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Trial · NCT05715528

Study of Obeldesivir in Nonhospitalized Participants With COVID-19

NCT05715528, Phase 3, Completed, Gilead Sciences; results first posted 2024-12-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Obeldesivir in Nonhospitalized Participants With COVID-19. Trials, record NCT05715528. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05715528

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Trial

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

Title
Study of Obeldesivir in Nonhospitalized Participants With COVID-19
NCT number
NCT05715528
Status
Completed
Phases
Phase 3
Enrollment
2,011 participants, actual
Lead sponsor
Gilead Sciences
Conditions
COVID-19
Interventions
Obeldesivir, Obeldesivir Placebo
First posted
2023-02-08
Last updated
2024-12-24
Results first posted
2024-12-24

Source ClinicalTrials.gov

Registered outcomes16

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

ListOutcomeTime frameDescription
PrimaryTime to Coronavirus Disease 2019 (COVID-19) Symptom Alleviation by Day 29First dose date up to Day 29
The time to alleviation of targeted COVID-19 symptoms by Day 29 for participants with symptom alleviation, was calculated as symptom alleviation date/time minus first dose date/time. For participants who completed Day 29 of the study or discontinued from the study before Day 29 without symptom alleviation (censored) and without inter-current events, time was calculated as last date/time on which symptom alleviation was assessed minus the first dose date/time or Day 28, whichever occurred first. Symptom alleviation was defined as, all targeted symptoms scored moderate or severe at baseline were scored as mild/none and all targeted symptoms scored mild/none at baseline were scored as none, for at least 48 consecutive hours. Targeted symptoms included: stuffy or runny nose, sore throat, shortness of breath, cough, low energy or tiredness, muscle or body aches, headache, chills or shivering and feeling hot or feverish. Kaplan-Meier (KM) estimates were used in outcome measure analysis.
PrimaryPercentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)First dose date up to Day 5 plus 30 days
TEAEs were defined as 1 or both of the following: * Any AEs with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug. * Any AEs leading to premature discontinuation of study drug. Percentages were rounded off.
PrimaryPercentage of Participants Experiencing Laboratory AbnormalitiesFirst dose date up to Day 5 plus 30 days
Treatment-emergent laboratory abnormalities were defined as values that increase at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of last dose of study drug plus 30 days. Percentages were rounded off.
PrimaryPercentage of Participants Experiencing Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Study Drug DiscontinuationFirst dose date up to Day 5 plus 30 daysPercentages were rounded off.
SecondaryTime to COVID-19 Symptom Resolution by Day 29Day 1 up to 29
COVID-19 symptom resolution was defined as all targeted symptoms scored as none for at least 48 consecutive hours. The first day of the 48 consecutive hours was considered the date of symptom resolution. The time to COVID-19 symptom resolution was the time (expressed as days) from the first dose date/time to the date/time of symptom resolution. KM estimates were used in the outcome measure analysis.
SecondaryPercentage of Participants With Moderate Relapse of COVID-19 Symptoms by Day 29Up to Day 29
COVID-19 moderate symptom relapse was defined as having at least 1 symptom being moderate or severe OR at least 2 mild symptoms OR a hospitalization for COVID-19 or death, observed on a day during COVID-19 symptom relapse. Percentages were rounded off.
SecondaryPercentage of Participants With COVID-19 Related Medically Attended Visits (MAVs) or All-cause Death by Day 29Up to Day 29
Medically attended visits were defined as interactions with health care professionals other than study staff or designees including hospitalization; in-person emergency, urgent, or primary care visits; or any other in-person visit attended by the participant and a health care professional. The nature and cause of the visit were identified. KM estimates were used in the outcome measure analysis. Percentages were rounded off.
SecondaryPercentage of Participants With COVID-19 Related Hospitalization or All-cause Death by Day 29Up to Day 29
COVID-19-related hospitalization was defined as ≥ 24 hours of acute care for a reason related to COVID-19, in a hospital or similar acute care facility, including emergency rooms or temporary facilities instituted to address medical needs of those with COVID-19. This included specialized acute medical care units within an assisted living facility or nursing home. This did not include hospitalization for the purposes of public health and/or clinical trial execution. The date and duration (if there was 1 day difference between the start date and end date) of hospital admission, and primary reason for hospitalization (including if the hospitalization was related to COVID-19) was to be recorded. Percentages were rounded off.
SecondaryChange From Baseline in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Nasal Swab Viral Load at Day 5Day 5
SecondaryTime to Antigen NegativityDay 1 up to Day 29
Time to antigen negativity was defined (in days) as the number of days to the first date of 2 consecutive dates achieving a negative result. Antigen negativity was defined as 2 consecutive negative SARS-CoV-2 rapid antigen test (regardless if there was missing data in between), or negative test at last available sample for participants who completed or discontinued from the study after at least 1 positive antigen test.

Outcomes16

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Coronavirus Disease 2019 (COVID-19) Symptom Alleviation by Day 29First dose date up to Day 29
The Full Analysis Positive Set (FAPS) included all participants, except from one of the site which did not comply with study rules, who were randomized into the study, have received at least 1 dose of study drug, and were SARS-CoV-2 positive at baseline as confirmed by Cepheid's Xpert Xpress CoV-2/Flu/RSV plus test or SARS-CoV-2 reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR) test from central lab.~Participants with available data were analyzed.
daysMEDIAN
PRIMARYPercentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)First dose date up to Day 5 plus 30 daysParticipants in the Safety Analysis Set were analyzed.percentage of participantsNUMBER
PRIMARYPercentage of Participants Experiencing Laboratory AbnormalitiesFirst dose date up to Day 5 plus 30 daysParticipants from the Safety Analysis Set who had available postbaseline data were analyzed.percentage of participantsNUMBER
PRIMARYPercentage of Participants Experiencing Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Study Drug DiscontinuationFirst dose date up to Day 5 plus 30 daysParticipants in the Safety Analysis Set were analyzed.percentage of participantsNUMBER
SECONDARYTime to COVID-19 Symptom Resolution by Day 29Day 1 up to 29Participants in the Full Analysis Positive Set with available data were analyzed.daysMEDIAN
SECONDARYPercentage of Participants With Moderate Relapse of COVID-19 Symptoms by Day 29Up to Day 29Participants in the Full Analysis Positive Set who had short symptom recovery with available data were analyzed.percentage of participantsNUMBER
SECONDARYPercentage of Participants With COVID-19 Related Medically Attended Visits (MAVs) or All-cause Death by Day 29Up to Day 29Participants in the Full Analysis Positive Set were analyzed.percentage of participantsNUMBER
SECONDARYPercentage of Participants With COVID-19 Related Hospitalization or All-cause Death by Day 29Up to Day 29Participants in the Full Analysis Positive Set were analyzed.percentage of participantsNUMBER
SECONDARYChange From Baseline in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Nasal Swab Viral Load at Day 5Day 5
The Virology Analysis Set included all participants, who were randomized into the study, had received at least 1 dose of study drug, and had a baseline SARS-CoV-2 viral load ≥ Lower limit of quantification (LLOQ).~Participants with available data were analyzed.
log10 copies/mLLEAST_SQUARES_MEAN
SECONDARYTime to Antigen NegativityDay 1 up to Day 29
The Antigen Analysis Set included all participants, who were randomized into the study, had received at least 1 dose of study drug, and had at least 1 SARS-CoV-2 rapid antigen test positive from Day 1 to Day 5 and SARS-CoV-2 polymerase chain reaction (PCR) positive at baseline per Full Analysis Positive Set.
daysMEDIAN

Results by group39

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

OutcomeGroupCategoryValueSpreadUnits
Time to Coronavirus Disease 2019 (COVID-19) Symptom Alleviation by Day 29Obeldesivir5.995% Confidence Interval 5.4 to 6.1days
Time to Coronavirus Disease 2019 (COVID-19) Symptom Alleviation by Day 29Placebo6.095% Confidence Interval 5.8 to 6.3days
Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)Obeldesivir5.4percentage of participants
Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)Placebo5.7percentage of participants
Percentage of Participants Experiencing Laboratory AbnormalitiesObeldesivirAny grade77.5percentage of participants
Percentage of Participants Experiencing Laboratory AbnormalitiesPlaceboAny grade78.5percentage of participants
Percentage of Participants Experiencing Laboratory AbnormalitiesObeldesivirGrade 3 or 46.1percentage of participants
Percentage of Participants Experiencing Laboratory AbnormalitiesPlaceboGrade 3 or 48.5percentage of participants
Percentage of Participants Experiencing Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Study Drug DiscontinuationObeldesivirSAEs0.2percentage of participants
Percentage of Participants Experiencing Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Study Drug DiscontinuationPlaceboSAEs0.4percentage of participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDObeldesivir1,005
Overall StudySTARTEDPlacebo1,006
Overall StudyCOMPLETEDObeldesivir977
Overall StudyCOMPLETEDPlacebo963
Overall StudyNOT COMPLETEDObeldesivir28
Overall StudyNOT COMPLETEDPlacebo43

Adverse events12

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

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousGastroenteritis bacterialInfections and infestationsObeldesivir1979
seriousGastroenteritis bacterialInfections and infestationsPlacebo0976
seriousTransient ischaemic attackNervous system disordersObeldesivir0979
seriousTransient ischaemic attackNervous system disordersPlacebo1976
seriousAbortion spontaneousPregnancy, puerperium and perinatal conditionsObeldesivir0979
seriousAbortion spontaneousPregnancy, puerperium and perinatal conditionsPlacebo1976
seriousEctopic pregnancyPregnancy, puerperium and perinatal conditionsObeldesivir1979
seriousEctopic pregnancyPregnancy, puerperium and perinatal conditionsPlacebo0976
seriousBipolar disorderPsychiatric disordersObeldesivir0979
seriousBipolar disorderPsychiatric disordersPlacebo1976

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityObeldesivir01,005
Total, all-cause mortalityPlacebo01,006
Total, other adverse eventsObeldesivir0979
Total, other adverse eventsPlacebo0976
Total, serious adverse eventsObeldesivir2979
Total, serious adverse eventsPlacebo4976

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
40675167DERIVEDPubMed
41475511DERIVEDPubMed

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 comparisons2

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

ComparisonSource
Obeldesivir vs Placebo: deaths from any causeTrial comparisons
Obeldesivir vs Placebo: serious adverse eventsTrial comparisons

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/NCT05715528

GET https://conductscience.org/api/trials/v1/NCT05715528/results?page=2