Adults 5 to 11, any sex, with Asthma in Children or Vaccine Adverse Reaction. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Comparison of the Proportion of Participants Experiencing an Asthma Exacerbation During the 42 Days After LAIV4 vs. IIV4 (Until Day 43).Primary· Day 43
For this study, asthma exacerbation will be defined as: any acute episode of progressively worsening shortness of breath (dyspnea), cough, wheezing, chest tightness, and/or respiratory distress during the 42 days (until day 43) after influenza vaccination for which the patient seeks unscheduled medical attention (e.g., healthcare provider office or Emergency Department visit or hospitalization) or receives a new prescription for systemic corticosteroids.
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
8
Inactivated Influenza Vaccine (IIV4)
10
Live Attenuated Influenza Vaccine (LAIV4)
66
Inactivated Influenza Vaccine (IIV4)
58
Comparison of the Proportion of Participants Experiencing an Asthma Exacerbation During the 14 Days After LAIV4 vs. IIV4Secondary· Day 15
For this study, asthma exacerbation will be defined as: any acute episode of progressively worsening shortness of breath (dyspnea), cough, wheezing, chest tightness, and/or respiratory distress during the 14 days (until day 15) after influenza vaccination for which the patient seeks unscheduled medical attention (e.g., healthcare provider office or Emergency Department visit or hospitalization) or receives a new prescription for systemic corticosteroids.
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
3
Inactivated Influenza Vaccine (IIV4)
4
Live Attenuated Influenza Vaccine (LAIV4)
73
Inactivated Influenza Vaccine (IIV4)
66
Comparison of the Proportion of Participants With Asthma Symptoms and Unscheduled Albuterol Use During the 14 Days After Receipt of LAIV4 or IIV4 (Each is Assessed Separately).Secondary· Day 15
Cough, wheezing, tightness in chest, nighttime awakening and unscheduled albuterol use will all be assessed by parent self-report
Asthma symptoms within 14 days
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
18
Inactivated Influenza Vaccine (IIV4)
20
Live Attenuated Influenza Vaccine (LAIV4)
58
Inactivated Influenza Vaccine (IIV4)
50
Night-time awakening within 14 days
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
55
Inactivated Influenza Vaccine (IIV4)
42
Live Attenuated Influenza Vaccine (LAIV4)
21
Inactivated Influenza Vaccine (IIV4)
28
Unscheduled Albuterol use within 14 days
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
41
Inactivated Influenza Vaccine (IIV4)
44
Live Attenuated Influenza Vaccine (LAIV4)
35
Inactivated Influenza Vaccine (IIV4)
26
Comparison of the Proportion of Participants With Asthma Symptoms and Unscheduled Albuterol Use During the 14 Days After Receipt of LAIV4 or IIV4 (Each is Assessed Separately).Secondary· Day 15
Cough, wheezing, tightness in chest, nighttime awakening and unscheduled albuterol use will all be assessed by parent self-report
Asthma related cough within 14 days
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
26
Inactivated Influenza Vaccine (IIV4)
22
Live Attenuated Influenza Vaccine (LAIV4)
35
Inactivated Influenza Vaccine (IIV4)
29
Live Attenuated Influenza Vaccine (LAIV4)
14
Inactivated Influenza Vaccine (IIV4)
15
Live Attenuated Influenza Vaccine (LAIV4)
1
Inactivated Influenza Vaccine (IIV4)
4
Asthma related wheezing within 14 days
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
51
Inactivated Influenza Vaccine (IIV4)
39
Live Attenuated Influenza Vaccine (LAIV4)
19
Inactivated Influenza Vaccine (IIV4)
18
Live Attenuated Influenza Vaccine (LAIV4)
5
Inactivated Influenza Vaccine (IIV4)
12
Live Attenuated Influenza Vaccine (LAIV4)
1
Inactivated Influenza Vaccine (IIV4)
1
Asthma related chest tightness within 14 days
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
58
Inactivated Influenza Vaccine (IIV4)
45
Live Attenuated Influenza Vaccine (LAIV4)
12
Inactivated Influenza Vaccine (IIV4)
21
Live Attenuated Influenza Vaccine (LAIV4)
5
Inactivated Influenza Vaccine (IIV4)
3
Live Attenuated Influenza Vaccine (LAIV4)
1
Inactivated Influenza Vaccine (IIV4)
1
Comparison of the Proportion of Participants Who Experience a Clinically Significant Decrease in Peak Flow Measurement From Baseline During the 14 Days After LAIV4 or IIV4Secondary· Baseline, Day 15
For purposes of this measure, a clinically significant decrease in peak flow is defined as: a decrease of ≥20% in PEFR from baseline PEFR
Group
Value
95% CI
Live Attenuated Influenza Vaccine (LAIV4)
36
Inactivated Influenza Vaccine (IIV4)
37
Live Attenuated Influenza Vaccine (LAIV4)
39
Inactivated Influenza Vaccine (IIV4)
33
Live Attenuated Influenza Vaccine (LAIV4)
1
Inactivated Influenza Vaccine (IIV4)
0
Adverse events — posted to ClinicalTrials.gov
Time frame: Within 42 days (until day 43) after vaccination..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This is a prospective randomized, open label clinical trial in approximately 300 children aged 5-11 years with a physician diagnosis of persistent asthma. Participants will be randomized 1:1 to receive either a single intranasal dose of licensed quadrivalent LAIV (LAIV4) or an intramuscular injection of quadrivalent IIV4 (IIV4).
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Vanderbilt University Medical Center
Last refreshed: 16 March 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03600428.