A Study to Measure the Amount of Study Medicine in Blood in Adult Participants With COVID-19 and Severe Kidney Disease
- Conditions
- COVID-19
- Interventions
- Drug: PF-07321332 (nirmatrelvir)/ritonavir
- Registration Number
- NCT05487040
- Lead Sponsor
- Pfizer
- Brief Summary
The purpose of this study is to learn about the side effects (safety) of the study medicine PF-07321332 (nirmatrelvir)/ritonavir for the treatment of mild to moderate COVID-19 infection in adults with severe renal impairment. The study will also look at the amounts of study drug in your blood. There will be 24 participants in this study; 12 of them will have severe renal impairment and not be on hemodialysis and 12 of them will be on hemodialysis.
All participants in this study will take PF-07321332 (nirmatrelvir)/ritonavir by mouth for 5 days. During this time, they will have to collect blood samples to measure the study drug levels in their blood. After taking the study drug for 5 days, the participants will have follow-up visits for about another 28 days for a total of about 34 days in the study. The study team will check how each participant is doing during regular visits at the study clinic.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 15
- Covid-19 infection
- Severe kidney disease (on hemodialysis or not on hemodialysis)
- Hospitalized
- Take medications that are not allowed
- Renal transplant patients
- HIV infection
This is not a complete list. Other inclusion and exclusion criteria may apply.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description PF-07321332 (nirmatrelvir)/ritonavir participants with severe renal impairment on hemodialysis PF-07321332 (nirmatrelvir)/ritonavir Patients with Covid-19 infection and severe renal impairment. Capsule and tablet once a day by mouth. PF-07321332 (nirmatrelvir)/ritonavir participants with severe renal impairment not on hemodialysis PF-07321332 (nirmatrelvir)/ritonavir Patients with Covid-19 infection and severe renal impairment. Capsule and tablet once a day by mouth.
- Primary Outcome Measures
Name Time Method Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious AEs (SAEs) From start of treatment on Day 1 to Day 34 An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as any untoward medical occurrence that, at any dose, meets one or more of the following criteria: 1. results in death. 2. is life-threatening. 3. Requires inpatient hospitalization or prolongation of existing hospitalization. 4. Results in persistent or significant disability/incapacity. 5. Is a congenital anomaly/birth defect. 6. Is a suspected transmission via a Pfizer product of an infectious agent, pathogenic or nonpathogenic. 7. other important medical events. Any events occurring following start of treatment were considered treatment emergent.
Number of Participants With Permanent Discontinuation From Study or Study Intervention Due to Adverse Events and Serious Adverse Events From start of treatment on Day 1 to Day 34 An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as any untoward medical occurrence that, at any dose, meets one or more of the following criteria: 1. results in death. 2. is life-threatening. 3. Requires inpatient hospitalization or prolongation of existing hospitalization. 4. Results in persistent or significant disability/incapacity. 5. Is a congenital anomaly/birth defect. 6. Is a suspected transmission via a Pfizer product of an infectious agent, pathogenic or nonpathogenic. 7. other important medical events. Any events occurring following start of treatment were considered treatment emergent.
Maximum Plasma Concentration (Cmax) of PF-07321332 (Nirmatrelvir) Treatment Day 1 to Day 5, see description for details Nirmatrelvir plasma concentration data were analyzed using nonlinear mixed effects models. Time frame was: For Cohort 1: Day 1 (anytime between 1-3 hours post-dose), Day 2 (anytime between 4-8 hours post-dose), Day 3 (anytime between 9-15 hours post-dose), Day 4 (pre-dose, anytime between 1-4 hours post-dose), Day 5 (pre-dose, anytime between 0.5-6 hours post-dose, anytime between 9-15 hours post-dose). For Cohort 2: Day 1 (anytime between 1-3 hours post-dose), Day 3 (pre-HD), Day 4 (pre-HD, pre-dose, anytime between 0.5-3 hours post-dose, anytime between 4-8 hours post-dose, anytime between 9-15 hours post-dose).
Apparent Volume of Distribution (Vz/F) of Nirmatrelvir Treatment Day 1 to Day 5 Vz/F was estimated at steady state.
Area Under the Curve Over a Dosing Interval (AUC0-tau) of Nirmatrelvir 24 Hours after each dose on Treatment Day 1 to Day 5 AUC0-tau was measured at 24 hours post-dose.
Terminal Half-Life (T1/2) of Nirmatrelvir Treatment Day 1 to Day 5 T1/2 was observed directly from data.
Trough Concentration (Ctrough) of Nirmatrelvir 24 Hours after each dose on Treatment Day 1 to Day 5 Ctrough was measured at 24 hours post-dose (pre the next dose). It was analyzed using nonlinear mixed effect models.
- Secondary Outcome Measures
Name Time Method Hemodialysis Clearance (CLd) of Nirmatrelvir Pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose on Day 3 and Day 4 CLd of nirmatrelvir was calculated for Cohort 2 using non-compartmental analysis of arterial and venous port plasma concentration-time data. Only participants in Cohort 2 were on hemodialysis.
Fraction of Drug Removed During Dialysis (Fd) of Nirmatrelvir Pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose on Day 3 and Day 4 Fd of nirmatrelvir was calculated for Cohort 2 using non-compartmental analysis of arterial and venous port plasma concentration-time data. Only participants in Cohort 2 were on hemodialysis.
Trial Locations
- Locations (52)
Fresenius Kidney Care-Meridian
🇺🇸Meridian, Idaho, United States
NorthShore University HealthSystem - Glenbrook Hospital
🇺🇸Glenview, Illinois, United States
Fresenius Kidney Care Huntsville
🇺🇸Huntsville, Alabama, United States
Fresenius Kidney Care Rocket City
🇺🇸Huntsville, Alabama, United States
Fresenius Kidney Care Chase
🇺🇸Huntsville, Alabama, United States
Nephrology Consultants
🇺🇸Huntsville, Alabama, United States
Apogee Clinical Research, LLC
🇺🇸Huntsville, Alabama, United States
Fresenius Kidney Care Endeavour
🇺🇸Huntsville, Alabama, United States
Fresenius Kidney Care Parkway
🇺🇸Huntsville, Alabama, United States
Amicis Research Center - Granada Hills
🇺🇸Granada Hills, California, United States
Amicis Research Center
🇺🇸Granada Hills, California, United States
Clinnova Research - Redondo Beach
🇺🇸Redondo Beach, California, United States
Northridge Kidney Center
🇺🇸Northridge, California, United States
DaVita Inglewood Dialysis
🇺🇸Inglewood, California, United States
Santa Clarita Dialysis
🇺🇸Santa Clarita, California, United States
Desert Cities Diaylsis
🇺🇸Victorville, California, United States
laurel Canyon Dialysis
🇺🇸Sun Valley, California, United States
Fresenius Kidney Care Ft Lauderdale #2036
🇺🇸Fort Lauderdale, Florida, United States
South Florida Research Institute
🇺🇸Lauderdale Lakes, Florida, United States
Fresenius Kidney Care Tamarac-JV #6606
🇺🇸Tamarac, Florida, United States
Fresenius Kidney Care Florida Kidney Center #1095
🇺🇸Lauderhill, Florida, United States
GCP Research, Global Clinical professionals
🇺🇸Saint Petersburg, Florida, United States
Fresenius Kidney Care-Boise
🇺🇸Boise, Idaho, United States
Liberty Dialysis- Nampa
🇺🇸Nampa, Idaho, United States
Fresenius Kidney Care- Caldwell
🇺🇸Caldwell, Idaho, United States
Boise Kidney & Hypertension Institute, PLLC
🇺🇸Nampa, Idaho, United States
Swedish Covenant Hospital
🇺🇸Chicago, Illinois, United States
DaVita Evanston Renal Center
🇺🇸Evanston, Illinois, United States
DaVita Glen Dialysis
🇺🇸Glenview, Illinois, United States
NorthShore University HealthSystem - Highland Park Hospital
🇺🇸Highland Park, Illinois, United States
NorthShore University HealthSystem - Skokie Hospital
🇺🇸Skokie, Illinois, United States
NorthShore Immediate Care Center - Skokie at Old Orchard Woods
🇺🇸Skokie, Illinois, United States
NorthShore University HealthSystem - Clinical Trials Center
🇺🇸Skokie, Illinois, United States
Fresenius Kidney Care / Roane County #2829
🇺🇸Harriman, Tennessee, United States
Grand Prairie Dialysis Center
🇺🇸Grand Prairie, Texas, United States
Arlington Nephrology
🇺🇸Arlington, Texas, United States
South Arlington Dialysis Center
🇺🇸Arlington, Texas, United States
University of Virginia Health System
🇺🇸Charlottesville, Virginia, United States
NorthShore University HealthSystem - Evanston Hospital
🇺🇸Evanston, Illinois, United States
Knoxville Kidney Center, PLLC
🇺🇸Knoxville, Tennessee, United States
Fresenius Kidney Care / Fort Sanders #1597
🇺🇸Knoxville, Tennessee, United States
Fresenius Kidney Care / Cedar Bluff #6942
🇺🇸Knoxville, Tennessee, United States
Fresenius Kidney Care Hillsborough #100706
🇺🇸Tampa, Florida, United States
Genesis Clinical Research, LLC
🇺🇸Tampa, Florida, United States
Fresenius Kidney Care Tampa #1130
🇺🇸Tampa, Florida, United States
Fresenius Kidney Care Ybor City #1863
🇺🇸Tampa, Florida, United States
Fresenius Kidney Care Town and Country #100474
🇺🇸Tampa, Florida, United States
Fresenius Kidney Care Carrollwood #1805
🇺🇸Tampa, Florida, United States
Piedmont Dialysis Center
🇺🇸Winston-Salem, North Carolina, United States
Brookview Hills Research Associates
🇺🇸Winston-Salem, North Carolina, United States
Northside Dialysis Center
🇺🇸Winston-Salem, North Carolina, United States
Desert Cities Dialysis - Hesperia
🇺🇸Victorville, California, United States