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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 0 Years to 17 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 73 sites (Phoenix, Arizona and 72 other locations) |
| Status | Recruiting |
| Started | March 7, 2022 |
| Main results expected | July 30, 2026 |
| Study ends | July 30, 2026 |
| Registry record updated | July 17, 2025 |
| Trial ID | NCT05261139 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
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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
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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
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.