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A Study to Learn About the Study Medicine Called PF-07321332 (Nirmatrelvir)/Ritonavir in Patients Under 18 Years of Age With COVID-19 That Are Not Hospitalized But Are at Risk for Severe Disease

A PHASE 2/3, INTERVENTIONAL SAFETY, PHARMACOKINETICS, AND EFFICACY, OPEN-LABEL, MULTI-CENTER, SINGLE-ARM STUDY TO INVESTIGATE ORALLY ADMINISTERED PF-07321332 (NIRMATRELVIR)/RITONAVIR IN NONHOSPITALIZED SYMPTOMATIC PEDIATRIC PARTICIPANTS WITH COVID-19 WHO ARE AT RISK OF PROGRESSION TO SEVERE DISEASE - EPIC-Peds

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250096
Enrollment
160
Registered
2025-05-12
Start date
2025-04-25
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

nirmatrelvir and ritonavir

Sponsors

Kawai Norisuke
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: *Male and female, age 0 to < 18 years, able to swallow tablets of investigational drug for some participants *Confirmed SARS-CoV-2 infection within 72 hours prior to enrollment *Initial onset of COVID-19 signs/symptoms within 5 days prior to the day of enrollment and at least 1 of the specified COVID-19 signs/symptoms present at enrollment *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 *Total bilirubin >=2X upper limit of normal (ULN) (except for Gilbert's syndrome) *Receiving dialysis or have known moderate to severe renal impairment *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 strong inducers of cytochrome P450 (CYP) 3A4 *Has received or is expected to receive antibody treatment, antiviral treatment or convalescent COVID-19 plasma *Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19 through the study follow up *Females who are pregnant or breastfeeding

Design outcomes

Primary

MeasureTime frame
*Cohort 1-2: Maximum Observed Plasma Concentration (Cmax) of nirmatrelvir and ritonavir [Time Frame: Day 1: 1 hour-post dose; Day 4: pre-dose; Day 5: pre-dose, and 1and 2 hours post dose] *Cohort 1-2: Area Under the Curve to the End of the Dosing Period (AUC0-tau)of nirmatrelvir and ritonavir [Time Frame: Day 1: 1 hour-post dose; Day 4: pre-dose; Day 5: pre-dose, and 1and 2 hours post dose] *Incidence of Treatment Emergent Adverse Events (TEAEs) leading to discontinuations. [Time Frame: From Baseline up through Day 34] *Incidence of Serious Adverse Events (SAEs) leading to discontinuations. [Time Frame: From Baseline up through Day 34] *Incidence of Adverse Events (AEs) leading to discontinuations. [Time Frame: From Baseline up through Day 34] *Number of participants with change from Baseline in Vital Signs [Time Frame: From Baseline up through Day 34]

Secondary

MeasureTime frame
*Viral load assessment titers measured via reverse transcription polymerase chain reaction (RT-PCR) in nasopharyngeal or nasal swabs over time [Time Frame: Baseline, Day 5, 6, 10, 14 and 28] *Proportion of participants with COVID-19 related hospitalization or death from any cause [Time Frame: From Baseline through Day 28] *Patient assessment on acceptability and palatability of nirmatrelvir/ritonavir (film-coated tablets and oral powder) [Time Frame: At baseline only for tablets and after each dose for powder formulation]

Countries

Bulgaria, Japan, Mexico, Puerto Rico, South Africa, United Kingdom, 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