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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT04960202




Registration number
NCT04960202
Ethics application status
Date submitted
10/07/2021
Date registered
13/07/2021
Date last updated
10/07/2025

Titles & IDs
Public title
EPIC-HR: Study of Oral PF-07321332/Ritonavir Compared With Placebo in Nonhospitalized High Risk Adults With COVID-19
Scientific title
AN INTERVENTIONAL EFFICACY AND SAFETY, PHASE 2/3, DOUBLE-BLIND, 2-ARM STUDY TO INVESTIGATE ORALLY ADMINISTERED PF-07321332/RITONAVIR COMPARED WITH PLACEBO IN NONHOSPITALIZED SYMPTOMATIC ADULT PARTICIPANTS WITH COVID-19 WHO ARE AT INCREASED RISK OF PROGRESSING TO SEVERE ILLNESS
Secondary ID [1] 0 0
2021-002895-38
Secondary ID [2] 0 0
C4671005
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
COVID-19 0 0
Condition category
Condition code
Infection 0 0 0 0
Other infectious diseases
Respiratory 0 0 0 0
Other respiratory disorders / diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - PF-07321332
Treatment: Drugs - Ritonavir
Treatment: Drugs - Placebo

Experimental: PF-07321332/ritonavir - Orally administered PF-07321332+ritonavir

Placebo comparator: Placebo - Orally administered placebo


Treatment: Drugs: PF-07321332
PF-07321332 (tablet)

Treatment: Drugs: Ritonavir
Ritonavir (capsule)

Treatment: Drugs: Placebo
Placebo (tablet or capsule)

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat (mITT) Population
Timepoint [1] 0 0
From Day 1 to Day 28
Secondary outcome [1] 0 0
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Timepoint [1] 0 0
From start of study intervention (Day 1) up to end of safety follow-up (Day 34)
Secondary outcome [2] 0 0
Number of Participants With AEs Leading to Discontinuation and Serious Adverse Events (SAEs)
Timepoint [2] 0 0
From start of study intervention (Day 1) up to end of safety follow-up (Day 34)
Secondary outcome [3] 0 0
Percentage of Participants With Covid-19 Related Hospitalization or Death From Any Cause Through Day 28- Modified Intent-To-Treat 1 (mITT1) Population
Timepoint [3] 0 0
From Day 1 to Day 28
Secondary outcome [4] 0 0
Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population
Timepoint [4] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [5] 0 0
Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population
Timepoint [5] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [6] 0 0
Time to Sustained Alleviation of All Targeted COVID-19 Signs and Symptoms Through Day 28- Modified Intent-to-Treat 2 (mITT2) Population
Timepoint [6] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [7] 0 0
Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT Population
Timepoint [7] 0 0
From Day 1 to Day 28
Secondary outcome [8] 0 0
Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT1 Population
Timepoint [8] 0 0
From Day 1 to Day 28
Secondary outcome [9] 0 0
Percentage of Participants With Severe Covid-19 Signs and Symptoms Through Day 28- mITT2 Population
Timepoint [9] 0 0
From Day 1 to Day 28
Secondary outcome [10] 0 0
Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT Population
Timepoint [10] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [11] 0 0
Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT1 Population
Timepoint [11] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [12] 0 0
Time to Sustained Resolution of All Targeted COVID-19 Signs and Symptoms Through Day 28- mITT2 Population
Timepoint [12] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [13] 0 0
Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT Population
Timepoint [13] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [14] 0 0
Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT1 Population
Timepoint [14] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [15] 0 0
Time to Sustained Alleviation of Each Targeted COVID-19 Signs and Symptoms- mITT2 Population
Timepoint [15] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [16] 0 0
Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT Population
Timepoint [16] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [17] 0 0
Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT1 Population
Timepoint [17] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [18] 0 0
Time to Sustained Resolution of Each Targeted COVID-19 Signs and Symptoms- mITT2 Population
Timepoint [18] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [19] 0 0
Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT Population
Timepoint [19] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [20] 0 0
Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT1 Population
Timepoint [20] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [21] 0 0
Number of Participants With Progression to a Worsening Status in 1 or More Self-reported COVID-19 Associated Symptoms Through Day 28-mITT2 Population
Timepoint [21] 0 0
From Day 1 (baseline) to Day 28
Secondary outcome [22] 0 0
Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT Population
Timepoint [22] 0 0
Day 1, 5
Secondary outcome [23] 0 0
Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT1 Population
Timepoint [23] 0 0
Day 1, 5
Secondary outcome [24] 0 0
Percentage of Participants With a Resting Peripheral Oxygen Saturation >=95% at Days 1 and 5- mITT2 Population
Timepoint [24] 0 0
Day 1, 5
Secondary outcome [25] 0 0
Percentage of Participants Who Died Through Week 24- mITT Population
Timepoint [25] 0 0
From Day 1 up to Week 24
Secondary outcome [26] 0 0
Percentage of Participants Who Died Through Week 24- mITT1 Population
Timepoint [26] 0 0
From Day 1 up to Week 24
Secondary outcome [27] 0 0
Percentage of Participants Who Died Through Week 24- mITT2 Population
Timepoint [27] 0 0
From Day 1 up to Week 24
Secondary outcome [28] 0 0
Plasma Concentration Versus Time Summary of PF-07321332
Timepoint [28] 0 0
1 Hour post-dose on Day 1 and pre-dose on Day 5
Secondary outcome [29] 0 0
Change From Baseline in Logarithm to Base10 (Log10) Transformed Viral Load at Day 3, 5, 10 and 14- mITT Population
Timepoint [29] 0 0
Baseline, Day 3, 5, 10 and 14
Secondary outcome [30] 0 0
Change From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT1 Population
Timepoint [30] 0 0
Baseline, Day 3, 5, 10 and 14
Secondary outcome [31] 0 0
Change From Baseline in Log10 Transformed Viral Load at Day 3, 5, 10 and 14- mITT2 Population
Timepoint [31] 0 0
Baseline, Day 3, 5, 10 and 14
Secondary outcome [32] 0 0
Number of COVID-19 Related Medical Visits- mITT Population
Timepoint [32] 0 0
From Day 1 up to Day 34
Secondary outcome [33] 0 0
Number of COVID-19 Related Medical Visits- mITT1 Population
Timepoint [33] 0 0
From Day 1 up to Day 34
Secondary outcome [34] 0 0
Number of COVID-19 Related Medical Visits- mITT2 Population
Timepoint [34] 0 0
From Day 1 up to Day 34
Secondary outcome [35] 0 0
Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT Population
Timepoint [35] 0 0
From Day 1 up to Day 34
Secondary outcome [36] 0 0
Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT1 Population
Timepoint [36] 0 0
From Day 1 up to Day 34
Secondary outcome [37] 0 0
Number of Days in Hospital and ICU for the Treatment of COVID-19- mITT2 Population
Timepoint [37] 0 0
From Day 1 up to Day 34

Eligibility
Key inclusion criteria
* Confirmed SARS-CoV-2 infection within 5 days prior to randomization
* Initial onset of COVID-19 signs/symptoms within 5 days prior to the day of randomization and at least 1 of the specified COVID-19 signs/symptoms present on the day of randomization
* Fertile participants must agree to use a highly effective method of contraception
* Has at least 1 characteristic or underlying medical condition associated with an increased risk of developing severe illness from COVID-19
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* History of or need for hospitalization for the medical treatment of COVID-19
* Prior to current disease episode, any confirmed SARS-CoV-2 infection
* Known medical history of active liver disease
* Receiving dialysis or have known moderate to severe renal impairment
* Known human immunodeficiency virus (HIV) infection with a viral load greater than 400 copies/mL or taking prohibited medications for HIV treatment
* Suspected or confirmed concurrent active systemic infection other than COVID-19
* History of hypersensitivity or other contraindication to any of the components of the study intervention
* Current or expected use of any medications or substances that are highly dependent on CYP3A4 for clearance or are strong inducers of CYP3A4
* Has received or is expected to receive convalescent COVID-19 plasma
* Has received or is expected to receive any dose of a SARS-CoV-2 vaccine before the Day 34 visit
* Participating in another interventional clinical study with an investigational compound or device, including those for COVID-19 through the long-term follow-up visit
* Known prior participation in this trial or other trial involving PF-07321332
* Oxygen saturation of <92% on room air, or on their standard home oxygen supplementation for those who regularly receive chronic supplementary oxygen for an underlying lung condition
* Females who are pregnant or breastfeeding

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment outside Australia
Country [1] 0 0
United States of America
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Alabama
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United States of America
State/province [2] 0 0
Arizona
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United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Colorado
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
Country [6] 0 0
United States of America
State/province [6] 0 0
Illinois
Country [7] 0 0
United States of America
State/province [7] 0 0
Louisiana
Country [8] 0 0
United States of America
State/province [8] 0 0
Montana
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United States of America
State/province [9] 0 0
Nevada
Country [10] 0 0
United States of America
State/province [10] 0 0
New York
Country [11] 0 0
United States of America
State/province [11] 0 0
North Carolina
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United States of America
State/province [12] 0 0
Tennessee
Country [13] 0 0
United States of America
State/province [13] 0 0
Texas
Country [14] 0 0
United States of America
State/province [14] 0 0
Virginia
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Argentina
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Buenos Aires
Country [16] 0 0
Argentina
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Tucuman
Country [17] 0 0
Brazil
State/province [17] 0 0
Distrito Federal
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Brazil
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Pernambuco
Country [19] 0 0
Brazil
State/province [19] 0 0
SAO Paulo
Country [20] 0 0
Bulgaria
State/province [20] 0 0
Burgas
Country [21] 0 0
Bulgaria
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Haskovo
Country [22] 0 0
Bulgaria
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Kozloduy
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Bulgaria
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Lom
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Bulgaria
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Lovech
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Bulgaria
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Pleven
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Bulgaria
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Plovdiv
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Bulgaria
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Razgrad
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Ruse
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Bulgaria
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Samokov
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Bulgaria
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Sevlievo
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Bulgaria
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Shumen
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Bulgaria
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Sliven
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Bulgaria
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Sofia
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Bulgaria
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Stara Zagora
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Bulgaria
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Targovishte
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Bulgaria
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Tsarevo
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Bulgaria
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Varna
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Bulgaria
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Vratsa
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Colombia
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Quindio
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Czechia
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Protivín
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Czechia
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Slany
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Hungary
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Bekescsaba
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Debrecen
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Eger
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Gyula
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India
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Chhattisgarh
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India
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Gujarat
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India
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India
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Kerala
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India
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Maharashtra
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India
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Rajasthan
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India
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WEST Bengal
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India
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New Delhi
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India
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Pavan PURI Bikaner, Rajasthan
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Japan
State/province [56] 0 0
Chiba
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Japan
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Hokkaido
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Japan
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Osaka
Country [59] 0 0
Japan
State/province [59] 0 0
Tokyo
Country [60] 0 0
Korea, Republic of
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Daegu
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Korea, Republic of
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Incheon
Country [62] 0 0
Korea, Republic of
State/province [62] 0 0
Nam-gu
Country [63] 0 0
Korea, Republic of
State/province [63] 0 0
Seoul
Country [64] 0 0
Malaysia
State/province [64] 0 0
Sarawak
Country [65] 0 0
Mexico
State/province [65] 0 0
Coahuila
Country [66] 0 0
Mexico
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Hidalgo
Country [67] 0 0
Mexico
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Jalisco
Country [68] 0 0
Mexico
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Morelos
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Mexico
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Nuevo LEON
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Mexico
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Oaxaca
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Mexico
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Tijuana
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Mexico
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Yucatan
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Mexico
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Yucatán
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Mexico
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Acapulco
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Mexico
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Aguascalientes
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Mexico
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Durango
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Mexico
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Veracruz
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Poland
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Bialystok
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Poland
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Wroclaw
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Puerto Rico
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Ponce
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Puerto Rico
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San Juan
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Russian Federation
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Moscow Region
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Russian Federation
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Barnaul
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Russian Federation
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Moscow
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Russian Federation
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Smolensk
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South Africa
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FREE State
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South Africa
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Gauteng
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South Africa
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Kwazulu Natal
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South Africa
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Limpopo
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South Africa
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Mpumalanga
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Spain
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Barcelona [barcelona]
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Spain
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A Coruña
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Thailand
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Bangkok
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Thailand
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Khon Kaen
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Thailand
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Songkhla
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Turkey
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Ankara
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Turkey
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Antalya
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Turkey
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Beykoz / Istanbul
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Turkey
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Gaziantep
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Turkey
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Istanbul
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Turkey
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Kocaeli
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Turkey
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Konak/Izmir
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Turkey
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Mersin
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Turkey
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Sakarya
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Turkey
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Trabzon
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Ukraine
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Dnipro
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Ukraine
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Ivano-Frankivsk
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Ukraine
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Kharkiv
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Ukraine
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Kyiv
Country [110] 0 0
Ukraine
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Lviv
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Ukraine
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Poltava
Country [112] 0 0
Ukraine
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Tarasove Village
Country [113] 0 0
Ukraine
State/province [113] 0 0
Vinnytsia
Country [114] 0 0
Ukraine
State/province [114] 0 0
Zhytomyr

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Pfizer
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Pfizer CT.gov Call Center
Address 0 0
Pfizer
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement


What supporting documents are/will be available?

Results publications and other study-related documents

No documents have been uploaded by study researchers.