RECOVER-VITAL: Platform Protocol, Appendix to Measure the Effects of Paxlovid on Long COVID Symptoms (RECOVER-VITAL)
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT05965726 |
Recruitment Status :
Enrolling by invitation
First Posted : July 28, 2023
Last Update Posted : March 12, 2024
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Long COVID-19 Long COVID | Drug: Paxlovid 25 day dosing Drug: Paxlovid 15 day dosing Drug: Control | Phase 2 |
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 : | Interventional (Clinical Trial) |
Estimated Enrollment : | 900 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | As part of screening, potential participants will answer symptom questions. Eligible participants will then complete relevant Symptom Cluster assessments at the Screening visit. Participants will subsequently be assigned to one of the three Symptom Clusters based on the assessments. Participants must meet certain criteria within a specific symptom cluster in order to be included in the cluster. After study enrollment and initial cluster assignment, further assessments will be performed. Participants will undergo assessments for the symptom clusters for which the participants qualify. |
Masking: | Triple (Participant, Care Provider, Investigator) |
Masking Description: | Double-blind |
Primary Purpose: | Treatment |
Official Title: | 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) |
Actual Study Start Date : | July 26, 2023 |
Estimated Primary Completion Date : | July 2025 |
Estimated Study Completion Date : | October 2025 |
Arm | Intervention/treatment |
---|---|
Experimental: Paxlovid 25 day dosing
Paxlovid (nirmatrelvir 300mg, ritonavir 100mg) bid x 25 days
|
Drug: Paxlovid 25 day dosing
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
|
Drug: Paxlovid 15 day dosing
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
|
Drug: Control
ritonavir 100mg taken bid plus nirmatrelvir matching placebo bid for 30 days |
- 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.
- 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.
- 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.
- 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).
- 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.
- 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.
- Occurrence of individual SAEs [ Time Frame: Baseline to Day 90 ]
- Occurrence of one or more SAEs [ Time Frame: Baseline to Day 90 ]
- Occurrence of AEs and SAEs leading to discontinuation [ Time Frame: Baseline to Day 90 ]
- Occurrence of Events of Special Interest (ESIs) [ Time Frame: Baseline to Day 90 ]
- Duration of ESIs [ Time Frame: Baseline to Day 90 ]
- Adherence in intervention versus control groups as measured by number of missed doses [ Time Frame: Baseline to Day 90 ]
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
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
-
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05965726
United States, North Carolina | |
All sites listed under NCT05595369 | |
Durham, North Carolina, United States, 27710 |
Responsible Party: | Kanecia Obie Zimmerman, Associate Professor of Pediatrics, Duke University |
ClinicalTrials.gov Identifier: | NCT05965726 |
Other Study ID Numbers: |
Pro00111697_A OTA-21-015G ( Other Grant/Funding Number: NIH grant to RTI; RTI subcontracting with DCRI ) |
First Posted: | July 28, 2023 Key Record Dates |
Last Update Posted: | March 12, 2024 |
Last Verified: | March 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Plan Description: | The investigators will share the summary of results on the study website: https:// recovercovid.org/ |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
PASC Paxlovid |
Post-Acute COVID-19 Syndrome COVID-19 Pneumonia, Viral Pneumonia Respiratory Tract Infections Infections Virus Diseases Coronavirus Infections Coronaviridae Infections Nidovirales Infections |
RNA Virus Infections Lung Diseases Respiratory Tract Diseases Post-Infectious Disorders Chronic Disease Disease Attributes Pathologic Processes Nirmatrelvir and ritonavir drug combination Antiviral Agents Anti-Infective Agents |