coefficientgiving.substack.com/p/announcing-the-strep-a-vaccine-fund
1 correction found
only four candidates have been tested in humans
This understates the number of Strep A vaccine candidates that had already reached human testing by May 2026. Primary trial records and published phase studies show more than four candidates had been tested in people.
Full reasoning
By the article’s publication date (May 26, 2026), there were already more than four Strep A vaccine candidates with human testing.
Examples documented in primary sources include:
- 6-valent recombinant M-protein vaccine — a JAMA phase 1 trial in healthy adults reported that researchers "performed a phase 1 trial" of a vaccine containing fragments from 6 M types.
- 26-valent GAS vaccine (StreptAvax) — published human studies reported adults receiving a 26-valent vaccine in phase I/II testing.
- 30-valent StreptAnova — a published paper states: "We completed a Phase I trial" of the 30-valent M-protein vaccine.
- MJ8VAX — a published randomized clinical trial says a Phase I clinical trial was conducted in healthy adults.
- J8-K4S2 / p*17-K4S2 peptide candidates — ClinicalTrials.gov records a phase 1 trial randomizing volunteers to J8-K4S2 vaccine or p*17-K4S2 vaccine, meaning these candidates also entered human testing.
- StreptInCor — ClinicalTrials.gov lists an active Phase I/IIa human trial.
- GSK 4-component Strep A vaccine — ClinicalTrials.gov lists a Phase 1 first-in-human study with an actual start date of July 31, 2025, which is before this article was published.
So the statement "only four candidates have been tested in humans" is too low. Even using a conservative count, the primary literature and trial registries show at least five, and more likely six or seven, distinct Strep A vaccine candidates had already been tested in humans by late May 2026.
7 sources
- Safety and Immunogenicity of a Recombinant Multivalent Group A Streptococcal Vaccine in Healthy Adults: Phase 1 Trial
"we performed a phase 1 trial of a recombinant fusion protein group A streptococcal vaccine containing N-terminal protein fragments from 6 M types"
- Safety and immunogenicity of 26-valent group a streptococcus vaccine in healthy adult volunteers
"Thirty healthy adult subjects received intramuscular 26-valent GAS vaccine"
- Safety and immunogenicity of a 30-valent M protein-based group a streptococcal vaccine in healthy adult volunteers: A randomized, controlled phase I study
"We completed a Phase I trial of a recombinant 30-valent M protein-based Strep A vaccine (Strep A vaccine, StreptAnova™)"
- Evaluation of safety and immunogenicity of a group A streptococcus vaccine candidate (MJ8VAX) in a randomized clinical trial
"A randomized, double-blinded, controlled Phase I clinical trial was conducted in 10 healthy adult participants"
- A Trial of a Peptide-based Group A Streptococcal (GAS) Vaccine Candidate in Healthy Individuals
"the study will proceed to stage 2, with randomized allocation ... who will receive J8-K4S2 vaccine ... [or] p*17-K4S2 vaccine"
- Clinical Trial Phase I/IIa to Evaluate the Safety and Immunogenicity of StreptInCor
"This is a randomized, double-blind, placebo-controlled Phase I/IIa clinical trial ... of the candidate vaccine StreptInCor"
- A Study to Evaluate Safety, Reactogenicity, and Immunogenicity of the GSK 4-component Strep A Vaccine With Aluminum Hydroxide (Alum) or AS37 in Healthy Young Adults
"A Phase 1 Randomized, Placebo-controlled, Observer-blind Study" ... "Study Start (Actual) 2025-07-31"