nirmatrelvir
Trade name: Paxlovid
Small moleculeapprovedFast Track FDA
Approved
May 25, 2023
Clinical trial activity
49 trials · 39 clinical orgs · 1 marketing orgs
Phase 1
21
Phase 2
18
Phase 3
12
Phase 4
6
Earliest trial started Feb 11, 2021 (NCT04756531)
Timeline
Indications
Approved for
Studied for
- Biological Availability · Phase 1
- Child, Hospitalized · Phase 2
- COVID-19 · Phase 4
- Healthy Volunteers · Phase 1
- Hospitalization · Phase 2
- Immunocompromised Host · Phase 2
- Inflammation · Phase 2
- Kidney Failure, Chronic · Phase 1
- Liver Diseases · Phase 1
- Mesenchymal Stem Cells · Phase 3
- Pharmacokinetics · Phase 1
- Post-Acute COVID-19 Syndrome · Phase 3
- Post-Infectious Disorders · Phase 2
- Postural Orthostatic Tachycardia Syndrome · Phase 2
- Primary Immunodeficiency Diseases · Phase 2/Phase 3
- Renal Insufficiency, Chronic · Phase 4
- Severe acute respiratory syndrome-related coronavirus · Phase 4
- Thoracic Surgery · Phase 4
- Uremia · Early Phase 1
Mechanism of action
- DNADISRUPTING AGENT
DNA disrupting agent
- SARS coronavirus 3C-like proteinaseINHIBITOR
SARS coronavirus 3C-like proteinase inhibitor
Combination products
paxlovid (copackaged)
with ritonavir
Also known as nirmatrelvir and ritonavir, nirmatrelvir, ritonavir
Approval history
- approvedPriority reviewFast trackMay 25, 2023
Chemistry & pharmacology
Loading structure…
SMILES
CC(C)(C)[C@H](NC(=O)C(F)(F)F)C(=O)N1C[C@H]2[C@@H]([C@H]1C(=O)N[C@H](C#N)C[C@@H]1CCNC1=O)C2(C)C- Mol. weight
- 499.53 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
First in class
Sources
- ChEMBLCHEMBL4802135 ↗
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07157007 | Phase 2 | Sep 30, 2025 | Traws Pharma, Inc. |
| NCT06397144 | Phase 1 | Feb 14, 2025 | Pfizer |
| NCT06792214 | Phase 4 | Jan 3, 2025 | Kingston Health Sciences Centre, Niagara Health System, Unity Health Toronto, University of Toronto |
| NCT06441955 | Phase 4 | Mar 1, 2024 | Well- Konnect Healthcare Services and Research Firm |
| NCT05965726 | Phase 2 | Jul 26, 2023 | Duke University |
| NCT05938140 | Phase 4 | Jun 22, 2023 | People's Liberation Army of China |
| NCT05898672 | Phase 1 | Jun 9, 2023 | Pfizer |
| NCT05852873 | Phase 3 | May 12, 2023 | Norwegian University of Science and Technology, University of Bergen, University of Oslo |
| NCT05823896 | Phase 2 | May 1, 2023 | Karolinska Institute, Pfizer |
| NCT05690646 | Phase 4 | Jan 28, 2023 | Chinese Academy of Medical Sciences |
| NCT05668091 | Phase 2 | Jan 23, 2023 | Pfizer, Yale University |
| NCT05697055 | Phase 4 | Jan 21, 2023 | Gansu Provincial Hospital, People's Hospital of Rizhao, Shandong first medical University, Shandong Province Qianfoshan Hospital, Shandong Provincial Hospital, Southwest Medical University |
| NCT05595369 | Phase 3 | Jan 17, 2023 | Duke University |
| NCT05682586 | Phase 3 | Jan 9, 2023 | Huazhong University of Science and Technology |
| NCT05614349 | Phase 3 | Dec 31, 2022 | Canadian Institutes of Health Research (CIHR), Health Canada, Unity Health Toronto |
| NCT05545319 | Phase 2 | Dec 13, 2022 | Pfizer |
| NCT05441215 | Phase 1 | Dec 12, 2022 | Pfizer |
| NCT05576662 | Phase 2 | Nov 8, 2022 | Pfizer, Stanford University |
| NCT05587894 | Phase 2/Phase 3 (Phase 3) | Oct 31, 2022 | Government of France, University of Geneva |
| NCT05567952 | Phase 2 | Oct 19, 2022 | Pfizer |
Showing 20 of 49 trials
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Organizations
Research & Development (39)
39 organizations
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