COVID-19Phase 2/3NCT05047601
A Study of a Potential Oral Treatment to Prevent COVID-19 in Adults Who Are Exposed to Household Member(s) With a Confirmed Symptomatic COVID-19 Infection
A Phase 2/3 study testing PF-07321332 and Ritonavir in people with COVID-19, run by Pfizer at 170 sites in 17 countries.
Trial summary
The purpose of this clinical trial is to learn whether the study medicine prevent symptoms of COVID-19 in adults who have been exposed to household member(s) with a confirmed symptomatic COVID-19 infection. 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
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,954 participants
- Where
- 170 sitesin 17 countries
- Study dates
- 9 Sep 2021to 12 Apr 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
- Participants who have a negative screening SARS-CoV-2 rapid antigen test result and who are asymptomatic household contacts with exposure within 96 hours to an individual who is symptomatic and recently tested positive for SARS CoV-2.
- Fertile participants must agree to use a highly effective method of contraception
Who cannot join
- History of SARS-CoV-2 infection in the past 6 months
- Experiencing measured fever (documented temperature >38˚C or 100.4˚F) or other signs or symptoms consistent with COVID-19
- Known medical history of active liver disease
- Chronic Kidney Disease or have known moderate to severe renal impairment.
- Known Human Immunodeficiency Virus (HIV) infection with viral load > 400 copies/ml within the last 6 months or taking prohibited medications for HIV treatment
- Suspected or confirmed concurrent active systemic infection
Show all 13Show fewer
- Active cancer requiring treatment with prohibited medication.
- 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 approved, authorized, or investigational anti-SARS-CoV-2 mAb, convalescent plasma, other drugs for treatment of COVID-19, or other anti-SARS-CoV-2 biologic products within 6 months of screening
- Has received any SARS-CoV-2 vaccine within 6 months prior to screening or is expected to receive a SARS-CoV-2 vaccine or other approved, authorized, or investigational postexposure prophylaxis treatments through Day 38.
- Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19
- Known or prior participation in this trial or another trial involving PF-07321332.
- Females who are pregnant or breastfeeding.
Trial locations and contacts
170 sites in 17 countries.
170 sites in 17 countries
United States64 sites
PharmaTex Research, LLC
Amarillo, Texas, 79109
Accellacare
Ames, Iowa, 50010
McFarland Clinic, PC
Ames, Iowa, 50010
Synergy Healthcare
Bradenton, Florida, 34208
MOORE Clinical Research, Inc.
Brandon, Florida, 33511
TrueBlue Clinical Research
Brandon, Florida, 33511
Research by Design, LLC
Chicago, Illinois, 60643
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
Ascada Health PC
Fullerton, California, 92835
Meridian Clinical Research, LLC
Grand Island, Nebraska, 68803
Qway Research
Hialeah, Florida, 33010
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
SingnatureCare Emergency Center
Houston, Texas, 77008
Trio Clinical Trials, LLC
Houston, Texas, 77008
C & R Research Services USA
Houston, Texas, 77022
Walmart
Las Vegas, Nevada, 89108
Excel Clinical research
Las Vegas, Nevada, 89109
Walgreens
Las Vegas, Nevada, 89121
ASCLEPES Research Centers
Lutz, Florida, 33549
SMS Clinical Research, LLC
Mesquite, Texas, 75149
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
University of Miami Health System
Miami, Florida, 33136
I.V.A.M. Clinical & Investigational Center, LLC
Miami, Florida, 33144
Medical Research of Westchester Inc
Miami, Florida, 33165
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 dba 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
Quality Clinical Research Inc
Omaha, Nebraska, 68112
Quality Clinical Research
Omaha, Nebraska, 68114
Omega Research Orlando
Orlando, Florida, 32808
Cahaba Research Inc
Pelham, Alabama, 35124
NAPA Research LLC
Pompano Beach, Florida, 33064
CDC Research Institute, LLC
Port Saint Lucie, Florida, 34952
Epic Medical Research
Red Oak, Texas, 75154
Sun Research Institute
San Antonio, Texas, 78215
Optimus Medical Group
San Francisco, California, 94102
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
Innovo Research: Wilmington Health
Wilmington, North Carolina, 28401
South Africa18 sites
Worthwhile Clinical Trials
Benoni, Gauteng, 1500
Madibeng Centre for Research
Brits, North West, 0250
Synapta Clinical Research Center
Durban, KwaZulu-Natal, 4001
Dr PJ Sebastian Clinical Research Centre
Durban, KwaZulu-Natal, 4092
LCS Clinical Research
Johannesburg, Gauteng, 1868
Peermed CTC (Pty) Ltd T/A MERC Kempton
Kempton Park, Gauteng, 1619
Ahmed Al-Kadi Private Hospital
Mayville, Durban, KwaZulu-Natal, 4091
MERC Middelburg
Middelburg, Mpumalanga, 1055
Global Clinical Trials
Pretoria, Gauteng, 0001
Botho Ke Bontle Health Services
Pretoria, Gauteng, 0122
About Allergy (PTY) Ltd
Pretoria, Gauteng, 0181
Into Research
Pretoria, Gauteng, 0181
Clinical Trial Systems (Pty) Ltd
Pretoria, Gauteng, 0186
Sandton Medical Clinic
Sandton, Gauteng, 2196
Limpopo Clinical Research Initiative
Thabazimbi, Limpopo, 0380
NHC Thohoyandou CRS
Thohoyandou, Limpopo, 0950
FCRN Clinical Trial Centre
Vereeniging, 1935
MERC Welkom
Welkom, Free State, 9460
Bulgaria17 sites
"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
UMHAT Medica Ruse OOD
Rousse, 7013
Multiprofile Hospital for Active Treatment - Samokov EOOD
Samokov, 2000
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
Specialized hospital for active treatment in pulmonology and phthisiology "Stara Zagora" EOOD
Stara Zagora, 6000
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
Russia16 sites
Barnaul City Hospital Number 5
Barnaul, 656045
Kirovsk Interdistrict Hospital
Kirovsk, Leningradskaya Oblast', 187342
Korolev Medicine
Korolyov, 141070
KDC "Evromedservis", OJSC
Moscow, 115419
LLC Trekhgorka Medicine
Odintsovo, Moscow Oblast, 143005
Clinica UZI 4D
Pyatigorsk, Stavropol Kray, 357502
City Polyclinic #44
Saint Petersburg, 192071
City Polyclinic No. 109
Saint Petersburg, 192298
LLC Strategic Medical Systems
Saint Petersburg, 194291
City Out-patient clinic #112
Saint Petersburg, 195427
"Research Center Eco-safety" LLC
Saint Petersburg, 196143
LLC Kurator
Saint Petersburg, 196240
Saint-Petersburg State Budgetary Healthcare Institution "City Pokrovskaya hospital"
Saint Petersburg, 199106
City Out-patient clinic #4
Saint Petersburg, 199406
Smolensk State Medical University
Smolensk, 214019
LLC Family clinic
Yekaterinburg, 620109
Ukraine15 sites
Regional Communal Nonprofit Institution "Chernivtsi Regional Clinical Hospital"
Chernivtsi, 58001
Communal non-commercial Enterprise "City Central Clinical Hospital" of Chernivtsi City Council
Chernivtsi, 58002
Communal non-profit enterprise "City Clinical Hospital #16" of Dnipro City Council
Dnipro, 49069
Communal nonprofit enterprise "Central City Clinical Hospital of Ivano-Frankivsk City Council"
Ivano-Frankivsk, 76018
Municipal Non-profit Enterprise "Ivano-Frankivsk Regional Phthisiopulmonology Center of
Ivano-Frankivsk, 76018
Municipal Nonprofit Enterprise "City Student Hospital" of Kharkiv City Council
Kharkiv, 61002
Municipal Nonprofit Enterprise of Kharkiv Regional Council "Regional Clinical Infectious Diseases
Kharkiv, 61096
Municipal Nonprofit Enterprise "City Clinic Hospital # 13" of Kharkiv City Council
Kharkiv, 61124
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, 79005
Municipal NonProfit Enterprise of the Lviv Regional Council Lviv Regional Information and Analytical
Lviv, 79008
Municipal Nonprofit Enterprise "Lviv City Clinic Hospital #4"
Lviv, 79011
Municipal Enterprise "Poltava Regional Clinical Infectious Diseases Hospital" of Poltava Regional
Poltava, 36011
Municipal Enterprise "Volyn Regional Clinical Hospital" of Volyn Regional Council
Tarasove Village, 45625
Communal Enterprise "Hospital #1" of Zhytomyr City Council
Zhytomyr, 10002
Mexico9 sites
Instituto de Investigaciones Clinicas para la Salud A.C.
Durango, 34000
Instituto Jalisciense de Metabolismo, S.C.
Guadalajara, Jalisco, 44670
EME RED Hospitalaria
Mérida, Yucatán, 97000
Christus- Latam Hub Center of Excellence and Innovation Center S.C.
Monterrey, Nuevo León, 64060
Eukarya Pharmasite S.C.
Monterrey, Nuevo León, 64718
Clinical Research Institute Saltillo S.A. de C.V.
Saltillo, Coahuila, 25020
InfectoLab Consultorios de Especialidad en Infectologia
Tijuana, Estado de Baja California, 22010
FAICIC Clinical Research
Veracruz, 91900
Sociedad de Metabolismo y Corazon S.C.
Veracruz, 91900
Turkey (Türkiye)7 sites
Ankara University Medical Faculty, Ibni-Sina Hospital
Ankara, 06230
Istanbul University Istanbul Medical Faculty
Fatih / Istanbul, 34093
Gaziantep Universitesi Tip Fakultesi Sahinbey Uygulama ve Arastirma Hastanesi
Gaziantep, 27310
Acibadem University Atakent Hospital
Istanbul, 34303
Izmir Suat Seren Chest Disease and Surgery Training and Research Hospital
Izmir, 35110
Mersin University Medical Faculty
Mersin, 33110
Karadeniz Teknik Universitesi Farabi Hastanesi
Trabzon, 61080
Japan5 sites
Rinku General Medical Center
Izumisano, Osaka, 598-8577
Rakuwakai Otowa Hospital
Kyoto, Kyoto, 607-8062
International University of Health and Welfare Narita Hospital
Narita, Chiba, 286-8520
Denenchofu Family Clinic
Ōta-ku, Tokyo, 145-0071
Sekino Hospital
Toshimaku, Tokyo, 171-0014
Thailand5 sites
King Chulalongkorn Memorial Hospital
Bangkok, 10330
Faculty of Tropical Medicine, Mahidol University
Bangkok, 10400
Tropical Medicine Hospital
Bangkok, 10400
Faculty of Medicine - Khon Kaen University
Muang, Changwat Khon Kaen, 40002
The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT),
Pathumwan, Bangkok, 10330
Colombia3 sites
Clinica de la Costa LTDA.
Barranquilla, Atlántico, 080020
Cireem Sas
Bogota, Cundinamarca, 110221
Caimed S.A.S.
Yopal, Casanare Department, 850001
Czechia3 sites
Doktor Brno s.r.o.
Brno, 602 00
Zdraví-Fit, s.r.o.
Protivín, 398 11
Nemocnice Slany
Slaný, 274 01
Argentina2 sites
Instituto Médico de la Fundación Estudios Clínicos (Fundación Estudios Clínicos)
Rosario, Santa Fe Province, 2000
Instituto de Investigaciones Clinicas Zarate
Zárate, Buenos Aires, B2800DGH
Brazil2 sites
Pesquisare Saude S/S Ltda
Santo André, São Paulo, 09080-110
Conjunto Hospitalar do Mandaqui
São Paulo, 02401-400
Poland1 site
Centrum Badań Klinicznych Piotr Napora Lekarze Spółka Partnerska
Wroclaw, 51-162
About this study
Official title: A PHASE 2/3, RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY, PLACEBO CONTROLLED STUDY TO EVALUATE THE SAFETY AND EFFICACY OF 2 REGIMENS OF ORALLY ADMINISTERED PF 07321332/RITONAVIR IN PREVENTING SYMPTOMATIC SARS-COV-2 INFECTION IN ADULT HOUSEHOLD CONTACTS OF AN INDIVIDUAL WITH SYMPTOMATIC COVID-19
The purpose of this clinical trial is to learn whether the study medicine prevent symptoms of COVID-19 in adults who have been exposed to household member(s) with a confirmed symptomatic COVID-19 infection.
All participants in the study will receive treatment for COVID-19 as needed, based on their regular doctor's recommendation. Two-thirds of participants will also receive two study medicines (PF-07321332 and ritonavir) by mouth twice a day for either five or ten days. We will compare the experiences of people receiving the study medicines to those of the people who do not. This will help us determine if the study medicines are safe and effective
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PF-07321332Drug
PF-07321332
Placebo for PF-07321332Drug
Placebo
Placebo for RitonavirDrug
Placebo
RitonavirDrug
Ritonavir
| Study group | Role | What they receive |
|---|---|---|
| PF-07321332/ritonavir (5 days) | Experimental | Participants will receive PF-07321332/ritonavir every 12 hours from Day 1 through Day 5 followed by Placebo every 12 hours from Day 6 through Day 10 Receives: Drug: PF-07321332; Drug: Placebo for PF-07321332; Drug: Placebo for Ritonavir; Drug: Ritonavir |
| PF-07321332/ritonavir (10-Day) | Experimental | Participants will receive PF-07321332/ritonavir every 12 hours from Day 1 through Day 10. Receives: Drug: PF-07321332; Drug: Ritonavir |
| Placebo | Placebo comparator | Participants will receive placebo every 12 hours from Day 1 through Day 10. Receives: Drug: Placebo for PF-07321332; Drug: Placebo for Ritonavir |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Developed Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline
Percentage of participants who developed symptomatic Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) or Rapid Antigen Test (RAT) confirmed SARS-Cov-2 infection were reported in this outcome measure. Index case was defined as participants with symptomatic COVID-19.
Measured: From Day 1 to Day 14
Secondary outcomes (15)
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 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 end of safety follow-up (Day 38)
Percentage of Participants Who Developed Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline With Increased Risk of Severe COVID-19 Illness
Percentage of participants who had a symptomatic RT-PCR or RAT confirmed SARS-Cov-2 infection were reported in this outcome measure. The risk factors associated with severe covid-19 illness included age greater than or equal to 60 years, body mass index greater than 25, social history of smoking and presence of comorbidities. Index case was defined as participants with symptomatic COVID-19.
Measured: From Day 1 to Day 14
Percentage of Participants With COVID-19 Related Hospitalization or Death From Any Cause Through Day 28: Among Participants With Negative RT-PCR at Baseline With Increased Risk of Severe COVID-19 Illness
The risk factors associated with severe covid-19 illness included age greater than or equal to 60 years, body mass index greater than 25, social history of smoking and presence of comorbidities.
Measured: From Day 1 to Day 28
Percentage of Participants With Asymptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline
Percentage of participants who had asymptomatic RT-PCR or RAT confirmed SARS-CoV-2 infection through day 14 among participants with negative RT-PCR at baseline were reported in this outcome measure. Index case was defined as participants with symptomatic COVID-19.
Measured: From Day 1 to Day 14
Time to RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline
Number of days between first dose and confirmation of the SARS-CoV-2 infection by RT-PCR or RAT was reported in this outcome measure.
Measured: From Day 1 to Day 14
Percentage of Participants With Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Positive RT-PCR at Baseline
Percentage of participants with a positive RT-PCR result at baseline who had a symptomatic SARS-CoV-2 infection confirmed by RAT or RT-PCR through Day 14 were reported in this outcome measure. Index case was defined as participants with symptomatic COVID-19.
Measured: From Day 1 to Day 14
Percentage of Participants With Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative, Positive or Missing RT-PCR at Baseline
Percentage of participants with a negative, positive, or missing RT-PCR result at baseline, who had a symptomatic SARS-CoV-2 infection confirmed by RAT or RT-PCR through Day 14 were reported in this outcome measure. Index case was defined as participants with symptomatic COVID-19.
Measured: From Day 1 to Day 14
Percentage of Participants With no, Mild, Moderate, or Severe Signs and Symptoms Attributed to COVID-19 Through Day 28: Among Participants With Negative RT-PCR at Baseline
Participants were categorized according to severity of signs and symptoms as no, mild, moderate, severe in this outcome measure. The 12 signs and symptoms included stuffy or runny nose, sore throat, shortness of breath or difficulty breathing, cough, low energy or tiredness, muscle or body aches, headache, chills or shivering, feeling hot or feverish, nausea, vomiting, diarrhea. Participants recorded their daily severity rating of their symptoms 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.
Measured: From Day 1 to Day 28
Number of Days of Symptomatic RT-PCR or RAT Confirmed SARS-CoV- 2 Infection Through Day 28: Among Participants With Negative RT-PCR at Baseline
This outcome measure has been reported in terms of number of participants according to days of symptomatic SARS-CoV-2 infection through Day 28.
Measured: From Day 1 to Day 28
Plasma Concentration Versus Time Summary of Nirmatrelvir (PF-07321332)
Measured: Day 1: 1 hour post dose; Day 5: 2 hours pre-dose
Percentage of Participants With Death Event Through Day 38: Among Participants With Negative RT-PCR at Baseline
Percentage of participants with death (all-cause) event were reported in this outcome measure.
Measured: From Day 1 to Day 38
Viral Load in Nasal Samples Over Time: Among Participants With Negative RT-PCR at Baseline
Nasal samples were collected to estimate the viral load in terms of logarithm to base 10 (log10) copies per milliliter in participants with negative RT-PCR at baseline and were reported in this outcome measure.
Measured: From Day 1 to Day 14
Viral Load in Nasal Samples Over Time: Among Participants With Positive RT-PCR at Baseline
Nasal samples were collected to estimate the viral load in terms of logarithm to base 10 (log10) copies per milliliter in participants with positive RT-PCR at baseline and were reported in this outcome measure.
Measured: From Day 1 to Day 14
Number of Days of Hospitalization and Intensive Care Unit (ICU) Stay: Among Participants With Negative RT-PCR at Baseline
This outcome measure has been presented in terms of participants according to number of days of hospitalization and in ICU as 0 days and more than or equal to 1 day.
Measured: From Day 1 to Day 28
Number of COVID-19 Related Medical Visits Through Day 28: Among Participants With Negative RT-PCR at Baseline
In this outcome measure number of COVID-19 related medical visits per day were reported. Number of medical visits per day = number of medical visits/number of days follow up through day 28 visit or the last collection date on or before day 28, if day 28 visit was missing.
Measured: From Day 1 to Day 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Sep 2021
- Study start9 Sep 2021
- Primary completion12 Apr 2022
- Study completion12 Apr 2022
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 (1)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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Eligible participants who are asymptomatic household contacts of an individual with symptomatic COVID-19 will be randomized (1:1:1) to receive orally every 12 hours: PF-07321332/ritonavir for 5 days followed by placebo for 5 days or PF-07321332/ritonavir for 10 days or Placebo for 10 days
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 2,954 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
- NCT05047601
- Sponsor's protocol ID
- C4671006
- Other IDs
- 2021-002894-24, EPIC-PEP
- Status last verified
- Apr 2023
- First submitted
- 1 Sep 2021
- Last updated
- 6 May 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
Hammond J, Yunis C, Fountaine RJ, Luscan G, Burr AM, Zhang W, Wisemandle W, Soares H, Baniecki ML, Hendrick VM, Kalfov V, Pypstra R, Rusnak JM. Oral Nirmatrelvir-Ritonavir as Postexposure Prophylaxis for Covid-19. N Engl J Med. 2024 Jul 18;391(3):224-234. doi: 10.1056/NEJMoa2309002.
PubMed 39018532
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 2/3, RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY, PLACEBO CONTROLLED STUDY TO EVALUATE THE SAFETY AND EFFICACY OF 2 REGIMENS OF ORALLY ADMINISTERED PF 07321332/RITONAVIR IN PREVENTING SYMPTOMATIC SARS-COV-2 INFECTION IN ADULT HOUSEHOLD CONTACTS OF AN INDIVIDUAL WITH SYMPTOMATIC COVID-19
- ClinicalTrials.gov ID
- NCT05047601
- Acronym / sponsor ID
- C4671006
- Conditions
- COVID-19
- Keywords
- Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2)
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,954 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 9 Sep 2021 (actual)
- Primary completion
- 12 Apr 2022 (actual)
- Study completion
- 12 Apr 2022 (actual)
- First posted
- 17 Sep 2021 (actual)
- Results
- Posted 6 May 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical trial is to learn whether the study medicine prevent symptoms of COVID-19 in adults who have been exposed to household member(s) with a confirmed symptomatic COVID-19 infection.
All participants in the study will receive treatment for COVID-19 as needed, based on their regular doctor's recommendation. Two-thirds of participants will also receive two study medicines (PF-07321332 and ritonavir) by mouth twice a day for either five or ten days. We will compare the experiences of people receiving the study medicines to those of the people who do not. This will help us determine if the study medicines are safe and effective
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
- Model description
- Eligible participants who are asymptomatic household contacts of an individual with symptomatic COVID-19 will be randomized (1:1:1) to receive orally every 12 hours: PF-07321332/ritonavir for 5 days followed by placebo for 5 days or PF-07321332/ritonavir for 10 days or Placebo for 10 days
| Arm | Type | Receives |
|---|---|---|
| PF-07321332/ritonavir (5 days) | Experimental | Drug: PF-07321332, Drug: Placebo for PF-07321332, Drug: Placebo for Ritonavir, Drug: RitonavirParticipants will receive PF-07321332/ritonavir every 12 hours from Day 1 through Day 5 followed by Placebo every 12 hours from Day 6 through Day 10 |
| PF-07321332/ritonavir (10-Day) | Experimental | Drug: PF-07321332, Drug: RitonavirParticipants will receive PF-07321332/ritonavir every 12 hours from Day 1 through Day 10. |
| Placebo | Placebo comparator | Drug: Placebo for PF-07321332, Drug: Placebo for RitonavirParticipants will receive placebo every 12 hours from Day 1 through Day 10. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Participants who have a negative screening SARS-CoV-2 rapid antigen test result and who are asymptomatic household contacts with exposure within 96 hours to an individual who is symptomatic and recently tested positive for SARS CoV-2.
- Fertile participants must agree to use a highly effective method of contraception
Key exclusion criteria (13 listed)
- History of SARS-CoV-2 infection in the past 6 months
- Experiencing measured fever (documented temperature >38˚C or 100.4˚F) or other signs or symptoms consistent with COVID-19
- Known medical history of active liver disease
- Chronic Kidney Disease or have known moderate to severe renal impairment.
- Known Human Immunodeficiency Virus (HIV) infection with viral load > 400 copies/ml within the last 6 months or taking prohibited medications for HIV treatment
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 | Drug | PF-07321332/ritonavir (10-Day), PF-07321332/ritonavir (5 days) |
| Placebo for PF-07321332Placebo | Drug | PF-07321332/ritonavir (5 days), Placebo |
| Placebo for RitonavirPlacebo | Drug | PF-07321332/ritonavir (5 days), Placebo |
| RitonavirRitonavir | Drug | PF-07321332/ritonavir (10-Day), PF-07321332/ritonavir (5 days) |
Primary outcome
Percentage of Participants Who Developed Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Percentage of participants who developed symptomatic Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) or Rapid Antigen Test (RAT) confirmed SARS-Cov-2 infection were reported in this outcome measure. Index case was defined as participants with symptomatic COVID-19.
15 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 end of safety follow-up (Day 38)
Percentage of Participants Who Developed Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline With Increased Risk of Severe COVID-19 Illness
Time frame: From Day 1 to Day 14
Percentage of Participants With COVID-19 Related Hospitalization or Death From Any Cause Through Day 28: Among Participants With Negative RT-PCR at Baseline With Increased Risk of Severe COVID-19 Illness
Time frame: From Day 1 to Day 28
Percentage of Participants With Asymptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Time to RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Percentage of Participants With Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Positive RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Percentage of Participants With Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative, Positive or Missing RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Percentage of Participants With no, Mild, Moderate, or Severe Signs and Symptoms Attributed to COVID-19 Through Day 28: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 28
Number of Days of Symptomatic RT-PCR or RAT Confirmed SARS-CoV- 2 Infection Through Day 28: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 28
Plasma Concentration Versus Time Summary of Nirmatrelvir (PF-07321332)
Time frame: Day 1: 1 hour post dose; Day 5: 2 hours pre-dose
Percentage of Participants With Death Event Through Day 38: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 38
Viral Load in Nasal Samples Over Time: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Viral Load in Nasal Samples Over Time: Among Participants With Positive RT-PCR at Baseline
Time frame: From Day 1 to Day 14
Number of Days of Hospitalization and Intensive Care Unit (ICU) Stay: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 28
Number of COVID-19 Related Medical Visits Through Day 28: Among Participants With Negative RT-PCR at Baseline
Time frame: From Day 1 to Day 28
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39018532Hammond J, Yunis C, Fountaine RJ, Luscan G, Burr AM, Zhang W, Wisemandle W, Soares H, Baniecki ML, Hendrick VM, Kalfov V, Pypstra R, Rusnak JM. Oral Nirmatrelvir-Ritonavir as Postexposure Prophylaxis for Covid-19. N Engl J Med. 2024 Jul 18;391(3):224-234. doi: 10.1056/NEJMoa2309002.
- 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
170 sites in 17 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 170 sites in 17 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 2 inclusion and 13 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: finished, as of the sponsor's last update on 6 May 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 170 sites in United States, South Africa, Bulgaria, Russia, Ukraine and 12 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 6 May 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?
Percentage of Participants Who Developed Symptomatic RT-PCR or RAT Confirmed SARS-CoV-2 Infection Through Day 14: Among Participants With Negative RT-PCR at Baseline (time frame: From Day 1 to Day 14). 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 NCT05047601, which also lists 1 linked publication.
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 6 May 2023.