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Adverse event reporting can be found at the bottom of the page.

Supemtek TIVr

Trivalent Influenza Vaccine (recombinant, prepared in cell culture)

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A simple way to help protect adults against flu with one vaccine for adults of all ages1,2 

Supemtek TIVr is indicated for active immunisation for the prevention of influenza disease in adults, and should be used in accordance with official recommendations.1 To learn more about the burden of flu click here.

SIMPLE


With one vaccine for adults of all ages2, Supemtek TIVr has the potential to simplify your flu vaccination clinic.

EFFECTIVE


Supemtek TIVr+ has head-to-head efficacy data against another flu vaccine, demonstrating 30% relative risk reduction (1% absolute risk reduction) against flu vs SD-QIVe in adults aged ≥50 years.1,3

FIRST-LINE RECOMMENDED


Joint first-line JCVI recommended across all reimbursable adults cohorts with strengthening evidence of additional benefit.2*

UKHSA data has indicated a 39% and 34% absolute effectiveness against hospitalisation for Supemtek TIVr+ for the 2022/23 and 2023/24 seasons respectively (absolute effectiveness of aIIV was 18% & 22% respectively) for those aged ≥65 years.4,5**

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SIMPLE


With one vaccine for adults of all ages2, Supemtek TIVr has the potential to simplify your flu vaccination clinic.

EFFECTIVE


Supemtek TIVr+ has head-to-head efficacy data against another flu vaccine, demonstrating 30% relative risk reduction (1% absolute risk reduction) against flu vs SD-QIVe in adults aged ≥50 years.1,3

FIRST-LINE RECOMMENDED


Joint first-line JCVI recommended across all reimbursable adults cohorts with strengthening evidence of additional benefit.2*

UKHSA data has indicated a 39% and 34% absolute effectiveness against hospitalisation for Supemtek TIVr+ for the 2022/23 and 2023/24 seasons respectively (absolute effectiveness of aIIV was 18% & 22% respectively) for those aged ≥65 years.4,5**

+This study used Supemtek (quadrivalent recombinant influenza vaccine), the efficacy of which is relevant to Supemtek TIVr because both vaccines are manufactured using the same process and have overlapping compositions.1

*Recommended for 25/26 flu season

**Confidence intervals overlapped with the point estimates for aQIV. Results are expected to be published in a peer-reviewed publication.

Clinical Evidence

A joint first-line recommended flu vaccine with head-to-head RCT efficacy data against another flu vaccine

Supemtek has shown proven efficacy against another flu vaccine in a head-to-head RCT study, the gold standard of clinical research1,3

Types of study design

A phase 3-4 randomised controlled trial of 8,604 patients ≥50 years of age was conducted during the A/H3N2-dominant 2014/15 influenza season, and patients were randomised 1:1 to receive a single dose of Supemtek or SD-QIVe. Result based on attack rate of influenza-like illness confirmed by RT-PCR. This study found that Supemtek showed 30% greater relative risk reduction (1% absolute risk reduction) against influenza-like illness versus standard-dose QIVe.

Efficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older

Supemtek Clinical evidence table

Recent real world data

JCVI would like to see more use of Supemtek TIVr to improve estimates of vaccine effectiveness2

Draft data released in the JCVI minutes for June 2024 showed a 34% absolute vaccine effectiveness against hospitalisation when using Supemtek (compared to 22% absolute effectiveness for aQIV) for those aged ≥65 years in the 2023/24 influenza season.Confidence intervals were noted to be overlapping between the two vaccines, though there is no mention of the specific confidence interval values.

In addition, data published in the JCVI minutes in June 2023 stated that Supemtek demonstrated 39% absolute vaccine effectiveness against hospitalisation for those aged ≥65 years in the 2022/23 influenza season. The lower confidence interval was stated to be above 0 (there is no mention of the upper confidence interval, and no numerical confidence intervals are provided in the minutes).5

Usage

With one vaccine for adults for all ages, Supemtek TIVr has the potential to simplify your flu vaccination campaign2

Supemtek TIVr is the only flu vaccine licensed in adults (≥18 years) that is also joint first-line JCVI recommended across all reimbursable adult cohorts.**2

Table of JCVI recommended flu vaccines

CohortJCVI advises*Acceptable alternatives (if advised vaccines are not available)

Adults aged
≥65 YEARS

TIVr (Supemtek TIVr)
TIV-HD
aTIV

TIVc - can be considered for use in this age group if all other options are unavailable.

AT-RISK ADULTS
aged 60-64 years

TIVr (Supemtek TIVr)
TIV-HD
TIVc
aTIV (off-label recommendation)

TIVe - can also be considered for use in this age group if all other options are unavailable.

AT-RISK ADULTS
(and pregnant women)
aged 18 to <60 years

TIVr (Supemtek TIVr)
TIVc

TIVe - can also be considered for use in this age group if all other options are unavailable.

Note: there is a limited amount of data on the use of Supemtek TIVr in pregnant women. One animal study performed with trivalent recombinant influenza vaccine did not indicate direct or indirect harmful effects with respect to pregnancy, embryo-foetal development or early post-natal development. An assessment of the risks and benefits should be performed by a healthcare professional before administering Supemtek TIVr to a pregnant woman.2

**As recommended by the JCVI for the 2025-26 Influenza season.

* Equally suitable options.

Recombinant technology

Supemtek is the first recombinant influenza vaccine in Europe.

Recombinant technology eliminates the possibility of adaptation or mutation by replicating only the haemagglutinin (HA) antigen direct from a genetic sequence. The resulting antigens are an exact genetic match to the target strain HA antigen.6,7

Increased HA content

Supemtek contains 3x more HA antigen (45 mcg versus 15 mcg) per strain, compared with cell and egg-based standard-dose quadrivalent influenza vaccines.1

Adverse Events

Supemtek TIVr offers the reassurance of a known immunogenicity and safety profile1,3

Safety data for Supemtek TIVr are derived from the quadrivalent recombinant influenza vaccine as both vaccines are manufactured using the same process and have overlapping compositions.1,3 The most common reactions that occurred after Supemtek administration were injection-site reactions: tenderness was reported by 48%, and pain by 37%, in study participants 18–49 years of age. In study participants ≥50 years of age, injection site tenderness was reported by 34% and injection site pain by 19%.1,3 Safety and efficacy of Supemtek have not been established in people < 18 years of age.1 The severity of the reactions was mild to moderate. Onset usually occurred within the first 3 days after vaccination. All resolved without sequelae.For the full list of adverse events please refer to the Summary of Product Characteristics.


Other adverse events included:1

VERY COMMON

≥1/10

Headache, fatigue, myalgia, arthralgia, local tenderness, local pain
 

COMMON

1/100 to <1/10

Nausea, fever, shivering, chills, firrmness, swelling, redness
 

UNCOMMON

≥1/1000 to <1/100

Cough, oropharyngeal pain, diarrhoea, pruritus, dermatitus, rash, flu-like symptoms, injection site pruritus 

Read more about Influenza:

Burden of Influenza


Learn more about the impact of flu.

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Ways to Order

You can order Sanofi Vaccines in two ways: online at VAXISHOP or through our call centre. Read more about ordering vaccines.

CALL 0800 854 430

References
  1. Supemtek TIVr Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/product/100729/smpc. Accessed June 2025.
  2. GOV.UK. Guidance: national flu immunisation programme 2025 to 2026 letter. Available at: http://www.gov.uk/government/publications/national-flu-immunisation-programme-plan-2025-to-2026/national-flu-immunisation-programme-2025-to-2026-letter. Accessed June 2025.
  3. Dunkle LM, et al. N Eng J Med 2017;376;2427-2436
  4. JCVI. Minutes of meeting held on 5th June 2024. Available at: https://app.box.com/s/iddfb4ppwkmtjusir2tc/file/1593103191626. Accessed June 2025
  5. JCVI. Minutes of meeting held on 7th June 2023. https://app.box.com/s/iddfb4ppwkmtjusir2tc/file/1262409204637 Accessed June 2025
  6. Centers for Disease Control and Prevention. How influenza (flu) vaccines are made. https://www.cdc.gov/flu/vaccine-process/index.html. Accessed June 2025
  7. Dunkle LM, et al. J Infect Dis. 2017;216:1219-26

MAT-XU-2502441 (v1.0) Date of preparation: June 2025