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Efficacy and Safety of Molnupiravir (MK-4482) in Non-Hospitalized Adult Participants With COVID-19 (MK-4482-002)

Primary Purpose

Coronavirus Disease (COVID-19)

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Molnupiravir
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronavirus Disease (COVID-19)

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Has documentation of laboratory confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection with sample collection ≤5 days prior to the day of randomization. PCR is the preferred method; however with evolving approaches to laboratory confirmation of SARS-CoV-2 infection, other molecular or antigen tests that detect viral ribonucleic acid (RNA) or protein are allowed if authorized for use in the country. Serological tests that detect host antibodies generated in response to recent or prior infection are not allowed.
  • Had initial onset of signs/symptoms attributable to COVID-19 for ≤5 days prior to the day of randomization and at least 1 of the following sign/symptom attributable to COVID-19 on the day of randomization.
  • Has mild or moderate COVID-19.
  • Has at least 1 characteristic or underlying medical condition associated with an increased risk of severe illness from COVID-19.
  • Males agree to the following during the intervention period and for at least 4 days after the last dose of study intervention: Either abstain from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent; or must agree to use contraception.
  • Females are not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of child bearing potential (WOCBP); or is a WOCBP and using a contraceptive method that is highly effective (a low user dependency method OR a user dependent method in combination with barrier method), or be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) for at least 4 days after the last dose of study intervention; a WOCBP must have a negative highly sensitive pregnancy test (urine or serum test is required) within 24 hours before the first dose of study intervention.

Exclusion Criteria:

  • Is currently hospitalized or is expected to need hospitalization for COVID-19 within 48 hours of randomization.
  • Is on dialysis or has reduced estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m^2 by the Modification of Diet in Renal Disease (MDRD) equation.
  • Has any of the following conditions: human immunodeficiency virus (HIV) with a recent viral load >50 copies/mL (regardless of CD4 count) or an AIDS-defining illness in the past 6 months, participants with HIV may only be enrolled if on a stable antiretroviral therapy regimen; a neutrophilic granulocyte absolute count <500/mm^3.
  • Has a history of hepatitis B virus (HBV) or hepatitis C virus (HCV) with cirrhosis, end-stage liver disease, hepatocellular carcinoma, aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >3X upper limit of normal at screening.
  • Has a platelet count <100,000/μL or received a platelet transfusion in the 5 days prior to randomization.
  • Is taking or is anticipated to require any prohibited therapies.
  • Is unwilling to abstain from participating in another interventional clinical study through Day 29 with an investigational compound or device, including those for COVID-19 therapeutics.
  • Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator.
  • Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments including but not limited to: participants who are not expected to survive longer than 48 hours after randomization, or participants with a recent history of mechanical ventilation, or participants with conditions that could limit gastrointestinal absorption of capsule contents.

Sites / Locations

  • Phoenix Medical Group ( Site 1822)
  • Ruane Clinical Research Group, Inc. ( Site 2406)
  • Men's Health Foundation ( Site 1820)
  • Carbon Health Technologies Inc ( Site 2505)
  • UC Davis Medical Center ( Site 1833)
  • Emerson Clinical Research Institute ( Site 1828)
  • JEM Research Institute ( Site 2508)
  • Midway Immunology and Research Center ( Site 1837)
  • Indago Research & Health Center, Inc ( Site 1809)
  • Advanced Research For Health Improvement LLC ( Site 1816)
  • Advanced Medical Research, LLC ( Site 1864)
  • Advanced Research For Health Improvement LLC ( Site 1813)
  • Bliss Healthcare Services ( Site 1847)
  • Javara Inc. ( Site 1869)
  • IACT Health ( Site 1818)
  • Javara Inc. ( Site 1868)
  • Loretto Hospital ( Site 1886)
  • Jadestone Clinical Research, LLC ( Site 2502)
  • Michigan Center of Medical Research ( Site 2500)
  • University of Nebraska Medical Center ( Site 2414)
  • Amici Clinical Research LLC ( Site 2507)
  • University of New Mexico, Health Sciences Center ( Site 1819)
  • AXCES Research Group ( Site 2418)
  • Saint Hope Foundation, Inc. ( Site 1830)
  • The Crofoot Research Center, Inc. ( Site 1812)
  • Javara Inc. ( Site 1866)
  • Clinical Research Partners, LLC. ( Site 2503)
  • Swedish Medical Center First Hill ( Site 1807)
  • Fred Hutchinson Cancer Center ( Site 1829)
  • Multicare Health System ( Site 1811)
  • Multicare Health System ( Site 1814)
  • Medical College Of Wisconsin ( Site 2510)
  • Clinica Independencia ( Site 3400)
  • Instituto Medico de la Fundacion Estudios Clinicos ( Site 3401)
  • Chronos Pesquisa Clínica ( Site 0155)
  • Santa Casa de Misericordia de Belo Horizonte ( Site 0150)
  • Hospital de Clinicas da Universidade Federal do Parana ( Site 0154)
  • Hospital Tacchini ( Site 0157)
  • FUNFARME Hospital de Base Centro Integrado de Pesquisa ( Site 0151)
  • Instituto de Infectologia Emilio Ribas ( Site 0153)
  • Centro de Pesquisa Clinica II - ICHC - FMUSP ( Site 0152)
  • Hamilton Medical Research Group ( Site 0207)
  • University Health Network - Toronto General Hospital ( Site 0201)
  • Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0200)
  • McGill University Health Centre ( Site 0204)
  • Servicios Medicos Urumed ( Site 0307)
  • Clinical Research Chile SpA ( Site 0308)
  • Clinica Universidad de los Andes ( Site 0302)
  • Fundacion Arturo Lopez Perez ( Site 0305)
  • Espacio EME ( Site 0304)
  • Centro de Investigacion Clinica UC CICUC ( Site 0309)
  • Clinica Bicentenario Spa ( Site 0306)
  • Hospital Pablo Tobon Uribe ( Site 0405)
  • Centro Cientifico Asistencial Jose Luis Accini ( Site 0416)
  • Clinica de la Costa Ltda. ( Site 0403)
  • Oncomedica S.A. ( Site 0407)
  • Caja de Compensación Familiar CAFAM. Sede Centro de Atención en Salud CAFAM Floresta ( Site 0406)
  • Centro de Atencion e Investigacion Medica CAIMED ( Site 0413)
  • Fundacion Santa Fe de Bogota ( Site 0412)
  • Fundacion Cardiovascular de Colombia ( Site 0402)
  • Fundacion Valle del Lili ( Site 0401)
  • Centro Medico Imbanaco de Cali S.A ( Site 0415)
  • National Center for allergies and chest ( Site 3320)
  • National Hepatology & Tropical Medicine Research Institute (NHTMRI) ( Site 3300)
  • Abbassia Chest Hospital ( Site 3340)
  • Abbassia Fever Hospital ( Site 3330)
  • Helwan Fever Hospital ( Site 3350)
  • Hopital Bichat Claude Bernard ( Site 0503)
  • Hopital Saint Joseph ( Site 0513)
  • Groupe Hospitalier Pellegrin ( Site 0511)
  • CHU de la Reunion - Groupe Hospitalier Sud ( Site 0514)
  • C.H.U. de Toulouse Hopital Purpan ( Site 0501)
  • Centre Hospitalier de Tourcoing ( Site 0502)
  • CHU Hopital Saint Antoine ( Site 0505)
  • Pitie Salpetriere University Hospital-Infectious Disease - Tropical Diseases ( Site 0504)
  • Universitaetsklinikum Frankfurt ( Site 2302)
  • Universitaetsklinikum Essen ( Site 2305)
  • ZIBP-Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH ( Site 2301)
  • ICH Study Center GmbH & Co.KG ( Site 2306)
  • Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 2601)
  • Clinica Privada Dr. Jose Francisco Flores Lopez ( Site 2600)
  • Hadassah Medical Center. Ein Kerem ( Site 2100)
  • Asl Napoli 1 Centro ( Site 0610)
  • Policlinico S. Orsola-Malpighi ( Site 0604)
  • IRCCS Ospedale Policlinico San Martino ( Site 0603)
  • Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico ( Site 0606)
  • Ospedale San Raffaele ( Site 0605)
  • ASST Fatebenefratelli-Ospedale Sacco ( Site 0601)
  • Ospedale Niguarda ( Site 0608)
  • AOU Policlinico Paolo Giaccone ( Site 0609)
  • Istituto Nazionale per Le Malattie Infettive Lazzaro Spallanzani ( Site 0600)
  • Ospedale Amedeo di Savoia, Malattie Infettive ( Site 0602)
  • Azienda Sanitaria Universitaria Friuli Centrale -ASU FC ( Site 0607)
  • Chiba Aoba Municipal Hospital ( Site 0702)
  • Den-en-chofu family clinic ( Site 0701)
  • Center Hospital of the National Center for Global Health and Medicine ( Site 0700)
  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran ( Site 0802)
  • CAIMED México ( Site 0814)
  • Hospital Regional de Alta Especialidad del Bajio ( Site 0807)
  • Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0800)
  • Hospital Universitario Dr. Jose Eleuterio Gonzalez ( Site 0803)
  • Centro de Investigacion y Avances Medicos Especializados -CIAME ( Site 0810)
  • Köhler & Milstein Research S.A. de C.V. ( Site 0809)
  • ICARO Investigaciones en Medicina ( Site 0812)
  • Oaxaca Site Management Organization S.C. ( Site 0811)
  • Clinical Research Institute S.C. ( Site 0813)
  • Arké SMO S.A de C.V ( Site 0808)
  • Lung Center of the Philippines ( Site 0902)
  • Quirino Memorial Medical Center ( Site 0903)
  • NZOZ Centrum Medyczne Szpital Swietej Rodziny ( Site 1006)
  • Krakowskie Centrum Medyczne Sp. z o.o ( Site 1008)
  • Centrum Medyczne Pulawska Sp. z o.o. ( Site 1007)
  • Centrum Medyczne MEDYK Sp. z o.o. Sp.k. ( Site 1009)
  • Central Scientific Research Institute of Epidemiology ( Site 1104)
  • Open Joint Stock Company Clinical and Diagnostic Center Euromedservice ( Site 1122)
  • Hadassah Medical LTD ( Site 1124)
  • Central Clinical Hospital with Polyclinic ( Site 1105)
  • City Hospital No.33 of Leninsky ( Site 1127)
  • SPb SBHI City outpatient clinic 112 ( Site 1128)
  • Medical Research Institute LLC ( Site 1116)
  • Smorodintsev Research Institute of Influenza ( Site 1129)
  • SPb SBHI City outpatient clinic 4 ( Site 1131)
  • Strategic Medical System LLC ( Site 1114)
  • St.Petersburg Outpatient Clinic No. 109 ( Site 1119)
  • Limited liability company "Scientific research center Eco-safety" ( Site 1117)
  • City Polyclinic N44 ( Site 1130)
  • Smolensk State Medical University ( Site 1110)
  • Republican Clinical Infectious Hospital n.a. A.F. Agafonov ( Site 1100)
  • IATROS International ( Site 1212)
  • Right To Care Research - Esizayo ( Site 1229)
  • Mzansi Ethical Research Centre ( Site 1225)
  • Jongaie Research ( Site 1223)
  • Wits Baragwanath Clinical Trial Site ( Site 1214)
  • Enhancing Care Foundation-DICRS ( Site 1216)
  • Limpopo Clinical Research Initiative ( Site 1227)
  • TREAD Research ( Site 1211)
  • Desmond Tutu HIV Foundation Clinical Trial Unit ( Site 1219)
  • Be Part Yoluntu Centre ( Site 1218)
  • Paarl Research Centre ( Site 1228)
  • Clinical Projects Research Centre ( Site 1215)
  • CAP Centelles ( Site 1308)
  • Hospital General Universitario Gregorio Maranon ( Site 1302)
  • Fundacion Hospital Alcorcon de Madrid ( Site 1314)
  • CAP Sardenya - Barcelona ( Site 1307)
  • Hospital Clinic ( Site 1304)
  • Hospital Universitari Germans Trias i Pujol ( Site 1303)
  • Hospital Universitario Infanta Leonor ( Site 1310)
  • Hospital Universitario Ramon y Cajal ( Site 1301)
  • Hospital Universitario La Paz ( Site 1300)
  • Karolinska Universitetssjukhuset Solna ( Site 1400)
  • ClinSmart Sweden AB.Uppsala ( Site 1402)
  • Sahlgrenska Universitetssjukhuset Ostra ( Site 1401)
  • National Taiwan University Hospital ( Site 3100)
  • Taoyuan General Hospital ( Site 3101)
  • Ivano-Frankivsk Regional Clinical Infectious Diseases Hospital ( Site 1605)
  • CNE Central city clinical hospital of Ivano-Frankivsk city council ( Site 1604)
  • MNE Ivano-Frankivsk Regional Phthisiology-Pulmonology Center ( Site 1603)
  • Non profit municipal enterprise City hospital student of Kharkiv city council ( Site 1621)
  • PCNE Kharkiv City polyclinic 9 of the Kharkiv City Council ( Site 1627)
  • Limited Liability Company Medical center Healthy Happy ( Site 1625)
  • LLC "Adonis plus" ( Site 1619)
  • Kyiv railway clinical hospital 2 of Branch Health center ( Site 1602)
  • ARTEM. State Holding Company ( Site 1618)
  • Municipal Noncommercial Enterprise Lviv 4th City Clinical Hospital ( Site 1622)
  • MNCE -Odesa regional clinical hospital of Odesa regional council ( Site 1626)
  • Municipal Enterprise Poltava Regional Clinical Infectious Hospital ( Site 1614)
  • Medical Center Health Clinic ( Site 1623)
  • The Adam Practice ( Site 1708)
  • Accellacare South London Quality Research Centre ( Site 1709)
  • Royal Free London NHS Foundation Trust ( Site 1700)
  • King's College Hospital ( Site 1707)
  • Layton Medical Centre ( Site 1705)
  • Newcastle upon Tyne Hospitals NHS Foundation Trust ( Site 1704)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Part 1: Molnupiravir 200 mg

Part 1: Molnupiravir 400 mg

Part 1: Molnupiravir 800 mg

Part 1: Placebo

Part 2: Molnupiravir 800 mg

Part 2: Placebo

Arm Description

200 mg molnupiravir administered orally every 12 hours for 5 days (10 doses total)

400 mg molnupiravir administered orally every 12 hours for 5 days (10 doses total)

800 mg molnupiravir administered orally every 12 hours for 5 days (10 doses total)

Placebo matching molnupiravir administered orally every 12 hours for 5 days (10 doses total)

800 mg Molnupiravir (dose to be selected) administered orally every 12 hours for 5 days (10 doses total)

Placebo matching molnupiravir administered orally every 12 hours for 5 days (10 doses total)

Outcomes

Primary Outcome Measures

Percentage of Participants Who Were Hospitalized and/or Died Through Day 29 (Primary Pre-specified Analysis)
The percentage of participants who were hospitalized and/or died through Day 29 is presented. Hospitalization (all cause) is defined as at least 24 hours of acute care in a hospital or similar acute care facility. Death was due to any cause. Any participants with an unknown survival status at Day 29 were treated as failure. The analysis in Part 2 was based on all participants enrolled by the pre-specified futility/early efficacy analysis and was used for demonstration of superiority to placebo for the primary efficacy outcome measure.
Number of Participants With an Adverse Event (AE)
The number of participants with at least 1 AE is presented. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Number of Participants Who Discontinued Study Intervention Due to an AE
The number of participants who discontinued study intervention due to an AE is presented. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Secondary Outcome Measures

Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Cough
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Sore Throat
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Nasal Congestion
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Rhinorrhea
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Shortness of Breath or Difficulty Breathing
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Muscles or Body Aches
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Fatigue
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Feeling Hot or Feverish
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Chills
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Headache
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Nausea
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Vomiting
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Diarrhea
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Loss of Taste
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Loss of Smell
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Cough
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Sore Throat
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Nasal Congestion
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Rhinorrhea
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Shortness of Breath or Difficulty Breathing
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Muscle or Body Aches
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Fatigue
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Feeling Hot or Feverish
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Chills
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Headache
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Nausea
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Vomiting
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Diarrhea
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Loss of Taste
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Loss of Smell
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 3
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on End of Treatment (EOT [Day 5])
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 10
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 15
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 29
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.

Full Information

First Posted
September 30, 2020
Last Updated
June 5, 2023
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04575597
Brief Title
Efficacy and Safety of Molnupiravir (MK-4482) in Non-Hospitalized Adult Participants With COVID-19 (MK-4482-002)
Official Title
A Phase 2/3, Randomized, Placebo-Controlled, Double-Blind Clinical Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of MK-4482 in Non-Hospitalized Adults With COVID-19.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
October 19, 2020 (Actual)
Primary Completion Date
May 5, 2022 (Actual)
Study Completion Date
May 5, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Sharp & Dohme LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study aims to evaluate the safety, tolerability and efficacy of molnupiravir (MK-4482) compared to placebo. The primary hypothesis is that molnupiravir is superior to placebo as assessed by the percentage of participants who are hospitalized and/or die through Day 29

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronavirus Disease (COVID-19)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1735 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1: Molnupiravir 200 mg
Arm Type
Experimental
Arm Description
200 mg molnupiravir administered orally every 12 hours for 5 days (10 doses total)
Arm Title
Part 1: Molnupiravir 400 mg
Arm Type
Experimental
Arm Description
400 mg molnupiravir administered orally every 12 hours for 5 days (10 doses total)
Arm Title
Part 1: Molnupiravir 800 mg
Arm Type
Experimental
Arm Description
800 mg molnupiravir administered orally every 12 hours for 5 days (10 doses total)
Arm Title
Part 1: Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo matching molnupiravir administered orally every 12 hours for 5 days (10 doses total)
Arm Title
Part 2: Molnupiravir 800 mg
Arm Type
Experimental
Arm Description
800 mg Molnupiravir (dose to be selected) administered orally every 12 hours for 5 days (10 doses total)
Arm Title
Part 2: Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo matching molnupiravir administered orally every 12 hours for 5 days (10 doses total)
Intervention Type
Drug
Intervention Name(s)
Molnupiravir
Other Intervention Name(s)
MK-4482
Intervention Description
Molnupiravir administered orally in capsule form every 12 hours for 5 days (10 doses total)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matching molnupiravir administered orally in capsule form every 12 hours for 5 days (10 doses total)
Primary Outcome Measure Information:
Title
Percentage of Participants Who Were Hospitalized and/or Died Through Day 29 (Primary Pre-specified Analysis)
Description
The percentage of participants who were hospitalized and/or died through Day 29 is presented. Hospitalization (all cause) is defined as at least 24 hours of acute care in a hospital or similar acute care facility. Death was due to any cause. Any participants with an unknown survival status at Day 29 were treated as failure. The analysis in Part 2 was based on all participants enrolled by the pre-specified futility/early efficacy analysis and was used for demonstration of superiority to placebo for the primary efficacy outcome measure.
Time Frame
Up to 29 days
Title
Number of Participants With an Adverse Event (AE)
Description
The number of participants with at least 1 AE is presented. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Time Frame
Up to 318 days
Title
Number of Participants Who Discontinued Study Intervention Due to an AE
Description
The number of participants who discontinued study intervention due to an AE is presented. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Time Frame
Up to 5 days
Secondary Outcome Measure Information:
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Cough
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Sore Throat
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Nasal Congestion
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Rhinorrhea
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Shortness of Breath or Difficulty Breathing
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Muscles or Body Aches
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Fatigue
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Feeling Hot or Feverish
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Chills
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Headache
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Nausea
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Vomiting
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Diarrhea
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Loss of Taste
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Sustained Resolution or Improvement of Each Targeted COVID-19 Sign/Symptom - Loss of Smell
Description
Time to sustained resolution or improvement of the targeted sign/symptom was defined as the number of days from randomization to the first of three consecutive days when resolution or improvement of the targeted sign/symptom was demonstrated and did not worsen by Day 29. The median number of days from randomization to the first day on or before study Day 29 for sustained resolution or improvement is presented. Per protocol, participants without the targeted sign/symptom reported at randomization were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Cough
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Sore Throat
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Nasal Congestion
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Rhinorrhea
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Shortness of Breath or Difficulty Breathing
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Muscle or Body Aches
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Fatigue
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Feeling Hot or Feverish
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Chills
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Headache
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Nausea
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Vomiting
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Diarrhea
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Loss of Taste
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Time to Progression of Each Targeted COVID-19 Sign/Symptom - Loss of Smell
Description
Time to progression of the targeted sign/symptom was defined as the number of days from randomization to the first of two consecutive days when the targeted sign/symptom was worsened. The median number of days from randomization to the first day on or before study Day 29 for progression/worsening is presented. Per protocol, participants with symptoms reported at randomization as severe for the targeted sign/symptom were not included in the analysis.
Time Frame
Up to 29 days
Title
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 3
Description
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Time Frame
Day 3
Title
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on End of Treatment (EOT [Day 5])
Description
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Time Frame
EOT (Day 5)
Title
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 10
Description
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Time Frame
Day 10
Title
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 15
Description
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Time Frame
Day 15
Title
Number of Participants With Responses on WHO 11-point Ordinal Outcomes Score on a Scale on Day 29
Description
The World Health Organization (WHO) outcome scale is an 11-point ordinal score that categorizes clinical progression. Score ranges from 0 ("uninfected") to 10 ("dead") with higher score indicating clinical progression. The number of participants at each score category is presented.
Time Frame
Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has documentation of laboratory confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection with sample collection ≤5 days prior to the day of randomization. PCR is the preferred method; however with evolving approaches to laboratory confirmation of SARS-CoV-2 infection, other molecular or antigen tests that detect viral ribonucleic acid (RNA) or protein are allowed if authorized for use in the country. Serological tests that detect host antibodies generated in response to recent or prior infection are not allowed. Had initial onset of signs/symptoms attributable to COVID-19 for ≤5 days prior to the day of randomization and at least 1 of the following sign/symptom attributable to COVID-19 on the day of randomization. Has mild or moderate COVID-19. Has at least 1 characteristic or underlying medical condition associated with an increased risk of severe illness from COVID-19. Males agree to the following during the intervention period and for at least 4 days after the last dose of study intervention: Either abstain from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent; or must agree to use contraception. Females are not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of child bearing potential (WOCBP); or is a WOCBP and using a contraceptive method that is highly effective (a low user dependency method OR a user dependent method in combination with barrier method), or be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) for at least 4 days after the last dose of study intervention; a WOCBP must have a negative highly sensitive pregnancy test (urine or serum test is required) within 24 hours before the first dose of study intervention. Exclusion Criteria: Is currently hospitalized or is expected to need hospitalization for COVID-19 within 48 hours of randomization. Is on dialysis or has reduced estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m^2 by the Modification of Diet in Renal Disease (MDRD) equation. Has any of the following conditions: human immunodeficiency virus (HIV) with a recent viral load >50 copies/mL (regardless of CD4 count) or an AIDS-defining illness in the past 6 months, participants with HIV may only be enrolled if on a stable antiretroviral therapy regimen; a neutrophilic granulocyte absolute count <500/mm^3. Has a history of hepatitis B virus (HBV) or hepatitis C virus (HCV) with cirrhosis, end-stage liver disease, hepatocellular carcinoma, aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >3X upper limit of normal at screening. Has a platelet count <100,000/μL or received a platelet transfusion in the 5 days prior to randomization. Is taking or is anticipated to require any prohibited therapies. Is unwilling to abstain from participating in another interventional clinical study through Day 29 with an investigational compound or device, including those for COVID-19 therapeutics. Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator. Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments including but not limited to: participants who are not expected to survive longer than 48 hours after randomization, or participants with a recent history of mechanical ventilation, or participants with conditions that could limit gastrointestinal absorption of capsule contents.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
Facility Information:
Facility Name
Phoenix Medical Group ( Site 1822)
City
Peoria
State/Province
Arizona
ZIP/Postal Code
85381
Country
United States
Facility Name
Ruane Clinical Research Group, Inc. ( Site 2406)
City
Los Angeles
State/Province
California
ZIP/Postal Code
90036
Country
United States
Facility Name
Men's Health Foundation ( Site 1820)
City
Los Angeles
State/Province
California
ZIP/Postal Code
90069
Country
United States
Facility Name
Carbon Health Technologies Inc ( Site 2505)
City
North Hollywood
State/Province
California
ZIP/Postal Code
91606
Country
United States
Facility Name
UC Davis Medical Center ( Site 1833)
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Emerson Clinical Research Institute ( Site 1828)
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20011
Country
United States
Facility Name
JEM Research Institute ( Site 2508)
City
Atlantis
State/Province
Florida
ZIP/Postal Code
33462
Country
United States
Facility Name
Midway Immunology and Research Center ( Site 1837)
City
Fort Pierce
State/Province
Florida
ZIP/Postal Code
34982
Country
United States
Facility Name
Indago Research & Health Center, Inc ( Site 1809)
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Advanced Research For Health Improvement LLC ( Site 1816)
City
Immokalee
State/Province
Florida
ZIP/Postal Code
34142
Country
United States
Facility Name
Advanced Medical Research, LLC ( Site 1864)
City
Miami
State/Province
Florida
ZIP/Postal Code
33174
Country
United States
Facility Name
Advanced Research For Health Improvement LLC ( Site 1813)
City
Naples
State/Province
Florida
ZIP/Postal Code
34102
Country
United States
Facility Name
Bliss Healthcare Services ( Site 1847)
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Javara Inc. ( Site 1869)
City
Albany
State/Province
Georgia
ZIP/Postal Code
31707
Country
United States
Facility Name
IACT Health ( Site 1818)
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Javara Inc. ( Site 1868)
City
Fayetteville
State/Province
Georgia
ZIP/Postal Code
30214
Country
United States
Facility Name
Loretto Hospital ( Site 1886)
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60644
Country
United States
Facility Name
Jadestone Clinical Research, LLC ( Site 2502)
City
Laurel
State/Province
Maryland
ZIP/Postal Code
20708
Country
United States
Facility Name
Michigan Center of Medical Research ( Site 2500)
City
Farmington Hills
State/Province
Michigan
ZIP/Postal Code
48334
Country
United States
Facility Name
University of Nebraska Medical Center ( Site 2414)
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68198
Country
United States
Facility Name
Amici Clinical Research LLC ( Site 2507)
City
Raritan
State/Province
New Jersey
ZIP/Postal Code
08869
Country
United States
Facility Name
University of New Mexico, Health Sciences Center ( Site 1819)
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131
Country
United States
Facility Name
AXCES Research Group ( Site 2418)
City
Santa Fe
State/Province
New Mexico
ZIP/Postal Code
87505
Country
United States
Facility Name
Saint Hope Foundation, Inc. ( Site 1830)
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
The Crofoot Research Center, Inc. ( Site 1812)
City
Houston
State/Province
Texas
ZIP/Postal Code
77098
Country
United States
Facility Name
Javara Inc. ( Site 1866)
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77478
Country
United States
Facility Name
Clinical Research Partners, LLC. ( Site 2503)
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23226
Country
United States
Facility Name
Swedish Medical Center First Hill ( Site 1807)
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Fred Hutchinson Cancer Center ( Site 1829)
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
Multicare Health System ( Site 1811)
City
Spokane
State/Province
Washington
ZIP/Postal Code
99204
Country
United States
Facility Name
Multicare Health System ( Site 1814)
City
University Place
State/Province
Washington
ZIP/Postal Code
98466
Country
United States
Facility Name
Medical College Of Wisconsin ( Site 2510)
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
Clinica Independencia ( Site 3400)
City
Vicente Lopez
State/Province
Buenos Aires
ZIP/Postal Code
B1605FRE
Country
Argentina
Facility Name
Instituto Medico de la Fundacion Estudios Clinicos ( Site 3401)
City
Rosario
State/Province
Santa Fe
ZIP/Postal Code
2000
Country
Argentina
Facility Name
Chronos Pesquisa Clínica ( Site 0155)
City
Brasilia
State/Province
Distrito Federal
ZIP/Postal Code
72145-424
Country
Brazil
Facility Name
Santa Casa de Misericordia de Belo Horizonte ( Site 0150)
City
Belo Horizonte
State/Province
Minas Gerais
ZIP/Postal Code
30150-221
Country
Brazil
Facility Name
Hospital de Clinicas da Universidade Federal do Parana ( Site 0154)
City
Curitiba
State/Province
Parana
ZIP/Postal Code
80060-900
Country
Brazil
Facility Name
Hospital Tacchini ( Site 0157)
City
Bento Goncalves
State/Province
Rio Grande Do Sul
ZIP/Postal Code
95700-000
Country
Brazil
Facility Name
FUNFARME Hospital de Base Centro Integrado de Pesquisa ( Site 0151)
City
Sao Jose do Rio Preto
State/Province
Sao Paulo
ZIP/Postal Code
15090-000
Country
Brazil
Facility Name
Instituto de Infectologia Emilio Ribas ( Site 0153)
City
Sao Paulo
ZIP/Postal Code
01246-900
Country
Brazil
Facility Name
Centro de Pesquisa Clinica II - ICHC - FMUSP ( Site 0152)
City
Sao Paulo
ZIP/Postal Code
05403-010
Country
Brazil
Facility Name
Hamilton Medical Research Group ( Site 0207)
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8M1K7
Country
Canada
Facility Name
University Health Network - Toronto General Hospital ( Site 0201)
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2N2
Country
Canada
Facility Name
Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0200)
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2X 3E4
Country
Canada
Facility Name
McGill University Health Centre ( Site 0204)
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4A 3J1
Country
Canada
Facility Name
Servicios Medicos Urumed ( Site 0307)
City
Rancagua
State/Province
Lbtdr Gen Bernardo O Higgins
ZIP/Postal Code
2852424
Country
Chile
Facility Name
Clinical Research Chile SpA ( Site 0308)
City
Valdivia
State/Province
Los Rios
ZIP/Postal Code
5110683
Country
Chile
Facility Name
Clinica Universidad de los Andes ( Site 0302)
City
Santiago
State/Province
Region M. De Santiago
ZIP/Postal Code
2820945
Country
Chile
Facility Name
Fundacion Arturo Lopez Perez ( Site 0305)
City
Santiago
State/Province
Region M. De Santiago
ZIP/Postal Code
7500921
Country
Chile
Facility Name
Espacio EME ( Site 0304)
City
Santiago
State/Province
Region M. De Santiago
ZIP/Postal Code
7770086
Country
Chile
Facility Name
Centro de Investigacion Clinica UC CICUC ( Site 0309)
City
Santiago
State/Province
Region M. De Santiago
ZIP/Postal Code
8330034
Country
Chile
Facility Name
Clinica Bicentenario Spa ( Site 0306)
City
Santiago
State/Province
Region M. De Santiago
ZIP/Postal Code
9160000
Country
Chile
Facility Name
Hospital Pablo Tobon Uribe ( Site 0405)
City
Medellin
State/Province
Antioquia
ZIP/Postal Code
050034
Country
Colombia
Facility Name
Centro Cientifico Asistencial Jose Luis Accini ( Site 0416)
City
Barranquilla
State/Province
Atlantico
ZIP/Postal Code
080020
Country
Colombia
Facility Name
Clinica de la Costa Ltda. ( Site 0403)
City
Barranquilla
State/Province
Atlantico
ZIP/Postal Code
080020
Country
Colombia
Facility Name
Oncomedica S.A. ( Site 0407)
City
Monteria
State/Province
Cordoba
ZIP/Postal Code
230002
Country
Colombia
Facility Name
Caja de Compensación Familiar CAFAM. Sede Centro de Atención en Salud CAFAM Floresta ( Site 0406)
City
Bogota
State/Province
Cundinamarca
ZIP/Postal Code
111211
Country
Colombia
Facility Name
Centro de Atencion e Investigacion Medica CAIMED ( Site 0413)
City
Bogota
State/Province
Cundinamarca
ZIP/Postal Code
111611
Country
Colombia
Facility Name
Fundacion Santa Fe de Bogota ( Site 0412)
City
Bogota
State/Province
Distrito Capital De Bogota
ZIP/Postal Code
110111
Country
Colombia
Facility Name
Fundacion Cardiovascular de Colombia ( Site 0402)
City
Bucaramanca
State/Province
Santander
ZIP/Postal Code
680003
Country
Colombia
Facility Name
Fundacion Valle del Lili ( Site 0401)
City
Cali
State/Province
Valle Del Cauca
ZIP/Postal Code
760032
Country
Colombia
Facility Name
Centro Medico Imbanaco de Cali S.A ( Site 0415)
City
Cali
State/Province
Valle Del Cauca
ZIP/Postal Code
760042
Country
Colombia
Facility Name
National Center for allergies and chest ( Site 3320)
City
Giza
State/Province
Al Jizah
ZIP/Postal Code
12651
Country
Egypt
Facility Name
National Hepatology & Tropical Medicine Research Institute (NHTMRI) ( Site 3300)
City
Cairo
State/Province
Al Qahirah
ZIP/Postal Code
11562
Country
Egypt
Facility Name
Abbassia Chest Hospital ( Site 3340)
City
Cairo
State/Province
Al Qahirah
ZIP/Postal Code
11591
Country
Egypt
Facility Name
Abbassia Fever Hospital ( Site 3330)
City
Cairo
State/Province
Al Qahirah
ZIP/Postal Code
11591
Country
Egypt
Facility Name
Helwan Fever Hospital ( Site 3350)
City
Cairo
State/Province
Al Qahirah
ZIP/Postal Code
12899
Country
Egypt
Facility Name
Hopital Bichat Claude Bernard ( Site 0503)
City
Paris
State/Province
Ain
ZIP/Postal Code
75018
Country
France
Facility Name
Hopital Saint Joseph ( Site 0513)
City
Marseille
State/Province
Bouches-du-Rhone
ZIP/Postal Code
13285
Country
France
Facility Name
Groupe Hospitalier Pellegrin ( Site 0511)
City
Bordeaux
State/Province
Gironde
ZIP/Postal Code
33000
Country
France
Facility Name
CHU de la Reunion - Groupe Hospitalier Sud ( Site 0514)
City
Saint Pierre Cedex
State/Province
La Reunion
ZIP/Postal Code
97448
Country
France
Facility Name
C.H.U. de Toulouse Hopital Purpan ( Site 0501)
City
Toulouse
State/Province
Midi-Pyrenees
ZIP/Postal Code
31059
Country
France
Facility Name
Centre Hospitalier de Tourcoing ( Site 0502)
City
Tourcoing
State/Province
Nord
ZIP/Postal Code
59208
Country
France
Facility Name
CHU Hopital Saint Antoine ( Site 0505)
City
Paris
ZIP/Postal Code
75012
Country
France
Facility Name
Pitie Salpetriere University Hospital-Infectious Disease - Tropical Diseases ( Site 0504)
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
Universitaetsklinikum Frankfurt ( Site 2302)
City
Frankfurt a main
State/Province
Hessen
ZIP/Postal Code
60590
Country
Germany
Facility Name
Universitaetsklinikum Essen ( Site 2305)
City
Essen
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
45147
Country
Germany
Facility Name
ZIBP-Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH ( Site 2301)
City
Berlin
ZIP/Postal Code
10439
Country
Germany
Facility Name
ICH Study Center GmbH & Co.KG ( Site 2306)
City
Hamburg
ZIP/Postal Code
20146
Country
Germany
Facility Name
Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 2601)
City
Guatemala
ZIP/Postal Code
01009
Country
Guatemala
Facility Name
Clinica Privada Dr. Jose Francisco Flores Lopez ( Site 2600)
City
Guatemala
ZIP/Postal Code
01015
Country
Guatemala
Facility Name
Hadassah Medical Center. Ein Kerem ( Site 2100)
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Facility Name
Asl Napoli 1 Centro ( Site 0610)
City
Napoles
State/Province
Napoli
ZIP/Postal Code
80145
Country
Italy
Facility Name
Policlinico S. Orsola-Malpighi ( Site 0604)
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
IRCCS Ospedale Policlinico San Martino ( Site 0603)
City
Genova
ZIP/Postal Code
16132
Country
Italy
Facility Name
Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico ( Site 0606)
City
Milano
ZIP/Postal Code
20122
Country
Italy
Facility Name
Ospedale San Raffaele ( Site 0605)
City
Milano
ZIP/Postal Code
20127
Country
Italy
Facility Name
ASST Fatebenefratelli-Ospedale Sacco ( Site 0601)
City
Milano
ZIP/Postal Code
20157
Country
Italy
Facility Name
Ospedale Niguarda ( Site 0608)
City
Milano
ZIP/Postal Code
20162
Country
Italy
Facility Name
AOU Policlinico Paolo Giaccone ( Site 0609)
City
Palermo
ZIP/Postal Code
90127
Country
Italy
Facility Name
Istituto Nazionale per Le Malattie Infettive Lazzaro Spallanzani ( Site 0600)
City
Roma
ZIP/Postal Code
00149
Country
Italy
Facility Name
Ospedale Amedeo di Savoia, Malattie Infettive ( Site 0602)
City
Torino
ZIP/Postal Code
10149
Country
Italy
Facility Name
Azienda Sanitaria Universitaria Friuli Centrale -ASU FC ( Site 0607)
City
Udine
ZIP/Postal Code
33100
Country
Italy
Facility Name
Chiba Aoba Municipal Hospital ( Site 0702)
City
Chiba
ZIP/Postal Code
260-0852
Country
Japan
Facility Name
Den-en-chofu family clinic ( Site 0701)
City
Tokyo
ZIP/Postal Code
145-0071
Country
Japan
Facility Name
Center Hospital of the National Center for Global Health and Medicine ( Site 0700)
City
Tokyo
ZIP/Postal Code
162-8655
Country
Japan
Facility Name
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran ( Site 0802)
City
Ciudad de mexico
State/Province
Distrito Federal
ZIP/Postal Code
14080
Country
Mexico
Facility Name
CAIMED México ( Site 0814)
City
Mexico City
State/Province
Distrito Federal
ZIP/Postal Code
06760
Country
Mexico
Facility Name
Hospital Regional de Alta Especialidad del Bajio ( Site 0807)
City
Leon
State/Province
Guanajuato
ZIP/Postal Code
37660
Country
Mexico
Facility Name
Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0800)
City
Guadalajara
State/Province
Jalisco
ZIP/Postal Code
44280
Country
Mexico
Facility Name
Hospital Universitario Dr. Jose Eleuterio Gonzalez ( Site 0803)
City
Monterrey
State/Province
Nuevo Leon
ZIP/Postal Code
64460
Country
Mexico
Facility Name
Centro de Investigacion y Avances Medicos Especializados -CIAME ( Site 0810)
City
Cancun
State/Province
Quintana Roo
ZIP/Postal Code
70500
Country
Mexico
Facility Name
Köhler & Milstein Research S.A. de C.V. ( Site 0809)
City
Merida
State/Province
Yucatan
ZIP/Postal Code
97070
Country
Mexico
Facility Name
ICARO Investigaciones en Medicina ( Site 0812)
City
Chihuahua
ZIP/Postal Code
31000
Country
Mexico
Facility Name
Oaxaca Site Management Organization S.C. ( Site 0811)
City
Oaxaca
ZIP/Postal Code
68000
Country
Mexico
Facility Name
Clinical Research Institute S.C. ( Site 0813)
City
Tlalnepantla de Baz
ZIP/Postal Code
54055
Country
Mexico
Facility Name
Arké SMO S.A de C.V ( Site 0808)
City
Veracruz
ZIP/Postal Code
91910
Country
Mexico
Facility Name
Lung Center of the Philippines ( Site 0902)
City
Quezon City
State/Province
National Capital Region
ZIP/Postal Code
1100
Country
Philippines
Facility Name
Quirino Memorial Medical Center ( Site 0903)
City
Quezon City
State/Province
National Capital Region
ZIP/Postal Code
1109
Country
Philippines
Facility Name
NZOZ Centrum Medyczne Szpital Swietej Rodziny ( Site 1006)
City
Lodz
State/Province
Lodzkie
ZIP/Postal Code
90-302
Country
Poland
Facility Name
Krakowskie Centrum Medyczne Sp. z o.o ( Site 1008)
City
Krakow
State/Province
Malopolskie
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Centrum Medyczne Pulawska Sp. z o.o. ( Site 1007)
City
Piaseczno
State/Province
Mazowieckie
ZIP/Postal Code
05-500
Country
Poland
Facility Name
Centrum Medyczne MEDYK Sp. z o.o. Sp.k. ( Site 1009)
City
Rzeszow
State/Province
Podkarpackie
ZIP/Postal Code
35-326
Country
Poland
Facility Name
Central Scientific Research Institute of Epidemiology ( Site 1104)
City
Moscow
State/Province
Moskva
ZIP/Postal Code
111123
Country
Russian Federation
Facility Name
Open Joint Stock Company Clinical and Diagnostic Center Euromedservice ( Site 1122)
City
Moscow
State/Province
Moskva
ZIP/Postal Code
115419
Country
Russian Federation
Facility Name
Hadassah Medical LTD ( Site 1124)
City
Moscow
State/Province
Moskva
ZIP/Postal Code
121205
Country
Russian Federation
Facility Name
Central Clinical Hospital with Polyclinic ( Site 1105)
City
Moscow
State/Province
Moskva
ZIP/Postal Code
121359
Country
Russian Federation
Facility Name
City Hospital No.33 of Leninsky ( Site 1127)
City
Nizhny Novgorod
State/Province
Nizhegorodskaya Oblast
ZIP/Postal Code
603076
Country
Russian Federation
Facility Name
SPb SBHI City outpatient clinic 112 ( Site 1128)
City
Saint Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
195427
Country
Russian Federation
Facility Name
Medical Research Institute LLC ( Site 1116)
City
Saint Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
196084
Country
Russian Federation
Facility Name
Smorodintsev Research Institute of Influenza ( Site 1129)
City
Saint Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
197376
Country
Russian Federation
Facility Name
SPb SBHI City outpatient clinic 4 ( Site 1131)
City
Saint Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
199406
Country
Russian Federation
Facility Name
Strategic Medical System LLC ( Site 1114)
City
Saint-Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
192148
Country
Russian Federation
Facility Name
St.Petersburg Outpatient Clinic No. 109 ( Site 1119)
City
Saint-Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
192289
Country
Russian Federation
Facility Name
Limited liability company "Scientific research center Eco-safety" ( Site 1117)
City
Saint-Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
196143
Country
Russian Federation
Facility Name
City Polyclinic N44 ( Site 1130)
City
St.Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
192071
Country
Russian Federation
Facility Name
Smolensk State Medical University ( Site 1110)
City
Smolensk
State/Province
Smolenskaya Oblast
ZIP/Postal Code
214019
Country
Russian Federation
Facility Name
Republican Clinical Infectious Hospital n.a. A.F. Agafonov ( Site 1100)
City
Kazan
State/Province
Tatarstan, Respublika
ZIP/Postal Code
420140
Country
Russian Federation
Facility Name
IATROS International ( Site 1212)
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9300
Country
South Africa
Facility Name
Right To Care Research - Esizayo ( Site 1229)
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2087
Country
South Africa
Facility Name
Mzansi Ethical Research Centre ( Site 1225)
City
Mpumalanga
State/Province
Gauteng
ZIP/Postal Code
1055
Country
South Africa
Facility Name
Jongaie Research ( Site 1223)
City
Pretoria-West
State/Province
Gauteng
ZIP/Postal Code
0183
Country
South Africa
Facility Name
Wits Baragwanath Clinical Trial Site ( Site 1214)
City
Soweto
State/Province
Gauteng
ZIP/Postal Code
2013
Country
South Africa
Facility Name
Enhancing Care Foundation-DICRS ( Site 1216)
City
Durban
State/Province
Kwazulu-Natal
ZIP/Postal Code
4091
Country
South Africa
Facility Name
Limpopo Clinical Research Initiative ( Site 1227)
City
Thabazimbi
State/Province
Limpopo
ZIP/Postal Code
0380
Country
South Africa
Facility Name
TREAD Research ( Site 1211)
City
Cape Town
State/Province
Western Cape
ZIP/Postal Code
7500
Country
South Africa
Facility Name
Desmond Tutu HIV Foundation Clinical Trial Unit ( Site 1219)
City
Cape Town
State/Province
Western Cape
ZIP/Postal Code
7925
Country
South Africa
Facility Name
Be Part Yoluntu Centre ( Site 1218)
City
Paarl
State/Province
Western Cape
ZIP/Postal Code
7626
Country
South Africa
Facility Name
Paarl Research Centre ( Site 1228)
City
Paarl
State/Province
Western Cape
ZIP/Postal Code
7646
Country
South Africa
Facility Name
Clinical Projects Research Centre ( Site 1215)
City
Worcester
State/Province
Western Cape
ZIP/Postal Code
6850
Country
South Africa
Facility Name
CAP Centelles ( Site 1308)
City
Centelles
State/Province
Barcelona
ZIP/Postal Code
08540
Country
Spain
Facility Name
Hospital General Universitario Gregorio Maranon ( Site 1302)
City
Madrid
State/Province
Madrid, Comunidad De
ZIP/Postal Code
28007
Country
Spain
Facility Name
Fundacion Hospital Alcorcon de Madrid ( Site 1314)
City
Alcorcon
State/Province
Madrid
ZIP/Postal Code
28922
Country
Spain
Facility Name
CAP Sardenya - Barcelona ( Site 1307)
City
Barcelona
ZIP/Postal Code
08025
Country
Spain
Facility Name
Hospital Clinic ( Site 1304)
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Hospital Universitari Germans Trias i Pujol ( Site 1303)
City
Barcelona
ZIP/Postal Code
08916
Country
Spain
Facility Name
Hospital Universitario Infanta Leonor ( Site 1310)
City
Madrid
ZIP/Postal Code
28031
Country
Spain
Facility Name
Hospital Universitario Ramon y Cajal ( Site 1301)
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Hospital Universitario La Paz ( Site 1300)
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Karolinska Universitetssjukhuset Solna ( Site 1400)
City
Stockholm
State/Province
Stockholms Lan
ZIP/Postal Code
113 61
Country
Sweden
Facility Name
ClinSmart Sweden AB.Uppsala ( Site 1402)
City
Uppsala
State/Province
Uppsala Lan
ZIP/Postal Code
752 37
Country
Sweden
Facility Name
Sahlgrenska Universitetssjukhuset Ostra ( Site 1401)
City
Goteborg
State/Province
Vastra Gotalands Lan
ZIP/Postal Code
416 85
Country
Sweden
Facility Name
National Taiwan University Hospital ( Site 3100)
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Facility Name
Taoyuan General Hospital ( Site 3101)
City
Taoyuan
ZIP/Postal Code
33004
Country
Taiwan
Facility Name
Ivano-Frankivsk Regional Clinical Infectious Diseases Hospital ( Site 1605)
City
Ivano-Frankivsk
State/Province
Ivano-Frankivska Oblast
ZIP/Postal Code
76007
Country
Ukraine
Facility Name
CNE Central city clinical hospital of Ivano-Frankivsk city council ( Site 1604)
City
Ivano-Frankivsk
State/Province
Ivano-Frankivska Oblast
ZIP/Postal Code
76018
Country
Ukraine
Facility Name
MNE Ivano-Frankivsk Regional Phthisiology-Pulmonology Center ( Site 1603)
City
Ivano-Frankivsk
State/Province
Ivano-Frankivska Oblast
ZIP/Postal Code
76018
Country
Ukraine
Facility Name
Non profit municipal enterprise City hospital student of Kharkiv city council ( Site 1621)
City
Kharkiv
State/Province
Kharkivska Oblast
ZIP/Postal Code
61002
Country
Ukraine
Facility Name
PCNE Kharkiv City polyclinic 9 of the Kharkiv City Council ( Site 1627)
City
Kharkiv
State/Province
Kharkivska Oblast
ZIP/Postal Code
61172
Country
Ukraine
Facility Name
Limited Liability Company Medical center Healthy Happy ( Site 1625)
City
Kyiv
State/Province
Kyivska Oblast
ZIP/Postal Code
01033
Country
Ukraine
Facility Name
LLC "Adonis plus" ( Site 1619)
City
Kyiv
State/Province
Kyivska Oblast
ZIP/Postal Code
02002
Country
Ukraine
Facility Name
Kyiv railway clinical hospital 2 of Branch Health center ( Site 1602)
City
Kyiv
State/Province
Kyivska Oblast
ZIP/Postal Code
03049
Country
Ukraine
Facility Name
ARTEM. State Holding Company ( Site 1618)
City
Kyiv
State/Province
Kyivska Oblast
ZIP/Postal Code
04050
Country
Ukraine
Facility Name
Municipal Noncommercial Enterprise Lviv 4th City Clinical Hospital ( Site 1622)
City
Lviv
State/Province
Lvivska Oblast
ZIP/Postal Code
79011
Country
Ukraine
Facility Name
MNCE -Odesa regional clinical hospital of Odesa regional council ( Site 1626)
City
Odessa
State/Province
Odeska Oblast
ZIP/Postal Code
65025
Country
Ukraine
Facility Name
Municipal Enterprise Poltava Regional Clinical Infectious Hospital ( Site 1614)
City
Poltava
State/Province
Poltavska Oblast
ZIP/Postal Code
36011
Country
Ukraine
Facility Name
Medical Center Health Clinic ( Site 1623)
City
Vinnytsia
State/Province
Vinnytska Oblast
ZIP/Postal Code
21009
Country
Ukraine
Facility Name
The Adam Practice ( Site 1708)
City
Poole
State/Province
Dorset
ZIP/Postal Code
BH15 2HX
Country
United Kingdom
Facility Name
Accellacare South London Quality Research Centre ( Site 1709)
City
Orpington
State/Province
Kent
ZIP/Postal Code
BR5 3QG
Country
United Kingdom
Facility Name
Royal Free London NHS Foundation Trust ( Site 1700)
City
London
State/Province
London, City Of
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
Facility Name
King's College Hospital ( Site 1707)
City
London
State/Province
London, City Of
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
Layton Medical Centre ( Site 1705)
City
Blackpool
ZIP/Postal Code
FY3 7EN
Country
United Kingdom
Facility Name
Newcastle upon Tyne Hospitals NHS Foundation Trust ( Site 1704)
City
Newcastle upon Tyne
ZIP/Postal Code
NE1 4LP
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
IPD Sharing URL
http://engagezone.msd.com/ds_documentation.php
Citations:
Citation
Caraco Y, Crofoot GE, Moncada PA, Galustyan AN, Musungaie DB, Payne B, Kovalchuk E, Gonzalez A, Brown ML, Williams-Diaz A, Gao W, Strizki JM, Grobler J, Du J, Assaid CA, Paschke A, Butterton JR, Johnson MG, De Anda C, for the MOVe-OUT Study Group. Phase 2/3 Trial of Molnupiravir for Treatment of Covid-19 in Nonhospitalized Adults.NEJM Evid 2021;1(2). DOI: 10.1056/EVIDoa2100043. Published December 16, 2021. https://evidence.nejm.org/doi/full/10.1056/EVIDoa2100043
Results Reference
result
PubMed Identifier
35667065
Citation
Johnson MG, Puenpatom A, Moncada PA, Burgess L, Duke ER, Ohmagari N, Wolf T, Bassetti M, Bhagani S, Ghosn J, Zhang Y, Wan H, Williams-Diaz A, Brown ML, Paschke A, De Anda C. Effect of Molnupiravir on Biomarkers, Respiratory Interventions, and Medical Services in COVID-19 : A Randomized, Placebo-Controlled Trial. Ann Intern Med. 2022 Aug;175(8):1126-1134. doi: 10.7326/M22-0729. Epub 2022 Jun 7.
Results Reference
derived
PubMed Identifier
34914868
Citation
Jayk Bernal A, Gomes da Silva MM, Musungaie DB, Kovalchuk E, Gonzalez A, Delos Reyes V, Martin-Quiros A, Caraco Y, Williams-Diaz A, Brown ML, Du J, Pedley A, Assaid C, Strizki J, Grobler JA, Shamsuddin HH, Tipping R, Wan H, Paschke A, Butterton JR, Johnson MG, De Anda C; MOVe-OUT Study Group. Molnupiravir for Oral Treatment of Covid-19 in Nonhospitalized Patients. N Engl J Med. 2022 Feb 10;386(6):509-520. doi: 10.1056/NEJMoa2116044. Epub 2021 Dec 16.
Results Reference
derived

Learn more about this trial

Efficacy and Safety of Molnupiravir (MK-4482) in Non-Hospitalized Adult Participants With COVID-19 (MK-4482-002)

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