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A Study to Learn About PAXLOVID (a Commercial Medicine) In People With COVID-19

General Investigation for PAXLOVID PAC

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05263908
Enrollment
3346
Registered
2022-03-03
Start date
2022-03-31
Completion date
2023-07-10
Last updated
2025-09-03

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

Conditions

SARS-CoV-2 Infection

Keywords

severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), coronavirus disease 2019 (COVID-19), Paxlovid, Nirmatrelvir

Brief summary

The purpose of this post marketing observational study is to learn about the safety and effects of the commercial medicine (called PAXLOVID) for the treatment of COVID-19. This study is intended to be registered with the participants who: * Have taken PAXLOVID PACK and have no history of using this medicine. * Are 12 years and older All participants will receive PAXLOVID, a standard treatment for COVID-19. Participants will take PAXLOVID 2 times a day by mouth or as prescribed. We will examine the experiences of people taking PAXLOVID. This will help us determine if PAXLOVID is safe and effective. Participants will be followed up for 28 days after taking PAXLOVID. During this time, participants will be closely watched for the safety and effects of PAXLOVID.

Detailed description

This is a multicenter cohort study to be conducted in individuals with SARS-CoV-2 infection who are treated with this product, and the investigator will enter the information required in this study in the case report forms (CRFs) based on the information obtained through medical records.

Interventions

The usual dosage in adults and pediatric patients (≥12 years of age weighing ≥40 kg) is 300 mg of Nirmatrelvir and 100 mg of ritonavir all taken together orally twice daily for 5 days.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Subjects who are administered PAXLOVID PACK and have no history of using this drug.

Exclusion criteria

* There are no

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Adverse Drug ReactionsFrom the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.Adverse drug reaction (ADR) was a treatment-related adverse event and any untoward medical occurrence attributed to Paxlovid PACK in a participant who received Paxlovid PACK. Serious adverse drug reaction (SADR) was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Relatedness to Paxlovid PACK was assessed by the physician.

Secondary

MeasureTime frameDescription
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as severe at the start of treatment.
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as severe at the start of treatment.
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #3)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as severe at the start of treatment.
Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.The percent probability is the percent of the participants who had COVID-19 related hospitalization or death from any cause.
Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.The percent probability is the percent of the participants who had COVID-19 related hospitalization or death from any cause. Sensitivity analysis was conducted by changing the event definition of hospitalization for treatment of infection caused by SARS-CoV-2 as follows: there were concomitant medications for infection caused by SARS-CoV-2 or concomitant non-drug therapies due to infection caused by SARS-CoV-2 on or after the date of administration.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Paxlovid PACK (Nirmatrelvir/Ritonavir)
Participants who received Paxlovid PACK as indicated in the approved local product document for the first time were observed from the start date of treatment with Paxlovid PACK to 28 days after the end of treatment (the day following the end of treatment was defined as Day 1). The dosage can be adjusted as per physician's discretion.
2,829
Total2,829

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyCRF not collected1
Overall StudyNo informed consent for publication of study results397

Baseline characteristics

CharacteristicPaxlovid PACK (Nirmatrelvir/Ritonavir)
Age, Customized
≥15 and <65 years
1404 Participants
Age, Customized
<15 years
2 Participants
Age, Customized
≥65 years
1423 Participants
Race and Ethnicity Not Collected— Participants
Sex: Female, Male
Female
1324 Participants
Sex: Female, Male
Male
1505 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
16 / 2,829
other
Total, other adverse events
474 / 2,829
serious
Total, serious adverse events
51 / 2,829

Outcome results

Primary

Incidence of Adverse Drug Reactions

Adverse drug reaction (ADR) was a treatment-related adverse event and any untoward medical occurrence attributed to Paxlovid PACK in a participant who received Paxlovid PACK. Serious adverse drug reaction (SADR) was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Relatedness to Paxlovid PACK was assessed by the physician.

Time frame: From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.

Population: The safety analysis set (2829 participants) comprised of participants who satisfied the inclusion criteria. Participants with no informed consent for publication of study results, no information on administration, and no information on adverse events - no re-visits were excluded.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Paxlovid PACK (Nirmatrelvir/Ritonavir)Incidence of Adverse Drug ReactionsADR423 Participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Incidence of Adverse Drug ReactionsSADR6 Participants
Secondary

Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)

The percent probability is the percent of the participants who had COVID-19 related hospitalization or death from any cause.

Time frame: 3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.

Population: For the efficacy analysis set #3 (1905 participants), participants with no risk factors of progressing to severe illness (60 participants) were excluded from the efficacy analysis set #2.

ArmMeasureGroupValue (NUMBER)
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)3 days from the start of administration of this drug3.99 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)5 days from the start of administration of this drug4.41 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)7 days from the start of administration of this drug4.47 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)14 days from the start of administration of this drug4.80 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)21 days from the start of administration of this drug4.86 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)28 days from the start of administration of this drug4.92 Percent probability
Secondary

Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)

The percent probability is the percent of the participants who had COVID-19 related hospitalization or death from any cause. Sensitivity analysis was conducted by changing the event definition of hospitalization for treatment of infection caused by SARS-CoV-2 as follows: there were concomitant medications for infection caused by SARS-CoV-2 or concomitant non-drug therapies due to infection caused by SARS-CoV-2 on or after the date of administration.

Time frame: 3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.

Population: For the efficacy analysis set #3 (1905 participants), participants with no risk factors of progressing to severe illness (60 participants) were excluded from the efficacy analysis set #2.

ArmMeasureGroupValue (NUMBER)
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)3 days from the start of administration of this drug1.42 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)5 days from the start of administration of this drug1.58 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)7 days from the start of administration of this drug1.58 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)14 days from the start of administration of this drug1.75 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)21 days from the start of administration of this drug1.75 Percent probability
Paxlovid PACK (Nirmatrelvir/Ritonavir)Cumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)28 days from the start of administration of this drug1.80 Percent probability
Secondary

Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)

Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as severe at the start of treatment.

Time frame: From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.

Population: For the efficacy analysis set #1 (2828 participants), participant with disease not subject to the study (1 participant) was excluded from the safety analysis set.

ArmMeasureGroupValue (NUMBER)
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Worsened2.19 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Not worsened94.77 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Severe at the start of treatment0 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Unknown (worsening unknown)3.04 Percentage of participants
Secondary

Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)

Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as severe at the start of treatment.

Time frame: From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.

Population: For the efficacy analysis set #2 (1965 participants), participants other than outpatient at the start of treatment (863 participants) were excluded from the efficacy analysis set #1.

ArmMeasureGroupValue (NUMBER)
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Worsened1.63 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Not worsened94.66 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Severe at the start of treatment0 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Unknown (worsening unknown)3.72 Percentage of participants
Secondary

Percentage of Participants With Worsening Severity (Efficacy Analysis Set #3)

Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as severe at the start of treatment.

Time frame: From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.

Population: For the efficacy analysis set #3 (1905 participants), participants with no risk factors of progressing to severe illness (60 participants) were excluded from the efficacy analysis set #2.

ArmMeasureGroupValue (NUMBER)
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #3)Worsened1.68 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #3)Not worsened94.59 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #3)Severe at the start of treatment0 Percentage of participants
Paxlovid PACK (Nirmatrelvir/Ritonavir)Percentage of Participants With Worsening Severity (Efficacy Analysis Set #3)Unknown (worsening unknown)3.73 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026