Sanofi’s MenQuadfi approved in EU for infants from six weeks
Sanofi’s MenQuadfi vaccine has received EU approval for use in infants from six weeks of age, expanding protection against invasive meningococcal disease. The decision, based on robust data from the MET58 study involving over 6,000 infants, allows alignment with routine immunization schedules. The approval completes Sanofi’s pediatric post-licensure commitments in the region.

*this image is generated using AI for illustrative purposes only.
Sanofi announced on August 4, 2026, that the European Commission (EC) has approved an extension of the indication for MenQuadfi (Meningococcal Group A, C, W and Y conjugate vaccine) to include infants from six weeks of age. This regulatory milestone expands the vaccine’s reach to help protect against invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, W, and Y. Previously, MenQuadfi was approved in the European Union for use in individuals aged 12 months and older. The expanded indication addresses a critical public health need, as infants face high rates of mortality and severe long-term complications from the disease, which can progress from onset to death within 24 hours.
The approval follows a positive opinion adopted by the Committee for Medicinal Products for Human Use on June 25, 2026. It marks the completion of all pediatric post-licensure commitments linked to MenQuadfi’s initial marketing authorization, confirmed by the receipt of a Paediatric Investigation Plan compliance statement from the European Medicines Agency. This regulatory clearance provides healthcare professionals in the EU with an additional option for vaccinating infants against invasive meningococcal disease from as early as six weeks of age, aligning with routine infant immunization schedules.
Clinical Data and Safety Profile
The EU approval is underpinned by comprehensive data from the MET58 pivotal clinical study, which evaluated the immunogenicity, safety, and tolerability of MenQuadfi in infants from six weeks of age. The study included more than 6,000 infants across 11 countries and multiple immunization schedules. Federico Martinon-Torres, Pediatrician and Clinical Researcher at Hospital Clínico Universitario de Santiago in Spain and Principal Investigator of MET58, noted that the immunogenicity data for MenQuadfi in infants is robust and supports usage with confidence in the EU.
MenQuadfi demonstrates a safety profile comparable to other MenACWY vaccines currently licensed. In infants, the vaccine can be co-administered with combined diphtheria-tetanus-acellular pertussis (DTaP)-inactivated poliovirus (IPV)-hepatitis B (HepB)-Haemophilus influenzae type b (Hib) vaccine, rotavirus vaccine (live attenuated), and 10-valent pneumococcal conjugate vaccine (PCV10).
Approved Dosing Regimens
The new dose regimen for those starting vaccination from six weeks of age is aligned with standard EU immunization schedules. The approved dosing protocols are detailed below:
| Schedule | Target Population | Dosing Details |
|---|---|---|
| 2+1 | Infants from six weeks of age | Two doses (0.5mL each) with a minimum interval of two months; one booster dose in the second year of life (from 12 months) and at least two months from the last dose. |
| 3+1 | Infants at increased risk due to serogroup A exposure | Three primary doses at two, four, and six months; one booster dose from 12 months of age. |
| Single Dose | Individuals 12 months and older | One dose. |
Public Health Impact
Invasive meningococcal disease carries a case fatality rate of approximately 10–15%, with up to 20% of survivors experiencing permanent complications such as limb amputation, hearing loss, and neurological damage. Although serogroup A is rarely reported in the EU, serogroups C, W, and Y remain responsible for a significant share of cases across Europe. Bogdana Coudsy, Global Head of Medical, Vaccines at Sanofi, stated that offering protection for the EU’s youngest children reflects the scientific rigor behind the work and provides healthcare providers with an additional option to protect infants from the early weeks of life. MenQuadfi is currently approved in the EU, US, and multiple other countries.
Historical Stock Returns for Sanofi
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| -2.04% | -1.14% | -3.50% | -17.62% | -38.53% | -61.33% |
How will the expanded indication for MenQuadfi impact Sanofi's revenue projections and market share in the European pediatric vaccine sector over the next fiscal year?
What is the timeline for potential regulatory submissions to expand this six-week infant indication to other key markets, such as the United States or Asia-Pacific regions?
How might healthcare providers adjust their vaccination strategies given that MenQuadfi can now be co-administered with standard infant immunizations like DTaP-IPV-HepB-Hib?


































