High vs. Standard Dose Flu Vaccine for Pediatric Transplant Patients

This study is looking at how well two different flu vaccines work in children who have received a solid organ transplant (kidney, heart, and/or liver). We know that children who have had transplants don't always respond well to the usual flu shot. This study compares a standard dose vaccine, Fluzone® Quadrivalent, with a high-dose vaccine, Fluzone High-Dose, to see if the high-dose version creates a stronger immune response. Researchers will also check how safe each vaccine is by looking at any side effects in the first 7 days after each shot. The study aims to enroll about 312 children aged 3 to 17 years who are 1 to 23 months post-transplant. The current status of this study is unclear.

Study design
This is a Phase 2, multi-center study where about 312 participants will be randomly assigned to receive either two doses of Fluzone® Quadrivalent or two doses of Fluzone High-Dose. It is a double-blind study, meaning neither you nor your doctor will know which vaccine you receive.
What's involved
Participants will receive two doses of a study vaccine. Researchers will measure your immune response at 4 weeks after the second vaccine and check for side effects in the first 7 days after each vaccine.
Compensation
Not stated in the trial record.
Follow-up
Your immune response will be measured 4 weeks after the second study vaccine. Safety will be monitored for 7 days following each vaccine.

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NCT05947071

High vs.Standard Dose Influenza Vaccine in Pediatric Solid Organ Transplant (SOT) Recipients

Recruiting
PHASE2Ages 3–17InterventionalPrevention
National Institute of Allergy and Infectious Diseases (NIAID)
~312 participants
Updated 2026-04-21 on ClinicalTrials.gov
What's tested:Standard Dose Quadrivalent Inactivated Influenza VaccineHigh Dose Quadrivalent Inactivated Influenza Vaccine

At a glance

Recruiting sites
8 of 8 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Immunogenicity: Hemagglutination Inhibition (HAI) titers
Measured over 4 weeks following the 2nd study vaccine
+1 more outcome measured
Immunization; Infection
Transplantation Infection
Influenza
8 sites across 8 states
California1
Georgia1
Illinois1
Missouri1
Ohio1
Pennsylvania1
Tennessee1
Texas1

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Eligibility criteria

Inclusion

Note: Inclusion of recipients of multiple organs is permitted but is limited to recipients of any combination of organs including kidney, heart and/or liver
Note: Participants undergoing re-transplantation are permitted 3. Anticipated to be available for duration of the study 4. Available by telephone, email, or text message
  • Immunogenicity: Hemagglutination Inhibition (HAI) titers4 weeks following the 2nd study vaccine

    Antibody titers will be measured by hemagglutination inhibition assay.

  • Safety: solicited local and systemic post-administration reactionsin the first 7 days following each study vaccine

    Post-vaccination local adverse events (pain, tenderness, swelling/induration, erythema/redness, swelling/induration size, and erythema/redness size) and systemic adverse events (Fatigue/malaise, headache, nausea, body ache/myalgia (not at the injection site), general activity level, vomiting, and fever).