Table of Contents
- Overview of the trials
- Who the trials include
- Trial designs and phases
- What the trials measure
- Key trials in this set
- Simple explanation of important terms
Overview of the trials
The clinical trials for INFLUENZA VIRUS A/DARWIN/9/2021 IVR-228 (H3N2) are vaccine studies focused on preventing influenza and related illness.[1] The trial data show research on vaccine effectiveness, immune response, safety, and reactogenicity, which means short-term reactions after vaccination.[1] Some studies compare high-dose and standard-dose influenza vaccines, while others test vaccine use in older adults or in patients with hematological cancer.[1][2][3]
Who the trials include
These trials include several patient groups, so the study results can apply to different levels of risk and immune health.[1] One large Phase 3 study includes adults aged 65 to 79 years in Galicia, Spain, and looks at prevention of influenza infection.[1] Another Phase 3 study includes adults treated for hematological cancer, which means cancers of the blood or bone marrow, and compares two influenza vaccine doses.[2] A Phase 1/2 study includes healthy younger and older adults, and one Phase 3 study includes adults aged 65 years or older.[4][3]
Trial designs and phases
The trial set includes both Phase 1/2 and Phase 3 studies.[4][1][2][3]
Phase 1/2 research usually looks first at safety and early immune response in a smaller or mixed group of participants.[4] Phase 3 studies are larger and are used to compare how well different vaccine strategies work and how safe they are in real-world-like groups.[1][2][3]
One study is a randomized trial, which means participants are assigned by chance to different vaccine groups.[1][2][4] One study is also described as double-blind, meaning the people in the study do not know which treatment they receive, helping reduce bias in the results.[3]
What the trials measure
The main outcomes are linked to both clinical events and immune response.[1][2][3][4]
Hospitalization due to influenza or pneumonia: one Phase 3 study uses this combined outcome to see whether high-dose vaccine lowers the risk of serious illness.[1]
Seroconversion: one cancer study measures whether participants develop a clear blood antibody response after vaccination.[2]
Hemagglutination inhibition (HI) titers: one study measures antibody levels against each influenza strain 29 days after vaccination, which helps show immune response.[3]
Safety and reactogenicity: one Phase 1/2 study tracks local and general symptoms, unwanted events, serious adverse events, and medically attended events over time.[4]
Laboratory changes: the Phase 1 part of the study also checks whether blood test values change from normal to abnormal after vaccination.[4]
Key trials in this set
The largest Phase 3 study in adults aged 65 to 79 years compares high-dose quadrivalent influenza vaccine with standard-dose quadrivalent influenza vaccine and looks at hospitalization for influenza or pneumonia as the main endpoint.[1] Its enrollment is 114,011, which makes it the largest study in the provided data.[1]
The Flu-Hemato-Rando study is a Phase 3 randomized single-blind trial in adults treated for hematological cancer.[2] It compares high-dose and standard-dose inactivated influenza vaccine and also includes a systems biology part, which means detailed study of how the body responds at a biological level.[2]
Another Phase 3 study in adults aged 65 years or older tests whether giving ExPEC9V together with a high-dose quadrivalent influenza vaccine affects immune response, safety, and reactogenicity.[3] This study is useful because it looks at vaccine co-administration, meaning two vaccines are given together.[3]
The Phase 1/2 study in healthy younger and older adults aims to find and confirm the dose and to assess safety, reactogenicity, and immune response.[4] It also measures several antibody results over time, including geometric mean titer and seroconversion rate.[4]
Simple explanation of important terms
Enrollment means the number of people planned or included in a study.[1][2][3][4]
Interventional study means the researchers give a vaccine or another study treatment and then measure the results.[1][2][3][4]
Primary endpoint means the main result the researchers want to measure.[1][2][3][4]
Humoral immune response means the body’s antibody response in the blood after vaccination.[2][3][4]
Adverse event means any unwanted medical problem seen during a study, whether or not it is caused by the vaccine.[4]





