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> Record changed: 2026-10-13

# Safety and Immunogenicity of Different Formulations of an MF59-Adjuvanted Influenza Vaccine in Older Adults ≥50 Years of Age

NCT05501561

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

Phase

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

Participants

1,056

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

Lead sponsor

Seqirus

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

Start date

2022-08-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

Number of sites

47

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Title and summary

**Summary**

This Phase 2, randomized, observer-blind, dose-confirmation clinical study evaluated different formulations of MF59-Adjuvanted Quadrivalent Subunit Inactivated Influenza Vaccine. Approximately 1000 subjects were randomized into 1 of 4 possible treatment groups with approximately 250 participants per group. Every participant received an influenza vaccine injection on Day 1 and were to be followed up for approximately 6 months following injection. The primary immunogenicity analysis is based on Day 29 serology data.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Short title**

Safety and Immunogenicity of Different Formulations of an MF59-Adjuvanted Influenza Vaccine in Older Adults ≥50 Years of Age

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Official title**

A Phase 2b, Randomized, Observer-Blind, Antigen and Adjuvant Dose-Confirmation Clinical Study to Evaluate Safety and Immunogenicity of Different Formulations of MF59-Adjuvanted Quadrivalent Subunit Inactivated Cell-derived Influenza Vaccine (aQIVc) in Older Adults ≥50 Years of Age

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Status and phase

**Control arm**

Active comparator

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Registry reports results**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Phase**

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Dates

**Completion date**

2023-03-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**First posted**

2022-08-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Registry last updated**

2026-06-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Primary completion date**

2023-03-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Start date**

2022-08-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Size and sites

**Actual participants**

1,056

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Participants**

1,056

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Number of sites**

47

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Lead sponsor**

Seqirus

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Identifiers

**Registry ID**

NCT05501561

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**ClinicalTrials.gov ID**

NCT05501561

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Prevention

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Outcomes

### Primary outcomes

1. Immunogenicity Endpoint: Geometric Mean Titer (GMT): Geometric Mean of Hemagglutination Inhibition (HI) Antibodies at Day 1 and Day 29  
Timeframe: Day 1 and Day 29  
GMTs on Day 1 (prior to vaccination) and Day 29 as determined by HI assay against each of the 4 vaccine strains. No hypothesis testing was performed for the primary immunogenicity objectives.
2. Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) (HI Assay)  
Timeframe: Day 1 to Day 29  
Geometric mean of the fold increase in serum HI titer postvaccination (Day 29) compared to prevaccination (Day 1) for each of the 4 vaccine strains.
3. Immunogenicity Endpoint: Percentages of Subjects With HI Titers ≥1:40 at Day 1 and Day 29  
Timeframe: Day 1 and Day 29  
Percentages of subjects with HI titers ≥1:40 at Day 1 and Day 29 for each of the 4 vaccine strains.
4. Immunogenicity Endpoint: Percentage of Subjects With Seroconversion at Day 29 (HI Assay)  
Timeframe: Day 1 to Day 29  
Seroconversion is defined as ≥4-fold increase in titer postvaccination in those with prevaccination titer equal to or above the lower limit of quantitation (LLOQ; 1:10), or a postvaccination titer ≥1:40 for subjects with baseline titer below the LLOQ (1:10) for HI antibodies.
5. Immunogenicity Endpoint: GMT Ratio (HI Assay)  
Timeframe: Day 29  
The GMT ratio is the geometric mean of the postvaccination HI titer for the investigational vaccine over the geometric mean of the postvaccination HI titer for the licensed IIV vaccine. The Day 29 GMT ratios are calculated for the investigational vaccines with reference to the licensed vaccine, ie, the Day 29 GMT ratios are the ratio of the Day 29 GMTs in the Investigational group (IIV-A Investigational, aIIV-B Investigational, or aIIV-C Investigational) compared with the Day 29 GMTs in the Licensed IIV group (ie, Investigational group/Licensed IIV group). As the licensed vaccine is the reference for the GMT ratio, this parameter is presented as "1" for the Licensed IIV group (ie, Licensed IIV group/Licensed IIV group).
6. Solicited Local or Systemic AEs  
Timeframe: Day 1 through Day 7  
Number and percentage of subjects with solicited local or systemic AEs for 7 days following vaccination, based on the subject reported data (electronic Diary \\\[eDiary\\\]). No hypothesis testing was performed for the primary safety objectives.
7. Severe Solicited Local or Systemic AEs  
Timeframe: Day 1 through Day 7  
Number and percentage of subjects with severe solicited local or systemic AEs for 7 days following vaccination, based on the subject reported data (eDiary).
8. Unsolicited AEs  
Timeframe: Day 1 to Day 29  
Number and percentage of subjects with unsolicited AEs for 28 days following vaccination
9. Subjects With Serious Adverse Events (SAEs), AEs Leading to Withdrawal, Adverse Events of Special Interest (AESIs) and Medically-attended Adverse Events (MAAEs)  
Timeframe: Day 1 to Day 181  
Number and percentage of subjects with SAEs, AEs leading to withdrawal from the study, AESIs and non-serious MAAEs

### Secondary outcomes

1. Immunogenicity Endpoint: GMT: Geometric Mean of Microneutralization (MN) Antibodies Titer at Days 1 and 29  
Timeframe: Day 1 and Day 29  
GMTs on Day 1 (prior to vaccination) and Day 29 as determined by MN assay against each of the 4 vaccine strains.
2. Immunogenicity Endpoint: GMFI (MN Assay)  
Timeframe: Day 1 to Day 29  
Geometric mean of the fold increase in serum MN titer postvaccination (Day 29) compared to prevaccination (Day 1) for each of the 4 vaccine strains.
3. Immunogenicity Endpoint: Percentages of Subjects With Seroconversion at Day 29 (MN Assay)  
Timeframe: Day 1 to Day 29  
Seroconversion is defined as ≥4-fold increase for subjects with prevaccination MN titers ≥LLOQ (1:10) or as ≥4\\\*LLOQ (1:10) for subjects with prevaccination MN titer \\<LLOQ.
4. Immunogenicity Endpoint: GMT Ratio (MN Assay)  
Timeframe: Day 29  
The GMT ratio is the geometric mean of the postvaccination HI titer for the investigational vaccine over the geometric mean of the postvaccination HI titer for the licensed IIV vaccine. The Day 29 GMT ratios are calculated for the investigational vaccines with reference to the licensed vaccine, ie, the Day 29 GMT ratios are the ratio of the Day 29 GMTs in the Investigational group (IIV-A Investigational, aIIV-B Investigational, or aIIV-C Investigational) compared with the Day 29 GMTs in the Licensed IIV group (ie, Investigational group/Licensed IIV group). As the licensed vaccine is the reference for the GMT ratio, this parameter is presented as "1" for the Licensed IIV group (ie, Licensed IIV group/Licensed IIV group).

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

50 Years

**Healthy volunteers**

Yes

### Inclusion criteria

In order to participate in this study, all subjects must meet ALL of the inclusion criteria described.

1. Individuals ≥50 years of age on the day of informed consent.
2. Individuals who have voluntarily given written consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry.
3. Individuals who can comply with study procedures including follow-up .
4. Males, females of non-childbearing potential or females of childbearing potential who are using an effective birth control method, at least 30 days prior to informed consent, which they intend to use for at least 2 months after the study vaccination.  
\-

### Exclusion criteria

In order to participate in this study, all subjects must not meet ANY of the exclusion criteria described below:

1. Females of childbearing potential who are pregnant, lactating, or who have not adhered to a specified set of contraceptive methods from at least 30 days prior to informed consent and who do not plan to do so for at least 2 months after the study vaccination.
2. Progressive, unstable or uncontrolled clinical conditions.
3. Hypersensitivity, including allergy, to any component of vaccines whose use is foreseen in this study.
4. History of any medical condition considered an adverse event of special interest (AESI).
5. Known history of Guillain-Barré syndrome or another demyelinating disease such as encephalomyelitis and transverse myelitis.
6. Clinical conditions representing a contraindication to intramuscular administration of vaccines or blood draw.
7. Abnormal function of the immune system resulting from:

  1. Clinical conditions.
  2. Systemic administration of corticosteroids (PO/IV/IM) at a dose of ≥20 mg/day of prednisone or equivalent for more than 14 consecutive days within 90 days prior to informed consent5.
  3. Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent.
8. Receipt of immunoglobulins or any blood products within 180 days prior to informed consent.
9. Receipt of an investigational or non-registered medicinal product within 30 days prior to informed consent.
10. Receipt of any COVID-19 vaccine within 14 days (non-replicating vaccines) or 28 days (replicating vaccines) prior to informed consent or plan to receive any COVID-19 vaccine within 7 days from study vaccination
11. Individuals who received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to informed consent or who are planning to receive any vaccine within 28 days from the study vaccines.
12. Study personnel or immediate family or household member of study personnel.
13. Receipt of any influenza vaccine within 6 months prior to informed consent, or plan to receive an influenza vaccine during the study period.
14. Acute (severe) febrile illness,
15. Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subject due to participation in the study.  
\-

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Sites

- AMR TempeTempe, United States
- Marvel Clinical ResearchHuntington Beach, United States
- California Research CenterSan Diego, United States
- The Lynn Institute of The RockiesColorado Springs, United States
- Clinical Research Consulting, LLCMilford, United States
- Innovative Research of West Florida, Inc.Clearwater, United States
- Velocity Clinical Research - New Smyrna BeachEdgewater, United States
- CenExel RCAHollywood, United States
- Health Awareness INCJupiter, United States
- Global Health Research CenterMiami Lakes, United States
- Precision Clinical ResearchSunrise, United States
- Global Health Research CenterTampa, United States
- Platinum Research Network, LLCSavannah, United States
- Meridian Clinical Research - SavannahSavannah, United States
- AMR El DoradoEl Dorado, United States
- AMR LexingtonLexington, United States
- Meridian Clinical ResearchBaton Rouge, United States
- Medpharmics, LLCMetairie, United States
- Rockville Internal Medicine GroupRockville, United States
- MedPharmics LLCBiloxi, United States
- Healthcare Research NetworkHazelwood, United States
- The Center for Pharmaceutical ResearchKansas City, United States
- Sundance Clinical Research, LLCSt Louis, United States
- Meridian Clinical ResearchBellevue, United States
- Meridian Clinical ResearchGrand Island, United States

And 22 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## References

- PubMed 41855648  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/41855648/)
Related publication

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05501561)

## Related records

### Drugs (2)

- [Iron isomaltoside 1000](https://trialight.com/data/asset/iron-isomaltoside-1000-8f78d416-6b53-49f1-8d80-ded37eeb0ccf.md)
- [Meropenem](https://trialight.com/data/asset/meropenem-a90880e5-37b0-473b-bf12-d5f0de7894c2.md)

### Lead sponsors (1)

- [Seqirus](https://trialight.com/data/company/seqirus-53ee4051-ee43-4e8c-96f6-54c80b42a40f.md)

### Conditions (1)

- [Influenza](https://trialight.com/data/condition/influenza-ea12369b-7ed6-5f6b-94fe-eb0e56c24def.md) Primary condition

---

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