Clinical trial Recruiting at 5 sites Phase 3 Interventional Ages 0 to 17

Learning about a COVID-19 treatment for children at risk of severe disease

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

Run by Pfizer · NCT05261139 · Data updated 2026-11-12

This study is testing a COVID-19 medication to see if it helps children under 18 who are at risk for severe illness feel better and avoid serious complications.

More COVID-19 trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages0 Years to 17 Years
SexAll
Enrollment160 (estimated)
SponsorPfizer
Industry-sponsored
Locations73 sites (Phoenix, Arizona and 72 other locations)
StatusRecruiting
StartedMarch 7, 2022
Main results expectedJuly 30, 2026
Study endsJuly 30, 2026
Registry record updatedJuly 17, 2025
Trial IDNCT05261139 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 0 to under 18 years with confirmed COVID-19 and at least one risk factor for severe illness.

Probably not a fit

Patients who have been hospitalized for COVID-19 or have severe renal impairment may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to evaluate the safety and effectiveness of the medication nirmatrelvir/ritonavir in treating COVID-19 in pediatric patients under 18 years of age who are not hospitalized but are at risk for severe disease. Participants will receive the study medication within 72 hours of confirmed SARS-CoV-2 infection and must exhibit COVID-19 symptoms. The study will assess how the drug is processed in the body and its efficacy in alleviating symptoms and preventing severe illness.

Why it matters

Potential benefit: If successful, this study could provide a new treatment option for children at risk of severe COVID-19.

How similar studies have gone: Other studies have shown promise in treating COVID-19 with antiviral medications, making this approach potentially beneficial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

* Male and female, age 0 to \< 18 years, able to swallow for some participants
* Confirmed SARS-CoV-2 infection within 72 hours prior to enrollment
* Initial onset of COVID-19 signs/symptoms within 5 days prior to the day of enrollment and at least 1 of the specified COVID-19 signs/symptoms present at enrollment
* Has at least 1 characteristic or underlying medical condition associated with an increased risk of developing severe illness from COVID-19

Exclusion Criteria:

* History of or need for hospitalization for the medical treatment of COVID-19
* Total bilirubin \>=2X upper limit of normal (ULN) (except for Gilbert's syndrome)
* Receiving dialysis or have known moderate to severe renal impairment
* Suspected or confirmed concurrent active systemic infection other than COVID-19
* History of hypersensitivity or other contraindication to any of the components of the study intervention
* Current or expected use of any medications or substances that are highly dependent on CYP3A4 for clearance or strong inducers of cytochrome P450 (CYP)3A4
* Has received or is expected to receive antibody treatment, antiviral treatment or convalescent COVID-19 plasma
* Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19 through the study follow up
* Females who are pregnant or breastfeeding

Where it's running

  • Life Spring Research Foundation
    Miami, Florida, United States
    Recruiting
  • Children's Healthcare of Atlanta - Arthur M. Blank Hospital
    Atlanta, Georgia, United States
    Recruiting
  • University of Chicago Medical Center
    Chicago, Illinois, United States
    Recruiting
  • Louisiana State University Health Sciences Shreveport
    Shreveport, Louisiana, United States
    Recruiting
  • Consano Clinical Research, LLC
    Shavano Park, Texas, United States
    Recruiting
  • Phoenix Children's Hospital
    Phoenix, Arizona, United States
    Active not recruiting
Show 44 more locations
  • Children's Hospital Los Angeles
    Los Angeles, California, United States
    Active not recruiting
  • Kaiser Permanente
    Los Angeles, California, United States
    Active not recruiting
  • UCLA David Geffen School of Medicine
    Los Angeles, California, United States
    Not yet recruiting
  • UCLA
    Los Angeles, California, United States
    Not yet recruiting
  • Children's National Medical Center
    Washington D.C., District of Columbia, United States
    Active not recruiting
  • Rophe Adult and Pediatric Medicine/SKYCRNG
    Union City, Georgia, United States
    Terminated
  • Ann & Robert H. Lurie Children's Hospital of Chicago
    Chicago, Illinois, United States
    Active not recruiting
  • Johns Hopkins Hospital
    Baltimore, Maryland, United States
    Not yet recruiting
  • Boston Medical Center
    Boston, Massachusetts, United States
    Active not recruiting
  • University of Massachusetts Chan Medical School
    Worcester, Massachusetts, United States
    Terminated
  • Childrens Hospitals and Clinics of Minnesota
    Minneapolis, Minnesota, United States
    Not yet recruiting
  • SKY Integrative Medical Center/SKYCRNG
    Ridgeland, Mississippi, United States
    Active not recruiting
  • St. Louis Children's Hospital
    St Louis, Missouri, United States
    Not yet recruiting
  • Washington University School of Medicine
    St Louis, Missouri, United States
    Not yet recruiting
  • Children's Hospital & Medical Center
    Omaha, Nebraska, United States
    Terminated
  • University of New Mexico Hospital, COVID-19 Research Clinic
    Albuquerque, New Mexico, United States
    Terminated
  • University of New Mexico Clinical and Translational Science Center
    Albuquerque, New Mexico, United States
    Terminated
  • Suny University at Buffalo
    Buffalo, New York, United States
    Not yet recruiting
  • Advanced Specialty Care
    Commack, New York, United States
    Not yet recruiting
  • Stony Brook Medicine Clinical Research Center
    East Setauket, New York, United States
    Not yet recruiting
  • Cohen Children's Medical Center
    New Hyde Park, New York, United States
    Not yet recruiting
  • Columbia University Irving Medical Center
    New York, New York, United States
    Not yet recruiting
  • Stony Brook University
    Stony Brook, New York, United States
    Not yet recruiting
  • Upstate Health Care Center
    Syracuse, New York, United States
    Not yet recruiting
  • Crouse Physicians Office Building
    Syracuse, New York, United States
    Not yet recruiting
  • SUNY Upstate Medical University
    Syracuse, New York, United States
    Not yet recruiting
  • Upstate Golisano Children's Hospital
    Syracuse, New York, United States
    Not yet recruiting
  • Clinical and Translational Research Center
    Chapel Hill, North Carolina, United States
    Terminated
  • investigational Drug Services Pharmacy, UNC Hospitals
    Chapel Hill, North Carolina, United States
    Terminated
  • UNC Children's Hospital
    Chapel Hill, North Carolina, United States
    Terminated
  • UNC Global Clinical Research North
    Chapel Hill, North Carolina, United States
    Terminated
  • University of North Carolina Medical Center
    Chapel Hill, North Carolina, United States
    Terminated
  • UNC Children's Raleigh
    Raleigh, North Carolina, United States
    Terminated
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Active not recruiting
  • UH Landerbrook Health Center
    Mayfield Heights, Ohio, United States
    Active not recruiting
  • UH Parma Medical Center
    Parma, Ohio, United States
    Active not recruiting
  • Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania, United States
    Not yet recruiting
  • Rhode Island Hospital
    Providence, Rhode Island, United States
    Active not recruiting
  • The Miriam Hospital-Clinical Trials
    Providence, Rhode Island, United States
    Active not recruiting
  • Avera McKennan Hospital & University Health Center
    Sioux Falls, South Dakota, United States
    Terminated
  • Avera Research Institute - Sioux Falls
    Sioux Falls, South Dakota, United States
    Terminated
  • Texas Children's Hospital
    Houston, Texas, United States
    Not yet recruiting
  • Biopharma Informatic, LLC
    McAllen, Texas, United States
    Terminated
  • University of Utah
    Salt Lake City, Utah, United States
    Not yet recruiting

+23 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.