INFLUENZA VIRUS A/DARWIN/9/2021 IVR-228 (H3N2)

Clinical trials investigating INFLUENZA VIRUS A/DARWIN/9/2021 IVR-228 (H3N2) are studying influenza vaccine research in different groups of people. These studies look at safety, immune response, and how well vaccines help prevent influenza-related illness. The target groups include healthy adults, older adults, and patients with hematological cancer.

Table of Contents

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]

Trial ID Phase Condition studied Status Enrollment
2023-506977-36-00 Phase 3 Prevention of influenza infection in adults aged 65-79 years Authorised 114011
2023-505357-40-00 Phase 3 Hematological cancer Authorised 180
2023-504168-40-00 Phase 3 Prevention of invasive extraintestinal pathogenic Escherichia coli (ExPEC) disease Completed 932
NCT05823974 Phase 1/2 Healthy volunteers (prevention of influenza infection) Completed 1272

Ongoing Clinical Trials on INFLUENZA VIRUS A/DARWIN/9/2021 IVR-228 (H3N2)

  • Study Comparing High-Dose and Standard-Dose Inactivated Influenza Vaccines in Adults with Blood Cancer

    Recruiting

    1 1 1 1
    Investigated diseases:
    Belgium
  • Study on the Effectiveness of High-Dose vs. Standard-Dose Quadrivalent Influenza Vaccine in Preventing Flu in Adults Aged 65-79 in Galicia, Spain

    Recruiting

    1 1 1 1
    Investigated diseases:
    Spain
  • Study on the Safety and Immune Response of JNJ-78901563 and High-dose Influenza Vaccine in Preventing E. coli Infections in Adults Aged 65 and Older

    Not recruiting

    1 1 1
    Investigated diseases:
    Belgium Poland
  • Study on the Safety and Immune Response of a New Influenza Vaccine with GSKVX000000034794 in Healthy Younger and Older Adults

    Not recruiting

    1 1 1
    Investigated diseases:
    Belgium

Glossary

  • Influenza: A viral infection often called the flu. These trials study ways to prevent it.
  • Vaccine effectiveness: How well a vaccine works in real life to prevent disease or serious illness.
  • Immunogenicity: How strongly a vaccine makes the immune system respond.
  • Reactogenicity: Short-term reactions after vaccination, such as local or general symptoms that are tracked in the study.
  • Seroconversion: A change in blood test results that shows the body has started making a measurable immune response.
  • Antibody titer: A lab measure of how much antibody is in the blood.
  • Geometric mean titer (GMT): An average way to describe antibody levels in a group of people.
  • Randomized trial: A study where participants are put into different groups by chance.
  • Double-blind: A study design where participants and often study staff do not know which treatment was given.
  • Composite endpoint: A study result that combines more than one event, such as hospitalization for influenza or pneumonia.

References

  1. https://clinicaltrials.gov/study/2023-506977-36-00
  2. https://clinicaltrials.gov/study/2023-505357-40-00
  3. https://clinicaltrials.gov/study/2023-504168-40-00
  4. https://clinicaltrials.eu/trial/study-on-the-safety-and-immune-response-of-a-new-influenza-vaccine-with-gskvx000000034794-in-healthy-younger-and-older-adults/