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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
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04960202
Enrollment
2091
Registered
2021-07-13
Start date
2021-07-16
Completion date
2022-04-25
Last updated
2025-07-10

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

Conditions

COVID-19

Keywords

severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Brief summary

The purpose of this study is to determine whether PF-07321332/ritonavir is safe and effective for the treatment of adults who are ill with COVID-19 and do not need to be in the hospital, but are at an increased risk of developing severe illness. Throughout the study period, provision will be made to allow study visits to be conducted at a participant's home or another non-clinic location if available. The total study duration is up to 24 weeks.

Interventions

PF-07321332 (tablet)

DRUGRitonavir

Ritonavir (capsule)

DRUGPlacebo

Placebo (tablet or capsule)

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Intervention model description

Eligible participants with a confirmed diagnosis of SARS-CoV-2 infection will be randomized (1:1) to receive PF-07321332/ritonavir or placebo orally every 12 hours for 5 days (10 doses total).

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

* 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 frameDescription
Percentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat (mITT) PopulationFrom Day 1 to Day 28Percentage of participants with COVID-19 related hospitalization or death from any cause during the first 28 days of the study was estimated using the Kaplan-Meier (KM) method. Using KM method, survival probability for each time interval was calculated as the number of participants surviving divided by the number of participants at risk. Participants who had the event, dropped out, or moved out were not counted as at risk i.e., participants who were lost were considered censored and were not counted in the denominator.

Secondary

MeasureTime frameDescription
Number of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)From start of study intervention (Day 1) up to end of safety follow-up (Day 34)An AE was any untoward medical occurrence in a participant, temporarily associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect; a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical events.
Percentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat 1 (mITT1) PopulationFrom Day 1 to Day 28Percentage of participants with COVID-19 related hospitalization or death from any cause during the first 28 days of the study was estimated using the Kaplan-Meier method.
Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT PopulationFrom Day 1 (baseline) to Day 28Sustained alleviation of all targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 PopulationFrom Day 1 (baseline) to Day 28Sustained alleviation of all targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- Modified Intent-to-Treat 2 (mITT2) PopulationFrom Day 1 (baseline) to Day 28Sustained alleviation of all targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT PopulationFrom Day 1 to Day 28Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale ranging from 0 to 3, higher scores indicated more severity. The scale was reported as 0= no symptoms, 1=mild, 2=moderate and 3=severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Percentage of participants with severe Covid-19 signs and symptoms were reported.
Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT1 PopulationFrom Day 1 to Day 28Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale ranging from 0 to 3, higher scores indicated more severity. The scale was reported as 0= no symptoms, 1=mild, 2=moderate and 3=severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Percentage of participants with severe Covid-19 signs and symptoms were reported.
Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT2 PopulationFrom Day 1 to Day 28Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale ranging from 0 to 3, higher scores indicated more severity. The scale was reported as 0= no symptoms, 1=mild, 2=moderate and 3=severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Percentage of participants with severe Covid-19 signs and symptoms were reported.
Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT PopulationFrom Day 1 (baseline) to Day 28Sustained resolution was defined as when all targeted symptoms were scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 PopulationFrom Day 1 (baseline) to Day 28Sustained resolution was defined as when all targeted symptoms were scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT2 PopulationFrom Day 1 (baseline) to Day 28Sustained resolution was defined as when all targeted symptoms were scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationFrom Day 1 (baseline) to Day 28Sustained alleviation of each targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when each symptom scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationFrom Day 1 (baseline) to Day 28Sustained alleviation of each targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when each symptom scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationFrom Day 1 (baseline) to Day 28Sustained alleviation of each targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when each symptom scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationFrom Day 1 (baseline) to Day 28Sustained resolution was defined as when each targeted symptom was scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Change From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationBaseline, Day 3, 5, 10 and 14The viral load was measured in nasal or nasopharyngeal samples using RT-PCR.
Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationFrom Day 1 (baseline) to Day 28Sustained resolution was defined as when each targeted symptom was scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationFrom Day 1 (baseline) to Day 28Sustained resolution was defined as when each targeted symptom was scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)From start of study intervention (Day 1) up to end of safety follow-up (Day 34)An adverse event (AE) was any untoward medical occurrence in a participant, temporarily associated with the use of study intervention, whether or not considered related to the study intervention. Serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect; a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical events. AEs included both SAEs and all non-SAEs. An AE was considered as TEAE if the event started on or after start date of study intervention.
Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT1 PopulationFrom Day 1 (baseline) to Day 28Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale where 0 = no symptoms; 1= mild; 2= moderate; and 3= severe. Vomiting and diarrhea were each rated on a 4-point frequency scale where 0= no occurrence, 1= mild for 1 to 2 times, 2= moderate for 3 to 4 times, and 3= severe for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).
Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT2 PopulationFrom Day 1 (baseline) to Day 28Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale where 0 = no symptoms; 1= mild; 2= moderate; and 3= severe. Vomiting and diarrhea were each rated on a 4-point frequency scale where 0= no occurrence, 1= mild for 1 to 2 times, 2= moderate for 3 to 4 times, and 3= severe for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).
Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT PopulationDay 1, 5In this outcome measure, the percentage of participants with a resting peripheral oxygen saturation \>=95% were reported.
Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 PopulationDay 1, 5In this outcome measure, the percentage of participants with a resting peripheral oxygen saturation \>=95% were reported.
Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 PopulationDay 1, 5In this outcome measure, the percentage of participants with a resting peripheral oxygen saturation \>=95% were reported.
Percentage of Participants Who Died Through Week 24- mITT PopulationFrom Day 1 up to Week 24In this outcome measure, percentage of participants with death due to any cause was presented.
Percentage of Participants Who Died Through Week 24- mITT1 PopulationFrom Day 1 up to Week 24In this outcome measure, percentage of participants with death due to any cause was presented.
Percentage of Participants Who Died Through Week 24- mITT2 PopulationFrom Day 1 up to Week 24In this outcome measure, percentage of participants with death due to any cause was presented.
Plasma Concentration Versus Time Summary of PF-073213321 Hour post-dose on Day 1 and pre-dose on Day 5
Change From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationBaseline, Day 3, 5, 10 and 14The viral load was measured in nasal or nasopharyngeal samples using reverse transcription polymerase chain reaction (RT-PCR).
Change From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationBaseline, Day 3, 5, 10 and 14The viral load was measured in nasal or nasopharyngeal samples using RT-PCR.
Number of COVID-19 Related Medical Visits- mITT PopulationFrom Day 1 up to Day 34Medical visits included emergency room, practitioner's office, home healthcare services, urgent care, telephone consultation, outpatient infusion center, other, COVID-19-related-hospitalization (intensive care unit \[ICU\] and non-ICU stays). In this outcome measure, COVID-19-related medical visits of participants were reported.
Number of COVID-19 Related Medical Visits- mITT1 PopulationFrom Day 1 up to Day 34Medical visits included emergency room, practitioner's office, home healthcare services, urgent care, telephone consultation, outpatient infusion center, other, COVID-19-related-hospitalization (ICU and non-ICU stays). In this outcome measure, COVID-19-related medical visits of participants were reported.
Number of COVID-19 Related Medical Visits- mITT2 PopulationFrom Day 1 up to Day 34Medical visits included emergency room, practitioner's office, home healthcare services, urgent care, telephone consultation, outpatient infusion center, other, COVID-19-related-hospitalization (ICU and non-ICU stays). In this outcome measure, COVID-19-related medical visits of participants were reported.
Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationFrom Day 1 up to Day 34
Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationFrom Day 1 up to Day 34
Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationFrom Day 1 up to Day 34
Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT PopulationFrom Day 1 (baseline) to Day 28Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale where 0 = no symptoms; 1= mild; 2= moderate; and 3= severe. Vomiting and diarrhea were each rated on a 4-point frequency scale where 0= no occurrence, 1= mild for 1 to 2 times, 2= moderate for 3 to 4 times, and 3= severe for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).

Countries

Argentina, Brazil, Bulgaria, Colombia, Czechia, Hungary, India, Japan, Malaysia, Mexico, Poland, Puerto Rico, Russia, South Africa, South Korea, Spain, Thailand, Turkey (Türkiye), Ukraine, United States

Participant flow

Pre-assignment details

2256 participants signed the informed consent form (ICF). Out of these 2256 participants, 130 were screen failures who did not meet the study criteria and were not enrolled. There were 13 participants who were not screen failure but not randomized due to withdrew consent or other reasons. Of the 2113 randomized subjects, only 2091 received study treatment.

Participants by arm

ArmCount
PF-07321332 300 mg + Ritonavir 100 mg
Participants with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection received 300 milligrams (mg) PF-07321332 coadministered with 100 mg ritonavir orally, q12h for 5 days. Participants were followed up for safety up to Day 34 and long-term safety follow up was up to Week 24.
1,038
Placebo
Participants with SARS-CoV-2 infection received placebo orally, q12h for 5 days. Participants were followed up for safety up to Day 34 and long-term safety follow up was up to Week 24.
1,053
Total2,091

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath015
Overall StudyLost to Follow-up2016
Overall StudyOther50
Overall StudyWithdrawal by Subject3743

Baseline characteristics

CharacteristicPlaceboTotalPF-07321332 300 mg + Ritonavir 100 mg
Age, Continuous45.96 Years
STANDARD_DEVIATION 15.56
45.84 Years
STANDARD_DEVIATION 15.46
44.86 Years
STANDARD_DEVIATION 15.37
Ethnicity (NIH/OMB)
Hispanic or Latino
439 Participants864 Participants425 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
607 Participants1215 Participants608 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants12 Participants5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
94 Participants189 Participants95 Participants
Race (NIH/OMB)
Asian
156 Participants309 Participants153 Participants
Race (NIH/OMB)
Black or African American
35 Participants87 Participants52 Participants
Race (NIH/OMB)
More than one race
2 Participants3 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants19 Participants9 Participants
Race (NIH/OMB)
White
756 Participants1484 Participants728 Participants
Sex: Female, Male
Female
515 Participants1037 Participants522 Participants
Sex: Female, Male
Male
538 Participants1054 Participants516 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1,03815 / 1,053
other
Total, other adverse events
234 / 1,038228 / 1,053
serious
Total, serious adverse events
19 / 1,03872 / 1,053

Outcome results

Primary

Percentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat (mITT) Population

Percentage of participants with COVID-19 related hospitalization or death from any cause during the first 28 days of the study was estimated using the Kaplan-Meier (KM) method. Using KM method, survival probability for each time interval was calculated as the number of participants surviving divided by the number of participants at risk. Participants who had the event, dropped out, or moved out were not counted as at risk i.e., participants who were lost were considered censored and were not counted in the denominator.

Time frame: From Day 1 to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic monoclonal antibody (mAb) treatment and were treated \<=3 days of COVID-19 onset.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat (mITT) Population0.752 Percentage of participants
PlaceboPercentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat (mITT) Population6.888 Percentage of participants
Comparison: The difference of the percentage in the 2 treatment groups and its 95% confidence interval, and p-value based on Normal approximation of the data are presented.p-value: <0.000195% CI: [-8.208, -4.066]Normal approximation
Secondary

Change From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 Population

The viral load was measured in nasal or nasopharyngeal samples using RT-PCR.

Time frame: Baseline, Day 3, 5, 10 and 14

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified time point.

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 3-1.790 Log10 copies per milliliterStandard Deviation 1.727
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 5-3.064 Log10 copies per milliliterStandard Deviation 1.708
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 10-4.309 Log10 copies per milliliterStandard Deviation 2.108
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 14-4.878 Log10 copies per milliliterStandard Deviation 2.144
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 14-4.556 Log10 copies per milliliterStandard Deviation 2.146
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 3-1.182 Log10 copies per milliliterStandard Deviation 1.689
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 10-3.772 Log10 copies per milliliterStandard Deviation 2.058
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 PopulationDay 5-2.213 Log10 copies per milliliterStandard Deviation 1.754
Secondary

Change From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 Population

The viral load was measured in nasal or nasopharyngeal samples using RT-PCR.

Time frame: Baseline, Day 3, 5, 10 and 14

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified time point.

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 5-3.097 Log10 copies per milliliterStandard Deviation 1.692
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 3-1.828 Log10 copies per milliliterStandard Deviation 1.715
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 10-4.322 Log10 copies per milliliterStandard Deviation 2.109
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 14-4.882 Log10 copies per milliliterStandard Deviation 2.142
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 14-4.547 Log10 copies per milliliterStandard Deviation 2.146
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 5-2.239 Log10 copies per milliliterStandard Deviation 1.741
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 10-3.777 Log10 copies per milliliterStandard Deviation 2.041
PlaceboChange From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 PopulationDay 3-1.178 Log10 copies per milliliterStandard Deviation 1.663
Secondary

Change From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT Population

The viral load was measured in nasal or nasopharyngeal samples using reverse transcription polymerase chain reaction (RT-PCR).

Time frame: Baseline, Day 3, 5, 10 and 14

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified time point.

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 3-1.829 Log10 copies per milliliterStandard Deviation 1.805
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 5-3.244 Log10 copies per milliliterStandard Deviation 1.697
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 10-4.522 Log10 copies per milliliterStandard Deviation 2.105
PF-07321332 300 mg + Ritonavir 100 mgChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 14-5.108 Log10 copies per milliliterStandard Deviation 2.141
PlaceboChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 14-4.862 Log10 copies per milliliterStandard Deviation 2.121
PlaceboChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 3-1.203 Log10 copies per milliliterStandard Deviation 1.697
PlaceboChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 10-3.964 Log10 copies per milliliterStandard Deviation 2.1115
PlaceboChange From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT PopulationDay 5-2.923 Log10 copies per milliliterStandard Deviation 1.787
Secondary

Number of COVID-19 Related Medical Visits- mITT1 Population

Medical visits included emergency room, practitioner's office, home healthcare services, urgent care, telephone consultation, outpatient infusion center, other, COVID-19-related-hospitalization (ICU and non-ICU stays). In this outcome measure, COVID-19-related medical visits of participants were reported.

Time frame: From Day 1 up to Day 34

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgNumber of COVID-19 Related Medical Visits- mITT1 Population40 Visits
PlaceboNumber of COVID-19 Related Medical Visits- mITT1 Population128 Visits
Secondary

Number of COVID-19 Related Medical Visits- mITT2 Population

Medical visits included emergency room, practitioner's office, home healthcare services, urgent care, telephone consultation, outpatient infusion center, other, COVID-19-related-hospitalization (ICU and non-ICU stays). In this outcome measure, COVID-19-related medical visits of participants were reported.

Time frame: From Day 1 up to Day 34

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgNumber of COVID-19 Related Medical Visits- mITT2 Population45 Visits
PlaceboNumber of COVID-19 Related Medical Visits- mITT2 Population144 Visits
Secondary

Number of COVID-19 Related Medical Visits- mITT Population

Medical visits included emergency room, practitioner's office, home healthcare services, urgent care, telephone consultation, outpatient infusion center, other, COVID-19-related-hospitalization (intensive care unit \[ICU\] and non-ICU stays). In this outcome measure, COVID-19-related medical visits of participants were reported.

Time frame: From Day 1 up to Day 34

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgNumber of COVID-19 Related Medical Visits- mITT Population22 Visits
PlaceboNumber of COVID-19 Related Medical Visits- mITT Population81 Visits
Secondary

Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 Population

Time frame: From Day 1 up to Day 34

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. The analysis was performed on all participants (i.e. hospitalized and non-hospitalized participants were included).

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationDuration of hospitalization visits0.087 DaysStandard Deviation 0.968
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationDuration of ICU visits0.000 DaysStandard Deviation 0
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationDuration of non-ICU visits0.087 DaysStandard Deviation 0.968
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationDuration of hospitalization visits0.766 DaysStandard Deviation 4.055
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationDuration of ICU visits0.128 DaysStandard Deviation 1.964
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 PopulationDuration of non-ICU visits0.639 DaysStandard Deviation 3.446
Secondary

Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 Population

Time frame: From Day 1 up to Day 34

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. The analysis was performed on all participants (i.e. hospitalized and non-hospitalized participants were included).

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationDuration of non-ICU visits0.092 DaysStandard Deviation 0.988
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationDuration of hospitalization visits0.092 DaysStandard Deviation 0.988
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationDuration of ICU visits0.000 DaysStandard Deviation 0
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationDuration of hospitalization visits0.729 DaysStandard Deviation 3.94
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationDuration of ICU visits0.121 DaysStandard Deviation 1.904
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 PopulationDuration of non-ICU visits0.610 DaysStandard Deviation 3.35
Secondary

Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT Population

Time frame: From Day 1 up to Day 34

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. The analysis was performed on all participants (i.e. hospitalized and non-hospitalized participants were included).

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationDuration of hospitalization visits0.088 DaysStandard Deviation 1.049
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationDuration of ICU visits0.000 DaysStandard Deviation 0
PF-07321332 300 mg + Ritonavir 100 mgNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationDuration of non-ICU visits0.088 DaysStandard Deviation 1.049
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationDuration of hospitalization visits0.844 DaysStandard Deviation 4.535
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationDuration of ICU visits0.179 DaysStandard Deviation 2.389
PlaceboNumber of Days in Hospital and ICU for the Treatment of COVID-19- mITT PopulationDuration of non-ICU visits0.666 DaysStandard Deviation 3.71
Secondary

Number of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant, temporarily associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect; a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical events.

Time frame: From start of study intervention (Day 1) up to end of safety follow-up (Day 34)

Population: SAS population included all participants who were randomized and took at least one dose of investigational product.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PF-07321332 300 mg + Ritonavir 100 mgNumber of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)AEs leading to study discontinuation0 Participants
PF-07321332 300 mg + Ritonavir 100 mgNumber of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)SAEs18 Participants
PlaceboNumber of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)AEs leading to study discontinuation13 Participants
PlaceboNumber of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)SAEs71 Participants
Secondary

Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT1 Population

Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale where 0 = no symptoms; 1= mild; 2= moderate; and 3= severe. Vomiting and diarrhea were each rated on a 4-point frequency scale where 0= no occurrence, 1= mild for 1 to 2 times, 2= moderate for 3 to 4 times, and 3= severe for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).

Time frame: From Day 1 (baseline) to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PF-07321332 300 mg + Ritonavir 100 mgNumber of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT1 Population735 Participants
PlaceboNumber of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT1 Population737 Participants
Comparison: Odds ratio, 95% CI and p-value were computed from a logistic regression model including main effects of treatment, geographic region, symptom onset duration (\<=3, \>3), baseline SARS-CoV-2 serology status and baseline viral load (\< 4 log10 copies/mL, \>= 4 log10 copies/mL).p-value: 0.637995% CI: [0.85, 1.303]Regression, Logistic
Secondary

Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT2 Population

Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale where 0 = no symptoms; 1= mild; 2= moderate; and 3= severe. Vomiting and diarrhea were each rated on a 4-point frequency scale where 0= no occurrence, 1= mild for 1 to 2 times, 2= moderate for 3 to 4 times, and 3= severe for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).

Time frame: From Day 1 (baseline) to Day 28

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PF-07321332 300 mg + Ritonavir 100 mgNumber of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT2 Population787 Participants
PlaceboNumber of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT2 Population790 Participants
Comparison: Odds ratio, 95% CI and p-value were computed from a logistic regression model including main effects of treatment, geographic region, symptom onset duration (\<=3, \>3), COVID-19 mAb treatment (Yes/No), baseline SARS-CoV-2 serology status and baseline viral load (\< 4 log10 copies/mL, \>= 4 log10 copies/mL).p-value: 0.67695% CI: [0.848, 1.29]Regression, Logistic
Secondary

Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT Population

Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale where 0 = no symptoms; 1= mild; 2= moderate; and 3= severe. Vomiting and diarrhea were each rated on a 4-point frequency scale where 0= no occurrence, 1= mild for 1 to 2 times, 2= moderate for 3 to 4 times, and 3= severe for 5 or greater. Progression to a worsening status for any targeted symptom was based up on increasing severity (i.e. the first time any targeted symptoms worsened after treatment relative to baseline).

Time frame: From Day 1 (baseline) to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PF-07321332 300 mg + Ritonavir 100 mgNumber of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT Population507 Participants
PlaceboNumber of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT Population483 Participants
Comparison: Odds ratio, 95% CI and p-value were computed from a logistic regression model including main effects of treatment, geographic region, baseline SARS-CoV-2 serology status and baseline viral load (\< 4 log10 copies/mL, \>= 4 log10 copies/mL).p-value: 0.529395% CI: [0.836, 1.416]Regression, Logistic
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs)

An adverse event (AE) was any untoward medical occurrence in a participant, temporarily associated with the use of study intervention, whether or not considered related to the study intervention. Serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect; a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical events. AEs included both SAEs and all non-SAEs. An AE was considered as TEAE if the event started on or after start date of study intervention.

Time frame: From start of study intervention (Day 1) up to end of safety follow-up (Day 34)

Population: Safety analysis set (SAS) included all participants who received at least one dose of study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PF-07321332 300 mg + Ritonavir 100 mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs)228 Participants
PlaceboNumber of Participants With Treatment Emergent Adverse Events (TEAEs)256 Participants
Secondary

Percentage of Participants Who Died Through Week 24- mITT1 Population

In this outcome measure, percentage of participants with death due to any cause was presented.

Time frame: From Day 1 up to Week 24

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants Who Died Through Week 24- mITT1 Population0 Percentage of participants
PlaceboPercentage of Participants Who Died Through Week 24- mITT1 Population1.5 Percentage of participants
Secondary

Percentage of Participants Who Died Through Week 24- mITT2 Population

In this outcome measure, percentage of participants with death due to any cause was presented.

Time frame: From Day 1 up to Week 24

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants Who Died Through Week 24- mITT2 Population0 Percentage of participants
PlaceboPercentage of Participants Who Died Through Week 24- mITT2 Population1.4 Percentage of participants
Secondary

Percentage of Participants Who Died Through Week 24- mITT Population

In this outcome measure, percentage of participants with death due to any cause was presented.

Time frame: From Day 1 up to Week 24

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants Who Died Through Week 24- mITT Population0 Percentage of participants
PlaceboPercentage of Participants Who Died Through Week 24- mITT Population1.7 Percentage of participants
Secondary

Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 Population

In this outcome measure, the percentage of participants with a resting peripheral oxygen saturation \>=95% were reported.

Time frame: Day 1, 5

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here, Number Analyzed signifies participants evaluable for each specified time point.

ArmMeasureGroupValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 PopulationDay 193.347 Percentage of participants
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 PopulationDay 591.577 Percentage of participants
PlaceboPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 PopulationDay 192.214 Percentage of participants
PlaceboPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 PopulationDay 587.610 Percentage of participants
p-value: 0.28195% CI: [10.097, 43.156]Breslow-Day test
95% CI: [6.823, 22.725]Breslow Day test
Secondary

Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 Population

In this outcome measure, the percentage of participants with a resting peripheral oxygen saturation \>=95% were reported.

Time frame: Day 1, 5

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here, Number Analyzed signifies participants evaluable for each specified time point.

ArmMeasureGroupValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 PopulationDay 193.353 Percentage of participants
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 PopulationDay 591.538 Percentage of participants
PlaceboPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 PopulationDay 191.738 Percentage of participants
PlaceboPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 PopulationDay 587.681 Percentage of participants
p-value: 0.222695% CI: [10.412, 42.837]Breslow-Day test
p-value: 0.234295% CI: [6.808, 21.28]Breslow-Day test
Secondary

Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT Population

In this outcome measure, the percentage of participants with a resting peripheral oxygen saturation \>=95% were reported.

Time frame: Day 1, 5

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here, Number Analyzed signifies participants evaluable for each specified timepoint.

ArmMeasureGroupValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT PopulationDay 193.443 Percentage of participants
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT PopulationDay 592.823 Percentage of participants
PlaceboPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT PopulationDay 191.963 Percentage of participants
PlaceboPercentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT PopulationDay 589.076 Percentage of participants
p-value: 0.199795% CI: [7.788, 48.328]Breslow-Day test
95% CI: [4.159, 19.253]Breslow-Day test
Secondary

Percentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat 1 (mITT1) Population

Percentage of participants with COVID-19 related hospitalization or death from any cause during the first 28 days of the study was estimated using the Kaplan-Meier method.

Time frame: From Day 1 to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat 1 (mITT1) Population0.933 Percentage of participants
PlaceboPercentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat 1 (mITT1) Population6.571 Percentage of participants
Comparison: The difference of the percentage in the 2 treatment groups and its 95% confidence interval, and p-value based on Normal approximation of the data are presented.p-value: <0.000195% CI: [-7.308, -3.967]Normal approximation
Secondary

Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT1 Population

Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale ranging from 0 to 3, higher scores indicated more severity. The scale was reported as 0= no symptoms, 1=mild, 2=moderate and 3=severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Percentage of participants with severe Covid-19 signs and symptoms were reported.

Time frame: From Day 1 to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT1 Population19.691 Percentage of participants
PlaceboPercentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT1 Population21.298 Percentage of participants
Comparison: Odds ratio, 95% CI and p-value were computed from a logistic regression model including main effects of treatment, geographic region, symptom onset duration (\<=3, \>3), baseline SARS-CoV-2 serology status and baseline viral load (\< 4 log10 copies/mL, \>= 4 log10 copies/mL).p-value: 0.576295% CI: [0.74, 1.182]Regression, Logistic
Secondary

Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT2 Population

Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale ranging from 0 to 3, higher scores indicated more severity. The scale was reported as 0= no symptoms, 1=mild, 2=moderate and 3=severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Percentage of participants with severe Covid-19 signs and symptoms were reported.

Time frame: From Day 1 to Day 28

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT2 Population20.660 Percentage of participants
PlaceboPercentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT2 Population21.810 Percentage of participants
Comparison: Odds ratio, 95% CI and p-value were computed from a logistic regression model including main effects of treatment, geographic region, symptom onset duration (\<=3, \>3), COVID-19 mAb treatment (Yes/No),baseline SARS-CoV-2 serology status and baseline viral load (\< 4 log10 copies/mL, \>= 4 log10 copies/mL).p-value: 0.780795% CI: [0.773, 1.213]Regression, Logistic
Secondary

Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT Population

Participants were required to record the severity of their Covid-19 symptoms over the past 24 hours daily on a 4-point scale ranging from 0 to 3, higher scores indicated more severity. The scale was reported as 0= no symptoms, 1=mild, 2=moderate and 3=severe. A participant with severe score for any targeted symptoms post-baseline was counted as severe. Percentage of participants with severe Covid-19 signs and symptoms were reported.

Time frame: From Day 1 to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
PF-07321332 300 mg + Ritonavir 100 mgPercentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT Population18.168 Percentage of participants
PlaceboPercentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT Population20.775 Percentage of participants
Comparison: Odds ratio, 95% CI and p-value were computed from a logistic regression model including main effects of treatment, geographic region, baseline SARS-CoV-2 serology status and baseline viral load (\< 4 log10 copies/mL, \>= 4 log10 copies/mL).p-value: 0.347395% CI: [0.652, 1.162]Regression, Logistic
Secondary

Plasma Concentration Versus Time Summary of PF-07321332

Time frame: 1 Hour post-dose on Day 1 and pre-dose on Day 5

Population: SAS population included all participants who were randomized and took at least one dose of study intervention. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here Number Analyzed signifies participants evaluable for the specified time point.

ArmMeasureGroupValue (MEAN)Dispersion
PF-07321332 300 mg + Ritonavir 100 mgPlasma Concentration Versus Time Summary of PF-07321332Day 1 (1 Hour post dose)2201 Nanograms per milliliterStandard Deviation 2130.7
PF-07321332 300 mg + Ritonavir 100 mgPlasma Concentration Versus Time Summary of PF-07321332Day 5 (Pre-dose)3087 Nanograms per milliliterStandard Deviation 2884.3
Secondary

Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population

Sustained alleviation of all targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population13.00 Days
PlaceboTime to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population15.00 Days
Comparison: Analysis of treatment effect on time to sustained alleviation is based on Cox PH model with treatment and geographic region effects as independent variables, and symptom onset duration (\<=3, \>3), baseline SARS-CoV-2 serology status and baseline viral load (\<4 log10 copies/mL, \>=4 log10 copies/mL) as covariates.p-value: <0.000195% CI: [1.134, 1.412]Cox Proportional Hazard Model
Secondary

Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population

Sustained alleviation of all targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population12.00 Days
PlaceboTime to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population15.00 Days
Comparison: Analysis of treatment effect on time to sustained alleviation is based on Cox proportional hazard (PH) model with treatment and geographic region effects as independent variables, and baseline SARS-CoV-2 serology status and baseline viral load (\<4 logarithm to base 10 \[log10\] copies/milliliter \[mL\], \>=4 log10 copies/mL) as covariates.p-value: 0.000395% CI: [1.136, 1.476]Cox Proportional Hazard Model
Secondary

Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- Modified Intent-to-Treat 2 (mITT2) Population

Sustained alleviation of all targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when all symptoms scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- Modified Intent-to-Treat 2 (mITT2) Population13.00 Days
PlaceboTime to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- Modified Intent-to-Treat 2 (mITT2) Population16.00 Days
Comparison: Analysis of treatment effect on time to sustained alleviation is based on Cox PH model with treatment and geographic region effects as independent variables, and symptom onset duration (\<=3, \>3), COVID-19 mAb treatment (Yes/No), baseline SARS-CoV-2 serology status and baseline viral load (\<4 log10 copies/mL, \>=4 log10 copies/mL) as covariates.p-value: <0.000195% CI: [1.131, 1.4]Cox Proportional Hazard Model
Secondary

Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 Population

Sustained alleviation of each targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when each symptom scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified category.

ArmMeasureGroupValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationCough9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationHeadache5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationChills or shivering3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationNausea5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationDiarrhea5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationStuffy or runny nose6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationShortness of breath or difficulty breathing6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationSore throat5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationFeeling hot or feverish3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationVomit3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationMuscle or body aches6.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationVomit3.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationMuscle or body aches7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationShortness of breath or difficulty breathing8.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationChills or shivering5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationCough10.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationDiarrhea4.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationFeeling hot or feverish5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationHeadache7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationNausea6.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationStuffy or runny nose7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationSore throat6.000 Days
Secondary

Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 Population

Sustained alleviation of each targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when each symptom scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified category.

ArmMeasureGroupValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationShortness of breath or difficulty breathing6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationHeadache5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationMuscle or body aches6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationNausea5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationDiarrhea5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationStuffy or runny nose6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationChills or shivering3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationSore throat5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationFeeling hot or feverish3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationVomit3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationCough9.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationVomit3.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationMuscle or body aches8.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationShortness of breath or difficulty breathing9.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationChills or shivering5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationCough10.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationDiarrhea4.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationFeeling hot or feverish5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationHeadache7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationNausea6.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationStuffy or runny nose7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationSore throat6.000 Days
Secondary

Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT Population

Sustained alleviation of each targeted COVID-19 signs/symptoms was defined as the event occurring on the first 4 consecutive days when each symptom scored as moderate or severe at the time of enrollment were scored as mild or absent and those scored mild or absent at the time of enrollment were scored as absent. The first day of the 4 consecutive-day period was considered date of first event. Time to sustained alleviation (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained alleviation (censored), time was calculated as censoring date (last date on which symptom alleviation was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified category.

ArmMeasureGroupValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationCough8.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationHeadache5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationChills or shivering3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationNausea4.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationDiarrhea4.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationStuffy or runny nose6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationShortness of breath or difficulty breathing6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationSore throat5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationFeeling hot or feverish3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationVomit3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationMuscle or body aches6.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationVomit3.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationMuscle or body aches7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationShortness of breath or difficulty breathing8.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationChills or shivering5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationCough10.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationDiarrhea4.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationFeeling hot or feverish5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationHeadache7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationNausea5.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationStuffy or runny nose7.000 Days
PlaceboTime to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationSore throat6.000 Days
Secondary

Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population

Sustained resolution was defined as when all targeted symptoms were scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population16.00 Days
PlaceboTime to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population19.00 Days
Comparison: Analysis of treatment effect on time to sustained resolution is based on Cox PH model with treatment and geographic region effects as independent variables, and symptom onset duration (\<=3, \>3), baseline SARS-CoV-2 serology status and baseline viral load (\<4 log10 copies/mL, \>=4 log10 copies/mL) as covariates.p-value: 0.002295% CI: [1.068, 1.348]Cox Proportional Hazard Model
Secondary

Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT2 Population

Sustained resolution was defined as when all targeted symptoms were scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT2 Population17.00 Days
PlaceboTime to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT2 Population19.00 Days
Comparison: Analysis of treatment effect on time to sustained resolution is based on Cox PH model with treatment and geographic region effects as independent variables, and symptom onset duration (\<=3, \>3), COVID-19 mAb treatment (Yes/No), baseline SARS-CoV-2 serology status and baseline viral load (\<4 log10 copies/mL, \>=4 log10 copies/mL) as covariates.p-value: 0.002195% CI: [1.066, 1.337]Cox Proportional Hazard Model
Secondary

Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population

Sustained resolution was defined as when all targeted symptoms were scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population16.00 Days
PlaceboTime to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population18.00 Days
Comparison: Analysis of treatment effect on time to sustained resolution is based on Cox PH model with treatment and geographic region effects as independent variables, and baseline SARS-CoV-2 serology status and baseline viral load (\<4 log10 copies/mL, \>=4 log10 copies/mL) as covariates.p-value: 0.005395% CI: [1.061, 1.401]Cox Proportional Hazard Model
Secondary

Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 Population

Sustained resolution was defined as when each targeted symptom was scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT1 population included all participants who were randomized and took at least one dose of study intervention and who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified category.

ArmMeasureGroupValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationDiarrhea6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationFeeling hot or feverish5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationNausea7.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationHeadache9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationChills or shivering5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationVomit3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationStuffy or runny nose9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationCough13.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationSore throat7.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationMuscle or body aches9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationShortness of breath or difficulty breathing9.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationVomit3.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationMuscle or body aches12.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationShortness of breath or difficulty breathing12.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationChills or shivering7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationCough15.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationDiarrhea6.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationFeeling hot or feverish7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationHeadache11.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationNausea7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationStuffy or runny nose10.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 PopulationSore throat9.000 Days
Secondary

Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 Population

Sustained resolution was defined as when each targeted symptom was scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT2 population included all participants who were randomized and took at least one dose of study intervention. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified category.

ArmMeasureGroupValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationDiarrhea6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationStuffy or runny nose9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationFeeling hot or feverish5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationShortness of breath or difficulty breathing9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationHeadache9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationSore throat7.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationNausea7.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationChills or shivering5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationMuscle or body aches9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationVomit3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationCough13.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationVomit4.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationStuffy or runny nose11.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationMuscle or body aches12.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationShortness of breath or difficulty breathing13.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationChills or shivering7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationDiarrhea6.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationFeeling hot or feverish7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationHeadache11.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationNausea7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationSore throat9.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 PopulationCough15.000 Days
Secondary

Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT Population

Sustained resolution was defined as when each targeted symptom was scored as absent for 4 consecutive days. Time to sustained resolution (event) was calculated as first event date minus first dose date plus 1, for participants with event. For participants who completed Day 28 or discontinued the study before Day 28 without sustained resolution (censored), time was calculated as censoring date (last date on which symptom resolution was assessed) minus first dose date plus 1 or Day 25 whichever occurred first.

Time frame: From Day 1 (baseline) to Day 28

Population: mITT population included all participants who were randomized and took at least one dose of study intervention, who at baseline did not receive nor were expected to receive COVID-19 therapeutic mAb treatment and were treated \<=3 days of COVID-19 onset. Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure. Here, Number Analyzed signifies participants evaluable for each specified category.

ArmMeasureGroupValue (MEDIAN)
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationShortness of breath or difficulty breathing8.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationHeadache8.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationCough13.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationNausea5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationDiarrhea6.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationStuffy or runny nose9.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationChills or shivering5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationSore throat7.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationFeeling hot or feverish5.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationVomit3.000 Days
PF-07321332 300 mg + Ritonavir 100 mgTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationMuscle or body aches9.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationVomit3.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationCough15.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationMuscle or body aches12.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationShortness of breath or difficulty breathing11.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationChills or shivering7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationDiarrhea6.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationFeeling hot or feverish7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationHeadache11.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationNausea7.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationStuffy or runny nose10.000 Days
PlaceboTime to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT PopulationSore throat9.000 Days

Source: ClinicalTrials.gov · Data processed: Feb 19, 2026