EPIC-Peds: A Study to Learn About the Study Medicine Called PF-07321332 (Nirmatrelvir)/Ritonavir in Patients Under 18 Years of Age With COVID-19 That Are Not Hospitalized But Are at Risk for Severe Disease
COVID-19
About this trial
This is an interventional treatment trial for COVID-19 focused on measuring Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), Pediatrics
Eligibility Criteria
Inclusion criteria:
- Male and female, age 0 to < 18 years, able to swallow
- Confirmed SARS-CoV-2 infection within 72 hours prior to enrollment
- Initial onset of COVID-19 signs/symptoms within 5 days prior to the day of enrollment and at least 1 of the specified COVID-19 signs/symptoms present at enrollment
- Has at least 1 characteristic or underlying medical condition associated with an increased risk of developing severe illness from COVID-19
Exclusion Criteria:
- History of or need for hospitalization for the medical treatment of COVID-19
- Total bilirubin >=2X upper limit of normal (ULN) (except for Gilbert's syndrome) and/or absolute neutrophil count < 1000/mm3
- Receiving dialysis or have known moderate to severe renal impairment
- Suspected or confirmed concurrent active systemic infection other than COVID-19
- History of hypersensitivity or other contraindication to any of the components of the study intervention
- Current or expected use of any medications or substances that are highly dependent on CYP3A4 for clearance or strong inducers of cytochrome P450 (CYP)3A4
- Has received or is expected to receive antibody treatment or convalescent COVID-19 plasma
- Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19 through the study follow up
- Females who are pregnant or breastfeeding
Sites / Locations
- University of Alabama at Birmingham - School of MedicineRecruiting
- Phoenix Children's Hospital
- Arkansas Children's HospitalRecruiting
- Children's Hospital Los AngelesRecruiting
- Kaiser PermanenteRecruiting
- UCLA
- Children's Hospital of Orange CountyRecruiting
- Connecticut Children's Medical Center
- Children's National Medical CenterRecruiting
- Life Spring Research FoundationRecruiting
- Clinical Site Partners, Inc.Recruiting
- Children's Healthcare of Atlanta - Egleston HospitalRecruiting
- Rophe Adult and Pediatric Medicine/SKYCRNG
- SKY Clinical Research Network Group-Blake
- Ann & Robert H. Lurie Children's Hospital of ChicagoRecruiting
- University of Chicago Medical CenterRecruiting
- Norton Children´s HospitalRecruiting
- Novak Center for Children's HealthRecruiting
- Louisiana State University Health Sciences ShreveportRecruiting
- Johns Hopkins HospitalRecruiting
- Boston Medical CenterRecruiting
- University of Massachusetts Chan Medical SchoolRecruiting
- Wayne PediatricsRecruiting
- Childrens Hospitals and Clinics of MinnesotaRecruiting
- SKY Clinical Research Network Group-Quinn
- SKY Integrative Medical Center/SKYCRNG
- St. Louis Children's HospitalRecruiting
- Washington UniversityRecruiting
- Children's Hospital & Medical Center
- Hackensack University Medical CenterRecruiting
- Rutgers UniversityRecruiting
- University of New Mexico Hospital, COVID-19 Research Clinic
- University of New Mexico Clinical and Translational Science Center
- Suny University at BuffaloRecruiting
- Advanced Specialty CareRecruiting
- Stony Brook Medicine Clinical Research CenterRecruiting
- Cohen Children's Medical CenterRecruiting
- Columbia University Irving Medical CenterRecruiting
- Stony Brook UniversityRecruiting
- Upstate Health Care CenterRecruiting
- Crouse Physicians Office BuildingRecruiting
- SUNY Upstate Medical UniversityRecruiting
- Upstate Golisano Children's HospitalRecruiting
- Clinical and Translational Research CenterRecruiting
- investigational Drug Services Pharmacy, UNC HospitalsRecruiting
- UNC Children's HospitalRecruiting
- UNC Global Clinical Research NorthRecruiting
- University of North Carolina Medical CenterRecruiting
- Duke Vaccine And Trials UnitRecruiting
- Duke University - Main Hospital and ClinicsRecruiting
- UNC Children's RaleighRecruiting
- University Hospitals Cleveland Medical CenterRecruiting
- UH Landerbrook Health CenterRecruiting
- UH Parma Medical CenterRecruiting
- Oklahoma Childrens Hospital at OU Health
- University of Oklahoma Health Sciences Center
- Children's Hospital of Pittsburgh
- Rhode Island Hospital
- The Miriam Hospital-Clinical Trials
- Coastal Pediatric ResearchRecruiting
- Avera McKennan Hospital & University Health Center
- Avera Research Institute - Sioux Falls
- Le Bonheur Children's Hospital
- Le Bonheur Children's Hospital
- Texas Children's HospitalRecruiting
- Biopharma Informatic, LLCRecruiting
- Consano Clinical Research, LLCRecruiting
- University of UtahRecruiting
- Childrens Hospital of The Kings DaughtersRecruiting
- МHAT "Sveti Ivan Rilski" Gorna OryahovitsaRecruiting
- Diagnostic-Consultative Center I Lom EOODRecruiting
- DCC Sveti Georgi EOODRecruiting
- "Specialized Hospital for Active Treatment of Pneumo-Physiatric Diseases Dr. Dimitar Gramatikov -Recruiting
- Medical Center-1-Sevlievo EOODRecruiting
- DCC "Alexandrovska"Recruiting
- Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases Vratsa EOODRecruiting
- Markhot Ferenc Oktatokorhaz es Rendelointezet
- Debreceni Egyetem Klinikai Kozpont
- Debreceni Egyetem Klinikai KözpontRecruiting
- Instituto Nacional de Pediatria
- Hospital Infantil de Mexico Federico Gomez
- JM Research SC
- Eukarya PharmaSite S.C.
- Tecnologico de Monterrey
- Kohler & Milstein Research S.A. De C.V.
- Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatan
- Unidad de Atención Médica e Investigación en Salud
- Centenario Hospital Miguel Hidalgo
- Sociedad de Metabolismo y Corazon
- Arké SMO S.A de C.V
- Sociedad de Metabolismo y Corazon S.C.
- San Miguel MedicalRecruiting
- Worthwhile Clinical TrialsRecruiting
- CRISMO Research CentreRecruiting
- Botho Ke Bontle Health ServicesRecruiting
- Ndlovu Research Centre
- Limpopo Clinical Research InitiativeRecruiting
- St. George's Hospital
- University College London Hospital
- King's College Hospital
- Imperial College Healthcare NHS Trust
- Royal Manchester Children's Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Cohort 1 nirmatrelvir/ritonavir
Cohort 2 nirmatrelvir/ritonavir
Cohort 3 nirmatrelvir/ritonavir
Cohort 4 nirmatrelvir/ritonavir
Cohort 5 nirmatrelvir/ritonavir
nirmatrelvir/ritonavir will be given by tablets or powder by mouth twice a day for 5 days (10 doses total). Weight ≥40 kg ≥12 to <18 years ≥6 to <12 years
nirmatrelvir/ritonavir will be given as powder by mouth twice a day for 5 days (10 doses total) Weight ≥20 to <40 kg, ≥6 to <18 years
nirmatrelvir/ritonavir ≥2 to <6 years
nirmatrelvir/ritonavir ≥1 month (≥28 days) to <2 years
nirmatrelvir/ritonavir <1 month (<28 days) old