About this trial
The primary purpose of this study is to evaluate the efficacy and safety of secutrelvir in symptomatic nonhospitalized adult and adolescent participants with COVID-19 who are at high risk for progression to severe disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Must be 12 to <18 years of age (where permitted by local regulations) with a body weight ≥40 kilograms, or ≥18 years of age regardless of body weight, at the time of signing the informed consent form.
Presence of risk factors for progression to severe COVID-19 at the time of screening.
Must have ≥1 COVID-19 signs/symptoms that are at least mild in severity, and the symptoms must still be present in the 24 hours prior to randomization.
Confirmed SARS-CoV-2 infection, as determined by any SARS-CoV-2 test (for example, quantitative reverse transcription polymerase chain reaction, antigen test) approved according to local regulations, of any respiratory tract specimen (for example, oropharyngeal, nasopharyngeal or nasal swab, or saliva), collected ≤72 hours prior to randomization.
Disqualifiers
Planned >24 hours hospitalization for any medical procedure through Day 28.
Documented respiratory infection (for example, influenza, respiratory syncytial virus) other than COVID-19 within the 14 days prior to the screening visit.
Known history of cirrhosis or liver decompensation (including ascites, variceal bleeding, or hepatic encephalopathy).
Total bilirubin ≥2*upper limit of normal (ULN) (except for Gilbert's syndrome)
Trial design
Parallel
Treatments tested in this trial
Secutrelvir
DrugSecutrelvir will be administered orally as a tablet.
Placebo
DrugPlacebo will be administered orally as a tablet.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of Participants Experiencing Any Component of the Following Composite Endpoint: Targeted Medically Attended Visits (tMAVs) Due to Worsening COVID-19, All-cause Hospitalizations, or All-cause Deaths
Secondary outcomes
Time to Sustained Resolution of 14 COVID-19 Symptoms
Proportion of Participants with tMAVs Due to Worsening COVID-19
Proportion of Participants with All-cause Hospitalization or All-cause Death
Proportion of Participants with Hospitalization Due to Worsening COVID-19