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PG4

Phase 3

Pneumococcal Disease | Monoclonal antibody | Infectious Disease |Pfizer, Inc.|Trials Updated: Oct 26, 2026

PG4 development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Jul 2024

PG4 target and mechanism

ModalityMonoclonal antibody

Also known as PG4 vaccine in Buffer 2, PG4 Multivalent Vaccine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials7
Total Enrollment12,710

FDA Designations

No designations recorded

PG4 clinical trials

PG4 · 7 trials · 2 indications

Phase 3 4Phase 2 2Phase 1 1
NCT07794748A Study to Assess the Safety, Tolerability, and Immunogenicity of 3 Lots of a Multivalent Pneumococcal Conjugate Vaccine Administered to AdultsPneumococcal Disease
RECRUITING4,670 Analytics
NCT07660198Study to Learn About Safety, Tolerability, and Immune Response of a Catch-up Pneumococcal Vaccine in Children and AdolescentsPneumococcal Disease
RECRUITING1,200 Analytics
NCT07629440A Study to Learn About How a New Pneumococcal Vaccine Works in Infants.Pneumococcal Disease
RECRUITING3,230 Analytics
NCT07573462A Study to Learn About the Safety of an Expanded Pneumococcal Vaccine in Healthy InfantsPneumococcal Disease
RECRUITING2,400 Analytics
PHASE3RECRUITING
A Study to Assess the Safety, Tolerability, and Immunogenicity of 3 Lots of a Multivalent Pneumococcal Conjugate Vaccine Administered to Adults
Pneumococcal DiseaseUnlock trial analytics
PHASE3RECRUITING
Study to Learn About Safety, Tolerability, and Immune Response of a Catch-up Pneumococcal Vaccine in Children and Adolescents
Pneumococcal DiseaseUnlock trial analytics
PHASE3RECRUITING
A Study to Learn About How a New Pneumococcal Vaccine Works in Infants.
Pneumococcal DiseaseUnlock trial analytics
PHASE3RECRUITING
A Study to Learn About the Safety of an Expanded Pneumococcal Vaccine in Healthy Infants
Pneumococcal DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants with Prespecified Local Reactions Within 7 Days After Vaccination
Within 7 days after Vaccination

Prompted local reactions after each dose

Percentage of Participants reporting Prespecified Systemic Events Within 7 Days after Vaccination
Within 7 days after Vaccination

Prompted systemic events after each dose

Percentage of Participants with Adverse Events (AEs)
From Vaccination to 1 month after Vaccination

AEs occurring from Dose 1 to 1 month after the vaccination

Percentage of Participants with Serious Adverse Events (SAEs)
From Vaccination to 6 months after Vaccination

SAEs occurring from Dose 1 to 6 months after the vaccination

OPA geometric mean ratios (GMR) between each pair of PG4 vaccine lots
1 month after Vaccination

OPA GMRs between each pair of PG4 vaccine lots at 1 month after vaccination

Percentage of Participants With Local Reactions Within 7 Days After Vaccination
Within 7 days after Vaccination
Percentage of Participants With Systemic Events Within 7 Days after Vaccination
Within 7 days after Vaccination
GMCs of serotype-specific IgG concentrations
1 month after vaccination
GMTs of serotype-specific OPA titers
1 month after vaccination
Percentage of participants reporting local reactions within 7 days after each dose
Day 7

Prompted local reactions after each dose

Percentage of participants reporting systemic events within 7 days after each dose
Day 7

Prompted systemic events after each dose

Percentage of participants reporting adverse events (AEs) from Dose 1 to 1 month after Dose 3
Dose 1 to 1 month after Dose 3

AEs occurring from Dose 1 to 1 month after Dose 3

Percentage of participants reporting AEs from Dose 4 to 1 month after Dose 4
Dose 4 to 1 month after Dose 4

AEs occurring from Dose 4 to 1 month after Dose 4

Percentage of participants reporting serious adverse events (SAEs)
Dose 1 to 6 months after Dose 4

SAEs occurring from Dose 1 to 6 months after Dose 4

Differences in percentages of participants with predefined pneumococcal specific immunoglobulin G (IgG) concentrations 1 month after Dose 3
1 month after Dose 3

Differences in pneumococcal immunoglobulin G (IgG) concentrations 1 month after Dose 3

Pneumococcal IgG geometric mean concentrations (GMCs) 1 month after Dose 4
1 month after Dose 4

Pneumococcal IgG GMCs 1 month after Dose 4

Percentage of participants reporting prespecified local reactions within 7 days after each dose
7 days after each dose

Prespecified local reactions (redness, swelling, and pain at the injection site) after each dose

Percentage of participants reporting prespecified systemic events within 7 days after each dose
7 days after each dose

Prespecified systemic events (fever, decreased appetite, drowsiness/increased sleep, and irritability) after each dose

Percentage of participants reporting Adverse Events (AEs) within 1 month after the last assigned vaccination
From signing of ICD to 1 month after last assigned vaccination

Adverse events occurring within 1 month after the last assigned vaccination

Percentage of participants reporting Serious Adverse Events (SAEs) within 6 months after vaccination
From signing of ICD to 6 months after last assigned vaccination

SAEs occurring from Dose 1 through 6 months after the last assigned vaccination

Percentage of participants reporting adverse events (AEs)
Dose 1 to 1 month after Dose 3

AEs occurring from Dose 1 to 1 month after Dose 2

Percentage of participants reporting AEs
Dose 4 to 1 month after Dose 4

AEs occurring from Dose 4 to 1 month after Dose 4

Percentage of participants reporting prespecified local reactions after each dose.
Within 7 days after each study intervention.

Prespecified local reactions (redness, swelling, and pain at the injection site) occurring within 7 days of each dose administered in the study.

Percentage of participants reporting prespecified systemic reactions after each dose.
Within 7 days after each study intervention.

Prespecified systemic reactions (fever, vomiting, diarrhea, headache, fatigue, muscle pain, and joint pain) occurring within 7 days of each dose administered in the study.

Percentage of participants reporting adverse events.
From signing of the ICD to 1 month after last study intervention.

Adverse Events (AEs) occurring from Dose 1 through 1 month after the last vaccination

Percentage of participants reporting serious adverse events.
From signing of the ICD to 6 months after the last study intervention.

Serious Adverse Events (SAEs) occurring from Dose 1 through 6 months after the last vaccination.

Percentage of participants with abnormal hematology and chemistry laboratory values.
Within 2 weeks after each study intervention.

Any abnormal hematology or chemistry laboratory values as compared to baseline within 2 weeks after each study intervention.

Secondary Endpoints

OPA Serotype-specific geometric mean titers (GMT) for PG4 vaccine serotypes
1 month after Vaccination
OPA geometric mean fold rise (GMFR) for PG4 vaccine serotypes
From before vaccination to 1 month after vaccination
Percentages of participants with a ≥4-fold rise in opsonophagocytic activity (OPA) titers
From Vaccination to 6 months after Vaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
PG4 Vaccine Lot 3EXPERIMENTALMultivalent Pneumococcal Vaccine
PG4 Vaccine Lot 2EXPERIMENTALMultivalent Pneumococcal Vaccine
PG4 Vaccine Lot 1EXPERIMENTALMultivalent Pneumococcal Vaccine
20 Valent Pneumococcal Conjugate Vaccine (20vPnC)ACTIVE_COMPARATOR20 Valent Pneumococcal Conjugate Vaccine
PG4 (intramuscular)EXPERIMENTALMultivalent Pneumococcal vaccine
20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
Group 1 PG4 (intramuscular)EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 1 20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
Group 2 PG4 (intramuscular)EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 2 20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
Group 3 PG4 (intramuscular)EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 3 PG4 (subcutaneous)EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 3 20-valent pneumococcal conjugate vaccine (20vPnC) (intramuscular)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
PG4 1-Dose GroupEXPERIMENTALParticipants to receive a single injection of Multivalent Pneumococcal Vaccine
PG4 2-Dose GroupEXPERIMENTALParticipants to receive two injections of Multivalent Pneumococcal Vaccine
20-valent pneumococcal conjugate vaccine (20vPnC)ACTIVE_COMPARATORParticipants to receive a single injection of 20-valent pneumococcal conjugate vaccine (20vPnC).
Group 1 PG4EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 1 20-valent pneumococcal conjugate vaccine (20vPnC)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
Group 2 PG4EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 2 20-valent pneumococcal conjugate vaccine (20vPnC)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
Group 3 PG4EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 3 20-valent pneumococcal conjugate vaccine (20vPnC)ACTIVE_COMPARATOR20-valent pneumococcal conjugate vaccine (20vPnC)
Group 4 PG4EXPERIMENTALMultivalent Pneumococcal Vaccine
Group 4 15-valent pneumococcal conjugate vaccine (PCV15)ACTIVE_COMPARATOR15-valent pneumococcal conjugate vaccine (PCV15)
PG4 vaccine with low dose adjuvant PA-001; dose schedule 1EXPERIMENTAL -
PG4 vaccine with low dose adjuvant PA-001; dose schedule 2EXPERIMENTAL -
PG4 vaccine with low dose adjuvant PA-002; dose schedule 1EXPERIMENTAL -
PG4 vaccine with low dose adjuvant PA-002; dose schedule 2EXPERIMENTAL -
PG4 vaccine with high dose adjuvant PA-001; dose schedule 1EXPERIMENTAL -
PG4 vaccine with high dose adjuvant PA-001; dose schedule 2EXPERIMENTAL -
PG4 vaccine with high dose adjuvant PA-002; dose schedule 1EXPERIMENTAL -
PG4 vaccine with high dose adjuvant PA-002; dose schedule 2EXPERIMENTAL -
PG4 vaccine; dose schedule 1ACTIVE_COMPARATOR -
PG4 vaccine; dose schedule 2ACTIVE_COMPARATOR -
20vPnC; dose schedule 1ACTIVE_COMPARATOR -
20vPnC; dose schedule 2ACTIVE_COMPARATOR -

Interventions

NameTypeDescription
PG4 Multivalent VaccineBIOLOGICALMultivalent Pneumococcal Vaccine
20 Valent Pneumococcal Conjugate Vaccine (20vPnC)BIOLOGICAL20 Valent Pneumococcal Conjugate Vaccine
PG4BIOLOGICALMultivalent Pneumococcal Vaccine
20-valent pneumococcal conjugate vaccine (20vPnC)BIOLOGICAL20-valent pneumococcal conjugate vaccine (20vPnC)
15-valent pneumococcal conjugate vaccine (PCV15)BIOLOGICAL15-valent pneumococcal conjugate vaccine
PG4 vaccine in Buffer 1 with low dose PA-001BIOLOGICALMultivalent pneumococcal conjugate vaccine
PG4 in Buffer 1 with low dose PA-002BIOLOGICALMultivalent pneumococcal conjugate vaccine
PG4 in Buffer 1 with high dose PA-001BIOLOGICALMultivalent pneumococcal conjugate vaccine
PG4 vaccine in Buffer 1 with high dose PA-002BIOLOGICALMultivalent pneumococcal conjugate vaccine
PG4 vaccine in Buffer 2BIOLOGICALMultivalent pneumococcal conjugate vaccine
20-valent pneumococcal conjugate vaccineBIOLOGICAL(20vPnC)
Saline injectionBIOLOGICALPlacebo
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Eligibility Criteria

Age Range18 Years to 49 Years
SexALL
Healthy VolunteersYes
Study Sites37

Inclusion Criteria: Adults 18 through 49 years of age, who have no history of receiving a pneumococcal vaccine after 5 years of age. Exclusion Criteria: Individuals with a history of severe allergic reactions to a vaccine or its components, serious chronic medical disorders, significant psychiatr...

Countries:United StatesFinlandPolandPuerto RicoJapanArgentinaAustraliaCanadaGermanyHungaryItalySpain
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Recent Changes (Last 90 Days)

LOWOct 26, 2026NCT07660198lastUpdatePostDate: changed
LOWOct 26, 2026NCT07573462lastUpdatePostDate: changed
LOWOct 26, 2026NCT07660198lastUpdatePostDate: changed
LOWOct 26, 2026NCT07573462lastUpdatePostDate: changed
LOWOct 20, 2026NCT07629440lastUpdatePostDate: changed
LOWOct 20, 2026NCT07629440lastUpdatePostDate: changed
LOWOct 19, 2026NCT06524414lastUpdatePostDate: changed
LOWOct 19, 2026NCT06524414lastUpdatePostDate: changed
LOWOct 19, 2026NCT06524414lastUpdatePostDate: changed
LOWOct 14, 2026NCT07794748lastUpdatePostDate: changed
LOWOct 14, 2026NCT07794748lastUpdatePostDate: changed
LOWSep 23, 2026NCT07794748Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 23, 2026NCT07794748Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 16, 2026NCT07573462lastUpdatePostDate: changed
LOWSep 16, 2026NCT07573462lastUpdatePostDate: changed
LOWSep 16, 2026NCT07573462lastUpdatePostDate: changed
LOWSep 16, 2026NCT07573462lastUpdatePostDate: changed
LOWSep 8, 2026NCT07629440lastUpdatePostDate: changed
LOWSep 8, 2026NCT07629440lastUpdatePostDate: changed
LOWSep 3, 2026NCT06524414lastUpdatePostDate: changed

Frequently asked questions about PG4

What is PG4?

PG4 is an investigational pneumococcal vaccine developed by Pfizer for the prevention of pneumococcal disease caused by Streptococcus pneumoniae. It is a multivalent vaccine candidate in Phase 3 clinical development, studied in both adults and children, including infants as young as 42 days old.

What is PG4 used for in pneumococcal disease?

PG4 is being developed to prevent pneumococcal disease, an infectious condition caused by the bacterium Streptococcus pneumoniae. Pfizer is evaluating the vaccine across age groups, from infants to adults, in Phase 3 trials that measure safety, tolerability, and immune response to the multivalent pneumococcal conjugate vaccine.

Who makes PG4?

PG4 is made by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor developing the multivalent pneumococcal vaccine candidate and is running its Phase 3 clinical program across multiple countries, including the United States, Japan, Finland, Poland, and Germany.

What phase is PG4 in?

PG4 is in Phase 3 clinical development. It is an investigational vaccine and is not yet approved for use. Pfizer has six registered trials for the program, five of which are currently active and recruiting, with one completed. The trials together have enrolled about 12,330 participants.

What clinical trials is PG4 in?

PG4 is being studied in Phase 3 trials including NCT07794748 in adults, NCT07660198 in children and adolescents, NCT07629440 in infants, and NCT07573462 in healthy infants across ten countries. These randomized, double-blind, active-controlled studies evaluate safety, tolerability, and immunogenicity of the pneumococcal vaccine.

Is PG4 the same as the PG4 Multivalent Vaccine?

Yes. PG4, the PG4 Multivalent Vaccine, and the PG4 vaccine formulations described in Buffer 1 with low dose PA-001 and in Buffer 2 all refer to the same Pfizer pneumococcal vaccine candidate. These names describe the same Phase 3 multivalent pneumococcal conjugate vaccine program.