidence interval 95%)
        A/H1N1
    49.4 (37.1 to 65.7)
    56.3 (42.9 to 73.9)
    47.3 (34.8 to 64.1)
    78.9 (56.2 to 111)
        A/H3N2
    12.8 (9.75 to 16.8)
    15.5 (11.4 to 21.1)
    10.3 (7.42 to 14.3)
    7.21 (5.23 to 9.93)
        B/Yamagata
    38.1 (26.5 to 54.7)
    25.4 (17.5 to 36.9)
    10.3 (7.55 to 14.0)
    10.0 (7.12 to 14.2)
        B/Victoria
    18.4 (13.5 to 24.9)
    17.3 (12.0 to 24.9)
    9.93 (6.56 to 15.1)
    13.6 (9.65 to 19.2)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With HAI Titer >= 10 (1/dilution)

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    End point title
    Percentage of Subjects With HAI Titer >= 10 (1/dilution) [3]
    End point description
    Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata and B/Victoria lineage. Percentage of subjects with HAI titers >=10 (1/dilution) is reported. Analysis was performed on FAS population. The data table excluded results from a trial clinical site with sample management issues.
    End point type
    Primary
    End point timeframe
    Day 1 (pre-vaccination), Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post vaccination; for subjects with 2 vaccinations)
    Notes
    [3] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    96
    87
    80
    73
    Units: percentage of subjects
    number (confidence interval 95%)
        A/H1N1: Pre-vaccination
    19.8 (12.4 to 29.2)
    55.2 (44.1 to 65.9)
    86.3 (76.7 to 92.9)
    65.8 (53.7 to 76.5)
        A/H3N2: Pre-vaccination
    37.5 (27.8 to 48.0)
    82.8 (73.2 to 90.0)
    93.8 (86.0 to 97.9)
    95.9 (88.5 to 99.1)
        B/Yamagata: Pre-vaccination
    44.8 (34.6 to 55.3)
    69.0 (58.1 to 78.5)
    93.8 (86.0 to 97.9)
    94.5 (86.6 to 98.5)
        B/Victoria: Pre-vaccination
    33.3 (24.0 to 43.7)
    62.1 (51.0 to 72.3)
    85.0 (75.3 to 92.0)
    79.5 (68.4 to 88.0)
        A/H1N1: Post-vaccination
    100 (96.2 to 100)
    100 (95.8 to 100)
    100 (95.5 to 100)
    100 (95.1 to 100)
        A/H3N2: Post-vaccination
    97.9 (92.7 to 99.7)
    100 (95.8 to 100)
    100 (95.5 to 100)
    100 (95.1 to 100)
        B/Yamagata: Post-vaccination
    99.0 (94.3 to 100)
    100 (95.8 to 100)
    100 (95.5 to 100)
    100 (95.1 to 100)
        B/Victoria: Post-vaccination
    99.0 (94.3 to 100)
    98.9 (93.8 to 100)
    100 (95.5 to 100)
    98.6 (92.6 to 100)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Achieving Seroconversion Against Antigens

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    End point title
    Percentage of Subjects Achieving Seroconversion Against Antigens [4]
    End point description
    Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata and B/Victoria lineage. Seroconversion was defined as either a pre-vaccination HAI titer < 1:10 and a post-vaccination titer >= 1:40 or a pre-vaccination titer >= 1:10 and a >= four-fold increase in post-vaccination titer. Analysis was performed on FAS population. The data table excluded results from a trial clinical site with sample management issues.
    End point type
    Primary
    End point timeframe
    Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post vaccination; for subjects with 2 vaccinations)
    Notes
    [4] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    96
    87
    80
    73
    Units: percentage of subjects
    number (confidence interval 95%)
        A/H1N1
    96.9 (91.1 to 99.4)
    96.6 (90.3 to 99.3)
    97.5 (91.3 to 99.7)
    97.3 (90.5 to 99.7)
        A/H3N2
    79.2 (69.7 to 86.8)
    83.9 (74.5 to 90.9)
    72.5 (61.4 to 81.9)
    71.2 (59.4 to 81.2)
        B/Yamagata
    89.6 (81.7 to 94.9)
    87.4 (78.5 to 93.5)
    77.5 (66.8 to 86.1)
    83.6 (73.0 to 91.2)
        B/Victoria
    89.6 (81.7 to 94.9)
    86.2 (77.1 to 92.7)
    67.5 (56.1 to 77.6)
    83.6 (73.0 to 91.2)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With HAI Titer >= 40 (1/dilution)

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    End point title
    Percentage of Subjects With HAI Titer >= 40 (1/dilution) [5]
    End point description
    Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Yamagata and B/Victoria lineage. Percentage of subjects with HAI titers >=40 (1/dilution) is reported in the endpoint. Analysis was performed on FAS population. The data table excluded results from a trial clinical site with sample management issues.
    End point type
    Primary
    End point timeframe
    Day 1 (pre-vaccination), Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post vaccination; for subjects with 2 vaccinations)
    Notes
    [5] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    96
    87
    80
    73
    Units: percentage of subjects
    number (confidence interval 95%)
        A/H1N1: Pre-vaccination
    11.5 (5.9 to 19.6)
    34.5 (24.6 to 45.4)
    52.5 (41.0 to 63.8)
    31.5 (21.1 to 43.4)
        A/H3N2: Pre-vaccination
    31.3 (22.2 to 41.5)
    59.8 (48.7 to 70.1)
    80.0 (69.6 to 88.1)
    82.2 (71.5 to 90.2)
        B/Yamagata: Pre-vaccination
    18.8 (11.5 to 28.0)
    52.9 (41.9 to 63.7)
    86.3 (76.7 to 92.9)
    89.0 (79.5 to 95.1)
        B/Victoria: Pre-vaccination
    12.5 (6.6 to 20.8)
    36.8 (26.7 to 47.8)
    50.0 (38.6 to 61.4)
    45.2 (33.5 to 57.3)
        A/H1N1: Post-vaccination
    97.9 (92.7 to 99.7)
    97.7 (91.9 to 99.7)
    100 (95.5 to 100)
    100 (95.1 to 100)
        A/H3N2: Post-vaccination
    87.5 (79.2 to 93.4)
    100 (95.8 to 100)
    100 (95.5 to 100)
    100 (95.1 to 100)
        B/Yamagata: Post-vaccination
    97.9 (92.7 to 99.7)
    100 (95.8 to 100)
    100 (95.5 to 100)
    100 (95.1 to 100)
        B/Victoria: Post-vaccination
    89.6 (81.7 to 94.9)
    97.7 (91.9 to 99.7)
    95.0 (87.7 to 98.6)
    95.9 (88.5 to 99.1)
    No statistical analyses for this end point

    Primary: Number of Subjects With Immediate Unsolicited Systemic Adverse Events (AEs)

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    End point title
    Number of Subjects With Immediate Unsolicited Systemic Adverse Events (AEs) [6]
    End point description
    An AE was defined as any untoward medical occurrence in a subject who received study vaccine and does not necessarily had to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the case report book (CRB) in terms of diagnosis and/or onset post-vaccination. All subjects were observed for 30 minutes after any vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs in the CRB. Analysis was performed on the safety analysis set (SafAS) that included subjects who had received at least one dose of the study vaccine.
    End point type
    Primary
    End point timeframe
    Within 30 minutes post-any vaccination
    Notes
    [6] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    103
    97
    100
    100
    Units: subjects
    0
    0
    0
    0
    No statistical analyses for this end point

    Primary: Number of Subjects With Solicited Injection Site Reactions

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    End point title
    Number of Subjects With Solicited Injection Site Reactions [7]
    End point description
    A solicited reaction (SR) was an expected adverse reaction (AR) observed and reported under conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRB and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited injection site reactions included pain/tenderness, erythema, swelling, induration and bruising. Analysis was performed on SafAS.
    End point type
    Primary
    End point timeframe
    Within 7 days post-any vaccination
    Notes
    [7] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    103
    97
    100
    100
    Units: subjects
        Injection site Pain/Tenderness
    17
    34
    31
    15
        Injection site Erythema
    6
    1
    1
    0
        Injection site Swelling
    5
    7
    0
    0
        Injection site Induration
    0
    0
    1
    0
        Injection site Bruising
    0
    0
    0
    0
    No statistical analyses for this end point

    Primary: Number of Subjects With Solicited Systemic Reactions

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    End point title
    Number of Subjects With Solicited Systemic Reactions [8]
    End point description
    SR was an expected AR observed and reported under conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRB and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited reaction were collected by different age group: fever, vomiting, crying abnormal, drowsiness, appetite lost, irritability were collected for infants and toddlers aged <=23 months and fever, headache, malaise, myalgia and shivering were collected for subjects aged >= 2 years. Analysis was performed on SafAS. Here, 'n' = subjects with available data for each specified category and "99999" is used as a space filler and denotes that no subjects were available for analysis for the specified category at the specified timepoint.
    End point type
    Primary
    End point timeframe
    Within 7 days post-any vaccination
    Notes
    [8] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    103
    97
    100
    100
    Units: subjects
        Fever (n=103,97,100,100)
    3
    2
    0
    0
        Vomiting (n=83,0,0,0)
    0
    99999
    99999
    99999
        Crying abnormal (n=83,0,0,0)
    0
    99999
    99999
    99999
        Drowsiness (n=83,0,0,0)
    0
    99999
    99999
    99999
        Appetite lost (n=83,0,0,0)
    0
    99999
    99999
    99999
        Irritability (n=83,0,0,0)
    5
    99999
    99999
    99999
        Headache (n=20,97,100,100)
    0
    1
    2
    2
        Malaise (n=20,97,100,100)
    0
    2
    2
    6
        Myalgia (n=20,97,100,100)
    0
    0
    1
    1
        Shivering (n=20,97,100,100)
    0
    0
    0
    0
    No statistical analyses for this end point

    Primary: Number of Subjects With Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESIs)

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    End point title
    Number of Subjects With Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESIs) [9]
    End point description
    An SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required initial or prolonged inpatient hospitalisation, resulted in persistent or significant disability/incapacity, congenital anomaly/birth defect or was a medically important event. An AESI was defined as one of scientific and medical concern specific to the Sponsor’s product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor was appropriate. Relatedness to study vaccine was based on investigator's discretion. Analysis was performed on SafAS.
    End point type
    Primary
    End point timeframe
    From Day 1 up to end of the study i.e., Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post vaccination; for subjects with 2 vaccinations)
    Notes
    [9] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    103
    97
    100
    100
    Units: subjects
        SAEs
    1
    1
    0
    0
        AESIs
    0
    0
    0
    0
    No statistical analyses for this end point

    Primary: Number of Subjects With Unsolicited AEs

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    End point title
    Number of Subjects With Unsolicited AEs [10]
    End point description
    An AE was defined as any untoward medical occurrence in a subject who received study vaccine and does not necessary had to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the CRB in terms of diagnosis and/or onset window post-vaccination. Analysis was performed on SafAS.
    End point type
    Primary
    End point timeframe
    Within 28 days post-any vaccination
    Notes
    [10] - 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: As the endpoint was descriptive in nature, no statistical analysis was provided.
    End point values
    Group 1: QIV: 6 to 35 months Group 2: QIV: 3 to 8 years Group 3: QIV: 9 to 17 years Group 4: QIV: 18 years and older
    Number of subjects analysed
    103
    97
    100
    100
    Units: subjects
    24
    16
    3
    4
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Unsolicited AEs: up to 28 days post-vaccination. Solicited reaction data: up to Day 7 post-vaccination. SAE: throughout study i.e., Day 29 (post-vaccination; for subjects with 1 vaccination) or Day 57 (post-vaccination; for subjects with 2 vaccinations)
    Adverse event reporting additional description
    Analysed on safety analysis set. Solicited reaction was an adverse reaction that was prelisted (i.e., solicited) in the CRB and considered to be related to vaccination (adverse drug reaction). An unsolicited AE that did not fulfill conditions prelisted (i.e., solicited) in CRB in terms of diagnosis & onset window post-vaccination.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.0
    Reporting groups
    Reporting group title
    Group 1: QIV: 6 to 35 months
    Reporting group description
    Subjects aged 6 to 35 months received an injection of 0.5 mL of QIV IM on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).

    Reporting group title
    Group 4: QIV: 18 years and older
    Reporting group description
    Subjects aged 18 years and older received an injection of 0.5 mL of QIV IM on Day 1.

    Reporting group title
    Group 3: QIV: 9 to 17 years
    Reporting group description
    Subjects aged 9 to 17 years received an injection of 0.5 mL of QIV IM on Day 1.

    Reporting group title
    Group 2: QIV: 3 to 8 years
    Reporting group description
    Subjects aged 3 to 8 years received an injection of 0.5 mL of QIV IM on Day 1. Previously vaccinated subjects (defined as subjects who had received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received only 1 dose of study vaccine after enrolling in the study (at Day 1). Previously unvaccinated subjects (defined as subjects who had not received at least 2 doses of seasonal influenza vaccine in prior influenza seasons) received 2 doses of study vaccine after enrolling in the study (first dose at Day 1 and second dose 28 days apart [at Day 29]).

    Serious adverse events
    Group 1: QIV: 6 to 35 months Group 4: QIV: 18 years and older Group 3: QIV: 9 to 17 years Group 2: QIV: 3 to 8 years
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 103 (0.97%)
    0 / 100 (0.00%)
    0 / 100 (0.00%)
    1 / 97 (1.03%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Infections and infestations
    Gastroenteritis Shigella
         subjects affected / exposed
    0 / 103 (0.00%)
    0 / 100 (0.00%)
    0 / 100 (0.00%)
    1 / 97 (1.03%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    1 / 103 (0.97%)
    0 / 100 (0.00%)
    0 / 100 (0.00%)
    0 / 97 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Group 1: QIV: 6 to 35 months Group 4: QIV: 18 years and older Group 3: QIV: 9 to 17 years Group 2: QIV: 3 to 8 years
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    28 / 103 (27.18%)
    18 / 100 (18.00%)
    31 / 100 (31.00%)
    37 / 97 (38.14%)
    General disorders and administration site conditions
    Injection Site Erythema
         subjects affected / exposed
    6 / 103 (5.83%)
    0 / 100 (0.00%)
    1 / 100 (1.00%)
    1 / 97 (1.03%)
         occurrences all number
    7
    0
    1
    1
    Malaise
         subjects affected / exposed
    0 / 103 (0.00%)
    6 / 100 (6.00%)
    2 / 100 (2.00%)
    2 / 97 (2.06%)
         occurrences all number
    0
    6
    2
    2
    Injection Site Swelling
         subjects affected / exposed
    5 / 103 (4.85%)
    0 / 100 (0.00%)
    0 / 100 (0.00%)
    7 / 97 (7.22%)
         occurrences all number
    5
    0
    0
    7
    Injection Site Pain
         subjects affected / exposed
    17 / 103 (16.50%)
    15 / 100 (15.00%)
    31 / 100 (31.00%)
    34 / 97 (35.05%)
         occurrences all number
    20
    15
    31
    42
    Psychiatric disorders
    Irritability
         subjects affected / exposed
    8 / 103 (7.77%)
    0 / 100 (0.00%)
    0 / 100 (0.00%)
    2 / 97 (2.06%)
         occurrences all number
    8
    0
    0
    2
    Infections and infestations
    Upper Respiratory Tract Infection
         subjects affected / exposed
    8 / 103 (7.77%)
    0 / 100 (0.00%)
    0 / 100 (0.00%)
    6 / 97 (6.19%)
         occurrences all number
    9
    0
    0
    7

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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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