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NousEvidenceInvestigational Prophylactic

Influenza in U.S. High-Risk Populations · Systematic Evidence Curation 2016–2026

Live · 2026-07-09
§ 222 studies
1523 endpoints
Investigational Prophylactic lens
Strain Intelligence

Circulating Strains · VE by Strain · Antigenic Match

Traditional vaccines depend on strain match. When the circulating virus drifts, VE collapses. Investigational Prophylactic targets neuraminidase across strains — pan-strain by design.

Why strain matters for Investigational Prophylactic
Season 2025–26 saw 92.7% A(H3N2) subclade K prevalence [PMID:42307948] — a new antigenic subclade with poor VE match. Investigational Prophylactic's Long-acting flu prophylactic inhibits neuraminidase directly and is designed to hold efficacy across strains, subtypes, and clades.
H3N2 subclade K, 2025-26
92.7%
Antigenic drift
Mismatched seasons since 2016
4 of 10
Antigenic drift or subclade
VE vs H3N2 (adults)
22%
95% CI 1231
Investigational Prophylactic target VE
76%
Pan-strain, flat by design

Strain Circulation — 10 Seasons

Share of positive tests by strain (H1N1, H3N2, B/Yamagata, B/Victoria)

B/Yamagata has not co-circulated since 2020 — quadrivalent may become trivalent by 2026-27.

VE by Strain — Adults + High-Risk Subgroups

Point estimates with 95% CIs across the four flu targets

H3N2 mismatch drags overall VE. Note IC bar sits below 10% for every strain.

Antigenic Match × VE — Season Heatmap

Green = match; red = drift. Cell value = VE % that season.

2016-172017-182018-192019-202020-212021-222022-232023-242024-252025-26
A(H3N2)
12%
drift
8%
drift
45%
match
40%
match
not circ.
4%
drift
48%
match
42%
match
50%
match
14%
drift
A(H1N1)pdm09
65%
match
42%
match
44%
match
40%
match
not circ.
not circ.
52%
match
55%
match
58%
match
55%
match
B/Yamagata
55%
match
28%
drift
not circ.
not circ.
not circ.
not circ.
not circ.
not circ.
not circ.
not circ.
B/Victoria
not circ.
40%
match
60%
match
22%
drift
not circ.
48%
match
45%
match
52%
match
44%
match
48%
match
Legend match, VE ≥50% match, 30–49% match, <30% antigenic drift not circulating

Match/mismatch classification from CDC surveillance. Mismatch years directly correlate with hospitalization spikes.