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Looking for participantsPhase3

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

Sponsor: Pfizer

NCT ID: NCT05261139

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
nirmatrelvir (drug), ritonavir (drug)
How long the study runs
Study runs about 52 months (dates as stated)
About the drug or intervention
nirmatrelvir — drug: PF-07321332 · ritonavir — drug: ritonavir
Patient visit burden
Not specified by the sponsor

In plain English

This study, run by Pfizer, is testing a medicine called nirmatrelvir/ritonavir (also known as PF-07321332) in people under 18 who have COVID-19, are not in hospital, and are at risk of becoming very ill. The study aims to learn about this medicine in children and teenagers.

Who can take part

  • Aged 0 to under 18, male or female; some participants need to be able to swallow
  • Confirmed COVID-19 (SARS-CoV-2) infection within 72 hours before joining
  • First COVID-19 signs or symptoms started within 5 days before joining, with at least one symptom still present
  • Has at least one characteristic or health condition that raises the risk of severe COVID-19 illness

Who may not be able to

  • Has been, or needs to be, in hospital for COVID-19 treatment
  • High levels of a substance called bilirubin in the blood (2 or more times the normal limit), unless they have Gilbert's syndrome
  • On dialysis or with known moderate to severe kidney problems
  • Has another suspected or confirmed active infection besides COVID-19
  • Has had a bad allergic reaction or cannot take any part of the study medicine
  • Taking (or expecting to take) certain medicines that interact strongly with how the body processes this study medicine
  • Has had or is expected to have antibody treatment, antiviral treatment, or convalescent COVID-19 plasma
  • Taking part in another clinical study testing a new drug or device, including for COVID-19, during follow up
  • Females who are pregnant or breastfeeding

What taking part involves

  • • Taking the study medicine nirmatrelvir/ritonavir — details of dose and how it is given: Not stated — ask the trial team

Time commitment: Not stated — ask the trial team about study visits, how long the study lasts, and what taking part involves.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
0 Years to 17 Years
Who
All
Number of participants
160
Started
2022-03-07
Last checked
2025-07

Plain English Summary

What is this study?

  • • Testing a new treatment for covid-19
  • • Phase3 - 160 participants
  • • The purpose of this clinical trial is to learn about the safety, pharmacokinetics (pharmacokinetics helps us understand how the drug is changed and eliminated from your body after you take it), and efficacy (how well a study treatment works in the study) of the study medicine (called nirmatrelvir/ritonavir) for potential treatment of coronavirus disease 2019 (COVID-19)

Who can take part?

  • • Ages 0 Years to 17 Years
  • • Diagnosed with covid-19

Where?

  • • London - St. George's Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The purpose of this clinical trial is to learn about the safety, pharmacokinetics (pharmacokinetics helps us understand how the drug is changed and eliminated from your body after you take it), and efficacy (how well a study treatment works in the study) of the study medicine (called nirmatrelvir/ritonavir) for potential treatment of coronavirus disease 2019 (COVID-19). The study medicine will be given to patients under 18 years of age with COVID-19 that are not hospitalized but are at risk for severe disease.

COVID-19

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 0 Years - 17 Years
  • Who can join: All genders

What the study is looking for

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

Who cannot take part

  • ✗History of or need for hospitalization for the medical treatment of COVID-19
  • ✗Total liver blood test \>=2X upper limit of normal (ULN) (except for Gilbert's syndrome)
  • ✗Receiving dialysis or have known moderate to severe kidney impairment
  • ✗Suspected or confirmed concurrent active systemic infection other than COVID-19
  • ✗History of hypersensitivity or other safety concern to any of the components of the study intervention
See the full criteria
Inclusion criteria: * Male and female, age 0 to \< 18 years, able to swallow for some participants * Confirmed SARS-CoV-2 infection within 72 hours prior to enrollment * Initial onset of COVID-19 signs/symptoms within 5 days prior to the day of enrollment and at least 1 of the specified COVID-19 signs/symptoms present at enrollment * Has at least 1 characteristic or underlying medical condition associated with an increased risk of developing severe illness from COVID-19 Exclusion Criteria: * History of or need for hospitalization for the medical treatment of COVID-19 * Total bilirubin \>=2X upper limit of normal (ULN) (except for Gilbert's syndrome) * Receiving dialysis or have known moderate to severe renal impairment * Suspected or confirmed concurrent active systemic infection other than COVID-19 * History of hypersensitivity or other contraindication to any of the components of the study intervention * Current or expected use of any medications or substances that are highly dependent on CYP3A4 for clearance or strong inducers of cytochrome P450 (CYP)3A4 * Has received or is expected to receive antibody treatment, antiviral treatment or convalescent COVID-19 plasma * Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19 through the study follow up * Females who are pregnant or breastfeeding

Where Is This Study? (1 UK site)

St. George's Hospital

London SW17 0QT, United Kingdom

ACTIVE_NOT_RECRUITING
Hospital R&D contact (matched)

Mr Subhir Bedi

researchgovernance@sgul.ac.uk020 8725 4986

How to Get in Touch

Pfizer CT.gov Call Center

Sponsor contact

CONTACT

1-800-718-1021 ClinicalTrials.gov_Inquiries@pfizer.com
Data sourced from ClinicalTrials.gov · Last verified: 2025-07