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Trial · NCT05263908

A Study to Learn About PAXLOVID (a Commercial Medicine) In People With COVID-19

NCT05263908, Completed, Pfizer; results first posted 2025-09-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Learn About PAXLOVID (a Commercial Medicine) In People With COVID-19. Trials, record NCT05263908. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05263908

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Learn About PAXLOVID (a Commercial Medicine) In People With COVID-19
NCT number
NCT05263908
Status
Completed
Enrollment
3,346 participants, actual
Lead sponsor
Pfizer
Conditions
SARS-CoV-2 Infection
Interventions
nirmatrelvir / ritonavir
First posted
2022-03-03
Last updated
2025-09-03
Results first posted
2025-09-03

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryIncidence of Adverse Drug ReactionsFrom the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.
Adverse drug reaction (ADR) was a treatment-related adverse event and any untoward medical occurrence attributed to Paxlovid PACK in a participant who received Paxlovid PACK. Serious adverse drug reaction (SADR) was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Relatedness to Paxlovid PACK was assessed by the physician.
SecondaryPercentage of Participants With Worsening Severity (Efficacy Analysis Set #1)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.
Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as "severe at the start of treatment."
SecondaryPercentage of Participants With Worsening Severity (Efficacy Analysis Set #2)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.
Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as "severe at the start of treatment."
SecondaryPercentage of Participants With Worsening Severity (Efficacy Analysis Set #3)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.
Whether the severity of infection caused by SARS-CoV-2 had worsened was evaluated. However, when the severity was severe at the start of Paxlovid PACK and did not worsen during the observation period, it was considered as "severe at the start of treatment."
SecondaryCumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.The percent probability is the percent of the participants who had COVID-19 related hospitalization or death from any cause.
SecondaryCumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.
The percent probability is the percent of the participants who had COVID-19 related hospitalization or death from any cause. Sensitivity analysis was conducted by changing the event definition of "hospitalization for treatment of infection caused by SARS-CoV-2" as follows: there were concomitant medications for infection caused by SARS-CoV-2 or concomitant non-drug therapies due to infection caused by SARS-CoV-2 on or after the date of administration.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYIncidence of Adverse Drug ReactionsFrom the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.
The safety analysis set (2829 participants) comprised of participants who satisfied the inclusion criteria. Participants with no informed consent for publication of study results, no information on administration, and no information on adverse events - no re-visits were excluded.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Worsening Severity (Efficacy Analysis Set #1)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 45 days.For the efficacy analysis set #1 (2828 participants), participant with disease not subject to the study (1 participant) was excluded from the safety analysis set.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Worsening Severity (Efficacy Analysis Set #2)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.For the efficacy analysis set #2 (1965 participants), participants other than outpatient at the start of treatment (863 participants) were excluded from the efficacy analysis set #1.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Worsening Severity (Efficacy Analysis Set #3)From the start date of treatment with Paxlovid PACK to 28 days after the end of treatment, up to approximately 35 days.For the efficacy analysis set #3 (1905 participants), participants with no risk factors of progressing to severe illness (60 participants) were excluded from the efficacy analysis set #2.Percentage of participantsNUMBER
SECONDARYCumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Efficacy Analysis Set #3)3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.For the efficacy analysis set #3 (1905 participants), participants with no risk factors of progressing to severe illness (60 participants) were excluded from the efficacy analysis set #2.Percent probabilityNUMBER
SECONDARYCumulative Incidence Rate of COVID-19 Related Hospitalization or Death From Any Cause Through Day 28 (Sensitivity Analysis) (Efficacy Analysis Set #3)3, 5, 7, 14, 21 and 28 days after the start of administration with Paxlovid PACK.For the efficacy analysis set #3 (1905 participants), participants with no risk factors of progressing to severe illness (60 participants) were excluded from the efficacy analysis set #2.Percent probabilityNUMBER

Results by group26

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Incidence of Adverse Drug ReactionsPaxlovid PACK (Nirmatrelvir/Ritonavir)ADR423Participants
Incidence of Adverse Drug ReactionsPaxlovid PACK (Nirmatrelvir/Ritonavir)SADR6Participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Paxlovid PACK (Nirmatrelvir/Ritonavir)Worsened2.1995% Confidence Interval 1.68 to 2.80Percentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Paxlovid PACK (Nirmatrelvir/Ritonavir)Not worsened94.7795% Confidence Interval NA to NAPercentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Paxlovid PACK (Nirmatrelvir/Ritonavir)Severe at the start of treatment095% Confidence Interval NA to NAPercentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #1)Paxlovid PACK (Nirmatrelvir/Ritonavir)Unknown (worsening unknown)3.0495% Confidence Interval NA to NAPercentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Paxlovid PACK (Nirmatrelvir/Ritonavir)Worsened1.6395% Confidence Interval 1.12 to 2.29Percentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Paxlovid PACK (Nirmatrelvir/Ritonavir)Not worsened94.6695% Confidence Interval NA to NAPercentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Paxlovid PACK (Nirmatrelvir/Ritonavir)Severe at the start of treatment095% Confidence Interval NA to NAPercentage of participants
Percentage of Participants With Worsening Severity (Efficacy Analysis Set #2)Paxlovid PACK (Nirmatrelvir/Ritonavir)Unknown (worsening unknown)3.7295% Confidence Interval NA to NAPercentage of participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPaxlovid PACK (Nirmatrelvir/Ritonavir)3,346
Overall StudyCOMPLETEDPaxlovid PACK (Nirmatrelvir/Ritonavir)2,948
Overall StudyNOT COMPLETEDPaxlovid PACK (Nirmatrelvir/Ritonavir)398

Adverse events84

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVertigoEar and labyrinth disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)32,829
otherAbdominal discomfortGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)52,829
otherAbdominal painGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)62,829
otherConstipationGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)132,829
otherDiarrhoeaGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)922,829
otherFaeces softGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)52,829
otherGastrooesophageal reflux diseaseGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)32,829
otherNauseaGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)352,829
otherOral discomfortGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)62,829
otherStomatitisGastrointestinal disordersPaxlovid PACK (Nirmatrelvir/Ritonavir)42,829

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPaxlovid PACK (Nirmatrelvir/Ritonavir)162,829
Total, other adverse eventsPaxlovid PACK (Nirmatrelvir/Ritonavir)4742,829
Total, serious adverse eventsPaxlovid PACK (Nirmatrelvir/Ritonavir)512,829

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
41621946DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05263908

GET https://conductscience.org/api/trials/v1/NCT05263908/results?page=2