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Antiviral Agent

Nirmatrelvir + Ritonavir for Long COVID (PAXLC Trial)

Phase 2
Waitlist Available
Led By Harlan Krumholz, MD
Research Sponsored by Harlan M Krumholz
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Baseline 'fair' or worse general health status and 'good' or better before the index infection with no obvious other reason for the depressed general health status
Symptoms consistent with long COVID that began within 4 weeks of the index infection and persisted for >12 weeks
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day 28 and at day 15, and weeks 6, 10, 14, 18 and 24
Awards & highlights

PAXLC Trial Summary

This trial will test an anti-viral agent to improve general health status in people with long COVID, and will also collect immune signatures associated with treatment response. It is designed to make it convenient to participate.

Who is the study for?
Adults with long COVID, who had 'fair' or worse health after COVID-19 and were healthier before. They must have a positive PCR test for past infection, be over 18, speak English well, live in CT, FL, or NY, and can consent to study procedures. Excluded are those treated with nirmatrelvir/ritonavir recently, with certain liver diseases or hypersensitivities, HIV+, seriously ill recently or hospitalized/scheduled for surgery soon.Check my eligibility
What is being tested?
The trial tests Paxlovid (nirmatrelvir/ritonavir) against a placebo to see if it improves health in non-hospitalized adults with long COVID. It's randomized and double-blind: participants won't know which treatment they get. The study is decentralized; no site visits needed as drugs are mailed directly.See study design
What are the potential side effects?
Possible side effects of Paxlovid include taste disturbances (dysgeusia), diarrhea, high blood pressure (hypertension), muscle aches (myalgia), and nausea. Side effects vary by individual.

PAXLC Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My health was good before my recent infection, but now it's fair or worse without other causes.
Select...
I have had long COVID symptoms for more than 12 weeks.

PAXLC Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~day 28 and at day 15, and weeks 6, 10, 14, 18 and 24
This trial's timeline: 3 weeks for screening, Varies for treatment, and day 28 and at day 15, and weeks 6, 10, 14, 18 and 24 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
National Institutes of Health (NIH) Patient-Reported Outcomes Measurement Information System (PROMIS)-29 version 2.1 Physical Health Summary Score
Secondary outcome measures
COVID Core Outcome Measure for Recovery
Difference in number of hospitalizations and deaths
EuroQol EQ-5D-5L Utility Score-VAS (USA Version)
+8 more
Other outcome measures
Exploratory Outcome Measure

PAXLC Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Nirmatrelvir / RitonavirExperimental Treatment2 Interventions
Participants receive nirmatrelvir plus ritonavir (Paxlovid) for 15 days. All 3 tablets (2 of nirmatrelvir and 1 of ritonavir) must be taken twice daily by mouth for 15 days.
Group II: Placebo / RitonavirPlacebo Group2 Interventions
Participants receive placebo to match nirmatrelvir plus ritonavir for 15 days. The control formulation includes 2 placebo tablets and 1 ritonavir tablet.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nirmatrelvir
2022
Completed Phase 2
~330
Ritonavir
2005
Completed Phase 4
~2200

Find a Location

Who is running the clinical trial?

Harlan M KrumholzLead Sponsor
PfizerIndustry Sponsor
4,568 Previous Clinical Trials
10,911,786 Total Patients Enrolled
68 Trials studying COVID-19
1,438,683 Patients Enrolled for COVID-19
Harlan Krumholz, MDPrincipal InvestigatorYale University

Media Library

Nirmatrelvir (Antiviral Agent) Clinical Trial Eligibility Overview. Trial Name: NCT05668091 — Phase 2
COVID-19 Research Study Groups: Nirmatrelvir / Ritonavir, Placebo / Ritonavir
COVID-19 Clinical Trial 2023: Nirmatrelvir Highlights & Side Effects. Trial Name: NCT05668091 — Phase 2
Nirmatrelvir (Antiviral Agent) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05668091 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the Food and Drug Administration sanctioned Nirmatrelvir / Ritonavir as a pharmaceutical treatment?

"Despite the lack of evidence for Nirmatrelvir / Ritonavir's efficacy, clinical data suggests that it is relatively safe and thus merits a score of 2."

Answered by AI

Is this experiment still accepting participants?

"Affirmative. The clinicaltrials.gov registry states that this investigation is actively recruiting participants, having been posted on April 1st 2023 and last updated a few days ago. This research requires 100 volunteers from one site for enrolment."

Answered by AI

What is the current allotment of participants for this trial?

"Affirmative, the information available on clinicaltrials.gov attests to this medical study's ongoing recruitment efforts. This trial was first advertised on April 1st 2023 and has received its last update ten days ago. At present, 100 individuals are needed for participation at a single location."

Answered by AI
~50 spots leftby Apr 2025