EPIC-HR: Study of Oral PF-07321332/Ritonavir Compared With Placebo in Nonhospitalized High Risk Adults With COVID-19
NCT ID: NCT04960202
Last Updated: 2025-07-10
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2/PHASE3
2091 participants
INTERVENTIONAL
2021-07-16
2022-04-25
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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PF-07321332/ritonavir
Orally administered PF-07321332+ritonavir
PF-07321332
PF-07321332 (tablet)
Ritonavir
Ritonavir (capsule)
Placebo
Orally administered placebo
Placebo
Placebo (tablet or capsule)
Interventions
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PF-07321332
PF-07321332 (tablet)
Ritonavir
Ritonavir (capsule)
Placebo
Placebo (tablet or capsule)
Eligibility Criteria
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Inclusion Criteria
* 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
* 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
18 Years
ALL
No
Sponsors
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Pfizer
INDUSTRY
Responsible Party
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Principal Investigators
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Pfizer CT.gov Call Center
Role: STUDY_DIRECTOR
Pfizer
Locations
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Cahaba Research Inc
Pelham, Alabama, United States
The Institute for Liver Health dba Arizona Clinical Trials
Mesa, Arizona, United States
The Institute for Liver Health dba Arizona Clinical Trials
Tucson, Arizona, United States
Hope Clinical Research
Canoga Park, California, United States
Ascada Research
Fullerton, California, United States
Atella Clinical Research LLC.
La Palma, California, United States
Ark Clinical Research
Long Beach, California, United States
American Institute of Research
Los Angeles, California, United States
South Bay Clinical Research Institute
Redondo Beach, California, United States
Hope Clinical Research (COVID Satellite Site)
West Hills, California, United States
Future Innovative Treatments, LLC
Colorado Springs, Colorado, United States
Xera Med Research
Boca Raton, Florida, United States
MOORE Clinical Research, Inc.
Brandon, Florida, United States
Innovative Research of West Florida, Inc.
Clearwater, Florida, United States
Herco Medical and Research Center Inc
Coral Gables, Florida, United States
Advance Clinical Research Group
Cutler Bay, Florida, United States
Beautiful Minds Clinical Research Center
Cutler Bay, Florida, United States
Qway Research
Hialeah, Florida, United States
Eastern Research Inc
Hialeah, Florida, United States
Inpatient Research Clinic
Hialeah, Florida, United States
Doral Medical Research LLC.
Hialeah, Florida, United States
Doral Medical Research,LLC
Hialeah, Florida, United States
Unlimited Medical Research Group, LLC
Hialeah Gardens, Florida, United States
Advanced Pulmonary Research Institute
Loxahatchee Groves, Florida, United States
Angels Clinical Research Institute
Miami, Florida, United States
LCC Medical Research Institute, LLC
Miami, Florida, United States
Premium Medical Research Corp
Miami, Florida, United States
Global Health Clinical Trials Corp
Miami, Florida, United States
South Florida Research Center, Inc.
Miami, Florida, United States
Suncoast Research Group, LLC
Miami, Florida, United States
I.V.A.M. Clinical & Investigational Center, LLC
Miami, Florida, United States
C'A Research
Miami, Florida, United States
ProLive Medical Research, Corp.
Miami, Florida, United States
Entrust Clinical Research
Miami, Florida, United States
Reed Medical Research
Miami, Florida, United States
Kendall South Medical Center
Miami, Florida, United States
Clinical Site Partners, Inc d/b/a CSP Miami
Miami, Florida, United States
Coral Research Clinic Corp
Miami, Florida, United States
Savin Medical Group, LLC
Miami Lakes, Florida, United States
Omega Research Orlando, LLC
Orlando, Florida, United States
NAPA Research LLC
Pompano Beach, Florida, United States
CDC Research Institute
Port Saint Lucie, Florida, United States
USPA Advance Concept Medical Research Group LLC
South Miami, Florida, United States
GCP, Global Clinical Professionals
St. Petersburg, Florida, United States
Sunrise Research Institute
Sunrise, Florida, United States
Santos Research Center, CORP
Tampa, Florida, United States
Clinical Site Partners, Inc. dba CSP Orlando
Winter Park, Florida, United States
Research by Design, LLC
Chicago, Illinois, United States
New Orleans Sinus Center (COVID-19 Testing)
Marrero, Louisiana, United States
Tandem Clinical Research GI, LLC
Marrero, Louisiana, United States
Mercury Street Medical Group, PLLC
Butte, Montana, United States
Excel Clinical research
Las Vegas, Nevada, United States
Meridian Clinical Research, LLC
Endwell, New York, United States
Monroe Biomedical Research
Monroe, North Carolina, United States
Accellacare
Wilmington, North Carolina, United States
Premier Medical Group
Clarksville, Tennessee, United States
PharmaTex Research, LLC
Amarillo, Texas, United States
ARC Clinical Research at William Cannon
Austin, Texas, United States
St Hope Foundation
Bellaire, Texas, United States
Conroe Willis Medical Research
Conroe, Texas, United States
South Texas Clinical Research
Corpus Christi, Texas, United States
SignatureCare Emergency Center
Houston, Texas, United States
Trio Clinical Trials, LLC
Houston, Texas, United States
C & R Research Services USA
Houston, Texas, United States
Next Level Urgent Care
Houston, Texas, United States
SMS Clinical Research, LLC
Mesquite, Texas, United States
SMS Clinical Research
Mesquite, Texas, United States
LinQ Research, LLC
Pearland, Texas, United States
Epic Medical Research
Red Oak, Texas, United States
Sun Research Institute
San Antonio, Texas, United States
BFHC Research
San Antonio, Texas, United States
Tranquility Research
Webster, Texas, United States
TPMG (Tidewater Physicians Multispecialty Group) Clinical Research
Newport News, Virginia, United States
Instituto de Investigaciones Clinicas Zarate
Zárate, Buenos Aires, Argentina
Hospital De Clínicas Presidente Dr.Nicolas Avellaneda
San Miguel de Tucumán, Tucumán Province, Argentina
Chronos Pesquisa Clinica
Brasília, Federal District, Brazil
Hospital Agamenon Magalhaes
Recife, Pernambuco, Brazil
CECIP JAÚ - Centro de Estudos Clínicos do Interior Paulista - LTDA
Jaú, São Paulo, Brazil
Individual Practice for Primary Medical Care - IPPMC - Dr. P. Panayotov EOOD
Burgas, , Bulgaria
"Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases-Haskovo" Ltd
Haskovo, , Bulgaria
MHAT "Sv.Ivan. Rilski'' Kozloduy EOOD
Kozloduy, , Bulgaria
Diagnostic-Consultative Center I Lom EOOD
Lom, , Bulgaria
Multiprofile Hospital for Active Treatment- Sveti Nikolay Chudotvoretz EOOD
Lom, , Bulgaria
Medical centre Leo Clinic EOOD
Lovech, , Bulgaria
MHAT Heart and Brain EAD
Pleven, , Bulgaria
DCC Sveti Georgi EOOD
Plovdiv, , Bulgaria
MHAT "St. Panteleimon "- Plovdiv
Plovdiv, , Bulgaria
Multiprofile Hospital for Active Treatment Sveti Ivan Rilski - Razgrad AD
Razgrad, , Bulgaria
"Specialized Hospital for Active Treatment of Pneumo-Physiatric Diseases Dr. Dimitar Gramatikov -
Rousse, , Bulgaria
UMHAT Medica Ruse OOD
Rousse, , Bulgaria
Multiprofile Hospital for Active Treatment - Samokov EOOD
Samokov, , Bulgaria
Medical Center-1-Sevlievo EOOD
Sevlievo, , Bulgaria
Multiprofile Hospital For Active Treatment Shumen AD
Shumen, , Bulgaria
Multiprofile hospital for active treatment - Sliven to Military Medical Academy
Sliven, , Bulgaria
MHAT "Dr. Ivan Seliminski" AD, Sliven
Sliven, , Bulgaria
Diagnostic-Consultative Center XXII- Sofia ЕООD
Sofia, , Bulgaria
MHAT "St. Sofia" EOOD
Sofia, , Bulgaria
Specialized hospital for active treatment in pulmonology and phthisiology "Stara Zagora" EOOD
Stara Zagora, , Bulgaria
Multiprofile Hospital for Active Treatment Targovishte AD
Targovishte, , Bulgaria
Outpatient Clinic for Primary Outpatient Medical Care "Puls" - Dr. Mladen Buchvarov EOOD
Tsarevo, , Bulgaria
Medical center Leo Clinic EOOD
Varna, , Bulgaria
Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases Vratsa EOOD
Vratsa, , Bulgaria
Fundacion Cardiomet Cequin
Armenia, Quindío Department, Colombia
Zdraví-Fit, s.r.o.
Protivín, , Czechia
Nemocnice Slany
Slaný, , Czechia
Trial Pharma Kft.
Békéscsaba, , Hungary
Debreceni Egyetem Klinikai Kozpont Infektologiai Klinika
Debrecen, , Hungary
Agria-Study Kft.
Eger, , Hungary
Trial Pharma Kft.
Gyula, , Hungary
Medifarma-98 Kft.
Nyíregyháza, , Hungary
AIIMS Raipur
Raipur, Chhattisgarh, India
Jupiter Hospital
Vadodara, Gujarat, India
BGS Global Institute of Medical Sciences and Hospital
Bangalore, Karnataka, India
Lisie Hospital
Kochi, Kerala, India
Jehangir Clinical Development Centre Pvt. Ltd
Pune, Maharashtra, India
Lifepoint Research LLP
Pune, Maharashtra, India
Jawahar Lal Nehru Medical College
Ajmer, Rajasthan, India
Apex Hospitals Pvt Ltd
Jaipur, Rajasthan, India
Maharaja Agrasen Superspeciality Hospital
Jaipur, Rajasthan, India
Nil Ratan Sircar Medical College and Hospital
Kolkata, West Bengal, India
Aakash Healthcare Private Limited
New Delhi, , India
Sardar Patel Medical College
Pavan PURI Bikaner, Rajasthan, , India
International University of Health and Welfare Narita Hospital
Narita, Chiba, Japan
National Hokkaido Medical Center
Sapporo, Hokkaido, Japan
Rinku General Medical Center
Izumisano, Osaka, Japan
Tokyo Medical University Hachioji Medical Center
Hachiōji, Tokyo, Japan
National Center for Global Health and Medicine
Shinjuku, Tokyo, Japan
Hospital Umum Sarawak
Kuching, Sarawak, Malaysia
Hospital Miri
Miri, Sarawak, Malaysia
Clinical Research Institute Saltillo S.A. de C.V.
Saltillo, Coahuila, Mexico
Asociacion Mexicana para la Investigacion Clinica A.C. (AMIC)
Pachuca, Hidalgo, Mexico
Instituto Jalisciense de Metabolismo, S.C.
Guadalajara, Jalisco, Mexico
JM Research SC
Cuernavaca, Morelos, Mexico
Christus - Latam Hub Center of Excellence and Innovation Center S.C.
Monterrey, Nuevo León, Mexico
Eukarya Pharmasite S.C.
Monterrey, Nuevo León, Mexico
Oaxaca Site Management Organization
Oaxaca City, Oaxaca, Mexico
InfectoLab Consultorios de Especialidad en Infectologia
Baja California, Tijuana, Mexico
EME RED Hospitalaria
Mérida, Yucatán, Mexico
Kohler & Milstein Research S.A. de C.V.
Mérida, Yucatán, Mexico
Centro de Investigacion Clinica Del Pacifico SA de CV
Acapulco, , Mexico
Hospital Cardiologica Aguascalientes
Aguascalientes, , Mexico
Instituto de Investigaciones Clínicas para la Salud
Durango, , Mexico
FAICIC S. de R.L. de C.V.
Veracruz, , Mexico
Sociedad de Metabolismo y Corazon S.C.
Veracruz, , Mexico
Arké SMO S.A de C.V
Veracruz, , Mexico
KLIMED Marek Klimkiewicz
Bialystok, , Poland
Centrum Badań Klinicznych Piotr Napora Lekarze Spółka Partnerska
Wroclaw, , Poland
Clinical Research Management Group Inc
Ponce, , Puerto Rico
Advance Medical Research Center
San Juan, , Puerto Rico
LLC Trekhgorka Medicine
Odintsovo, Moscow Oblast, Russia
Barnaul City Hospital Number 5
Barnaul, , Russia
KDC "Evromedservis", OJSC
Moscow, , Russia
Smolensk State Medical University
Smolensk, , Russia
MERC Welkom
Welkom, Free State, South Africa
East Rand Research Centre T/A Worthwhile Clinical Trials
Benoni, Gauteng, South Africa
Botho Ke Bontle Health Services
Pretoria, Gauteng, South Africa
Synapta Clinical Research Center
Durban, KwaZulu-Natal, South Africa
Limpopo Clinical Research Initiative
Thabazimbi, Limpopo, South Africa
MERC Middelburg
Middelburg, Mpumalanga, South Africa
Kyungpook National University Chilgok Hospital
Daegu, , South Korea
Incheon Medical Center
Incheon, , South Korea
Chonnam National University Bitgoeul Hospital
Nam-gu, , South Korea
SMG-SNU Boramae Medical Center
Seoul, , South Korea
Eba Centelles
Centelles, Barcelona [barcelona], Spain
Complexo Hospitalario Universitario da Coruna
A Coruña, , Spain
Bangkok Centre Hotel
Bang Rak, Bangkok, Thailand
Chula Field Hospital, Chulalongkorn University Sport center (Chantanayingyong Gymnasium)
Pathum Wan District,, Bangkok, Thailand
Thai Red Cross Emerging Infectious Diseases (EDI) Clinic
Pathumwan,, Bangkok, Thailand
The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT),
Pathumwan, Bangkok, Thailand
Faculty of Medicine - Khon Kaen University
Muang, Changwat Khon Kaen, Thailand
Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University,
Hat Yai, Changwat Songkhla, Thailand
Ankara University Medical Faculty, Ibni-Sina Hospital
Ankara, , Turkey (Türkiye)
Hacettepe University Medical Faculty Hospital
Ankara, , Turkey (Türkiye)
Akdeniz Universitesi Hastanesi
Antalya, , Turkey (Türkiye)
Istanbul Medipol University Clinical Research Ethics Committee
Beykoz / Istanbul, , Turkey (Türkiye)
Gaziantep University Medical Faculty
Gaziantep, , Turkey (Türkiye)
Istanbul Yedikule Gogus Hastaliklari ve Gogus Cerrahisi Egitim Arastirma Hastanesi
Istanbul, , Turkey (Türkiye)
Istanbul University Cerrahpasa-Cerrahpasa Medical Faculty
Istanbul, , Turkey (Türkiye)
Acibadem Saglik Hizmetleri ve Tic.A.S, Acibadem Atakent Hastanesi
Istanbul, , Turkey (Türkiye)
Istanbul Universitesi Klinik Arastirmalar Mukemmeliyet Uygulama ve Arastirma Merkezi
Istanbul, , Turkey (Türkiye)
Basaksehir Cam ve Sakura Sehir Hastanesi
Istanbul, , Turkey (Türkiye)
Kocaeli University Medical Faculty
Kocaeli, , Turkey (Türkiye)
Sbü Dr. Suat Seren Göğüs Hastaliklari Ve Cerrahisi Eğitim Ve Araştirma Hastanesi
Konak/Izmir, , Turkey (Türkiye)
Mersin University Health Research and Application Hospital
Mersin, , Turkey (Türkiye)
Sakarya University Training and Research Hospital
Sakarya, , Turkey (Türkiye)
Karadeniz Teknik Universitesi Farabi Hastanesi
Trabzon, , Turkey (Türkiye)
Communal non-profit enterprise "City Clinical Hospital #16" of Dnipro City Council
Dnipro, , Ukraine
Municipal Nonprofit Enterprise "Ivano-Frankivsk Regional Clinical Infectious Diseases Hospital of
Ivano-Frankivsk, , Ukraine
Communal nonprofit enterprise "Central City Clinical Hospital of Ivano-Frankivsk City Council"
Ivano-Frankivsk, , Ukraine
Municipal Nonprofit Enterprise "City Student Hospital" of Kharkiv City Council
Kharkiv, , Ukraine
Municipal Nonprofit Enterprise of Kharkiv Regional Council "Regional Clinical Infectious Diseases
Kharkiv, , Ukraine
"Municipal Non-Profit Enterprise "Alexander Clinical Hospital of Kyiv" of the Kyiv City Council
Kyiv, , Ukraine
Municipal non-commercial enterprise "Kyiv City Clinical Hospital #1" Of Executive Body Of the Kyiv
Kyiv, , Ukraine
Kyiv Railway Clinical Hospital No.2 of Branch "Health Center of the Public Joint Stock Company
Kyiv, , Ukraine
Polyclinic of Center for Medical Services and Rehabilitation of State Joint-Stock Holding Company
Kyiv, , Ukraine
Municipal NonProfit Enterprise of the Lviv Regional Council Lviv Regional Information and Analitical
Lviv, , Ukraine
Municipal Nonprofit Enterprise "Lviv City Clinic Hospital #4"
Lviv, , Ukraine
Municipal Enterprise "Poltava Regional Clinical Infectious Diseases Hospital" of Poltava Regional
Poltava, , Ukraine
Municipal Enterprise "Volyn Regional Clinical Hospital" of Volyn Regional Council
Tarasove Village, , Ukraine
Municipal Non-commercial Enterprise "Vinnytsia City Clinical Hospital №1"
Vinnytsia, , Ukraine
Communal Enterprise "Hospital #1" of Zhytomyr City Council
Zhytomyr, , Ukraine
Countries
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References
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Ansari W, Coetzer H, Gebo KA, Ren J, Scott A, Cappelleri JC, Cha-Silva AS, Leister-Tebbe H. Patient-Reported Outcomes of Nirmatrelvir Treatment for High-Risk, Nonhospitalized Adults With Symptomatic COVID-19. Open Forum Infect Dis. 2025 Aug 1;12(8):ofaf449. doi: 10.1093/ofid/ofaf449. eCollection 2025 Aug.
Baniecki ML, Guan S, Rai DK, Yang Q, Lee JT, Hao L, Weinstein E, Hyde C, Cardin RD, Soares H, Hammond J. Integrated virologic analysis of resistance to nirmatrelvir/ritonavir in individuals across four phase 2/3 clinical studies for the treatment of COVID-19. EBioMedicine. 2025 Aug;118:105819. doi: 10.1016/j.ebiom.2025.105819. Epub 2025 Jun 30.
Hammond J, Leister-Tebbe H, Gardner A, Abreu P, Bao W, Wisemandle W, Ansari W, Harrington MA, Simon-Campos A, Chew KW, Pypstra R, Rusnak JM. Alleviation of COVID-19 Symptoms and Reduction in Healthcare Utilization Among High-risk Patients Treated With Nirmatrelvir/Ritonavir (NMV/R): A Phase 3 Randomized Trial. Clin Infect Dis. 2025 Feb 24;80(2):323-330. doi: 10.1093/cid/ciae551.
Hammond J, Leister-Tebbe H, Gardner A, Abreu P, Bao W, Wisemandle W, Baniecki M, Hendrick VM, Damle B, Simon-Campos A, Pypstra R, Rusnak JM; EPIC-HR Investigators. Oral Nirmatrelvir for High-Risk, Nonhospitalized Adults with Covid-19. N Engl J Med. 2022 Apr 14;386(15):1397-1408. doi: 10.1056/NEJMoa2118542. Epub 2022 Feb 16.
Provided Documents
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Document Type: Statistical Analysis Plan
Document Type: Study Protocol
Related Links
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To obtain contact information for a study center near you, click here.
Other Identifiers
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2021-002895-38
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
EPIC-HR
Identifier Type: OTHER
Identifier Source: secondary_id
C4671005
Identifier Type: -
Identifier Source: org_study_id
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