Coronavirus Disease (COVID-19)Phase 3MOVe-NOWNCT06667700
A Clinical Study of Molnupiravir to Prevent Severe Illness From Coronavirus Disease 2019 (COVID-19) in People Who Are High Risk (MK-4482-023)
A Phase 3 study testing Molnupiravir in people with Coronavirus Disease (COVID-19), run by Merck Sharp & Dohme LLC at 227 sites in 24 countries.
Trial summary
Researchers are looking for other ways to prevent severe illness from COVID-19. COVID-19 is a virus that most often causes mild flu or cold-like symptoms. However, people with certain health conditions or other factors have a high risk (chance) of getting severely ill from COVID-19, which can require a hospital stay… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Coronavirus Disease (COVID-19)
- What is being tested?
- Molnupiravir
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,082 participants
- Where
- 227 sitesin 24 countries
- Study dates
- 2 Dec 2024to 26 Jan 2031
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- The main inclusion criteria include but are not limited to the following:
- Is an individual of any sex/gender, ≥18 years of age
- Has documentation of SARS-CoV-2 infection with sample collection ≤4 days prior to randomization
- Has initial onset of signs/symptoms attributable to COVID-19 for ≤4 days prior to the day of randomization and ≥2 of the following signs/symptoms attributable to COVID-19 on the day of randomization: cough, sore throat, nasal congestion, shortness of breath or difficulty breathing with exertion, muscle or body aches, fatigue, fever >38.0°C or chills, nausea or vomiting or diarrhea, change in sense of smell or change in sense of taste, or headache
- Has ≥1 of the following characteristics or medical conditions associated with the highest risk of severe illness from COVID-19:
- Advanced age of ≥75 years of age
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- Immunocompromised
- Neurocognitive or physical disability
- Has ≥3 characteristics or medical conditions which increase the risk of severe illness due to COVID-19 (e.g., chronic lung disease, obesity with body mass index (BMI) ≥35, diabetes)
- Is unable or unwilling to receive treatment with nirmatrelvir/ritonavir (NMV/r) due to 1 or more of the following:
- Is receiving drug(s) highly dependent on cytochrome P450 3A (CYP3A) for clearance and for which elevated concentrations are associated with serious and/or life-threatening consequences or drug(s) with a clinically significant drug-drug interaction for which co-administration is not possible
- Is receiving potent CYP3A inducers where significantly reduced nirmatrelvir or ritonavir plasma concentrations may be associated with the potential for loss of virologic response and possible resistance
- Has severe hepatic impairment
- Has experienced prior adverse reactions or hepatotoxicity to NMV/r that would preclude future use
- Has known or suspected NMV/r resistance
- Has uncontrolled HIV infection
- NMV/r is not approved/authorized in the participant's country or it is not accessible to participant (e.g., drug shortage)
- Is unwilling to receive treatment with NMV/r
- Inclusion note: Participants may receive remdesivir as standard of care in addition to molnupiravir or placebo. If remdesivir is available and clinically appropriate per local clinical practice, investigators will aim to ensure that those who are most vulnerable to severe COVID-19 receive timely access to remdesivir as standard of care on this study.
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- Is currently hospitalized or is expected to need hospitalization for COVID-19 imminently
- Has received or plans to receive SARS-CoV-2 directed oral antivirals or monoclonal antibodies for current episode of COVID-19 (other than study intervention and, if applicable, remdesivir as standard of care)
- Has ≥1 of the following signs/symptoms that are attributable to severe or critical COVID-19:
- Shortness of breath at rest
- Respiratory rate ≥30 breaths per minute
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- Heart rate ≥125 beats per minute
- Peripheral oxygen saturation (SpO2) ≤93% on room air or on supplemental oxygen for a reason other than COVID-19 which has not increased since onset of COVID-19 signs/symptoms
- New or increasing need for supplemental oxygen: receiving >4 liters/minute supplemental oxygen due to COVID-19 OR on supplemental oxygen for a reason other than COVID-19 which has increased due to COVID-19
- Has received a COVID-19 vaccine within 30 days prior to randomization
- Has a history of confirmed influenza, respiratory syncytial virus (RSV), or SARS-CoV-2 infection (with or without symptoms; excluding current infection) within 30 days prior to randomization
- Has known or suspected hypersensitivity to active or inactive ingredients of molnupiravir
Trial locations and contacts
227 sites in 24 countries. Contact the study team or a site near you to ask about taking part.
227 sites in 24 countries
United States71 sites, 55 recruiting
- Recruiting
Annapolis Internal Medicine - CCT Research ( Site 3700)
Annapolis, Maryland, 21401
Study Coordinator, 410-824-1005
- Completed
Research Innovations, LLC ( Site 3712)
Beavercreek, Ohio, 45431
- Completed
Paradigm Clinical Research - Boise ( Site 3841)
Boise, Idaho, 83709
- Recruiting
Encore Medical Research of Boynton Beach ( Site 3701)
Boynton Beach, Florida, 33436
Study Coordinator, 561-774-8799
- Recruiting
Nevada Health Centers ( Site 3840)
Carson City, Nevada, 89706
Study Coordinator, 770-200-9775
- Recruiting
Clinica de Salud del Valle de Salinas ( Site 3825)
Castroville, California, 95012
Study Coordinator, 805-483-1185
- Recruiting
OnSite Clinical Solutions ( Site 3784)
Charlotte, North Carolina, 28277
Study Coordinator, 800-785-3150
- Recruiting
Rush University Medical Center ( Site 3748)
Chicago, Illinois, 60612
Study Coordinator, 312-942-5987
- Recruiting
Kur Research - Columbia Medical ( Site 3767)
Columbia, Maryland, 21045
Study Coordinator, 410-964-8522
- Active, not recruiting
Midlands Neurology & Pain Associates ( Site 3751)
Columbia, South Carolina, 29205
- Recruiting
Javara - Privia Medical Group Gulf Coast - The Woodlands HWH ( Site 3837)
Conroe, Texas, 77384
Study Coordinator, 281-639-5061
- Recruiting
Prestige Clinical Research Center ( Site 3722)
Coral Gables, Florida, 33134
Study Coordinator, 305-907-6960
- Recruiting
South Texas Clinical Research ( Site 3815)
Corpus Christi, Texas, 78404
Study Coordinator, 361-288-4668
- Completed
Cullman Clinical Trials ( Site 3813)
Cullman, Alabama, 35055
- Completed
Revival Research Institute, LLC ( Site 3835)
Dearborn, Michigan, 48126
- Completed
Michigan Center of Medical Research (MICHMER) ( Site 3734)
Farmington Hills, Michigan, 48334
- Completed
Prime Health and Wellness/SKYCRNG ( Site 3726)
Fayette, Mississippi, 39069
- Active, not recruiting
Care United Research, LLC ( Site 3747)
Forney, Texas, 75126
- Completed
Ascada Health PC dba Ascada Research ( Site 3750)
Fullerton, California, 92835
- Recruiting
Henry Ford St John TM Center for Infectious Disease Research ( Site 3766)
Grosse Pointe Woods, Michigan, 48236
Study Coordinator, 313-343-6311
- Completed
Velocity Clinical Research - Hampton ( Site 3744)
Hampton, Virginia, 23666
- Recruiting
Prestige Clinical Research ( Site 3830)
Homestead, Florida, 33030
Study Coordinator, 305-907-6961
- Recruiting
Houston Methodist Hospital ( Site 3800)
Houston, Texas, 77030
Study Coordinator, 713-441-3250
- Recruiting
MD Anderson ( Site 3843)
Houston, Texas, 77030
Study Coordinator, 713-792-6830
- Recruiting
Helios Clinical Research - JAC ( Site 3833)
Jackson, Tennessee, 38305
Study Coordinator, 731-431-5027
- Recruiting
Andres Garcia Zuniga, M.D., P.A. ( Site 3782)
Laredo, Texas, 78041
Study Coordinator, 956-307-4280
- Recruiting
Accel Research Sites Network - St. Pete-Largo Clinical Research Unit ( Site 3779)
Largo, Florida, 33777
Study Coordinator, 727-347-8839
- Recruiting
WR-CRCN, LLC ( Site 3818)
Las Vegas, Nevada, 89106
Study Coordinator, 702-893-8968
- Recruiting
Balanced Life Health Care Solutions/SKYCRNG ( Site 3713)
Lawrenceville, Georgia, 30046
Study Coordinator, 770-696-4541
- Recruiting
Clinical Site Partners, LLC dba Flourish Research ( Site 3717)
Leesburg, Florida, 34748
Study Coordinator, 325-435-7240
- Recruiting
Duly Health and Care ( Site 3799)
Lombard, Illinois, 60148
Study Coordinator, 630-545-7760
- Recruiting
Pacific Clinical Studies ( Site 3827)
Los Alamitos, California, 90720
Study Coordinator, 5625980600x205
- Recruiting
University of Louisville School of Medicine ( Site 3706)
Louisville, Kentucky, 40202
Study Coordinator, 502-852-3836
- Active, not recruiting
Advanced Pulmonary Research Institute ( Site 3781)
Loxahatchee Groves, Florida, 33470
- Recruiting
Mankato Clinic ( Site 3842)
Mankato, Minnesota, 56001
Study Coordinator, 507-625-1811
- Recruiting
Southern Clinical Research ( Site 3773)
Miami, Florida, 33125
Study Coordinator, 844-312-1727
- Recruiting
Florida Pharmaceutical Research and Associates ( Site 3763)
Miami, Florida, 33143
Study Coordinator, 786-254-7296
- Recruiting
Bio-Medical Research LLC ( Site 3804)
Miami, Florida, 33144
Study Coordinator, 305-671-3686
- Completed
Bright Research Center ( Site 3746)
Miami, Florida, 33144
- Recruiting
Miami Clinical Research ( Site 3729)
Miami, Florida, 33155
Study Coordinator, 305-433-6496
- Recruiting
Reed Medical Research ( Site 3761)
Miami, Florida, 33176
Study Coordinator, 305-413-0531
- Recruiting
Palm Springs Community Health Center ( Site 3757)
Miami Lakes, Florida, 33014
Study Coordinator, 786-334-6675
- Recruiting
Panax Clinical Research ( Site 3803)
Miami Lakes, Florida, 33014
Study Coordinator, 305-698-4500
- Recruiting
Indago Research and Health Center Inc ( Site 3714)
Miami Lakes, Florida, 33016
Study Coordinator, 305-825-6588
- Recruiting
Monroe Biomedical Research ( Site 3732)
Monroe, North Carolina, 28112
Study Coordinator, 704-283-7359
- Recruiting
IMA Clinical Research Mount Airy ( Site 3745)
Mount Airy, North Carolina, 27030
Study Coordinator, 336-415-5507
- Completed
Barnum Medical Research ( Site 3828)
Natchitoches, Louisiana, 71457
- Recruiting
Weill Cornell Medical College ( Site 3814)
New York, New York, 10065
Study Coordinator, 212-746-7587
- Recruiting
Saint Michael's Medical Center ( Site 3808)
Newark, New Jersey, 07102
Study Coordinator, 973-877-5162
- Recruiting
Valley Clinical Trials, Inc. ( Site 3707)
Northridge, California, 91325
Study Coordinator, 818-280-4220
- Recruiting
Combined Research Orlando Phase I-IV ( Site 3797)
Orlando, Florida, 32807
Study Coordinator, 407-440-4493
- Recruiting
FOMAT Medical Research ( Site 3720)
Oxnard, California, 93030
Study Coordinator, 805-483-1185
- Recruiting
Helios Clinical Research ( Site 3826)
Paradise Valley, Arizona, 85253
Study Coordinator, 480-659-0448
- Recruiting
LinQ Research ( Site 3824)
Pearland, Texas, 77584
Study Coordinator, 281-916-4220
- Completed
Absolute Clinical Research ( Site 3709)
Phoenix, Arizona, 85051
- Recruiting
CDC Research Institute ( Site 3716)
Port Saint Lucie, Florida, 34952
Study Coordinator, 772-807-1636
- Recruiting
Eastside Research Associates ( Site 3727)
Redmond, Washington, 98052
Study Coordinator, 425-869-6828
- Recruiting
SKY Integrative Medical Center/SKYCRNG ( Site 3740)
Ridgeland, Mississippi, 39157
Study Coordinator, 601-617-7717
- Recruiting
Paradigm Clinical Research, LLC ( Site 3785)
San Diego, California, 91208
Study Coordinator, 858274426
- Recruiting
Optimus Medical ( Site 3817)
San Francisco, California, 94102
Study Coordinator, 415-518-1292
- Recruiting
Renew Health Clinical Research ( Site 3760)
Snellville, Georgia, 30078
Study Coordinator, 706-223-3560
- Recruiting
New Tampa Health ( Site 3764)
Tampa, Florida, 33603
Study Coordinator, 813-440-6355
- Recruiting
Clinical Research Trials of Florida ( Site 3703)
Tampa, Florida, 33607
Study Coordinator, 813-873-8102
- Recruiting
Precision Research Center ( Site 3704)
Tampa, Florida, 33614
Study Coordinator, 813-513-2365
- Recruiting
Holy Name Medical Center ( Site 3807)
Teaneck, New Jersey, 07666
Study Coordinator, 201-833-3000
- Recruiting
Prime Global Research ( Site 3731)
The Bronx, New York, 10456
Study Coordinator, 718-676-9444
- Completed
Rophe Adult and Pediatric Medicine/SKYCRNG ( Site 3816)
Union City, Georgia, 30291
- Recruiting
Crossroads Clinical Research-Family Practice ( Site 3739)
Victoria, Texas, 77901
Study Coordinator, 361-574-7800
- Recruiting
Millennium Clinical Trials ( Site 3758)
Westlake Village, California, 91361
Study Coordinator, 805-496-3322
- Completed
Encore Medical Research - Weston ( Site 3708)
Weston, Florida, 33331
- Recruiting
Paradigm Clinical Research Centers, Inc ( Site 3718)
Wheat Ridge, Colorado, 80033
Study Coordinator, 303-463-1947
Ukraine20 sites, 19 recruiting
- Recruiting
EUROMEDCLINIC ( Site 3517)
Cherkasy, Cherkasy Oblast, 18021
Study Coordinator, +380966684934
- Recruiting
MUNICIPAL NON-PROFIT ENTERPRISE CENTRAL CITY CLINICAL HOSPITAL OF CHERNIVTSI CITY COUNCIL ( Site 3513)
Chernivtsi, Chernivetska Oblast, 58000
Study Coordinator, 380501835097
- Recruiting
Clinical medical and diagnostic center Limited Liability Company "Simedgroup" ( Site 3524)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76008
Study Coordinator, +380669779646
- Recruiting
Regional Phthisiology and Pulmonology Center ( Site 3523)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018
Study Coordinator, +380503383383
- Recruiting
Private Enterprise Private Manufacturing Company Acinus-Medical and Diagnostic Centre ( Site 3537)
Kropyvnytskyi, Kirovohrad Oblast, 25006
Study Coordinator, +380522 366002
- Recruiting
Limited Liability Company Ukrainian Center of Tomotherapy-Clinical Trials Department ( Site 3512)
Kropyvnytskyi, Kirovohrad Oblast, 25011
Study Coordinator, +38 095 8718674
- Recruiting
Medical Center "Harmoniya Krasy" ( Site 3545)
Kyiv, Kyivska Oblast, 01135
Study Coordinator, +380936306646
- Recruiting
Edelweiss Medics ( Site 3503)
Kyiv, Kyivska Oblast, 02002
Study Coordinator, +380504446557
- Recruiting
Communal Non-Profit Enterprise "Kyiv City Clinical Hospital #1"-Department of Clinical Research ( Site 3514)
Kyiv, Kyivska Oblast, 02091
Study Coordinator, +38 044 5611708
- Recruiting
Medbud Clinic-Treatment prevention unit ( Site 3506)
Kyiv, Kyivska Oblast, 03037
Study Coordinator, +380503572250
- Recruiting
Medical Center of Limited ( Site 3546)
Kyiv, Kyivska Oblast, 04050
Study Coordinator, +380969949971
- Recruiting
Center of Family Medicine Plus ( Site 3502)
Kyiv, Kyivska Oblast, 04210
Study Coordinator, +380509084116
- Recruiting
Medlight Clinic ( Site 3548)
Kyiv, 02222
Study Coordinator, +38 067 46632
- Recruiting
Kyiv Railway Clinical Hospital No.2 of Branch Health Center -Center of Clinical Trials ( Site 3549)
Kyiv, 03049
Study Coordinator, +380509165888
- Recruiting
Municipal Enterprise "Volyn Regional Clinical Hospital" of Volyn Regional Council ( Site 3530)
Lutsk, Volyn Oblast, 43005
Study Coordinator, +380958969484
- Recruiting
Polyclinic of Communal 4th city clinical hospital ( Site 3501)
Lviv, Lviv Oblast, 79011
Study Coordinator, +380504727692
- Suspended
Lviv Territorial Medical Union Multidisciplinary Clinical Hospital ( Site 3525)
Lviv, Lviv Oblast, 79059
- Recruiting
Uzhhorod Municipal Multidisciplinary Clinical Hospital of Uzhhorod City Council ( Site 3538)
Uzhhorod, Zakarpattia Oblast, 88000
Study Coordinator, 380664959049
- Recruiting
University clinic of the National Pirogov Memorial Medical University ( Site 3547)
Vinnytsia, Vinnytsia Oblast, 21001
Study Coordinator, +380965363123
- Recruiting
Clinic of Scientific and Research Institute of Invalid Rehabilitation of VNMU n.a. M.I.Pyrohov ( Site 3528)
Vinnytsia, Vinnytsia Oblast, 21029
Study Coordinator, +380673978046
Bulgaria12 sites, 12 recruiting
- Recruiting
Medical Center 'Medconsult' Burgas EOOD ( Site 0510)
Burgas, 8000
Study Coordinator, +359879886842
- Recruiting
Medical Center Zdrave 1 ( Site 0509)
Kozloduy, Vratsa, 3320
Study Coordinator, +359878619077
- Recruiting
Medconsult Pleven - Lovech ( Site 0501)
Lovech, 5500
Study Coordinator, +35968629195
- Recruiting
Medical Center Hera ( Site 0507)
Montana, 3400
Study Coordinator, +35032261110
- Recruiting
MHAT "Dr. Stamen Iliev" Montana-Department of Pulmonology ( Site 0504)
Montana, 3403
Study Coordinator, +35996306881
- Recruiting
Medconsult Pleven ( Site 0503)
Pleven, 5800
Study Coordinator, +35964910999
- Recruiting
DKC V - Plovdiv ( Site 0508)
Plovdiv, 4023
Study Coordinator, 032261110
- Recruiting
SHATPPD Dr. Dimitar Gramatikov - Ruse EOOD ( Site 0502)
Rousse, 7002
Study Coordinator, +35982813961
- Recruiting
Diagnostic Consultative Center 22 - Sofia ( Site 0500)
Sofia, 1113
Study Coordinator, +3528929840
- Recruiting
Medical Center Hera EOOD ( Site 0505)
Sofia, 1510
Study Coordinator, 359882441433
- Recruiting
Medical Centre Pratia Clinic EOOD ( Site 0511)
Varna, 9020
Study Coordinator, +359882655182
- Recruiting
Medical Center Asclepius ( Site 0506)
Velingrad, Pazardzhik, 4600
Study Coordinator, +35935952561
Poland10 sites, 10 recruiting
- Recruiting
NZOZ GynCentrum - Oddział Bielsko-Biała ( Site 2602)
Bielsko-Biala, Silesian Voivodeship, 43-300
Study Coordinator, +48327241012
- Recruiting
In-Vivo Bydgoszcz ( Site 2601)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-048
Study Coordinator, 48723351053
- Recruiting
FutureMeds Gdynia ( Site 2621)
Gdynia, Pomeranian Voivodeship, 81-384
Study Coordinator, +48585065410
- Recruiting
Clinical Medical Research ( Site 2604)
Katowice, Silesian Voivodeship, 40-156
Study Coordinator, +48327248013
- Recruiting
Holsamed ( Site 2603)
Katowice, Silesian Voivodeship, 40-600
Study Coordinator, +48327241012
- Recruiting
NZOZ GynCentrum - Oddział Kraków ( Site 2609)
Krakow, Lesser Poland Voivodeship, 31-322
Study Coordinator, +48327241012
- Recruiting
Centrum Medyczne FutureMeds ( Site 2615)
Lodz, Łódź Voivodeship, 91-363
Study Coordinator, +48530546417
- Recruiting
PL Certus ( Site 2613)
Poznan, Greater Poland Voivodeship, 60-309
Study Coordinator, 48734217034
- Recruiting
Futuremeds Targowek ( Site 2619)
Warsaw, Masovian Voivodeship, 03-291
Study Coordinator, +48502921680
- Recruiting
Penta Hospitals Przychodnie Wrocław Wejherowska ( Site 2611)
Wroclaw, Lower Silesian Voivodeship, 54-239
Study Coordinator, 48713957541
South Korea9 sites, 9 recruiting
- Recruiting
Korea University Ansan Hospital ( Site 3007)
Ansan-si, Kyonggi-do, 15355
Study Coordinator, 82-31-412-5011
- Recruiting
Kyungpook National University Chilgok Hospital-Division of Infectious Diseases ( Site 3002)
Deagu, Taegu-Kwangyokshi, 41404
Study Coordinator, 82-53-200-2616
- Recruiting
Chonnam National University Hospital-Infectious Diseases ( Site 3008)
Gwangju, Kwangju-Kwangyokshi, 61469
Study Coordinator, 82-62-220-6295
- Recruiting
Gyeongsang National University Hospital ( Site 3005)
Jinju, Kyongsangnam-do, 52727
Study Coordinator, +82557508055
- Recruiting
Pusan National University Hospital-Internal Medicine ( Site 3010)
Pusan, Pusan-Kwangyokshi, 49241
Study Coordinator, +82-51-240-8592
- Recruiting
Korea University Anam Hospital ( Site 3001)
Seoul, 02841
Study Coordinator, 82-2-920-5096
- Recruiting
Hallym University Kangnam Sacred Heart Hospital-Internal Medicine ( Site 3003)
Seoul, 07441
Study Coordinator, +8228295106
- Recruiting
Korea University Guro Hospital ( Site 3006)
Seoul, 08308
Study Coordinator, +82226263052
- Recruiting
Wonju Severance Christian Hospital-Internal Medicine ( Site 3009)
Wŏnju, Kang-won-do, 26426
Study Coordinator, +82-33-741-0519
Spain9 sites, 9 recruiting
- Recruiting
Hospital Universitario de A Coruña ( Site 3112)
A Coruña, Galicia, 15006
Study Coordinator, 34 981 17 81 57
- Recruiting
Hospital Germans Trias i Pujol ( Site 3101)
Badalona, Barcelona, 08916
Study Coordinator, +34934978349
- Recruiting
Hospital Universitari Vall d'Hebron ( Site 3102)
Barcelona, Catalonia, 08035
Study Coordinator, +34934896090
- Recruiting
EAP Sardenya ( Site 3109)
Barcelona, 08025
Study Coordinator, +34935674385
- Recruiting
Hospital Santa Lucia-Medicina Infecciosas ( Site 3106)
Cartagena, Murcia, 30202
Study Coordinator, +34968110471
- Recruiting
EAP Osona Sud - Alt Congost S.L.P ( Site 3107)
Centelles, Barcelona, 08540
Study Coordinator, +34938810485
- Recruiting
Hospital General Universitario de Elche-Infectius Disease ( Site 3105)
Elche, Alicante, 03202
Study Coordinator, +34966616754
- Recruiting
Hospital Universitario Infanta Leonor ( Site 3110)
Madrid, 28031
Study Coordinator, 34911918280
- Recruiting
HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO ( Site 3100)
Seville, 41013
Study Coordinator, +34697958658
Taiwan9 sites, 9 recruiting
- Recruiting
Kaohsiung Veterans General Hospital ( Site 3307)
Kaohsiung City, 813
Study Coordinator, +88673422121x72187
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 3306)
Kaoshiung, Kaohsiung, 807
Study Coordinator, +88673121101
- Recruiting
Taipei Medical University - Shuang Ho Hospital ( Site 3308)
New Taipei City, 23561
Study Coordinator, +88622249-0088
- Recruiting
Taichung Veterans General Hospital ( Site 3305)
Taichung, 40705
Study Coordinator, +886423592525x6523
- Recruiting
National Taiwan University Hospital ( Site 3301)
Taipei, 10002
Study Coordinator, +886-2-2312-3456
- Recruiting
Tri-Service General Hospital ( Site 3304)
Taipei, 114
Study Coordinator, +886287923311x13655
- Recruiting
Taipei Municipal Wangfang Hospital ( Site 3309)
Taipei, 11696
Study Coordinator, +886229307930
- Recruiting
Chang Gung Memorial Hospital - Linkou Branch ( Site 3303)
Taoyuan, 333
Study Coordinator, +88633281200x8450
- Recruiting
Taoyuan General Hospital ( Site 3300)
Taoyuan City, Taoyuan, 33004
Study Coordinator, +88633699721x8311
United Kingdom9 sites, 9 recruiting
- Recruiting
Bicester Health Centre ( Site 3609)
Bicester, Oxfordshire, OX26 6AT
Study Coordinator, 01869 249333
- Recruiting
Whiteladies Medical Group ( Site 3611)
Bristol, Bristol, City of, BS8 2PU
Study Coordinator, 01179731201
- Recruiting
Royal Devon & Exeter Hospital ( Site 3604)
Exeter, England, EX2 5DW
Study Coordinator, 01392411611
- Recruiting
Royal Victoria Infirmary ( Site 3608)
Newcastle, Newcastle Upon Tyne, NE1 4LP
Study Coordinator, +441912336161
- Recruiting
Lakeside Surgery ( Site 3600)
Northamptonshire, Northamptonshire, NN17 2UR
Study Coordinator, +441536748282
- Recruiting
Norwich Practices Health Centre ( Site 3605)
Norwich, Norfolk, NR1 1RB
Study Coordinator, +4407552431271
- Recruiting
Oak Street Medical Practice ( Site 3612)
Norwich, Norfolk, NR3 3DL
Study Coordinator, +441603613431
- Recruiting
Banbury Cross Health Centre ( Site 3610)
Oxford, Oxfordshire, OX16 9AD
Study Coordinator, 0
- Recruiting
Buttercross Health Centre ( Site 3606)
Somerset, Somerset, TA11 7PB
Study Coordinator, +441458272473
Georgia8 sites, 7 recruiting
- Recruiting
Clinic Health - Batumi ( Site 1405)
Batumi, Adjara, 6000
Study Coordinator, +995591409090
- Suspended
Family Medical Regional Center ( Site 1404)
Batumi, Adjara, 6000
- Recruiting
LTD High Technology Hospital Medcenter ( Site 1408)
Batumi, Adjara, 6010
Study Coordinator, +995596226060
- Recruiting
University Clinic of Innovative Medicine ( Site 1400)
Batumi, Adjara, 6010
Study Coordinator, +995 422 25 20 08
- Recruiting
Caucasus Medical Centre ( Site 1406)
Tbilisi, Adjara, 0186
Study Coordinator, +995322600600
- Recruiting
New Hospitals ( Site 1409)
Tbilisi, 0114
Study Coordinator, +995 322 190 190
- Recruiting
Curatio Clinic - Main Location ( Site 1401)
Tbilisi, 0186
Study Coordinator, +995 32 243 01 01
- Recruiting
"Georgian Clinics" JSC ( Site 1410)
Zugdidi, Samegrelo and Zemo Svaneti, 2100
Study Coordinator, +995577733383
Mexico8 sites, 8 recruiting
- Recruiting
ICARO Investigaciones en Medicina ( Site 2200)
Chihuahua City, 31000
Study Coordinator, +526144106319
- Recruiting
Instituto Nacional de Salud Publica ( Site 2205)
Cuernavaca, Morelos, 62100
Study Coordinator, +52 777 102 84 44
- Recruiting
CIO - Centro de Inmuno-Oncología de Occidente ( Site 2207)
Guadalajara, Jalisco, 44630
Study Coordinator, +523330447001
- Recruiting
Morales Vargas Centro de Investigacion S. C. ( Site 2206)
León, Guanajuato, 37000
Study Coordinator, +52 477 716 0714
- Recruiting
Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatan ( Site 2202)
Mérida, Yucatán, 97130
Study Coordinator, +529991929912
- Recruiting
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran-Departamento de Infectología ( Site 2203)
Mexico City, Mexico City, 14080
Study Coordinator, +52525554870900
- Recruiting
Hospital Universitario "Dr. Jose Eleuterio Gonzalez"-Infectologia ( Site 2204)
Monterrey, Nuevo León, 64460
Study Coordinator, +52 8181230812
- Recruiting
Arké SMO S.A de C.V-ARKE SMO S.A. de C.V. ( Site 2210)
Veracruz, 91910
Study Coordinator, +522295896765
New Zealand8 sites, 7 recruiting
- Recruiting
Pacific Clinical Research Network West Auckland ( Site 2301)
Auckland, 0600
Study Coordinator, +6498830123
- Recruiting
Optimal Clinical Trials North ( Site 2308)
Auckland, 0627
Study Coordinator, +64800737327
- Recruiting
Silverdale Medical Limited ( Site 2305)
Auckland, 0932
Study Coordinator, +6494279997
- Recruiting
Optimal Clinical Trials ( Site 2306)
Auckland, 1010
Study Coordinator, +64800737327
- Active, not recruiting
CGM Research Trust ( Site 2307)
Christchurch, Canterbury, 8013
- Recruiting
Lakeland Clinical Trials Waikato ( Site 2302)
Nawton, Waikato Region, 3200
Study Coordinator, +64273415595
- Recruiting
Pacific Clinical Research Network - Tasman ( Site 2304)
Nelson, Tasman District, 7011
Study Coordinator, +64211448740
- Recruiting
Lakeland Clinical Trials Wellington ( Site 2303)
Upper Hutt, Wellington Region, 5018
Study Coordinator, +6449201800
Colombia7 sites, 6 recruiting
- Recruiting
IPS Centro Científico Asistencial S.A.S ( Site 0800)
Barranquilla, Atlántico, 080020
Study Coordinator, +576053485939
- Completed
Clinica Colsanitas - Sede Reina Sofia ( Site 0807)
Bogotá, Bogota D.C., 110111
- Recruiting
Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia ( Site 0804)
Bogotá, Bogota D.C., 111321
Study Coordinator, +576015948650
- Recruiting
Fundación Valle del Lili ( Site 0803)
Cali, Valle del Cauca Department, 760032
Study Coordinator, 57 602 3319090x4022
- Recruiting
IPS SURA San Diego ( Site 0806)
Medellín, Antioquia, 50016
Study Coordinator, +573183399032
- Recruiting
IMAT S.A.S ( Site 0805)
Montería, Departamento de Córdoba, 230002
Study Coordinator, 3135342052
- Recruiting
Sociedad De Oncología y Hematología Del Cesar SAS-Oncology ( Site 0801)
Valledupar, Cesar Department, 200001
Study Coordinator, 573015371818
Romania7 sites, 6 recruiting
- Completed
Spitalul Clinic De Urgenta Prof Dr Agrippa Ionescu ( Site 2705)
Baloteşti, Ilfov, 077015
- Recruiting
Spitalul Clinic de Boli Infecțioase și Tropicale Victor Babeș ( Site 2701)
Bucharest, Bucharest, 030303
Study Coordinator, +40213172727
- Recruiting
Centrul Medical SANA ( Site 2704)
Bucharest, 011025
Study Coordinator, +40212128222
- Recruiting
National Institute for Infectious Diseases Prof. Dr. Matei Bals ( Site 2706)
Bucharest, 021105
Study Coordinator, +40212010980
- Recruiting
National Institute for Infectious Diseases Prof. Dr. Matei Bals ( Site 2707)
Bucharest, 021105
Study Coordinator, +40212010980
- Recruiting
Spitalul Clinic de Boli Infecțioase ( Site 2703)
Cluj-Napoca, 400348
Study Coordinator, +40264594655
- Recruiting
Spitalul Clinic de Boli Infecțioase ( Site 2702)
Constanța, 900709
Study Coordinator, +40771696527
Japan6 sites, 6 recruiting
- Recruiting
National Hospital Organization Kyushu Medical Center ( Site 2006)
Fukuoka, 810-8563
Study Coordinator, +81-92-852-0700
- Recruiting
National Hospital Organization Tokyo National Hospital ( Site 2003)
Kiyose, Tokyo, 204-8585
Study Coordinator, +81-42-491-2111
- Recruiting
Kumamoto Chuo Hospital ( Site 2002)
Kumamoto, 862-0965
Study Coordinator, +81-96-370-3111
- Recruiting
Sekino Hospital ( Site 2016)
Toshimaku, Tokyo, 171-0014
Study Coordinator, +81-3-3986-5501
- Recruiting
Tsuchiura Beryl Clinic ( Site 2009)
Tsuchiura, Ibaraki, 300-0062
Study Coordinator, +81-29-835-3002
- Recruiting
National Hospital Organization Shimoshizu National Hospital ( Site 2007)
Yotsukaidō, Chiba, 284-0003
Study Coordinator, +81-43-422-2511
Brazil5 sites, 4 recruiting
- Completed
Hospital Felicio Rocho (HFR) - Nucleo de Ciencias da Saude ( Site 0402)
Belo Horizonte, Minas Gerais, 30180-080
- Recruiting
Centro de Pesquisa Sao Lucas ( Site 0401)
Campinas, São Paulo, 13060-803
Study Coordinator, +55 019997718356
- Recruiting
Instituto Atena de Pesquisa Clinica ( Site 0406)
Natal, Rio Grande do Norte, 59020-500
Study Coordinator, +558420203430
- Recruiting
Centro de Pesquisa em Medicina Tropical - CEPEM - Rondonia ( Site 0405)
Porto Velho, Rondônia, 76812329
Study Coordinator, +556932196012
- Recruiting
Centro de Pesquisa Clinica Institucional do HCFMUSP - CPCi ( Site 0403)
São Paulo, 05403-010
Study Coordinator, +55 11 2661-7214
Argentina4 sites, 4 recruiting
- Recruiting
CEMIC ( Site 0101)
Buenos Aires., Buenos Aires, C1431FWO
Study Coordinator, +54-911-36115955
- Recruiting
Hospital Italiano de Buenos Aires ( Site 0107)
Ciudad Autonoma de Buenos Aires., Buenos Aires, C1199ABB
Study Coordinator, +54-911-36115955
- Recruiting
Instituto de Investigaciones Clinicas Mar del Plata ( Site 0111)
Mar del Plata, Buenos Aires, B7600FZO
Study Coordinator, +542234963224
- Recruiting
Nefra Medical Care - Moron ( Site 0109)
Morón, Buenos Aires, 1708
Study Coordinator, +541146291083
France4 sites, 3 recruiting
- Recruiting
Centre Hospitalier Universitaire Dijon Bourgogne - Hôpital F-Centre d'Investigation Clinique - Plur ( Site 1301)
Dijon, Bourgogne-Franche-Comté, 21000
Study Coordinator, 3380295920
- Completed
Pitie Salpetriere University Hospital-Infectious Disease - Tropical Diseases ( Site 1300)
Paris, Île-de-France Region, 75013
- Recruiting
centre hospitalier lyon sud ( Site 1303)
Pierre-Bénite, Rhone, 69310
Study Coordinator, +33771581547
- Recruiting
CHU de Saint-Etienne ( Site 1302)
Saint Priest En Jarez, Pays de la Loire Region, 42270
Study Coordinator, +33477120587
Germany4 sites, 2 recruiting
- Completed
Campus Charite Mitte Nephrologie und Internistische Intensivmedizin ( Site 1501)
Berlin, State of Berlin, 10117
- Recruiting
Universitaetsklinikum Koeln ( Site 1505)
Cologne, North Rhine-Westphalia, 50937
Study Coordinator, 004922147839680
- Completed
Universitätsklinikum Frankfurt Goethe-Universität ( Site 1503)
Frankfurt am Main, Hesse, 60590
- Recruiting
TUM Klinikum ( Site 1502)
Munich, Bavaria, 81675
Study Coordinator, 00498941406323
Italy4 sites, 4 recruiting
- Recruiting
IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola ( Site 1904)
Bologna, 40138
Study Coordinator, +390512143977
- Recruiting
Ospedale San Martino ( Site 1900)
Genova, 16132
Study Coordinator, +390105554667
- Recruiting
ASST Fatebenefratelli Sacco ( Site 1901)
Milan, 20157
Study Coordinator, +390239042676
- Recruiting
AOU Pisana- Ospedale Cisanello ( Site 1905)
Pisa, 56124
Study Coordinator, 39050955431
Philippines4 sites, 4 recruiting
- Recruiting
Health Index Multispeciality Clinic ( Site 2501)
Bacoor, Cavite, 4102
Study Coordinator, 639338190062
- Recruiting
Ospital Ng Makati ( Site 2505)
Makati City, National Capital Region, 1218
Study Coordinator, +63288810983
- Recruiting
Philippine General Hospital-Department of Medicine ( Site 2504)
Manila, National Capital Region, 1000
Study Coordinator, (02) 8554 8400
- Recruiting
GreenCity Medical Center ( Site 2503)
San Fernando City, Pampanga, 2000
Study Coordinator, 639222385026
Peru3 sites, 3 recruiting
- Recruiting
Asociación Civil Selva Amazónica ( Site 2405)
Iquitos, Loreto, 16001
Study Coordinator, +51980463994
- Recruiting
Via Libre ( Site 2409)
Lima, 15001
Study Coordinator, +5112030099
- Recruiting
Clinica Ricardo Palma-Centro de Investigacion de Enfermedades Respiratorias Thorax ( Site 2404)
Lima, 15036
Study Coordinator, 012253445
Puerto Rico3 sites, 3 recruiting
- Recruiting
Investigadores del Este LLC ( Site 4001)
Humacao, 00791
Study Coordinator, 787 656 0161
- Recruiting
Miralles Clinical Research LLC ( Site 4004)
San Juan, 00921
Study Coordinator, 787 226 1014
- Recruiting
MV HEALTH SERVICES LLC ( Site 4003)
San Juan, 00926
Study Coordinator, 787 365 2102
Thailand2 sites
- Active, not recruiting
Faculty of Medicine Siriraj Hospital-Department of Medicine ( Site 3401)
Bangkok, Bangkok, 10700
- Active, not recruiting
HIV Netherlands Australia Thailand Research Collaboration ( Site 3402)
Pathumwan, Bangkok, 10330
Finland1 site, 1 recruiting
- Recruiting
MeVac - Meilahti Vaccine Research Center ( Site 1200)
Helsinki, Uusimaa, 00290
Study Coordinator, +358504270446
About this study
Official title: A Phase 3, Randomized, Placebo-Controlled, Double-Blind Clinical Study to Evaluate the Efficacy and Safety of Molnupiravir (MK-4482) in Non-Hospitalized Adults With COVID-19 at High Risk for Disease Progression
Researchers are looking for other ways to prevent severe illness from COVID-19. COVID-19 is a virus that most often causes mild flu or cold-like symptoms. However, people with certain health conditions or other factors have a high risk (chance) of getting severely ill from COVID-19, which can require a hospital stay or lead to death. Some people who are high risk for severe illness may be unable to take certain treatments for COVID-19 because they are not available to them, or they take other medicines that may react with a treatment and cause an unwanted effect.
Molnupiravir (MK-4482) is a study medicine designed to stop the COVID-19 virus from copying itself in the body (multiplying). The goal of this study is to learn if molnupiravir prevents severe illness from COVID-19 more than placebo in people who are high risk.
- Conditions
- Coronavirus Disease (COVID-19)
- Being tested
- Molnupiravir, Placebo
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MolnupiravirDrug
Also called MK-4482, LAGEVRIO®
Molnupiravir administered orally as two 400 mg film-coated tablets every 12 hours for 5 days (a total of 10 consecutive doses)
PlaceboDrug
Molnupiravir-matching placebo administered orally as two film-coated tablets every 12 hours for 5 days (a total of 10 consecutive doses)
| Study group | Role | What they receive |
|---|---|---|
| Molnupiravir | Experimental | Participants will receive 800 mg molnupiravir orally every 12 hours for 5 days (a total of 10 consecutive doses) Receives: Drug: Molnupiravir |
| Placebo | Placebo comparator | Participants will receive molnupiravir-matching placebo orally every 12 hours for 5 days (a total of 10 consecutive doses) Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Experienced One or More of Following Through Day 29: All-cause Hospitalization, All-cause Mortality, or Covid-19-related Medically-attended Visit (MAV)
Hospitalization is defined as ≥24 hours of acute care in a hospital or similar acute care facility, including emergency rooms or facilities created to address hospitalization needs specifically for COVID-19. Hospitalization and death may be due to any cause. An MAV is defined as any unscheduled, nonroutine healthcare visit where the participant is evaluated by a licensed (according to local/national guidelines) healthcare provider. As prespecified by the protocol, the percentage of participants who experience ONE OR MORE of these 3 events (hospitalization, death, or COVID-19-related MAV) occurring from randomization through Day 29 will be presented.
Measured: Up to 29 days
Percentage of Participants Who Experienced an Adverse Event (AE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants with at least 1 AE will be presented.
Measured: Up to approximately 5 months
Percentage of Participants Who Discontinued Study Intervention Due to AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who discontinue study intervention due to an AE will be presented.
Measured: Up to approximately 5 days
Secondary outcomes (7)
Time to Sustained Alleviation (without relapse) of all selected 8 (5 prespecified and 3 determined by baseline prevalence), self-reported COVID-19 signs/symptoms
Time to sustained alleviation without relapse is defined as the number of days from randomization to the first of 2 consecutive days when alleviation (lessening of symptoms) is demonstrated, collectively, for all 8 selected COVID-19-related sign/symptoms. Participants who experience sustained alleviation for 2 consecutive days must not relapse in any of the 8 signs/symptoms before Day 29. The time to sustained alleviation without relapse of all 8 selected COVID-19-related signs/symptoms from randomization through Day 29 will be presented.
Measured: Up to 29 days
Change from Baseline in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) RNA Titer
SARS-CoV-2 RNA titer (viral load) will be measured by quantitative reverse transcriptase polymerase chain reaction (RT-PCR) of samples from nasopharyngeal (NP) swabs, and the mean change from baseline will be presented.
Measured: Day 1 (baseline) and up to Day 29
Percentage of Participants with Undetectable SARS-CoV-2 RNA
SARS-CoV-2 RNA (viral load) will be measured by quantitative RT-PCR of samples from NP swabs, and the percentage of participants with undetectable (i.e., below the lower limit of quantification) SARS-CoV-2 RNA (viral load) will be presented.
Measured: Up to 29 days
Percentage of Participants Who Experienced One or More of Following Through Day 29: All-cause Hospitalization or All-cause Mortality
Hospitalization is defined as ≥24 hours of acute care in a hospital or similar acute care facility, including emergency rooms or facilities created to address hospitalization needs specifically for COVID-19. Hospitalization and death may be due to any cause. As prespecified by the protocol, the percentage of participants who experience hospitalization AND/OR death occurring from randomization through Day 29 will be presented.
Measured: Up to 29 days
Percentage of Participants With Clinically Important Medical Interventions (CIMI) Associated with COVID-19-related MAV or COVID-19-related Hospitalization Through Day 29
CIMIs were prespecified by the protocol and include, but are not limited to, supplemental oxygen therapy, IV fluid administration, and nebulizer treatment. An MAV is defined as any unscheduled, nonroutine healthcare visit where the participant is evaluated by a licensed (according to local/national guidelines) healthcare provider. Hospitalization is defined as ≥24 hours of acute care in a hospital or similar acute care facility, including emergency rooms or facilities created to address hospitalization needs specifically for COVID-19. The percentage of participants with CIMIs associated with a COVID-19-related MAV AND/OR a COVID-19-related hospitalization through Day 29 will be reported.
Measured: Up to 29 days
Time to Sustained Alleviation (without relapse) of all 15 self-reported COVID-19 signs/symptoms through Day 29
Time to sustained alleviation without relapse is defined as the number of days from randomization to the first of 2 consecutive days when alleviation (lessening of symptoms) is demonstrated, collectively, for all 15 COVID-19-related sign/symptoms. Participants who experience sustained alleviation after 2 consecutive days must not relapse in any of the 15 signs/symptoms before Day 29. The time to sustained alleviation without relapse of all 15 COVID-19-related signs/symptoms from randomization through Day 29 will be presented.
Measured: Up to 29 days
Time to Sustained Resolution Without Relapse of all 8 (5 prespecified and 3 determined by baseline prevalence) self-reported COVID-19 signs/symptoms through Day 29
Time to sustained resolution without relapse is defined as the number of days from randomization to the first of 2 consecutive days when resolution (having no symptoms or only mild symptoms) is demonstrated, collectively, for all 8 selected COVID-19-related sign/symptoms. Participants who experience sustained resolution after 2 consecutive days must not relapse in any of the 8 signs/symptoms before Day 29. The time to sustained resolution without relapse of all 8 selected COVID-19-related signs/symptoms from randomization through Day 29 will be presented.
Measured: Up to 29 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2024
- Study start2 Dec 2024
- Primary completion26 Jan 2031 (estimated)
- Study completion26 Jan 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Coronavirus Disease (COVID-19)Studies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 3,082 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06667700
- Sponsor's protocol ID
- 4482-023
- Other IDs
- 2023-507227-36-00, U1111-1295-4678, MK-4482-023, jRCT2031250022, 2023
- Acronym
- MOVe-NOW
- Status last verified
- Oct 2026
- First submitted
- 30 Oct 2024
- Last updated
- 20 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Placebo-Controlled, Double-Blind Clinical Study to Evaluate the Efficacy and Safety of Molnupiravir (MK-4482) in Non-Hospitalized Adults With COVID-19 at High Risk for Disease Progression
- ClinicalTrials.gov ID
- NCT06667700
- Acronym / sponsor ID
- MOVe-NOW / 4482-023
- Conditions
- Coronavirus Disease (COVID-19)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 3,082 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 2 Dec 2024 (actual)
- Primary completion
- 26 Jan 2031 (estimated)
- Study completion
- 26 Jan 2031 (estimated)
- First posted
- 31 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Researchers are looking for other ways to prevent severe illness from COVID-19. COVID-19 is a virus that most often causes mild flu or cold-like symptoms. However, people with certain health conditions or other factors have a high risk (chance) of getting severely ill from COVID-19, which can require a hospital stay or lead to death. Some people who are high risk for severe illness may be unable to take certain treatments for COVID-19 because they are not available to them, or they take other medicines that may react with a treatment and cause an unwanted effect.
Molnupiravir (MK-4482) is a study medicine designed to stop the COVID-19 virus from copying itself in the body (multiplying). The goal of this study is to learn if molnupiravir prevents severe illness from COVID-19 more than placebo in people who are high risk.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Molnupiravir | Experimental | Drug: MolnupiravirParticipants will receive 800 mg molnupiravir orally every 12 hours for 5 days (a total of 10 consecutive doses) |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive molnupiravir-matching placebo orally every 12 hours for 5 days (a total of 10 consecutive doses) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- Is an individual of any sex/gender, ≥18 years of age
- Has documentation of SARS-CoV-2 infection with sample collection ≤4 days prior to randomization
- Has initial onset of signs/symptoms attributable to COVID-19 for ≤4 days prior to the day of randomization and ≥2 of the following signs/symptoms attributable to COVID-19 on the day of randomization: cough, sore throat, nasal congestion, shortness of breath or difficulty breathing with exertion, muscle or body aches, fatigue, fever >38.0°C or chills, nausea or vomiting or diarrhea, change in sense of smell or change in sense of taste, or headache
- Has ≥1 of the following characteristics or medical conditions associated with the highest risk of severe illness from COVID-19:
- Is unable or unwilling to receive treatment with nirmatrelvir/ritonavir (NMV/r) due to 1 or more of the following:
Key exclusion criteria (12 listed)
- Is currently hospitalized or is expected to need hospitalization for COVID-19 imminently
- Has received or plans to receive SARS-CoV-2 directed oral antivirals or monoclonal antibodies for current episode of COVID-19 (other than study intervention and, if applicable, remdesivir as standard of care)
- Has ≥1 of the following signs/symptoms that are attributable to severe or critical COVID-19:
- Has received a COVID-19 vaccine within 30 days prior to randomization
- Has a history of confirmed influenza, respiratory syncytial virus (RSV), or SARS-CoV-2 infection (with or without symptoms; excluding current infection) within 30 days prior to randomization
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 |
|---|---|---|
| MolnupiravirAlso: MK-4482, LAGEVRIO®Molnupiravir administered orally as two 400 mg film-coated tablets every 12 hours for 5 days (a total of 10 consecutive doses) | Drug | Molnupiravir |
| PlaceboMolnupiravir-matching placebo administered orally as two film-coated tablets every 12 hours for 5 days (a total of 10 consecutive doses) | Drug | Placebo |
Primary outcome
Percentage of Participants Who Experienced One or More of Following Through Day 29: All-cause Hospitalization, All-cause Mortality, or Covid-19-related Medically-attended Visit (MAV)
Time frame: Up to 29 days
Hospitalization is defined as ≥24 hours of acute care in a hospital or similar acute care facility, including emergency rooms or facilities created to address hospitalization needs specifically for COVID-19. Hospitalization and death may be due to any cause. An MAV is defined as any unscheduled, nonroutine healthcare visit where the participant is evaluated by a licensed (according to local/national guidelines) healthcare provider. As prespecified by the protocol, the percentage of participants who experience ONE OR MORE of these 3 events (hospitalization, death, or COVID-19-related MAV) occurring from randomization through Day 29 will be presented.
Percentage of Participants Who Experienced an Adverse Event (AE)
Time frame: Up to approximately 5 months
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants with at least 1 AE will be presented.
Percentage of Participants Who Discontinued Study Intervention Due to AE
Time frame: Up to approximately 5 days
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who discontinue study intervention due to an AE will be presented.
7 secondary outcomes
Time to Sustained Alleviation (without relapse) of all selected 8 (5 prespecified and 3 determined by baseline prevalence), self-reported COVID-19 signs/symptoms
Time frame: Up to 29 days
Change from Baseline in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) RNA Titer
Time frame: Day 1 (baseline) and up to Day 29
Percentage of Participants with Undetectable SARS-CoV-2 RNA
Time frame: Up to 29 days
Percentage of Participants Who Experienced One or More of Following Through Day 29: All-cause Hospitalization or All-cause Mortality
Time frame: Up to 29 days
Percentage of Participants With Clinically Important Medical Interventions (CIMI) Associated with COVID-19-related MAV or COVID-19-related Hospitalization Through Day 29
Time frame: Up to 29 days
Time to Sustained Alleviation (without relapse) of all 15 self-reported COVID-19 signs/symptoms through Day 29
Time frame: Up to 29 days
Time to Sustained Resolution Without Relapse of all 8 (5 prespecified and 3 determined by baseline prevalence) self-reported COVID-19 signs/symptoms through Day 29
Time frame: Up to 29 days
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Oct 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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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.
Medical Director study director
Merck Sharp & Dohme LLC
227 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Molnupiravir in people with Coronavirus Disease (COVID-19), run by Merck Sharp & Dohme LLC at 227 sites in 24 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 19 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 20 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 227 sites in United States, Ukraine, Bulgaria, Poland, South Korea and 19 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 phase mean?
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Toll Free Number (1-888-577-8839, Trialsites@msd.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Experienced One or More of Following Through Day 29: All-cause Hospitalization, All-cause Mortality, or Covid-19-related Medically-attended Visit (MAV) (time frame: Up to 29 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 20 Oct 2026.