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ibuzatrelvir

Phase 3

COVID-19 Infection | Small molecule | Infectious Disease |Pfizer, Inc.|Trials Updated: Oct 15, 2026

ibuzatrelvir development status

Highest phase Phase 3
Registered trials 9 across 1 sponsor since Oct 2022

ibuzatrelvir target and mechanism

ModalitySmall molecule

Also known as PF-07817883

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials5
Total Enrollment2,907

FDA Designations

No designations recorded

ibuzatrelvir clinical trials

ibuzatrelvir · 5 trials · 4 indications

Phase 3 2Phase 2 1Phase 1 2
NCT07013474A Study to Learn About the Study Medicine Ibuzatrelvir in Adults With COVID-19 Who Are Severely ImmunocompromisedCOVID-19 Infection
RECRUITING300 Analytics
NCT06679140A Study to Learn About a Study Medicine Called Ibuzatrelvir in Adult and Adolescent Patients With COVID-19 Who Are Not Hospitalized But Are at Risk For Severe DiseaseCOVID-19 SARS-CoV-2 Infection
RECRUITING2,330 Analytics
PHASE3RECRUITING
A Study to Learn About the Study Medicine Ibuzatrelvir in Adults With COVID-19 Who Are Severely Immunocompromised
COVID-19 InfectionUnlock trial analytics
PHASE3RECRUITING
A Study to Learn About a Study Medicine Called Ibuzatrelvir in Adult and Adolescent Patients With COVID-19 Who Are Not Hospitalized But Are at Risk For Severe Disease
COVID-19 SARS-CoV-2 InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

The difference in the proportion of patients meeting the primary composite endpoint, between ibuzatrelvir and remdesivir vs remdesivir groups in symptomatic adult participants with COVID-19 who are severely immunocompromised
38 days

The difference in the proportion of participants with the composite endpoint of a) Progression to severe COVID-19 or all-cause mortality by Day 38, or b) Evidence of recurrent or persistent SARS-CoV-2 infection

Proportion of participants with COVID-19 related emergency department visits, all cause hospitalization and all cause mortality
Day 1 through Day 28

The difference in proportions of patients requiring COVID 19 related emergency department visits with administration of supplemental oxygen, COVID-19 antiviral or IV treatment (eg hydration, antibiotics, or corticosteroids), all-cause hospitalization, or all-cause death through Day 28 between ibuzatrelvir and placebo, among patients who were treated ≤5 days after COVID-19 symptom onset and who were not receiving background SoC treatment for their COVID-19 infection at baseline.

Change From Baseline in Logarithm Base 10 (Log10) Transformed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Ribo Nucleic Acid (RNA) Level on Day 5
Baseline (Day 1), Day 5

Change from baseline in SARS-CoV-2 RNA level at Day 5 was analyzed using Mixed Effects Repeated Measures (MMRM) model with fixed effects including treatment, visit, visit by treatment interaction, and baseline viral load. Covariates included days from baseline since symptom onset (\<=3 versus \[vs.\] \>3 days), vaccination status (complete or partial vs. unvaccinated), baseline anti-N serology status and age at screening (years). Participants were excluded from the analysis if baseline viral load was less than 4\*log10 copies/milliliter, missing, or not detected.

Maximum Observed Plasma Concentration (Cmax) of PF-07817883
Day 1 to Day 5

Plasma PF-07817883 PK parameters

Area under the Plasma Concentration-time Profile from Time Zero to Extrapolated Infinite Time (AUCinf)
Day 1 to Day 5

Plasma PF-07817883 PK parameters

Area under the Plasma Concentration-time Profile from Time Zero to the Time of the Last Quantifiable Concentration (AUClast)
Day 1 to Day 5

Plasma PF-07817883 parameters

Secondary Endpoints

Time to sustained alleviation of all targeted COVID-19 symptoms
38 days
Proportion of participants with evidence of recurrent or persistent SARS-CoV-2 infection.
38 days
Proportion of participants with COVID-19-related ED visits with medical intervention, COVID-19-related hospitalization, or all-cause mortality.
38 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ibuzatrelvir + RemdesivirEXPERIMENTALParticipants will receive ibuzatrelvir orally twice a day + IV remdesivir
IbuzatrelvirEXPERIMENTALParticipants will receive ibuzatrelvir orally twice a day + IV placebo for remdesivir
RemdesivirEXPERIMENTALParticipants will receive placebo for ibuzatrelvir orally twice a day + IV remdesivir
placeboPLACEBO_COMPARATORplacebo administered orally every 12 hours (twice daily) for 5 days.
Arm 1: low doseEXPERIMENTAL -
Arm 2: medium doseEXPERIMENTAL -
Arm 3: high doseEXPERIMENTAL -
Arm 4: PlaceboPLACEBO_COMPARATOR -
Cohort 1EXPERIMENTALNo renal impairment
Cohort 2EXPERIMENTALSevere renal impairment
Cohort 3EXPERIMENTALModerate renal impairment
Cohort 4EXPERIMENTALSevere hepatic impairment

Interventions

NameTypeDescription
ibuzatrelvirDRUGtablet
remdesivirDRUGinjection, for intravenous use
placebo for ibuzatrelvirDRUGtablet
placebo for remdesivirDRUGinjection, for intravenous use
placeboDRUGplacebo tablets
PF-07817883DRUGArm 1: low dose Arm 2: medium dose Arm 3: high dose
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites159

Inclusion Criteria: 1. 18 years of age or older at screening who are non-hospitalized or hospitalized with mild to moderate COVID-19 2. Confirmed SARS-CoV-2 infection as determined by RAT (or other locally approved test) collected within 2 days prior to randomization. Initial onset of symptoms attr...

Countries:United StatesArgentinaBelgiumBrazilDenmarkFranceGermanyGreeceJapanMexicoNetherlandsPuerto RicoSlovakiaSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)BulgariaCanadaChinaCzechiaFinlandSouth Africa
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Recent Changes (Last 90 Days)

LOWOct 15, 2026NCT06679140lastUpdatePostDate: changed
LOWOct 15, 2026NCT06679140lastUpdatePostDate: changed
LOWOct 14, 2026NCT07013474lastUpdatePostDate: changed
LOWOct 14, 2026NCT07013474lastUpdatePostDate: changed
LOWSep 25, 2026NCT06679140primaryCompletionDate: changed
LOWSep 25, 2026NCT07013474primaryCompletionDate: changed
LOWSep 25, 2026NCT06679140primaryCompletionDate: changed
LOWSep 25, 2026NCT07013474primaryCompletionDate: changed
LOWAug 25, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 25, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 24, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 24, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 14, 2026NCT06679140lastUpdatePostDate: changed
LOWAug 14, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 14, 2026NCT06679140lastUpdatePostDate: changed
LOWAug 14, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 11, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 11, 2026NCT07013474lastUpdatePostDate: changed
LOWAug 11, 2026NCT07013474lastUpdatePostDate: changed
LOWJul 31, 2026NCT06679140lastUpdatePostDate: changed

Frequently asked questions about ibuzatrelvir

What is ibuzatrelvir used for?

Ibuzatrelvir is an investigational antiviral medicine being studied for the treatment of COVID-19, the disease caused by SARS-CoV-2 infection. Pfizer is evaluating it in adults and adolescents who are not hospitalized but are at risk of severe disease, and in adults with COVID-19 who are severely immunocompromised.

Who makes ibuzatrelvir?

Ibuzatrelvir is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor of the clinical trials evaluating the drug in patients with COVID-19.

What phase is ibuzatrelvir in?

Ibuzatrelvir is in Phase 3 clinical development. It is an investigational small molecule and has not been approved by the FDA. Two Phase 3 trials are currently recruiting participants, and no completed trials of ibuzatrelvir have been reported.

What clinical trials is ibuzatrelvir in?

Ibuzatrelvir is being studied in two recruiting Phase 3 trials. NCT06679140 enrolls about 2,330 adults and adolescents with COVID-19 who are not hospitalized but are at risk for severe disease. NCT07013474 enrolls about 300 adults with COVID-19 who are severely immunocompromised.

How is ibuzatrelvir studied in the COVID-19 trials?

Both ibuzatrelvir trials are randomized, double-blind, and controlled, meaning participants are assigned by chance to receive ibuzatrelvir or a comparator, and neither participants nor investigators know the assignment. NCT06679140 includes sites across North America, South America, Europe, Asia, and South Africa, while NCT07013474 spans the United States, Europe, Asia, Mexico, and Puerto Rico.