COVID-19Phase 2/3NCT05011513
Evaluation of Protease Inhibition for COVID-19 in Standard-Risk Patients (EPIC-SR).
A Phase 2/3 study testing PF-07321332 and Ritonavir in people with COVID-19, run by Pfizer at 225 sites in 20 countries.
Trial summary
The primary hypothesis to be tested is whether or not there is a difference in time to sustained alleviation of all targeted COVID-19 signs and symptoms through Day 28 between PF-07321332/ritonavir and placebo. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- COVID-19
- What is being tested?
- PF-07321332 and Ritonavir
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,440 participants
- Where
- 225 sitesin 20 countries
- Study dates
- 25 Aug 2021to 25 Jul 2022
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Confirmed SARS-CoV-2 infection 5 days prior to randomization
- Initial onset of COVID-19 signs/symptoms within 5 days of randomization
- Fertile participants must agree to use a highly effective method of contraception
Who cannot join
- Has at least one underlying medical condition associated with an increased risk of developing severe illness from COVID-19
- History of or need for hospitalization for the medical treatment of COVID-19
- Prior diagnosis of SARS-CoV-2 infection (reinfection)
- Known medical history of liver disease
- Receiving dialysis or have known renal impairment
- Known Human Immunodeficiency Virus (HIV) infection with viral load > 400 copies/ml or taking prohibited medications for HIV treatment
Show all 14Show fewer
- Suspected or confirmed concurrent active systemic infection other than COVID-19
- Current or expected use of any medications or substances that are highly dependent on Cytochrome P450 3A4 (CYP3A4) for clearance or are strong inducers of CYP3A4
- Has received or is expected to receive monoclonal antibody treatment or convalescent COVID-19 plasma
- Has received any SARS-CoV-2 vaccine within 12 months of screening
- Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19
- Known prior participation in this trial or other trial involving PF-07321332
- Oxygen saturation of < 92% on room air
- Females who are pregnant or breastfeeding
Trial locations and contacts
225 sites in 20 countries.
225 sites in 20 countries
United States78 sites
PharmaTex Research, LLC
Amarillo, Texas, 79109
Accellacare
Ames, Iowa, 50010
McFarland Clinic, PC
Ames, Iowa, 50010
ARC Clinical Research at William Cannon
Austin, Texas, 78745
St Hope Foundation
Bellaire, Texas, 77401
Synergy Healthcare
Bradenton, Florida, 34208
MOORE Clinical Research, Inc.
Brandon, Florida, 33511
TrueBlue Clinical Research
Brandon, Florida, 33511
Mercury Street Medical Group, PLLC
Butte, Montana, 59701
Hope Clinical Research
Canoga Park, California, 91303
Future Innovative Treatments, LLC
Colorado Springs, Colorado, 80907
Conroe Willis Medical Research
Conroe, Texas, 77304
Herco Medical and Research Center Inc
Coral Gables, Florida, 33134
South Texas Clinical Research
Corpus Christi, Texas, 78413
Advance Clinical Research Group
Cutler Bay, Florida, 33157
Beautiful Minds Clinical Research Center
Cutler Bay, Florida, 33157
Omega Research Orlando, LLC
DeBary, Florida, 32713
Lightship
El Segundo, California, 90245
Ascada Research
Fullerton, California, 92835
Eastern Research Inc
Hialeah, Florida, 33013
Inpatient Research Clinic
Hialeah, Florida, 33013
Doral Medical Research, LLC
Hialeah, Florida, 33016
Unlimited Medical Research Group, LLC
Hialeah Gardens, Florida, 33018
SignatureCare Emergency Center
Houston, Texas, 77008
Trio Clinical Trials, LLC
Houston, Texas, 77008
Next Level Urgent Care
Houston, Texas, 77057
Atella Clinical Research LLC.
La Palma, California, 90623
Excel Clinical research
Las Vegas, Nevada, 89109
Ark Clinical Research
Long Beach, California, 90806
ASCLEPES Research Centers
Lutz, Florida, 33549
New Orleans Sinus Center (COVID-19 Testing)
Marrero, Louisiana, 70072
Tandem Clinical Research GI, LLC
Marrero, Louisiana, 70072
The Institute for Liver Health dba Arizona Clinical Trials
Mesa, Arizona, 85210
Southern Clinical Research Associates, LLC
Metairie, Louisiana, 70001
Angels Clinical Research Institute
Miami, Florida, 33122
LCC Medical Research Institute, LLC
Miami, Florida, 33126
Premium Medical Research Corp
Miami, Florida, 33126
Global Health Clinical Trials Corp
Miami, Florida, 33135
South Florida Research Center, Inc.
Miami, Florida, 33135
I.V.A.M. Clinical & Investigational Center, LLC
Miami, Florida, 33144
C'A Research
Miami, Florida, 33174
ProLive Medical Research, Corp.
Miami, Florida, 33175
Entrust Clinical Research
Miami, Florida, 33176
Reed Medical Research
Miami, Florida, 33176
Kendall South Medical Center, Inc.
Miami, Florida, 33185
Clinical Site Partners, Inc d/b/a CSP Miami
Miami, Florida, 33186
Coral Research Clinic Corp
Miami, Florida, 33186
Pro-Care Research Center, Corp.
Miami Gardens, Florida, 33014
Savin Medical Group, LLC
Miami Lakes, Florida, 33014
Monroe Biomedical Research
Monroe, North Carolina, 28112
NYC Health + Hospitals / Harlem
New York, New York, 10037
TMPG Clinical Research
Newport News, Virginia, 23606
TPMG Clinical Research
Newport News, Virginia, 23606
Omega Research Orlando, LLC
Orlando, Florida, 32808
LinQ Research, LLC
Pearland, Texas, 77584
Cahaba Research Inc
Pelham, Alabama, 35124
CDC Research Institute
Port Saint Lucie, Florida, 34952
Epic Medical Research
Red Oak, Texas, 75154
South Bay Clinical Research Institute
Redondo Beach, California, 90277
Benchmark Research
Sacramento, California, 95864
Endeavor Clinical Trials, LLC
San Antonio, Texas, 78229
BFHC Research
San Antonio, Texas, 78249
Optimus Medical Group
San Francisco, California, 94102
AXCES Research Group
Santa Fe, New Mexico, 87505
Matrix Mobile Health Clinic #49, #35, and #62
Scottsdale, Arizona, 85258
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota, 57105
Avera Research Institute
Sioux Falls, South Dakota, 57108
USPA Advance Concept Medical Research Group LLC
South Miami, Florida, 33143
ASCLEPES Research Centers
Spring Hill, Florida, 34609
GCP, Global Clinical Professionals
St. Petersburg, Florida, 33705
Sunrise Research Institute
Sunrise, Florida, 33325
Santos Research Center, CORP
Tampa, Florida, 33615
The Institute for Liver Health dba Arizona Clinical Trials
Tucson, Arizona, 85712
Tranquility Research
Webster, Texas, 77598
Hope Clinical Research (COVID Satellite Site)
West Hills, California, 91304
Accellacare
Wilmington, North Carolina, 28401
Innovo Research: Wilmington Health
Wilmington, North Carolina, 28401
Clinical Site Partners, Inc. dba CSP Orlando
Winter Park, Florida, 32789
Bulgaria23 sites
Individual Practice for Primary Medical Care - IPPMC - Dr. P. Panayotov EOOD
Burgas, 8001
"Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases-Haskovo" Ltd
Haskovo, 6300
MHAT "Sv.Ivan. Rilski'' Kozloduy EOOD
Kozloduy, 3320
Diagnostic-Consultative Center I Lom EOOD
Lom, 3600
Multiprofile Hospital for Active Treatment- Sveti Nikolay Chudotvoretz EOOD
Lom, 3600
Medical centre Leo Clinic EOOD
Lovech, 5500
MHAT Heart and Brain EAD
Pleven, 5800
DCC Sveti Georgi EOOD
Plovdiv, 4000
MHAT "St. Panteleimon "- Plovdiv
Plovdiv, 4004
Multiprofile Hospital for Active Treatment Sveti Ivan Rilski - Razgrad AD
Razgrad, 7200
"Specialized Hospital for Active Treatment of Pneumo-Physiatric Diseases Dr. Dimitar Gramatikov -
Rousse, 7002
Multiprofile Hospital for Active Treatment - Samokov EOOD
Samokov, 2000
Medical Center-1-Sevlievo EOOD
Sevlievo, 5400
Multiprofile hospital for active treatment - Sliven to Military Medical Academy
Sliven, 8800
Diagnostic-Consultative Center XXII- Sofia ЕООD
Sofia, 1113
UMHATEM N. I. Pirogov EAD
Sofia, 1606
MHAT "St. Sofia" EOOD
Sofia, 1618
Specialized hospital for active treatment in pulmonology and phthisiology "Stara Zagora" EOOD
Stara Zagora, 6000
Multiprofile Hospital for Active Treatment Targovishte AD
Targovishte, 7700
Outpatient Clinic for Primary Outpatient Medical Care "Puls" - Dr. Mladen Buchvarov EOOD
Tsarevo, 8260
Medical center Leo Clinic EOOD
Varna, 9020
MOBAL "D-r Stefan Cherkezov" AD
Veliko Tarnovo, 5002
Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases Vratsa EOOD
Vratsa, 3000
Brazil15 sites
Hospital Dia do Pulmao
Blumenau, Santa Catarina, 89030-101
CECOR - Centro Oncológico de Roraima
Boa Vista, Roraima/rr, 69304-015
Chronos Pesquisa Clinica
Brasília, Federal District, 72145-450
Hospital e Maternidade Celso Pierro - PUC Campinas / Sociedade Campineira de Educação e Instruçã
Campinas, São Paulo, 13060-904
CECIP JAÚ - Centro de Estudos Clínicos do Interior Paulista - LTDA
Jaú, São Paulo, 17201-130
Centro de Estudos e Pesquisas em Moléstias Infecciosas
Natal, Rio Grande do Norte, 59025-050
Hospital De Clinicas De Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Agamenon Magalhaes
Recife, Pernambuco, 52051-380
IBPClin - Instituto Brasil de Pesquisa Clínica
Rio de Janeiro, Rio de Janeiro, 20241-180
Instituto Nacional de Infectologia Evandro Chagas - INI/FIOCRUZ
Rio de Janeiro, Rio de Janeiro, 21040-360
CEMEC - Centro Multidisciplinar de Estudos Clínicos
São Bernardo do Campo, São Paulo, 09715-090
Hospital Alemão Oswaldo Cruz
São Paulo, São Paulo, 01327-001
Unidade Referenciada Oswaldo Cruz Vergueiro
São Paulo, São Paulo, 01508-000
Instituto de Infectologia Emilio Ribas
São Paulo, 01246-900
Clinica de Alergia Martti Antila
Sorocaba, São Paulo, 18040-425
Turkey (Türkiye)15 sites
Ankara University Medical Faculty, Ibni-Sina Hospital
Ankara, 06230
Hacettepe University Medical Faculty Hospital
Ankara, 06230
Akdeniz Universitesi Hastanesi
Antalya, 07059
Cukurova University Medical Faculty
Balcali, Adana, 01330
Gaziantep Universitesi Tip Fakultesi Sahinbey Uygulama ve Arastirma Hastanesi
Gaziantep, 27310
Istanbul University Istanbul Medical Faculty
Istanbul, 34093
Istanbul University Cerrahpasa-Cerrahpasa Medical Faculty
Istanbul, 34098
Medipol Mega University Hospital
Istanbul, 34214
Acibadem University Atakent Hospital
Istanbul, 34303
Basaksehir Cam ve Sakura Sehir Hastanesi
Istanbul, 34480
Izmir Suat Seren Chest Disease and Surgery Training and Research Hospital
Izmir, 35110
Kocaeli University Medical Faculty
Kocaeli, 41380
Mersin University Medical Faculty
Mersin, 33110
Sakarya University Training and Research Hospital
Sakarya, 54100
Karadeniz Teknik Universitesi Farabi Hastanesi
Trabzon, 61080
Ukraine14 sites
Regional Communal Nonprofit Institution "Chernivtsi Regional Clinical Hospital"
Chernivtsi, 58001
Communal non-commercial Enterprise "City Clinical Hospital №3" of Chernivtsi City Council
Chernivtsi, 58002
Municipal Nonprofit Enterprise "Ivano-Frankivsk Regional Clinical Infectious Diseases Hospital of
Ivano-Frankivsk, 76007
Municipal Non-profit Enterprise "Ivano-Frankivsk Regional Phthisiopulmonology Center of
Ivano-Frankivsk, 76018
Communal nonprofit enterprise "Central City Clinical Hospital of Ivano-Frankivsk City Council"
Ivano-Frankivsk, 76025
Municipal Nonprofit Enterprise of Kharkiv Regional Council "Regional Clinical Infectious Diseases
Kharkiv, 61096
Municipal Non-profit Enterprise "Oleksandrivska Kyiv City Clinical Hospital" Of Executive Body Of
Kyiv, 01601
Municipal non-commercial enterprise "Kyiv City Clinical Hospital #1" Of Executive Body Of the Kyiv
Kyiv, 02091
Kyiv Railway Clinical Hospital No.2 of Branch "Health Center of the Public Joint Stock Company
Kyiv, 03049
Polyclinic of Center for Medical Services and Rehabilitation of State Joint-Stock Holding Company
Kyiv, 04050
Municipal Nonprofit Enterprise "Lviv City Clinic Hospital #4"
Lviv, 79011
Municipal Enterprise "Poltava Regional Clinical Infectious Diseases Hospital" of Poltava Regional
Poltava, 36011
Municipal Non-commercial Enterprise "Vinnytsia City Clinical Hospital №1"
Vinnytsia, 21029
Communal Enterprise "Hospital #1" of Zhytomyr City Council
Zhytomyr, 10002
South Africa13 sites
Worthwhile Clinical Trials
Benoni, Gauteng, 1500
Reimed Vosloorus
Boksburg, Gauteng, 1475
Synapta Clinical Research Center
Durban, KwaZulu-Natal, 4001
Dr PJ Sebastian Clinical Research Centre
Durban, KwaZulu-Natal, 4092
TASK Eden
George, Western Cape, 6530
Lenasia Clinical Trial Centre
Johannesburg, Gauteng, 1820
Ahmed Al-Kadi Private Hospital
Mayville, Durban, KwaZulu-Natal, 4091
Be Part Research Pty (Ltd)
Paarl, Western Cape, 7626
Global Clinical Trials
Port Elizabeth, Eastern Cape, 6014
Botho Ke Bontle Health Services
Pretoria, Gauteng, 0184
Clinical Trial Systems (Pty) Ltd
Pretoria, Gauteng, 0186
Sandton Medical Clinic
Sandton, Gauteng, 2196
FCRN Clinical Trial Centre
Vereeniging, Gauteng, 1935
Mexico11 sites
JM Research SC
Cuernavaca, Morelos, 62290
Instituto de Investigaciones Clínicas para la Salud
Durango, 34000
EME RED Hospitalaria
Mérida, Yucatán, 97000
Kohler & Milstein Research S.A. De C.V.
Mérida, Yucatán, 97070
Christus - Latam Hub Center of Excellence and Innovation Center S.C.
Monterrey, Nuevo León, 64060
Eukarya Pharmasite S.C.
Monterrey, Nuevo León, 64718
Oaxaca Site Management Organization
Oaxaca City, Oaxaca, 68000
Asociación Mexicana para la Investigación Clínica A.C.
Pachuca, Hidalgo, 42070
Clinical Research Institute S.C.
Saltillo, Coahuila, 25020
FAICIC Clinical Research
Veracruz, 91900
Sociedad de Metabolismo y Corazon S.C.
Veracruz, 91900
Thailand9 sites
Bangkok Centre Hotel
Bang Rak, Bangkok, 10500
Siriraj Hospital, Mahidol University
BangkokNoi, Bangkok, 10700
Riverside Bangkok Hotel
Bangplud, Bangkok, 10700
Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University,
Hat Yai, Changwat Songkhla, 90110
Khon Kaen Univerisity Field Hospital, Student Dormitory 26, Khon Kaen University
Khon Kaen, 40002
Srinagarind Hospital
Khon Kaen, 40002
The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT),
Pathumwan, Bangkok, 10330
Thai Red Cross Emerging Infectious Diseases (EDI) Clinic
Pathumwan,, Bangkok, 10330
Baiyoke Suite Hotel
Ratchathewi, Bangkok, 10400
Hungary7 sites
Trial Pharma Kft.
Békéscsaba, 5600
Semmelweis University Varosmajori Sziv Es Ergyogyaszati Klinika
Budapest, 1122
Varosmajori Sziv- es Ergyogyaszati Klinika
Budapest, 1122
Debreceni Egyetem Klinikai Kozpont Infektologiai Klinika
Debrecen, 4031
Agria-Study Kft.
Eger, 3300
Trial Pharma Kft.
Gyula, 5700
Medifarma-98 Kft.
Nyíregyháza, 4400
Spain7 sites
Complexo Hospitalario Universitario da Coruna
A Coruña, 15006
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
IMED Valencia
Burjassot, Valencia, 46100
Eba Centelles
Centelles, Barcelona [barcelona], 08540
Hospital Universitario de la Paz
Madrid, 28046
Hospital Universitario Virgen de Valme
Seville, 41014
Hospital Alvaro Cunqueiro
Vigo, Pontevedra, 36312
Argentina5 sites
Hospital Privado Centro Médico de Córdoba
Córdoba, X5016KEH
Instituto Médico de la Fundación Estudios Clínicos (Fundación Estudios Clínicos)
Rosario, Santa Fe Province, 2000
Hospital de Clinicas Presidente Nicolas Avellaneda
San Miguel de Tucumán, Tucumán Province, 4000
Clinica Mayo Urgencias Medicas Cruz Blanca SRL
San Miguel de Tucumán, Tucumán Province, T4000IHE
Instituto de Investigaciones Clinicas Zarate
Zárate, Buenos Aires, B2800DGH
Japan5 sites
Kyushu Medical Center
Fukuoka, 810-8563
Rakuwakai Otowa Hospital
Kyoto, Kyoto, 607-8062
International University of Health and Welfare Narita Hospital
Narita, Chiba, 286-8520
Tokyo Shinagawa Hospital
Shinagawa-ku, Tokyo, 140-8522
Sekino Hospital
Toshimaku, Tokyo, 171-0014
Malaysia4 sites
Hospital Raja Perempuan Zainab II
Kota Bharu, Kelantan, 15586
Hospital Miri
Miri, Sarawak, 98000
Klinik Kesihatan Kuang
Rawang, Selangor, 48050
Hospital Taiping
Taiping, Perak, 34000
Poland4 sites
KLIMED Marek Klimkiewicz
Bialystok, 15-704
Tomasz Blicharski Lubelskie Centrum Diagnostyczne
Świdnik, 21-040
WIP Warsaw IBD Point Profesor Kierkus
Warsaw, 00-728
Centrum Badań Klinicznych Piotr Napora Lekarze Spółka Partnerska
Wroclaw, 51-162
Slovakia4 sites
HODOSI - MED, s.r.o.
Moldava nad Bodvou, 04501
MUDr. Viliam Cibik, PhD., s.r.o.
Pruské, 018 52
Plucna ambulancia Hrebenar, s.r.o.
Spišská Nová Ves, 052 01
ALERGIA s.r.o.
Topoľčany, 955 01
Colombia3 sites
Fundacion Cardiomet Cequin
Armenia, Quindío Department, 630004
Centro de Investigacion en Reumatologia y Especialidades Medicas S.A.S, CIREEM S.A.S
Bogota, Cundinamarca, 110221
Fundacion Centro de Investigacion Clinica CIC
Medellín, Antioquia, 050021
South Korea3 sites
Chonnam National University Bitgoeul Hospital
Gwangju, 61748
Boramae Medical Center
Seoul, 07061
SMG-SNU Boramae Medical Center
Seoul, 07061
Czechia2 sites
Zdraví-Fit, s.r.o.
Protivín, 398 11
Nemocnice Slany
Slaný, 274 01
Puerto Rico2 sites
Clinical Research Management Group Inc
Ponce, 00780
Advance Medical Research Center
San Juan, 00926
About this study
Official title: AN INTERVENTIONAL EFFICACY AND SAFETY, PHASE 2/3, DOUBLE-BLIND, 2 ARM STUDY TO INVESTIGATE ORALLY ADMINISTERED PF 07321332/RITONAVIR COMPARED WITH PLACEBO IN NONHOSPITALIZED SYMPTOMATIC ADULT PARTICIPANTS WITH COVID-19 WHO ARE AT LOW RISK OF PROGRESSING TO SEVERE ILLNESS
The primary hypothesis to be tested is whether or not there is a difference in time to sustained alleviation of all targeted COVID-19 signs and symptoms through Day 28 between PF-07321332/ritonavir and placebo.
Read the detailed description
Throughout the study period, provision will be made to allow study visits to be conducted at a participant's home or at another non-clinic location, if available. The total study duration is up to 24 weeks.
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PF-07321332Drug
PF-07321332 (tablet)
RitonavirDrug
Ritonavir (capsule)
PlaceboDrug
Placebo (tablet)
PlaceboDrug
Placebo (capsule)
| Study group | Role | What they receive |
|---|---|---|
| PF-07321332/ritonavir | Experimental | Orally administered PF-07321332+ritonavir Receives: Drug: PF-07321332; Drug: Ritonavir |
| Placebo | Placebo comparator | Orally administered Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Sustained Alleviation of Overall COVID-19 Signs and Symptoms Through Day 28
Sustained alleviation of targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. Missing severity at baseline was considered as mild. Time to sustained alleviation of all targeted COVID-19 signs and symptoms through Day 28, was calculated as time (days) from start of study intervention or placebo (Day 1) until sustained alleviation of all targeted COVID-19 associated signs and symptoms. In this outcome measure time to sustained alleviation is reported consolidated for overall COVID-19 signs and symptoms.
Measured: From Day 1 to Day 28
Secondary outcomes (13)
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious AEs and AEs Leading to Study and Study Drug Discontinuation
An AE was defined as any untoward medical occurrence in a participant or clinical study participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as any untoward medical occurrence at any dose that resulted in any of the following outcomes: death; life-threatening ; required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity ; congenital anomaly/birth defect; or that was considered as an important medical event. TEAEs were defined as events that started on or after the study medication start date and time. AEs included both serious and all non-serious adverse events. AEs that led to study discontinuation and AEs that led to discontinuation of study intervention and then continued study were also reported in this outcome measure.
Measured: From start of study intervention (Day 1) up to Day 34
Percentage of Participants With COVID-19 Related Hospitalization or Death From Any Cause Through Day 28
Percentage of participants with COVID-19 related hospitalization or death from any cause during the first 28 days of the study was estimated using the Kaplan-Meier (KM) method.
Measured: From Day 1 to Day 28
Percentage of Participants With Death Through Week 24
Percentage of participants with death (all-cause) event were reported in this outcome measure.
Measured: From Day 1 to Week 24
Number of COVID-19 Related Medical Visits Per Day Through Day 28
Number of COVID-19 related medical visits per day were reported in this outcome measure.
Measured: From Day 1 to Day 28
Duration of Hospitalization and Intensive Care Unit (ICU) Stay Through Day 28
Measured: From Day 1 to Day 28
Percentage of Participants With Severe Signs and Symptoms of COVID-19 Through Day 28
Participants recorded a daily severity rating of their symptom severity over the past 24 hours based on a 4-point scale in which 0 was reported if no symptoms were present; 1 if mild; 2 if moderate; and 3 if severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Vomiting and diarrhea each was rated on a 4-point frequency scale where 0 was reported for no occurrence, 1 for 1 to 2 times, 2 for 3 to 4 times, and 3 for 5 or greater. Sense of smell and sense of taste each be rated on a 3-point Likert scale where 0 was reported if the sense of smell/taste was the same as usual, 1 if the sense of smell/taste was less than usual, and 2 for no sense of smell/taste.
Measured: From Day 1 to Day 28
Time to Sustained Resolution of Overall COVID-19 Signs and Symptoms Through Day 28
Sustained resolution was defined as when targeted symptoms are scored as absent for 4 consecutive days. The first day of the 4 consecutive-day period was considered the first event date.
Measured: From Day 1 to Day 28
Time to Sustained Alleviation of Each COVID-19 Signs and Symptoms Through Day 28
Sustained alleviation of targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. Missing severity at baseline was treated as mild. Time to sustained alleviation of all targeted COVID-19 signs and symptoms through Day 28, was calculated as time (days) from start of study intervention or placebo (Day 1) until sustained alleviation of all targeted COVID-19 associated signs and symptoms. In this outcome measure time to sustained alleviation is reported for each COVID-19 signs and symptoms.
Measured: From Day 1 to Day 28
Time to Sustained Resolution of Each COVID-19 Signs and Symptoms Through Day 28
Sustained resolution was defined as when targeted symptoms are scored as absent for 4 consecutive days. The first day of the 4 consecutive-day period was considered the first event date. In this outcome measure time to sustained resolution is reported consolidated for each COVID-19 signs and symptoms.
Measured: From Day 1 to Day 28
Percentage of Participants With Progression to Worsening Status of COVID-19 Signs and Symptoms
Participants recorded a daily severity rating of their symptom severity over the past 24 hours based on a 4-point scale in which 0 was reported if no symptoms were present; 1 if mild; 2 if moderate; and 3 if severe. Vomiting and diarrhea was rated on a 4-point frequency scale where 0 is reported for no occurrence, 1 (mild) for 1 to 2 times, 2 (moderate) for 3 to 4 times, and 3 (severe) for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).
Measured: From Day 1 to Day 28
Percentage of Participants With Resting Peripheral Oxygen Saturation Greater Than or Equal to (>=) 95% at Day 1 and Day 5
Percentage of participants with a resting peripheral oxygen saturation >=95% were reported in this outcome measure.
Measured: Day 1 and Day 5
Plasma Concentration Versus Time Summary of PF-07321332
Measured: Day 1: 1 hour post dose; Day 5: 0 minutes pre-dose
Change From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Days 3, 5, 10 and 14
Nasal samples were collected to estimate the viral load in participants in terms of logarithm to base 10 (log10) copies per milliliter.
Measured: Baseline, Days 3, 5, 10 and 14
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Aug 2021
- Study start25 Aug 2021
- Primary completion25 Jul 2022
- Study completion25 Jul 2022
Why it stopped: Enrollment ceased due to a very low rate of hospitalization or death observed in the standard-risk patient population
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Eligible participants with a confirmed diagnosis of SARS-CoV-2 infection will be randomized (1:1) to receive PF-07321332/ritonavir or placebo orally every 12 hours for 5 days (10 doses total).
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,440 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05011513
- Sponsor's protocol ID
- C4671002
- Other IDs
- 2021-002857-28, EPIC-SR
- Status last verified
- Jul 2023
- First submitted
- 30 Jul 2021
- Last updated
- 14 Aug 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Brown TM, Kanu C, Harrington M. Assessing participants' experiences with the COVID-19 symptom diary in a clinical trial. J Patient Rep Outcomes. 2025 Aug 11;9(1):99. doi: 10.1186/s41687-025-00901-5.
PubMed 40788441Baniecki ML, Guan S, Rai DK, Yang Q, Lee JT, Hao L, Weinstein E, Hyde C, Cardin RD, Soares H, Hammond J. Integrated virologic analysis of resistance to nirmatrelvir/ritonavir in individuals across four phase 2/3 clinical studies for the treatment of COVID-19. EBioMedicine. 2025 Aug;118:105819. doi: 10.1016/j.ebiom.2025.105819. Epub 2025 Jun 30.
PubMed 40592258Hammond J, Fountaine RJ, Yunis C, Fleishaker D, Almas M, Bao W, Wisemandle W, Baniecki ML, Hendrick VM, Kalfov V, Simon-Campos JA, Pypstra R, Rusnak JM. Nirmatrelvir for Vaccinated or Unvaccinated Adult Outpatients with Covid-19. N Engl J Med. 2024 Apr 4;390(13):1186-1195. doi: 10.1056/NEJMoa2309003.
PubMed 38598573
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AN INTERVENTIONAL EFFICACY AND SAFETY, PHASE 2/3, DOUBLE-BLIND, 2 ARM STUDY TO INVESTIGATE ORALLY ADMINISTERED PF 07321332/RITONAVIR COMPARED WITH PLACEBO IN NONHOSPITALIZED SYMPTOMATIC ADULT PARTICIPANTS WITH COVID-19 WHO ARE AT LOW RISK OF PROGRESSING TO SEVERE ILLNESS
- ClinicalTrials.gov ID
- NCT05011513
- Acronym / sponsor ID
- C4671002
- Conditions
- COVID-19
- Keywords
- SARS-CoV-2 Infection
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Enrollment ceased due to a very low rate of hospitalization or death observed in the standard-risk patient population
- Enrolment
- 1,440 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 25 Aug 2021 (actual)
- Primary completion
- 25 Jul 2022 (actual)
- Study completion
- 25 Jul 2022 (actual)
- First posted
- 18 Aug 2021 (actual)
- Results
- Posted 14 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary hypothesis to be tested is whether or not there is a difference in time to sustained alleviation of all targeted COVID-19 signs and symptoms through Day 28 between PF-07321332/ritonavir and placebo.
Detailed description
Throughout the study period, provision will be made to allow study visits to be conducted at a participant's home or at another non-clinic location, if available. The total study duration is up to 24 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Eligible participants with a confirmed diagnosis of SARS-CoV-2 infection will be randomized (1:1) to receive PF-07321332/ritonavir or placebo orally every 12 hours for 5 days (10 doses total).
| Arm | Type | Receives |
|---|---|---|
| PF-07321332/ritonavir | Experimental | Drug: PF-07321332, Drug: RitonavirOrally administered PF-07321332+ritonavir |
| Placebo | Placebo comparator | Drug: PlaceboOrally administered Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Confirmed SARS-CoV-2 infection 5 days prior to randomization
- Initial onset of COVID-19 signs/symptoms within 5 days of randomization
- Fertile participants must agree to use a highly effective method of contraception
Key exclusion criteria (14 listed)
- Has at least one underlying medical condition associated with an increased risk of developing severe illness from COVID-19
- History of or need for hospitalization for the medical treatment of COVID-19
- Prior diagnosis of SARS-CoV-2 infection (reinfection)
- Known medical history of liver disease
- Receiving dialysis or have known renal impairment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PF-07321332PF-07321332 (tablet) | Drug | PF-07321332/ritonavir |
| RitonavirRitonavir (capsule) | Drug | PF-07321332/ritonavir |
| PlaceboPlacebo (tablet) | Drug | Placebo |
| PlaceboPlacebo (capsule) | Drug | Placebo |
Primary outcome
Time to Sustained Alleviation of Overall COVID-19 Signs and Symptoms Through Day 28
Time frame: From Day 1 to Day 28
Sustained alleviation of targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. Missing severity at baseline was considered as mild. Time to sustained alleviation of all targeted COVID-19 signs and symptoms through Day 28, was calculated as time (days) from start of study intervention or placebo (Day 1) until sustained alleviation of all targeted COVID-19 associated signs and symptoms. In this outcome measure time to sustained alleviation is reported consolidated for overall COVID-19 signs and symptoms.
13 secondary outcomes
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious AEs and AEs Leading to Study and Study Drug Discontinuation
Time frame: From start of study intervention (Day 1) up to Day 34
Percentage of Participants With COVID-19 Related Hospitalization or Death From Any Cause Through Day 28
Time frame: From Day 1 to Day 28
Percentage of Participants With Death Through Week 24
Time frame: From Day 1 to Week 24
Number of COVID-19 Related Medical Visits Per Day Through Day 28
Time frame: From Day 1 to Day 28
Duration of Hospitalization and Intensive Care Unit (ICU) Stay Through Day 28
Time frame: From Day 1 to Day 28
Percentage of Participants With Severe Signs and Symptoms of COVID-19 Through Day 28
Time frame: From Day 1 to Day 28
Time to Sustained Resolution of Overall COVID-19 Signs and Symptoms Through Day 28
Time frame: From Day 1 to Day 28
Time to Sustained Alleviation of Each COVID-19 Signs and Symptoms Through Day 28
Time frame: From Day 1 to Day 28
Time to Sustained Resolution of Each COVID-19 Signs and Symptoms Through Day 28
Time frame: From Day 1 to Day 28
Percentage of Participants With Progression to Worsening Status of COVID-19 Signs and Symptoms
Time frame: From Day 1 to Day 28
Percentage of Participants With Resting Peripheral Oxygen Saturation Greater Than or Equal to (>=) 95% at Day 1 and Day 5
Time frame: Day 1 and Day 5
Plasma Concentration Versus Time Summary of PF-07321332
Time frame: Day 1: 1 hour post dose; Day 5: 0 minutes pre-dose
Change From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Days 3, 5, 10 and 14
Time frame: Baseline, Days 3, 5, 10 and 14
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40788441Brown TM, Kanu C, Harrington M. Assessing participants' experiences with the COVID-19 symptom diary in a clinical trial. J Patient Rep Outcomes. 2025 Aug 11;9(1):99. doi: 10.1186/s41687-025-00901-5.
- Derived from this study: PubMed 40592258Baniecki ML, Guan S, Rai DK, Yang Q, Lee JT, Hao L, Weinstein E, Hyde C, Cardin RD, Soares H, Hammond J. Integrated virologic analysis of resistance to nirmatrelvir/ritonavir in individuals across four phase 2/3 clinical studies for the treatment of COVID-19. EBioMedicine. 2025 Aug;118:105819. doi: 10.1016/j.ebiom.2025.105819. Epub 2025 Jun 30.
- Derived from this study: PubMed 38598573Hammond J, Fountaine RJ, Yunis C, Fleishaker D, Almas M, Bao W, Wisemandle W, Baniecki ML, Hendrick VM, Kalfov V, Simon-Campos JA, Pypstra R, Rusnak JM. Nirmatrelvir for Vaccinated or Unvaccinated Adult Outpatients with Covid-19. N Engl J Med. 2024 Apr 4;390(13):1186-1195. doi: 10.1056/NEJMoa2309003.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
225 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing PF-07321332 and Ritonavir in people with COVID-19, run by Pfizer at 225 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 14 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 225 sites in United States, Bulgaria, Brazil, Turkey (Türkiye), Ukraine and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 14 Aug 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to Sustained Alleviation of Overall COVID-19 Signs and Symptoms Through Day 28 (time frame: From Day 1 to Day 28). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05011513, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2023.