Table 3.

Immunogenic Noninferiority Comparison of QIV to TIV-Yam and TIV-Vic in Children 3–17 Years of Age: ATP Immunogenicity Cohort

TIV-Vic + TIV-Yam N (adjusted GMT)QIV N (adjusted GMT)GMT ratio GMT ratio (95% CI)a
A/California/7/2009 (H1N1)1747 (421.4)876 (366.3)1.15 (1.06, 1.25)b
A/Victoria/210/2009 (H3N3)1746 (144.3)876 (145.8)0.99 (.92, 1.07)b
B/Brisbane/60/2008 (Victoria) 870 (243.4)876 (252.5)0.96 (.87, 1.07)c
B/Florida/4/2006 (Yamagata) 877 (564.6)876 (525.2)1.08 (.99, 1.16)d
TIV-Vic + TIV-Yam n/N seroconverted (SCR)e
QIV n/N seroconverted (SCR)e
SCR difference % difference (95% CI)a
A/California/7/2009 (H1N1)1505/1747 (86.1%)739/876 (84.4%)1.79% (−1.04, 4.77)f
A/Victoria/210/2009 (H3N3)1200/1746 (68.7%)614/876 (70.1%)−1.36% (−5.05, 2.41)f
B/Brisbane/60/2008 (Victoria) 622/870 (71.5%)653/876 (74.5%)−3.05% (−7.21, 1.12)g
B/Florida/4/2006 (Yamagata) 644/877 (73.4%)659/876 (75.2%)−1.80% (−5.89, 2.30)h
TIV-Vic + TIV-Yam N (adjusted GMT)QIV N (adjusted GMT)GMT ratio GMT ratio (95% CI)a
A/California/7/2009 (H1N1)1747 (421.4)876 (366.3)1.15 (1.06, 1.25)b
A/Victoria/210/2009 (H3N3)1746 (144.3)876 (145.8)0.99 (.92, 1.07)b
B/Brisbane/60/2008 (Victoria) 870 (243.4)876 (252.5)0.96 (.87, 1.07)c
B/Florida/4/2006 (Yamagata) 877 (564.6)876 (525.2)1.08 (.99, 1.16)d
TIV-Vic + TIV-Yam n/N seroconverted (SCR)e
QIV n/N seroconverted (SCR)e
SCR difference % difference (95% CI)a
A/California/7/2009 (H1N1)1505/1747 (86.1%)739/876 (84.4%)1.79% (−1.04, 4.77)f
A/Victoria/210/2009 (H3N3)1200/1746 (68.7%)614/876 (70.1%)−1.36% (−5.05, 2.41)f
B/Brisbane/60/2008 (Victoria) 622/870 (71.5%)653/876 (74.5%)−3.05% (−7.21, 1.12)g
B/Florida/4/2006 (Yamagata) 644/877 (73.4%)659/876 (75.2%)−1.80% (−5.89, 2.30)h

Abbreviations: ATP, according to protocol; CI, confidence interval; GMT, geometric mean titer; N, number; QIV, quadrivalent influenza vaccine; SCR, seroconversion rate; TIV-Vic, trivalent influenza vaccine Victoria lineage B strain; TIV-Yam, trivalent influenza vaccine Yamagata lineage B strain .

a Immunogenic noninferiority demonstrated if the upper limit of the 2-sided 95% CI of the adjusted GMT was ≤1.5 and the upper limit of the 2-sided 95% CI of the difference between SCR was ≤10% for all vaccine strains.

b (TIV-Vic + TIV-Yam) divided by QIV.

c TIV-Vic divided by QIV.

d TIV-Yam divided by QIV.

e SCR was defined as the proportion of vaccinees with either a prevaccination titer <1:10 and a postvaccination titer ≥1:40, or a prevaccination titer ≥1:10 and at least a 4-fold increase in postvaccination titer.

f (TIV-Vic + TIV-Yam) minus QIV.

g TIV-Vic minus QIV.

h TIV-Yam minus QIV.

Table 3.

Immunogenic Noninferiority Comparison of QIV to TIV-Yam and TIV-Vic in Children 3–17 Years of Age: ATP Immunogenicity Cohort

TIV-Vic + TIV-Yam N (adjusted GMT)QIV N (adjusted GMT)GMT ratio GMT ratio (95% CI)a
A/California/7/2009 (H1N1)1747 (421.4)876 (366.3)1.15 (1.06, 1.25)b
A/Victoria/210/2009 (H3N3)1746 (144.3)876 (145.8)0.99 (.92, 1.07)b
B/Brisbane/60/2008 (Victoria) 870 (243.4)876 (252.5)0.96 (.87, 1.07)c
B/Florida/4/2006 (Yamagata) 877 (564.6)876 (525.2)1.08 (.99, 1.16)d
TIV-Vic + TIV-Yam n/N seroconverted (SCR)e
QIV n/N seroconverted (SCR)e
SCR difference % difference (95% CI)a
A/California/7/2009 (H1N1)1505/1747 (86.1%)739/876 (84.4%)1.79% (−1.04, 4.77)f
A/Victoria/210/2009 (H3N3)1200/1746 (68.7%)614/876 (70.1%)−1.36% (−5.05, 2.41)f
B/Brisbane/60/2008 (Victoria) 622/870 (71.5%)653/876 (74.5%)−3.05% (−7.21, 1.12)g
B/Florida/4/2006 (Yamagata) 644/877 (73.4%)659/876 (75.2%)−1.80% (−5.89, 2.30)h
TIV-Vic + TIV-Yam N (adjusted GMT)QIV N (adjusted GMT)GMT ratio GMT ratio (95% CI)a
A/California/7/2009 (H1N1)1747 (421.4)876 (366.3)1.15 (1.06, 1.25)b
A/Victoria/210/2009 (H3N3)1746 (144.3)876 (145.8)0.99 (.92, 1.07)b
B/Brisbane/60/2008 (Victoria) 870 (243.4)876 (252.5)0.96 (.87, 1.07)c
B/Florida/4/2006 (Yamagata) 877 (564.6)876 (525.2)1.08 (.99, 1.16)d
TIV-Vic + TIV-Yam n/N seroconverted (SCR)e
QIV n/N seroconverted (SCR)e
SCR difference % difference (95% CI)a
A/California/7/2009 (H1N1)1505/1747 (86.1%)739/876 (84.4%)1.79% (−1.04, 4.77)f
A/Victoria/210/2009 (H3N3)1200/1746 (68.7%)614/876 (70.1%)−1.36% (−5.05, 2.41)f
B/Brisbane/60/2008 (Victoria) 622/870 (71.5%)653/876 (74.5%)−3.05% (−7.21, 1.12)g
B/Florida/4/2006 (Yamagata) 644/877 (73.4%)659/876 (75.2%)−1.80% (−5.89, 2.30)h

Abbreviations: ATP, according to protocol; CI, confidence interval; GMT, geometric mean titer; N, number; QIV, quadrivalent influenza vaccine; SCR, seroconversion rate; TIV-Vic, trivalent influenza vaccine Victoria lineage B strain; TIV-Yam, trivalent influenza vaccine Yamagata lineage B strain .

a Immunogenic noninferiority demonstrated if the upper limit of the 2-sided 95% CI of the adjusted GMT was ≤1.5 and the upper limit of the 2-sided 95% CI of the difference between SCR was ≤10% for all vaccine strains.

b (TIV-Vic + TIV-Yam) divided by QIV.

c TIV-Vic divided by QIV.

d TIV-Yam divided by QIV.

e SCR was defined as the proportion of vaccinees with either a prevaccination titer <1:10 and a postvaccination titer ≥1:40, or a prevaccination titer ≥1:10 and at least a 4-fold increase in postvaccination titer.

f (TIV-Vic + TIV-Yam) minus QIV.

g TIV-Vic minus QIV.

h TIV-Yam minus QIV.

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