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EPIC-HR: Study of Oral PF-07321332/Ritonavir Compared With Placebo in Nonhospitalized High Risk Adults With COVID-19

AN INTERVENTIONAL EFFICACY AND SAFETY, PHASE 2/3, DOUBLE-BLIND, 2-ARM STUDY TO INVESTIGATE ORALLY ADMINISTERED PF-07321332/RITONAVIR COMPARED WITH PLACEBO IN NONHOSPITALIZED SYMPTOMATIC ADULT PARTICIPANTS WITH COVID-19 WHO ARE AT INCREASED RISK OF PROGRESSING TO SEVERE ILLNESS

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031210267
Enrollment
2246
Registered
2021-08-21
Start date
2021-09-09
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

COVID-19

Interventions

PF-07321332 (tablet)/Ritonavir (capsule) or placebo (tablet or capsule) every 12 hours for 5 days (10 doses total)

Sponsors

Kawai Norisuke
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: *Confirmed SARS-CoV-2 infection within 5 days prior to randomization *Initial onset of COVID-19 signs/symptoms within 5 days prior to the day of randomization and at least 1 of the specified COVID-19 signs/symptoms present on the day of randomization *Fertile participants must agree to use a highly effective method of contraception *Has at least 1 characteristic or underlying medical condition associated with an increased risk of developing severe illness from COVID-19

Exclusion criteria

Exclusion criteria: *History of or need for hospitalization for the medical treatment of COVID-19 *Prior to current disease episode, any confirmed SARS-CoV-2 infection *Known medical history of active liver disease *Receiving dialysis or have known moderate to severe renal impairment *Known human immunodeficiency virus (HIV) infection with a viral load greater than 400 copies/mL or taking prohibited medications for HIV treatment *Suspected or confirmed concurrent active systemic infection other than COVID-19 *History of hypersensitivity or other contraindication to any of the components of the study intervention *Current or expected use of any medications or substances that are highly dependent on CYP3A4 for clearance or are strong inducers of CYP3A4 *Has received or is expected to receive convalescent COVID-19 plasma *Has received or is expected to receive any dose of a SARS-CoV-2 vaccine before the Day 34 visit *Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19 through the long-term follow-up visit *Known prior participation in this trial or other trial involving PF-07321332 *Oxygen saturation of <92% on room air, or on their standard home oxygen supplementation for those who regularly receive chronic supplementary oxygen for an underlying lung condition *Females who are pregnant or breastfeeding

Design outcomes

Primary

MeasureTime frame
Proportion of participants with COVID-19 related hospitalization or death from any cause [ Time Frame: Day 1 through Day 28 ]

Secondary

MeasureTime frame
1.Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)of PF-07321332/ritonavir relative to placebo [ Time Frame: Day 1 through Day 34 ] 2.Incidence of Treatment-emergent Adverse Events (TEAEs) of PF-07321332/ritonavir relative to placebo of PF-07321332/ritonavir relative to placebo [ Time Frame: Day 1 through Day 34 ] 3.Duration of each targeted COVID-19 sign/symptom [ Time Frame: Day 1 through Day 28 ] 4.Severity of each targeted COVID-19 sign/symptom [ Time Frame: Day 1 through Day 28 ] 5.Proportion of participants with death (all cause) [ Time Frame: Day 1 through Week 24 ] 6.To determine the pharmacokinetics (PK) in plasma and whole blood of PF-07321332 [ Time Frame: Day 1 through Day 5 ] 7.Viral titers measured by Reverse Transcription Polymerase Chain Reaction (RT-PCR) in nasal swabs [ Time Frame: Day 1 through Day 14 ] 8.Number of COVID-19 related medical visits other than hospitalization [ Time Frame: Day 1 through Day 34 ] 9.Number of days in hospital and intensive care unit for the treatment of COVID-19 [ Time Frame: Day 1 through Day 34 ]

Countries

Argentina, Brazil, Bulgaria, Columbia, Czech Republic, Holland, Hungary, India, Japan, Korea, Malaysia, Mexico, Peru, Poland, Puerto Rico, Russian Federation, South Africa, Spain, Taiwan, Turkey, Ukraine, United States

Contacts

Public ContactClinical Trials Information Desk

Pfizer R&D Japan G.K.

clinical-trials@pfizer.com+81-3-5309-7000

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026