Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults: A Cluster Randomized Crossover Study - Report - MDSpire

Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults: A Cluster Randomized Crossover Study

  • By

  • Amber Hsiao

  • Thomas Leong

  • Bruce Fireman

  • John Hansen

  • Ousseny Zerbo

  • Karen B. Jacobson

  • Lauren D. Liao

  • Mendel D. M. Haag

  • Ian McGovern

  • Bin Zhang

  • Juliet Dang

  • Nicola P. Klein

  • May 4, 2026

  • 0 min

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Clinical Report: Comparison of Adjuvanted and High-Dose Influenza Vaccines

Overview

This study evaluates the relative vaccine effectiveness (rVE) of adjuvanted versus high-dose influenza vaccines in adults aged 65 years and older. Conducted at Kaiser Permanente Northern California, the findings indicate comparable effectiveness in preventing laboratory-confirmed influenza during the 2023 to 2024 season.

Background

Influenza poses a significant health risk to older adults, who account for a large proportion of influenza-related hospitalizations and deaths. The U.S. Advisory Committee on Immunization Practices recommends enhanced vaccines for this population to improve immune responses. However, direct comparisons of adjuvanted and high-dose vaccines have been limited, highlighting the need for this study.

Data Highlights

No numerical data available in the provided material.

Key Findings

  • The study involved adults aged 65 years or older receiving either adjuvanted or high-dose influenza vaccines.
  • Vaccine effectiveness was assessed during the 2023 to 2024 influenza season.
  • Both vaccine types were administered in a cluster randomized crossover design across KPNC facilities.
  • Prior studies suggest enhanced vaccines elicit better immune responses compared to standard-dose vaccines.
  • Adjuvanted and high-dose vaccines have shown comparable effectiveness in preventing influenza-related medical encounters.

Clinical Implications

Healthcare providers should consider the comparable effectiveness of adjuvanted and high-dose influenza vaccines when vaccinating older adults. This study supports ongoing recommendations for enhanced vaccine use in this vulnerable population.

Conclusion

The findings from this study contribute to the understanding of influenza vaccine effectiveness in older adults, reinforcing the importance of vaccination strategies tailored to this demographic.

References

  1. Author(s)/Org, Source, Year -- Title
  2. conexiant, Influenza Vaccine Dose and Dementia Outcomes
  3. Author(s)/Org, Source, Year -- Comparative Effectiveness of High-Dose and Standard-Dose Influenza Vaccines
  4. Author(s)/Org, Source, Year -- Immune Responses of Antineuraminidase Antibodies in Elderly Individuals
  5. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices
  6. Adjuvanted Flu Vaccine | Influenza (Flu) | CDC
  7. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2025–26 Influenza Season | MMWR
  8. Adjuvanted Flu Vaccine | Influenza (Flu) | CDC

Original Source(s)

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