Efficacy and Safety of Molnupiravir (MK-4482) in Non-Hospitalized Adult Participants With COVID-19 (MK-4482-002)
Coronavirus Disease (COVID-19)
About this trial
This is an interventional treatment trial for Coronavirus Disease (COVID-19)
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.
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
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Placebo Comparator
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
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)