The secondary outcomes are as follows:
Comparison by vaccination group of Geometric Mean Titres (GMTs) against homologous and heterologous influenza strains from day 208 to day 360
Comparison by vaccination group of the Geometric Mean Ratio (GMR) of HI titres post versus pre-vaccination (day 1), against homologous and heterologous strains from day 208 to day 360
Comparison by vaccination group of seroprotection rates (HI titre ≥1:40) against homologous and heterologous strains from day 208 to day 360
Comparison by vaccination group of participants with seroconversion against homologous and heterologous strains from day 208 to day 360 (seroconversion is defined as a pre-vaccination (day 1) HI titre <10 and post-vaccination HI titre ≥40 or at least a four-fold increase in HI titres from a pre-vaccination HI titre ≥10)
Comparison by vaccination group of MN titres against homologous and heterologous strains from day 208 to day 360
Number of participants reporting ILI across vaccine groups from day 208 to day 360
Number of participants with PCR-confirmed influenza across vaccine groups from day 208 to day 360
Number of participants reporting healthcare utilisation (emergency room visits, unscheduled physician visits, and hospitalisations in each group) across vaccine groups from day 180 to day 360
All-cause mortality rate, across vaccine groups from day 180 to day 360
Frequency and severity of solicited local (injection site) and systemic AEs for 7 days post vaccination. The frequency of the following AEs will be reported per regulatory guidance (CPMP/BWP214/96): indurations larger than 50 mm in diameter and persisting for more than 3 days, ecchymosis, temperature >38 °C for 24 h or more, malaise, shivering
Percentage of participants with SAE from day 1 to day 360
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