- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05965726
RECOVER-VITAL: Platform Protocol, Appendix to Measure the Effects of Paxlovid on Long COVID Symptoms (RECOVER-VITAL)
RECOVER-VITAL: A Platform Protocol for Evaluation of Interventions for Viral Persistence, Viral Reactivation, and Immune Dysregulation in Post-Acute Sequelae of SARS-CoV-2 Infection (PASC)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
For this appendix of the master protocol (NCT05595369), participants will be randomized to Paxlovid (nirmatrelvir/ritonavir) vs. ritonavir control plus nirmatrelvir-matching placebo.
When there are multiple study interventions (sub-studies) available under the master protocol (NCT05595369), randomization will occur based on the specific inclusion/exclusion criteria of each appendix.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Rachel E Olson, RN MS MBA PMP
- Phone Number: 9196685590
- Email: recoverresearch@duke.edu
Study Contact Backup
- Name: Barrie Harper, BSMT (ASCP) PMP
- Email: recoverresearch@duke.edu
Study Locations
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- All sites listed under NCT05595369
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
See NCT NCT05595369 for RECOVER-VITAL: Platform Protocol level exclusion criteria which applies to this appendix
Additional Appendix Level Exclusion Criteria:
- Known pregnancy*
- Active or expected breastfeeding during the study
- Known eGFR < 30 mL/min
- Known severe hepatic impairment (Child-Pugh Class C)
- Current use of drugs highly dependent on CYP3A for clearance** and for which elevated concentrations are associated with serious and/or life-threatening reactions and which cannot be interrupted during the time of study administration and within seven days before and after study drug administration
Current use of potent CYP3A inducers** where significantly reduced nirmatrelvir or ritonavir plasma concentrations may be associated with the potential for loss of virologic response and possible resistance
A pregnancy test must be performed at the Baseline Visit for participants who are capable of becoming pregnant.
- A guide of drugs that may be contraindicated are listed in Section 4 CONTRAINDICATIONS of the Full Prescribing Information of the EUA for PAXLOVID. https://labeling.pfizer.com/ShowLabeling.aspx?id=16474&format=pdf
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Paxlovid 25 day dosing
Paxlovid (nirmatrelvir 300mg, ritonavir 100mg) bid x 25 days
|
nirmatrelvir 300mg and ritonavir 100mg taken bid for 30 days
|
Experimental: Paxlovid 15 day dosing
Paxlovid (nirmatrelvir 300mg, ritonavir 100mg) bid x 15 days then ritonavir 100mg plus nirmatrelvir-matching placebo x 10 days
|
nirmatrelvir 300mg and ritonavir 100mg taken bid for 15 days then ritonavir 100mg taken bid plus nirmatrelvir matching placebo bid for 15 days
|
Placebo Comparator: Control
ritonavir 100mg plus nirmatrelvir-matching placebo bid x 25 days
|
ritonavir 100mg taken bid plus nirmatrelvir matching placebo bid for 30 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in cognitive dysfunction symptom cluster, as measured by Patient-Reported Outcomes Measurement Information System (PROMIS) cognitive function T-score
Time Frame: Baseline to Day 90
|
The PROMIS cognitive function-8a (PRO assessment) T-score is a quantitative measure of current cognitive function. The primary endpoint for cognitive dysfunction is improvement of at least 5 T-score points on the PROMIS-cognitive function as measured at 90 days compared to baseline. |
Baseline to Day 90
|
Change in autonomic dysfunction symptom cluster, as measured by the orthostatic hypotension questionnaire (OHQ)
Time Frame: Baseline to Day 90
|
The OHQ [Orthostatic Hypotension Questionnaire [PRO assessment)] is a measure of orthostatic intolerance, which has been the primary presentation of patients with PASC-related autonomic dysfunction. This measure includes the Orthostatic Intolerance Daily Activity Scale (OIDAS) and the Orthostatic Intolerance Symptom Assessment (OISA). The primary endpoint for autonomic dysfunction is improvement in autonomic function as defined by a ≥ 1-point decrease in the OHQ question 1 at 90 days compared to baseline. |
Baseline to Day 90
|
Change in exercise intolerance symptom cluster, as measured by the Modified Depaul Symptom Questionnaire-Post Exertional Malaise (DSQ-PEM)
Time Frame: Baseline to Day 90
|
DSQ-PEM assesses symptom frequency and severity over a 6-month look back period, however, for the purposes of this study, it will be modified to assess over a 1-week look back period. Frequency is rated on a 5-point Likert scale: 0 = none of the time, 1 = a little of the time, 2 = about half the time, 3 = most of the time, and 4 = all of the time. Severity is also rated on a 5-point Likert scale: 0 = symptom not present, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe. For exercise intolerance, the primary endpoint is improvement in PEM, defined as having no symptoms of moderate or greater severity with 50% or more frequency as determined by the DSQ-PEM short form at day 90. |
Baseline to Day 90
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in cognitive dysfunction symptom cluster, as measured by a neurocognitive battery
Time Frame: Baseline to Day 90
|
The neurocognitive battery outcome is a binary indicator of whether the participant has evidence of deficits (at least one standard deviation below the mean on at least one test within the battery).
|
Baseline to Day 90
|
Change in autonomic dysfunction symptom cluster, as measured by the active stand test
Time Frame: Baseline to Day 90
|
The active stand test outcome is a binary indicator of whether the follow-up active stand test result was abnormal or normal.
|
Baseline to Day 90
|
Change in exercise intolerance symptom cluster, as measured by the endurance shuttle walk test (ESWT)
Time Frame: Baseline to Day 90
|
The ESWT [endurance shuttle walk test (performance measure)] consists of timed walking on a 10m course.The ESWT will primarily be analyzed as a binary endpoint defined as an increase of at least 3 minutes of walking time at follow-up compared to baseline.
|
Baseline to Day 90
|
Occurrence of individual SAEs
Time Frame: Baseline to Day 90
|
Baseline to Day 90
|
|
Occurrence of one or more SAEs
Time Frame: Baseline to Day 90
|
Baseline to Day 90
|
|
Occurrence of AEs and SAEs leading to discontinuation
Time Frame: Baseline to Day 90
|
Baseline to Day 90
|
|
Occurrence of Events of Special Interest (ESIs)
Time Frame: Baseline to Day 90
|
Baseline to Day 90
|
|
Duration of ESIs
Time Frame: Baseline to Day 90
|
Baseline to Day 90
|
|
Adherence in intervention versus control groups as measured by number of missed doses
Time Frame: Baseline to Day 90
|
Baseline to Day 90
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- RNA Virus Infections
- Virus Diseases
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Pneumonia, Viral
- Pneumonia
- Lung Diseases
- Disease Attributes
- Chronic Disease
- Post-Infectious Disorders
- COVID-19
- Post-Acute COVID-19 Syndrome
- Anti-Infective Agents
- Antiviral Agents
- Nirmatrelvir and ritonavir drug combination
Other Study ID Numbers
- Pro00111697_A
- OTA-21-015G (Other Grant/Funding Number: NIH grant to RTI; RTI subcontracting with DCRI)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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