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SARS-CoV-2 InfectionPhase 2NCT05799495

A Study to Understand the Effect and Safety of the Study Medicine PF-07817883 in Adults Who Have Symptoms of COVID-19 But Are Not Hospitalized

A Phase 2 study testing PF-07817883 in people with SARS-CoV-2 Infection, run by Pfizer at 53 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of the study is to understand the effects and safety of PF-07817883 treatment. The study wants to know how PF-07817883 treatment lowers the level of the virus that causes COVID 19. To understand that samples are collected from adult participants who have the symptoms of COVID 19 but are not hospitalized. Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
SARS-CoV-2 Infection
What is being tested?
PF-07817883
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
240 participants
Where
53 sitesUnited States
Study dates
23 May 2023to 11 Oct 2023
Phase
Phase 2
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 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Participants ≥18 to <65 years of age at the time of the Screening Visit.
  • WOCBP may be enrolled.
  • All fertile participants must agree to use a highly effective method of contraception.
  • Confirmed SARS-CoV-2 infection as determined by RAT in NP specimen collected within 48 hours prior to randomization. Investigator sites will use test kits that are authorized for use in this study and the test result must be available to confirm eligibility.
  • Initial onset of signs/symptoms attributable to COVID-19 within 5 days prior to the day of randomization and at least 1 of the specified signs/symptoms attributable to COVID-19 present on the day of randomization.

Who cannot join

  • Current need for hospitalization or anticipated need for hospitalization within 24h after randomization in the clinical opinion of the site investigator.
  • Known medical history of active liver disease (other than nonalcoholic hepatic steatosis), including chronic or active hepatitis B or C infection, primary biliary cirrhosis, Child-Pugh Class B or Class C, or acute liver failure.
  • History of hypersensitivity or other contraindication to any of the components of the study interventions, as determined by the investigator.
  • Suspected or confirmed concurrent active systemic infection other than COVID-19 that may interfere with the evaluation of response to the study intervention.
  • Immunocompromised with ≥1 of the following:
  • Solid organ (eg, liver, heart, lung or kidney) transplant recipient who is receiving immunosuppressive therapy.
Show all 23Show fewer
  • Receipt of CAR-T-cell therapy or HCT either within 2 years of transplantation or receiving immunosuppressive therapy.
  • Moderate or severe primary immunodeficiency (eg, DiGeorge syndrome, Wiskott-Aldrich syndrome).
  • Use of at least 1 of the following immune-weakening medications:
  • Has received corticosteroids equivalent to prednisone ≥20 mg daily for at least 14 consecutive days within 30 days prior to study entry.
  • Active treatment causing significant immunosuppression, including alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents, TNF blockers, or other highly immunosuppressive drugs such as biologics.
  • Hematological malignancy (including leukemia, lymphoma and myeloma) or active immunosuppressive treatment for solid tumor.
  • HIV infection with CD4 cell count <200 mm3 from known medical history within the past 6 months of screening.
  • known severe renal impairment (eGFR of <30 mL/min/1.73 m2 within 6 months of the screening visit, using the serum creatinine-based CKD-EPI formula12).
  • Oxygen saturation of <92% on room air obtained at rest within 24h prior to randomization.
  • Has received or is expected to receive any other antiviral for the treatment of COVID 19, including remdesivir, PAXLOVID, molnupiravir, mAb treatment (within 30 days or 5 half-lives [whichever is longer] prior to screening) or received convalescent COVID-19 plasma within 12 months.
  • Expected to receive any dose of a SARS-CoV-2 vaccine within 14 days of randomization or during the study.
  • Current or previous administration with an investigational product (drug or vaccine) within 30 days (or as determined by the local requirement) or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer). Authorized or products with conditional approval are not considered investigational.
  • Known prior participation in this trial
  • Known history of any of the following abnormalities in clinical laboratory tests (within past 6 months of the screening visit):
  • T bili ≥2 × ULN (except for Gilbert's syndrome)
  • AST or ALT ≥2.5 × ULN
  • Abs neutrophil count <1000/mm3.

Trial locations and contacts

53 sites in 1 country.

53 sites in 1 country

United States53 sites
  • Javara - Privia Medical Group Georgia - Albany

    Albany, Georgia, 31707

  • Franco Felizarta, Md

    Bakersfield, California, 93301

  • Great Lakes Research Group, Inc.

    Bay City, Michigan, 48706

  • Mercury Street Medical Group, PLLC

    Butte, Montana, 59701

  • Hope Clinical Research, Inc.

    Canoga Park, California, 91303

  • Velocity Clinical Research, Chula Vista

    Chula Vista, California, 91911

  • Wellnow Urgent Care and Research

    Cincinnati, Ohio, 45215

  • Benchmark Research

    Colton, California, 92324

  • Centricity Research Columbus Georgia Multispecialty

    Columbus, Georgia, 31904

  • Centricity Research Columbus Acute Care

    Columbus, Georgia, 31909

  • Remington-Davis, Inc

    Columbus, Ohio, 43215

  • Javara - Privia Medical Group Gulf Coast - The Woodlands PGTW

    Conroe, Texas, 77384

  • Herco Medical and Research Center Inc

    Coral Gables, Florida, 33134

  • Cullman Clinical Trials

    Cullman, Alabama, 35055

  • Advance Clinical Research Group

    Cutler Bay, Florida, 33157

  • Javara - Privia Medical Group Gulf Coast - Cypress

    Cypress, Texas, 77433

  • DFW Clinical Research

    Dallas, Texas, 75234

  • WellNow Urgent Care & Research

    Dayton, Ohio, 45424

  • Kur Research @ Bon Secours Mercy Health, Inc - Urgent Care Easley

    Easley, South Carolina, 29640

  • Proactive Clinical Research LLC

    Edinburg, Texas, 78539

  • Proactive Clinical Research,LLC

    Fort Lauderdale, Florida, 33308

  • Ascada Health PC dba Ascada Research

    Fullerton, California, 92835

  • Henderson Clinical Trials

    Henderson, Nevada, 89052

  • Qway Research LLC

    Hialeah, Florida, 33010

  • Unlimited Medical Research Group LLC

    Hialeah Gardens, Florida, 33018

  • Next Level Urgent Care

    Houston, Texas, 77057

  • Snake River Research

    Idaho Falls, Idaho, 83404

  • Laguna Clinical Research

    Laredo, Texas, 78041

  • Excel Clinical Research, LLC

    Las Vegas, Nevada, 89109

  • Epic Clinical Research

    Lewisville, Texas, 75057

  • Applied Research Center of Arkansas

    Little Rock, Arkansas, 72212

  • Long Beach Clinical Trials

    Long Beach, California, 90806

  • Angels Clinical Research Institute

    Miami, Florida, 33122

  • South Florida Research Center

    Miami, Florida, 33135

  • USPA Advance Concept Medical Research Group

    Miami, Florida, 33143

  • Bio-Medical Research LLC

    Miami, Florida, 33144

  • Coral Research Clinic Corp

    Miami, Florida, 33186

  • Palm Springs Community Health Center

    Miami Lakes, Florida, 33014

  • Monroe Biomedical Research

    Monroe, North Carolina, 28112

  • DBC Research USA

    Pembroke Pines, Florida, 33029

  • ClinMed

    Phoenix, Arizona, 85004

  • Eastside Research Associates

    Redmond, Washington, 98052

  • BFHC Research, LLC

    San Antonio, Texas, 78249

  • Marvel Clinical Research - Santa Ana

    Santa Ana, California, 92704

  • Consano Clinical Research, LLC

    Shavano Park, Texas, 78231

  • Javara - Privia Medical Group Gulf Coast - The Woodlands PGTW

    Shenandoah, Texas, 77384

  • GCP Research, Global Clinical professionals

    St. Petersburg, Florida, 33705

  • Javara - Privia Medical Group North Texas - Stephenville

    Stephenville, Texas, 76401

  • Epic Medical Research - Surprise

    Surprise, Arizona, 85378

  • Javara - Privia Medical Group Gulf Coast - The Woodlands PGTW

    The Woodlands, Texas, 77384

  • Rophe Adult and Pediatric Medicine/SKYCRNG

    Union City, Georgia, 30291

  • Accellacare - Wilmington

    Wilmington, North Carolina, 28401

  • University of Massachusetts Chan Medical School

    Worcester, Massachusetts, 01655

Other trials in United States

About this study

Official title: A PHASE 2B, DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED, PARALLEL GROUP, DOSE RANGING STUDY TO EVALUATE VIROLOGICAL RESPONSE AND SAFETY OF ORAL PF-07817883 IN NON-HOSPITALIZED SYMPTOMATIC ADULT PARTICIPANTS WITH COVID-19

The purpose of the study is to understand the effects and safety of PF-07817883 treatment. The study wants to know how PF-07817883 treatment lowers the level of the virus that causes COVID 19. To understand that samples are collected from adult participants who have the symptoms of COVID 19 but are not hospitalized.

The study is seeking for participants who:

Read more
  • are 18 years of age or older at the time of entering the study.
  • have a positive rapid antigen test within 48 hours before entering the study. Rapid antigen test is a test done to confirm the presence of a specific virus in the body.
  • have onset of signs or symptoms of COVID-19 within 5 days before entering the study.
  • have at least 1 of the specified signs or symptoms of COVID-19 present on the day of entering the study.

Around 228 participants with a confirmed case of COVID 19 are planned to be taken into the study. Participants will be randomly grouped to receive PF-07817883. Three groups will receive 100, 300, 600mg of PF-07817883 and one of the groups will receive placebo (a pill that doesn't have any medicines) orally every 12 hours for 5 days.

The study is going to last up to 5 weeks. This includes the initial period of selecting participants, participants receiving the medicine or the placebo and then a 4-week follow-up period after giving the participants the last medicine.

The study team will monitor how each participant is doing with the study treatment during the study.

Being tested
PF-07817883, Placebo
Keywords
COVID-19, SARS COVID-19
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PF-07817883Drug

    Arm 1: low dose Arm 2: medium dose Arm 3: high dose

  • PlaceboDrug

    Placebo

Study groups in NCT05799495
Study groupRoleWhat they receive
Arm 1: low doseExperimentalNot described
Receives: Drug: PF-07817883
Arm 2: medium doseExperimentalNot described
Receives: Drug: PF-07817883
Arm 3: high doseExperimentalNot described
Receives: Drug: PF-07817883
Arm 4: PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Logarithm Base 10 (Log10) Transformed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Ribo Nucleic Acid (RNA) Level on Day 5

    Change from baseline in SARS-CoV-2 RNA level at Day 5 was analyzed using Mixed Effects Repeated Measures (MMRM) model with fixed effects including treatment, visit, visit by treatment interaction, and baseline viral load. Covariates included days from baseline since symptom onset (<=3 versus [vs.] >3 days), vaccination status (complete or partial vs. unvaccinated), baseline anti-N serology status and age at screening (years). Participants were excluded from the analysis if baseline viral load was less than 4*log10 copies/milliliter, missing, or not detected.

    Measured: Baseline (Day 1), Day 5

Secondary outcomes (6)
  1. Change From Baseline in Log10 Transformed SARS-CoV-2 RNA Level on Days 3, 10 and 14

    Change from baseline in SARS-CoV-2 RNA level at Day 3, Day 10 and Day 14 were analyzed using MMRM model with fixed effects including treatment, visit, visit by treatment interaction, and baseline viral load. Covariates included days from baseline since symptom onset (<=3 vs. >3 days), vaccination status (complete or partial vs. unvaccinated), baseline anti-N serology status and age at screening (years). Participants were excluded from the analysis if baseline viral load was less than 4*log10 copies/milliliter, missing, or not detected.

    Measured: Baseline (Day 1), Day 3, Day 10 and Day 14

  2. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a study participant after administration of a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. An adverse event is considered a treatment-emergent adverse event (TEAE) if the event started on or after the study medication start date and time. An SAE was any untoward medical occurrence at any dose that: resulted in death; was life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions) or resulted in congenital anomaly/birth defect or was considered an important medical event.

    Measured: From start of study intervention up to 28 days after last dose of study intervention (up to 33 days)

  3. Number of Participants With Treatment Emergent Adverse Events (TEAEs) Leading to Discontinuations

    An AE was any untoward medical occurrence in a study participant after administration of a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. An adverse event is considered a treatment-emergent adverse event (TEAE) if the event started on or after the study medication start date and time. Participants with an AE record indicating the AE caused permanent discontinuation from the study were reported under discontinuations from study due to TEAEs. Permanent discontinuations from study intervention due to TEAEs included those participants who had an AE record that indicated that action taken with study treatment was drug withdrawn but AE did not cause the participant to be discontinued from study.

    Measured: From start of study intervention up to 28 days after last dose of study intervention (up to 33 days)

  4. Number of Participants With Laboratory Test Abnormalities

    The following laboratory parameters were assessed according to pre-specified criteria for abnormalities: a) hematology; hemoglobin (gram per deciliter [g/dL]), (less than[<]0.8*lower limit of normal [LLN]), erythrocytes(10^12/Liter [L])(< 0.8*LLN), lymphocytes(10^9/L)(more than[>]1.2*upper limit of normal [ULN]), neutrophils(> 1.2*ULN and < 0.8*LLN), basophils(10^9/L)(> 1.2*ULN) and eosinophils (10^9/L)(> 1.2*ULN). b) clinical chemistry; bilirubin(mg/dL)(> 1.5*ULN), urea nitrogen(mg/dL)(> 1.3*ULN), creatinine(mg/dL)(> 1.3*ULN), potassium(milli equivalence per millilitre [mEq/L], (< 0.9*LLN and > 1.1*ULN), calcium (mg/dL)(< 0.9*LLN), bicarbonate(mEq/L)(< 0.9*LLN and > 1.1*ULN), glucose (mg/dL)(> 1.5*ULN), creatine kinase(units per litre [U/L) (> 2.0* ULN), D-Dimer(nanogram per milliliter[ng/mL]), (>1.5*ULN) and c)urinalysis; bacteria (low power field [LPF]>20). Number of participants with any laboratory abnormalities meeting pre-specified criteria are reported in this outcome measure.

    Measured: From start of study intervention up to 28 days after last dose of study intervention (up to 33 days).

  5. Number of Participants Meeting Pre-defined Criteria of Vital Sign Abnormalities

    Vital signs included blood pressure and pulse rate and were assessed with the participant in the supine or seated position with a completely automated device after at least 5 minutes of rest for the participant in a quiet setting without distractions. Pre-defined criteria for vital sign abnormalities was as systolic blood pressure (millimeter of mercury [mmHg]): value < 90, change >= 30 increase and change >= 30 decrease, diastolic blood pressure (mmHg): value <50; change >= 20 increase and change >= 20 decrease, pulse rate (beats per minute [bpm]): value < 40 and value > 120.

    Measured: From start of study intervention up to 28 days after last dose of study intervention (up to 33 days).

  6. Number of Participants Meeting Pre-defined Criteria For ECG Abnormalities

    Twelve lead ECGs were collected using an ECG machine that automatically calculated heart rate and measured PR interval, QT interval, and QT interval correct by Frederica formula (QTcF). ECG abnormalities included: PR interval (millisecond [msec]): value >=280, change >40 increase; QT interval aggregate (msec): value > 500), QTcF interval (450 < value =< 480; 480 < value =< 500; value > 500; 30 < change <= 60 increase and change > 60 increase).

    Measured: From baseline (Day 1) up to Day 10

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Apr 2023
  2. Study start23 May 2023
  3. Primary completion13 Sep 2023
  4. Study completion11 Oct 2023

Resources

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05799495
Sponsor's protocol ID
C5091003
Other IDs
2022-002871-12, 2023-506667-34-00, 2023
Status last verified
Sep 2024
First submitted
4 Apr 2023
Last updated
9 Oct 2024
Data monitoring committee
No
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

  • Kim JH, Knutson A, Smith J, Guan S, Chen LF, Mortezavi M, Sloan A, Banerjee A, Baniecki ML, Hyde C, Allerton C, Alami NN. Ibuzatrelvir potently reduced viral RNA levels despite a high rate of anti-S seropositivity: a post hoc analysis of serology of the phase 2b study. Sci Rep. 2026 Mar 8;16(1):12594. doi: 10.1038/s41598-026-42989-9.

    PubMed 41796210
  • Mortezavi M, Sloan A, Singh RSP, Chen LF, Kim JH, Shojaee N, Toussi SS, Prybylski J, Baniecki ML, Bergman A, Banerjee A, Allerton C, Alami NN. Virologic Response and Safety of Ibuzatrelvir, A Novel SARS-CoV-2 Antiviral, in Adults With COVID-19. Clin Infect Dis. 2025 Mar 17;80(3):673-680. doi: 10.1093/cid/ciae529.

    PubMed 39486089

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-07817883 in people with SARS-CoV-2 Infection, run by Pfizer at 53 sites in United States.

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 5 inclusion and 23 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 9 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States. 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 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.

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 9 Oct 2024). 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?

Change From Baseline in Logarithm Base 10 (Log10) Transformed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Ribo Nucleic Acid (RNA) Level on Day 5 (time frame: Baseline (Day 1), Day 5). 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 NCT05799495, which also lists 2 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 9 Oct 2024.

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