Evidence map›Paper›PMID 39099085›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Safety and Immunogenicity of Respiratory Syncytial Virus Prefusion F Protein Vaccine when Co-administered with Adjuvanted Seasonal Quadrivalent Influenza Vaccine in Older Adults: A Phase 3 Randomized Trial.

Rebecca Clark, Sam Davies, Jorge Labrador, Paul Loubet, Silvina Natalini Martínez, Helena Moza Moríñigo, Jean-François Nicolas, Mercè Pérez Vera, Mika Rämet, Maria Henar Rebollo-Rodrigo and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05568797 (A Phase III, Open-label, Randomized, Controlled, Multi-country Study to Evaluate the Immune Response, Safety and Reactogenicity of an RSVPreF3 OA Investigational Vaccine When Co-administered With FLU aQIV), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05568797 phase3completednot on this map

A Phase III, Open-label, Randomized, Controlled, Multi-country Study to Evaluate the Immune Response, Safety and Reactogenicity of an RSVPreF3 OA Investigational Vaccine When Co-administered With FLU aQIV (Inactivated Influenza Vaccine - Adjuvanted) in Adults Aged 65 Years and Above

TypeinterventionalSponsorGlaxoSmithKlineRan2022 to 2023Enrolled1,045ConditionsRespiratory Syncytial Virus InfectionsArmsRSVPreF3 OA vaccine, FLU vaccine
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  6. AS01Drug safety · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Rebecca ClarkLayton Medical Centre, Blackpool, United Kingdom.
Sam DaviesSouth Gloucestershire Medical Research Unit, Bristol, United Kingdom.
Jorge LabradorResearch Unit, Hospital Universitario de Burgos, Burgos, Spain.
Paul LoubetDepartment of Infectious and Tropical Diseases, VBIC (Bacterial Virulence and Chronic Infection), INSERM, University of Montpellier, CHU Nimes, Nimes, France.
Silvina Natalini MartínezUnidad de Investigación de Vacunas, Instituto de Investigación Sanitaria HM, Madrid, Spain.
Helena Moza MoríñigoDepartamento de Medicina Preventiva y Salud Pública, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Jean-François NicolasDepartment of Allergology of Clinical Immunology, Lyon Sud University Hospital, CIRI, INSERM U1111, University Lyon1, Pierre-Bénite, France.
Mercè Pérez VeraABS La Roca del Vallès, Barcelona, Spain.
Mika RämetFinnish Vaccine Research Ltd. and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Maria Henar Rebollo-RodrigoServicio de Medicina Preventiva y Salud Pública, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain.
Iván Sanz-MuñozNational Influenza Centre, Valladolid, Spain.
Nancy DezutterGSK, Wavre, Belgium.
Sophie GermainGSK, Wavre, Belgium.
Marie-Pierre DavidGSK, Wavre, Belgium.
Amulya JayadevGSK, Bangalore, India.
Hiwot Amare HailemariamGSK, Wavre, Belgium.
Shady KotbGSK, Wavre, Belgium.
Nadia MeyerGSK, Wavre, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated co-administration of adjuvanted seasonal quadrivalent influenza vaccine (FLU-aQIV) and respiratory syncytial virus (RSV) prefusion F protein-based vaccine (RSVPreF3 OA) in ≥65-year-olds.

methodsThis phase 3, open-label trial randomized ≥65-year-olds to receive FLU-aQIV and RSVPreF3 OA concomitantly (Co-Ad) or sequentially, 1 month apart (Control). Primary objectives were to demonstrate the non-inferiority of FLU-aQIV and RSVPreF3 OA co-administration versus sequential administration in terms of hemagglutination inhibition (HI) titers for each FLU-aQIV strain and RSV-A and RSV-B neutralization titers, 1 month post-vaccination. Reactogenicity and safety were also assessed.

resultsOverall, 1045 participants were vaccinated (Co-Ad: 523; Control: 522). Non-inferiority of FLU-aQIV and RSVPreF3 OA co-administration versus sequential administration was demonstrated in terms of HI titers for the A/Victoria(H1N1), B/Victoria, and B/Yamagata influenza strains and RSV-A neutralization titers (upper limits [ULs] of 95% confidence intervals [CIs] for adjusted geometric mean titer [GMT] ratios [Control/Co-Ad] ≤1.50) but not for A/Darwin(H3N2) HI titers (95% CI UL = 1.53). The immune response to A/Darwin(H3N2) was further assessed post-hoc using a microneutralization assay; the post-vaccination adjusted GMT ratio (Control/Co-Ad) was 1.23 (95% CI: 1.06-1.42, ie, UL ≤1.50), suggesting an adequate immune response to A/Darwin(H3N2) following co-administration. RSV-B neutralization titers were comparable between groups (95% CI UL for adjusted GMT ratio ≤1.50). Solicited adverse events were mostly mild or moderate and transient; unsolicited and serious adverse event rates were balanced between groups.

conclusionsAdjuvanted FLU-aQIV and RSVPreF3 OA had acceptable reactogenicity/safety profiles when co-administered in ≥65-year-olds, without clinically relevant interference with the immune responses to either vaccine. CLINICAL TRIALS REGISTRATION: NCT05568797.

Indexed as

Antibodies, ViralInfluenza, HumanInfluenza VaccinesRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesAdjuvants, ImmunologicAgedAged, 80 and overAntibodies, NeutralizingFemaleHemagglutination Inhibition TestsHumansImmunogenicity, VaccineInfluenza B virusMaleRespiratory Syncytial Virus, HumanAdjuvants, ImmunologicAntibodies, NeutralizingAntibodies, ViralInfluenza VaccinesRespiratory Syncytial Virus VaccinesViral Fusion Proteinsadjuvanted seasonal influenza vaccineconcurrent administrationimmunogenicityRSVPreF3 OAsafety

Identifiers

PMID39099085
PMCPMC11478588

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.