A Study of a Potential Oral Treatment to Prevent COVID-19 in Adults Who Are Exposed to Household Member(s) With a Confirmed Symptomatic COVID-19 Infection

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT05047601
Collaborator
(none)
2,957
170
3
7.1
17.4
2.5

Study Details

Study Description

Brief Summary

The purpose of this clinical trial is to learn whether the study medicine prevent symptoms of COVID-19 in adults who have been exposed to household member(s) with a confirmed symptomatic COVID-19 infection.

All participants in the study will receive treatment for COVID-19 as needed, based on their regular doctor's recommendation. Two-thirds of participants will also receive two study medicines (PF-07321332 and ritonavir) by mouth twice a day for either five or ten days. We will compare the experiences of people receiving the study medicines to those of the people who do not. This will help us determine if the study medicines are safe and effective

Condition or Disease Intervention/Treatment Phase
Phase 2/Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
2957 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Eligible participants who are asymptomatic household contacts of an individual with symptomatic COVID-19 will be randomized (1:1:1) to receive orally every 12 hours: PF-07321332/ritonavir for 5 days followed by placebo for 5 days or PF-07321332/ritonavir for 10 days or Placebo for 10 daysEligible participants who are asymptomatic household contacts of an individual with symptomatic COVID-19 will be randomized (1:1:1) to receive orally every 12 hours:PF-07321332/ritonavir for 5 days followed by placebo for 5 days or PF-07321332/ritonavir for 10 days or Placebo for 10 days
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description:
Double Blind Double Dummy
Primary Purpose:
Prevention
Official Title:
A PHASE 2/3, RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY, PLACEBO CONTROLLED STUDY TO EVALUATE THE SAFETY AND EFFICACY OF 2 REGIMENS OF ORALLY ADMINISTERED PF 07321332/RITONAVIR IN PREVENTING SYMPTOMATIC SARS-COV-2 INFECTION IN ADULT HOUSEHOLD CONTACTS OF AN INDIVIDUAL WITH SYMPTOMATIC COVID-19
Actual Study Start Date :
Sep 9, 2021
Actual Primary Completion Date :
Apr 12, 2022
Actual Study Completion Date :
Apr 12, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: PF-07321332/ritonavir (5 days)

Participants will receive PF-07321332/ritonavir every 12 hours from Day 1 through Day 5 followed by Placebo every 12 hours from Day 6 through Day 10

Drug: PF-07321332
PF-07321332

Drug: Placebo for PF-07321332
Placebo

Drug: Placebo for Ritonavir
Placebo

Drug: Ritonavir
Ritonavir

Experimental: PF-07321332/ritonavir (10-Day)

Participants will receive PF-07321332/ritonavir every 12 hours from Day 1 through Day 10.

Drug: PF-07321332
PF-07321332

Drug: Ritonavir
Ritonavir

Placebo Comparator: Placebo

Participants will receive placebo every 12 hours from Day 1 through Day 10.

Drug: Placebo for PF-07321332
Placebo

Drug: Placebo for Ritonavir
Placebo

Outcome Measures

Primary Outcome Measures

  1. Proportion of participants who have a negative reverse transcription polymerase chain reaction (RT-PCR) result at baseline who develop a symptomatic, RT-PCR or rapid antigen test confirmed SARS-CoV-2 infection. [Day 1 through Day 14]

Secondary Outcome Measures

  1. Percentage of participants who experience adverse events [Day 1 through Day 38]

  2. Efficacy in preventing symptomatic COVID-19 in participants who have a negative RT-PCR result at baseline and are at increased risk of severe COVID-19 illness [Day 1 through Day 14]

    Proportion of participants with symptomatic, RT-PCR or Rapid Antigen Test confirmed SARS-CoV-2 infection through Day 14

  3. Efficacy in preventing symptomatic COVID-19 in participants who have a negative RT-PCR result at baseline and are at increased risk of severe COVID-19 illness [Day 1 through Day 28]

    Proportion of participants with COVID-19 related hospitalization or death from any cause

  4. Prevention of SARS CoV-2 infection in participants by RT-PCR status at enrolment [Day 1 through Day 14]

    Proportion of participants with symptomatic or asymptomatic, RT-PCR or Rapid Antigen Test confirmed SARS-CoV-2 infection.

  5. Prevention of SARS CoV-2 infection in participants who have a negative RT-PCR result at baseline [Day 1 through Day 14]

    Time to SARS-CoV-2 infection.

  6. Compare the duration of COVID-19 related signs and symptoms in participants who have a negative RT-PCR result at baseline [Day 1 through Day 28]

  7. Compare the severity of COVID-19 related signs and symptoms in participants who have a negative RT-PCR result at baseline [Day 1 through Day 28]

  8. Minimal Concentration (Ctrough) of PF-07321332 [Day 1 post dose, Day 5 pre dose]

  9. All cause mortality in participants who have a negative RT-PCR result at baseline [Day 1 through Day 38]

  10. Viral titers measured via RT-PCR in nasal swabs in participants who have a negative or positive RT-PCR result at baseline [Day 1 through Day 14]

  11. Number of days of hospital and intensive care unit stay in participants with COVID-19 related hospitalization who have a negative RT-PCR result at baseline [Day 1 through Day 28]

  12. Number of COVID-19 related medical visits in participants who have a negative RT-PCR result at baseline [Day 1 through Day 28]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Participants who have a negative screening SARS-CoV-2 rapid antigen test result and who are asymptomatic household contacts with exposure within 96 hours to an individual who is symptomatic and recently tested positive for SARS CoV-2.

  • Fertile participants must agree to use a highly effective method of contraception

Exclusion Criteria:
  • History of SARS-CoV-2 infection in the past 6 months

  • Experiencing measured fever (documented temperature >38˚C or 100.4˚F) or other signs or symptoms consistent with COVID-19

  • Known medical history of active liver disease

  • Chronic Kidney Disease or have known moderate to severe renal impairment.

  • Known Human Immunodeficiency Virus (HIV) infection with viral load > 400 copies/ml within the last 6 months or taking prohibited medications for HIV treatment

  • Suspected or confirmed concurrent active systemic infection

  • Active cancer requiring treatment with prohibited medication.

  • Current or expected use of any medications or substances that are highly dependent on Cytochrome P450 3A4 (CYP3A4) for clearance or are strong inducers of CYP3A4

  • Has received approved, authorized, or investigational anti-SARS-CoV-2 mAb, convalescent plasma, other drugs for treatment of COVID-19, or other anti-SARS-CoV-2 biologic products within 6 months of screening

  • Has received any SARS-CoV-2 vaccine within 6 months prior to screening or is expected to receive a SARS-CoV-2 vaccine or other approved, authorized, or investigational postexposure prophylaxis treatments through Day 38.

  • Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19

  • Known or prior participation in this trial or another trial involving PF-07321332.

  • Females who are pregnant or breastfeeding.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Cahaba Research Inc Pelham Alabama United States 35124
2 Cahaba Research, Inc. Pelham Alabama United States 35124
3 The Institute for Liver Health dba Arizona Clinical Trials Tucson Arizona United States 85712
4 Ascada Health PC Fullerton California United States 92835
5 Optimus Medical Group San Francisco California United States 94102
6 Synergy Healthcare Bradenton Florida United States 34208
7 MOORE Clinical Research, Inc. Brandon Florida United States 33511
8 Herco Medical and Research Center Inc Coral Gables Florida United States 33134
9 Advance Clinical Research Group Cutler Bay Florida United States 33157
10 Beautiful Minds Clinical Research Center Cutler Bay Florida United States 33157
11 Unlimited Medical Research Group, LLC Hialeah Gardens Florida United States 33018
12 Qway Research Hialeah Florida United States 33010
13 Eastern Research Inc Hialeah Florida United States 33013
14 Inpatient Research Clinic Hialeah Florida United States 33013
15 Doral Medical Research,LLC Hialeah Florida United States 33016
16 Asclepes Research Centers Lutz Florida United States 33549
17 Pro-Care Research Center, Corp. Miami Gardens Florida United States 33014
18 Savin Medical Group, LLC Miami Lakes Florida United States 33014
19 Angels Clinical Research Institute Miami Florida United States 33122
20 LCC Medical Research Institute, LLC Miami Florida United States 33126
21 Premium Medical Research Corp Miami Florida United States 33126
22 Global Health Clinical Trials Corp Miami Florida United States 33135
23 South Florida Research Center, Inc. Miami Florida United States 33135
24 University of Miami Health System Miami Florida United States 33136
25 I.V.A.M. Clinical & Investigational Center, LLC Miami Florida United States 33144
26 Medical Research of Westchester Inc Miami Florida United States 33165
27 C'A Research Miami Florida United States 33174
28 ProLive Medical Research, Corp. Miami Florida United States 33175
29 Entrust Clinical Research Miami Florida United States 33176
30 Reed Medical Research Miami Florida United States 33176
31 Kendall South Medical Center, Inc. Miami Florida United States 33185
32 Clinical Site Partners, Inc dba CSP Miami Miami Florida United States 33186
33 Coral Research Clinic Corp Miami Florida United States 33186
34 Omega Research Orlando Orlando Florida United States 32808
35 NAPA Research LLC Pompano Beach Florida United States 33064
36 CDC Research Institute, LLC Port Saint Lucie Florida United States 34952
37 GCP, Global Clinical Professionals Saint Petersburg Florida United States 33705
38 USPA Advance Concept Medical Research Group LLC South Miami Florida United States 33143
39 Asclepes Research Centers Spring Hill Florida United States 34609
40 Sunrise Research Institute Sunrise Florida United States 33325
41 Santos Research Center, CORP Tampa Florida United States 33615
42 Research by Design, LLC Chicago Illinois United States 60643
43 Accellacare Ames Iowa United States 50010
44 McFarland Clinic, PC Ames Iowa United States 50010
45 Southern Clinical Research Associates. LLC Metairie Louisiana United States 70001
46 Meridian Clinical Research, LLC Grand Island Nebraska United States 68803
47 Quality Clinical Research Inc Omaha Nebraska United States 68112
48 Quality Clinical Research Omaha Nebraska United States 68114
49 Walmart Las Vegas Nevada United States 89108
50 Excel Clinical Research Las Vegas Nevada United States 89109
51 Walgreens Las Vegas Nevada United States 89121
52 NYC Health + Hospitals / Harlem New York New York United States 10037
53 Monroe Biomedical Research Monroe North Carolina United States 28112
54 Innovo Research: Wilmington Health Wilmington North Carolina United States 28401
55 PharmaTex Research, LLC Amarillo Texas United States 79109
56 Conroe Willis Medical Research Conroe Texas United States 77304
57 South Texas Clinical Research Corpus Christi Texas United States 78413
58 SingnatureCare Emergency Center Houston Texas United States 77008
59 Trio Clinical Trials, LLC Houston Texas United States 77008
60 C & R Research Services USA Houston Texas United States 77022
61 SMS Clinical Research, LLC Mesquite Texas United States 75149
62 Epic Medical Research Red Oak Texas United States 75154
63 Sun Research Institute San Antonio Texas United States 78215
64 Tranquility Research Webster Texas United States 77598
65 Instituto de Investigaciones Clinicas Zarate Zarate Buenos Aires Argentina B2800DGH
66 Instituto Médico de la Fundación Estudios Clínicos (Fundación Estudios Clínicos) Rosario Santa FE Argentina 2000
67 Pesquisare Saude S/S Ltda Santo André SP Brazil 09080-110
68 Conjunto Hospitalar do Mandaqui São Paulo Brazil 02401-400
69 "Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases-Haskovo" Ltd Haskovo Bulgaria 6300
70 MHAT "Sv.Ivan. Rilski'' Kozloduy EOOD Kozloduy Bulgaria 3320
71 Diagnostic-Consultative Center I Lom EOOD Lom Bulgaria 3600
72 Multiprofile Hospital for Active Treatment- Sveti Nikolay Chudotvoretz EOOD Lom Bulgaria 3600
73 Medical centre Leo Clinic EOOD Lovech Bulgaria 5500
74 MHAT Heart and Brain EAD Pleven Bulgaria 5800
75 DCC Sveti Georgi EOOD Plovdiv Bulgaria 4000
76 MHAT "St. Panteleimon "- Plovdiv Plovdiv Bulgaria 4004
77 UMHAT Medica Ruse OOD Ruse Bulgaria 7013
78 Multiprofile Hospital for Active Treatment - Samokov EOOD Samokov Bulgaria 2000
79 Multiprofile hospital for active treatment - Sliven to Military Medical Academy Sliven Bulgaria 8800
80 Diagnostic-Consultative Center XXII- Sofia ЕООD Sofia Bulgaria 1113
81 UMHATEM N. I. Pirogov EAD Sofia Bulgaria 1606
82 Specialized hospital for active treatment in pulmonology and phthisiology "Stara Zagora" EOOD Stara Zagora Bulgaria 6000
83 Medical center Leo Clinic EOOD Varna Bulgaria 9020
84 MOBAL "D-r Stefan Cherkezov" AD Veliko Tarnovo Bulgaria 5002
85 Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases Vratsa EOOD Vratsa Bulgaria 3000
86 Clinica de la Costa LTDA. Barranquilla Atlantico Colombia 080020
87 Caimed S.A.S. Yopal Casanare Colombia 850001
88 Cireem Sas Bogota Cundinamarca Colombia 110221
89 Doktor Brno s.r.o. Brno Czechia 602 00
90 Zdraví-Fit, s.r.o. Protivín Czechia 398 11
91 Nemocnice Slany Slany Czechia 274 01
92 Medifarma-98 Kft. Nyiregyhaza Hungary 4400
93 International University of Health and Welfare Narita Hospital Narita Chiba Japan 286-8520
94 Rakuwakai Otowa Hospital Kyoto-shi Kyoto Japan 607-8062
95 Rinku General Medical Center Izumisano Osaka Japan 598-8577
96 Denenchofu Family Clinic Ota Tokyo Japan 145-0071
97 Sekino Hospital Toshimaku Tokyo Japan 171-0014
98 Hospital Miri Miri Sarawak Malaysia 98000
99 InfectoLab Consultorios de Especialidad en Infectologia Tijuana BAJA California Mexico 22010
100 Clinical Research Institute Saltillo S.A. de C.V. Saltillo Coahuila Mexico 25020
101 Instituto Jalisciense de Metabolismo, S.C. Guadalajara Jalisco Mexico 44670
102 Eukarya Pharmasite S.C. Monterrey Nuevo LEON Mexico 64718
103 Christus- Latam Hub Center of Excellence and Innovation Center S.C. Monterrey Nuevo LEÓN Mexico 64060
104 EME RED Hospitalaria Mérida Yucatán Mexico 97000
105 Instituto de Investigaciones Clinicas para la Salud A.C. Durango Mexico 34000
106 FAICIC Clinical Research Veracruz Mexico 91900
107 Sociedad de Metabolismo y Corazon S.C. Veracruz Mexico 91900
108 Centrum Badań Klinicznych Piotr Napora Lekarze Spółka Partnerska Wroclaw Poland 51-162
109 Kirovsk Interdistrict Hospital Kirovsk Leningrad Region Russian Federation 187342
110 LLC Trekhgorka Medicine Odintsovo Moscow Region Russian Federation 143005
111 Clinica UZI 4D Pyatigorsk Stavropol Region Russian Federation 357502
112 Barnaul City Hospital Number 5 Barnaul Russian Federation 656045
113 Korolev Medicine Korolev Russian Federation 141070
114 KDC "Evromedservis", OJSC Moscow Russian Federation 115419
115 City Polyclinic #44 Saint Petersburg Russian Federation 192071
116 LLC Strategic Medical Systems Saint Petersburg Russian Federation 194291
117 City Polyclinic No. 109 Saint-Petersburg Russian Federation 192298
118 City Out-patient clinic #112 Saint-Petersburg Russian Federation 195427
119 "Research Center Eco-safety" LLC Saint-Petersburg Russian Federation 196143
120 LLC Kurator Saint-Petersburg Russian Federation 196240
121 Saint-Petersburg State Budgetary Healthcare Institution "City Pokrovskaya hospital" Saint-Petersburg Russian Federation 199106
122 City Out-patient clinic #4 Saint-Petersburg Russian Federation 199406
123 Smolensk State Medical University Smolensk Russian Federation 214019
124 LLC Family clinic Yekaterinburg Russian Federation 620109
125 MERC Welkom Welkom FREE State South Africa 9460
126 Worthwhile Clinical Trials Benoni Gauteng South Africa 1500
127 LCS Clinical Research Johannesburg Gauteng South Africa 1868
128 Peermed CTC (Pty) Ltd T/A MERC Kempton Kempton Park Gauteng South Africa 1619
129 Global Clinical Trials Pretoria Gauteng South Africa 0001
130 Botho ke Bontle Health Services Pretoria Gauteng South Africa 0122
131 About Allergy (PTY) Ltd Pretoria Gauteng South Africa 0181
132 Into Research Pretoria Gauteng South Africa 0181
133 Clinical Trial Systems (Pty) Ltd Pretoria Gauteng South Africa 0186
134 Sandton Medical Clinic Sandton Gauteng South Africa 2196
135 Dr PJ Sebastian Clinical Research Centre Durban Kwa-zulu Natal South Africa 4092
136 Synapta Clinical Research Center Durban Kwazulu Natal South Africa 4001
137 Ahmed Al-Kadi Private Hospital Mayville, Durban Kwazulu-natal South Africa 4091
138 Limpopo Clinical Research Initiative Thabazimbi Limpopo South Africa 0380
139 NHC Thohoyandou CRS Thohoyandou Limpopo South Africa 0950
140 MERC Middelburg Middelburg Mpumalanga South Africa 1055
141 Madibeng Centre for Research Brits North WEST South Africa 0250
142 FCRN Clinical Trial Centre Vereeniging South Africa 1935
143 Complexo Hospitalario Universitario da Coruna A Coruña Spain 15006
144 The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT), Pathumwan Bangkok Thailand 10330
145 Faculty of Medicine - Khon Kaen University Muang Khon Kaen Thailand 40002
146 King Chulalongkorn Memorial Hospital Bangkok Thailand 10330
147 Faculty of Tropical Medicine, Mahidol University Bangkok Thailand 10400
148 Tropical Medicine Hospital Bangkok Thailand 10400
149 Ankara University Medical Faculty, Ibni-Sina Hospital Ankara Turkey 06230
150 Istanbul University Istanbul Medical Faculty Fatih / Istanbul Turkey 34093
151 Gaziantep Universitesi Tip Fakultesi Sahinbey Uygulama ve Arastirma Hastanesi Gaziantep Turkey 27310
152 Acibadem University Atakent Hospital Istanbul Turkey 34303
153 Izmir Suat Seren Chest Disease and Surgery Training and Research Hospital Izmir Turkey 35110
154 Mersin University Medical Faculty Mersin Turkey 33110
155 Karadeniz Teknik Universitesi Farabi Hastanesi Trabzon Turkey 61080
156 Regional Communal Nonprofit Institution "Chernivtsi Regional Clinical Hospital" Chernivtsi Ukraine 58001
157 Communal non-commercial Enterprise "City Central Clinical Hospital" of Chernivtsi City Council Chernivtsi Ukraine 58002
158 Communal non-profit enterprise "City Clinical Hospital #16" of Dnipro City Council Dnipro Ukraine 49069
159 Communal nonprofit enterprise "Central City Clinical Hospital of Ivano-Frankivsk City Council" Ivano-Frankivsk Ukraine 76018
160 Municipal Non-profit Enterprise "Ivano-Frankivsk Regional Phthisiopulmonology Center of Ivano-Frankivsk Ukraine 76018
161 Municipal Nonprofit Enterprise "City Student Hospital" of Kharkiv City Council Kharkiv Ukraine 61002
162 Municipal Nonprofit Enterprise of Kharkiv Regional Council "Regional Clinical Infectious Diseases Kharkiv Ukraine 61096
163 Municipal Nonprofit Enterprise "City Clinic Hospital # 13" of Kharkiv City Council Kharkiv Ukraine 61124
164 Polyclinic of Center for Medical Services and Rehabilitation of State Joint-Stock Holding Company Kyiv Ukraine 04050
165 Municipal Nonprofit Enterprise "Lviv City Clinic Hospital #4" Lviv Ukraine 79005
166 Municipal NonProfit Enterprise of the Lviv Regional Council Lviv Regional Information and Analytical Lviv Ukraine 79008
167 Municipal Nonprofit Enterprise "Lviv City Clinic Hospital #4" Lviv Ukraine 79011
168 Municipal Enterprise "Poltava Regional Clinical Infectious Diseases Hospital" of Poltava Regional Poltava Ukraine 36011
169 Municipal Enterprise "Volyn Regional Clinical Hospital" of Volyn Regional Council Tarasove Village Ukraine 45625
170 Communal Enterprise "Hospital #1" of Zhytomyr City Council Zhytomyr Ukraine 10002

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT05047601
Other Study ID Numbers:
  • C4671006
  • 2021-002894-24
  • EPIC-PEP
First Posted:
Sep 17, 2021
Last Update Posted:
Aug 24, 2022
Last Verified:
Aug 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 24, 2022