Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID07157007

A Multicenter, Open-Label, Randomized Phase 2a Study to Evaluate Safety and Efficacy of Ratutrelvir and Standard of Care in Non-hospitalized Symptomatic Adult Participants With Mild to Moderate COVID-19

Led by Traws Pharma, Inc. · Updated on 2026-01-21

90

Participants Needed

15

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating Ratutrelvir (83-0060), a drug that inhibits the main protease of SARS-CoV-2, along with Paxlovid (Nirmatrelvir plus Ritonavir), to understand their safety and effectiveness in adults with mild to moderate COVID-19 who are not hospitalized. This open-label, randomized Phase 2a study aims to determine a safe and effective dose of Ratutrelvir and compare it with standard care, providing important information on how these treatments may help manage COVID-19 symptoms and recovery. Participants will be assigned to receive either Ratutrelvir or Paxlovid alongside standard care. The study is multicenter and open-label, meaning both researchers and participants know which treatment is given. The trial includes an experimental group receiving Ratutrelvir, a comparator group receiving Paxlovid, and a non-randomized group receiving Ratutrelvir. Treatment is given during the study period, and the research team monitors the drug's concentration in the blood to understand how it behaves in the body. During the 28-day study period, participants will be closely monitored for safety based on the occurrence and severity of any adverse events. The team will assess how long it takes for COVID-19 symptoms to improve and recover fully. Blood samples will be collected up to day 11 to analyze drug levels. Participants will undergo symptom evaluations regularly, and their health will be tracked throughout the study to ensure safety and gather data on treatment effects.

CONDITIONS

Brief Title

Early-stage Trial to Determine a Safe and Effective Dose for Ratutrelvir in Patients With Mild to Moderate COVID-19

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed SARS-CoV-2 infection within 120 hours before randomization
  • Onset of COVID-19 signs or symptoms within 5 days before randomization
  • At least one COVID-19 symptom with severity score of 1 or higher within 24 hours before Day 1
  • Adult participants aged 18 years or older
  • Non-hospitalized with mild to moderate COVID-19 symptoms
Not Eligible

You will not qualify if you...

  • History or current need for hospitalization for COVID-19 treatment
  • Need for nasal high-flow oxygen therapy, positive pressure ventilation, invasive mechanical ventilation, or ECMO
  • Known active liver disease
  • Receiving dialysis or history of moderate to severe renal impairment
  • Compromised immune system
  • Acute episode of chronic respiratory diseases, including bronchial asthma or COPD within 30 days before screening
  • Suspected or confirmed active systemic infection
  • Received or expected to receive any SARS-CoV-2 vaccine dose within 4 months before or during the study
  • Use of medications or substances that strongly induce CYP3A4 enzyme

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 28 days

Participants receive study drugs including Ratutrelvir or Paxlovid to treat mild to moderate COVID-19 symptoms.

Multiple visits during treatment period

Trial Site Locations

Total: 15 locations

1

Novatrial

Charlestown, New South Wales, Australia, 2290

Actively Recruiting

2

Key Health

Sydney, New South Wales, Australia, 2000

Actively Recruiting

3

Momentum Clinical Research Taringa

Brisbane, Queensland, Australia, 4068

Actively Recruiting

4

Paratus Clinical(Clinical Trials Institute, Torquay)

Torquay, Victoria, Australia, 3228

Not Yet Recruiting

5

Chonnam National University Hospital

Gwangju, Donggu, South Korea, 61469

Not Yet Recruiting

6

The Catholic University of Korea, Eunpyeong St. Mary's Hospital

Seoul, Eunpyeong-gu, South Korea, 07441

Not Yet Recruiting

7

Wonju Severance Christian Hospital

Wŏnju, Gangwon-do, South Korea, 26426

Not Yet Recruiting

8

Inha University Hospital

Incheon, Jung-gu, South Korea, 22332

Not Yet Recruiting

9

Hallym University Sacred Heart Hospital Gangnam

Seoul, Seoul, South Korea, 07441

Not Yet Recruiting

10

Kaohsiung Medical University Hospital

Kaohsiung City, Kaohsiung, Taiwan, 807

Not Yet Recruiting

11

Taichung Veterans General Hospital

Taichung, Taichung, Taiwan, 407

Not Yet Recruiting

12

Taipei Medical University Hospital

Taipei, Taipei, Taiwan, 110

Not Yet Recruiting

13

Taoyuan General Hospital

Taoyuan, Taoyuan, Taiwan, 33004

Not Yet Recruiting

14

Chang Gung Memorial Hospital, Linkou Branch

Taoyuan, Taoyuan, Taiwan, 333

Not Yet Recruiting

15

Research Institute of Virology

Tashkent, Tashkent, Uzbekistan, 100194

Actively Recruiting

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Research Team

E

Ekaterina Dokukina

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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