Cardio-oncology & other

A pragmatic individually randomized trial to evaluate the effectiveness of high-dose vs standard-dose influenza vaccine in older adults: Rationale and design of the DANFLU-2 trial

Am Heart JPublished pragmatic, registry-based, open-label, active-controlled, individually randomized trial

Study context

Population
Older adults ≥65 years in Denmarkenrolled, enrollment completed in October 2024
Participants
332,438 adults
Planned comparison
High-dose inactivated influenza vaccine (HD-IIV) vs standard-dose inactivated influenza vaccine (SD-IIV)
Primary endpoint
Hospitalization for influenza or pneumonia
Methodological detailsongoing, conducted in Denmark during the 2022/2023, 2023/2024, and 2024/2025 influenza seasons, electronic recruitment strategies and an online informed consent process, 1:1 randomization, data primarily obtained from the nationwide Danish administrative health registries, rationale and design report
  • Ongoing
  • Conducted in Denmark during the 2022/2023, 2023/2024, and 2024/2025 influenza seasons
  • Electronic recruitment strategies and an online informed consent process
  • 1:1 randomization
  • Data primarily obtained from the nationwide Danish administrative health registries
  • Rationale and design report

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

A pragmatic individually randomized trial to evaluate the effectiveness of high-dose vs standard-dose influenza vaccine in older adults: Rationale and design of the DANFLU-2 trial. Am Heart J. Published 30 July 2025. doi:10.1016/j.ahj.2025.07.069

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