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RecruitingNCT07746544Updated Sep 2, 2026

Study of Secutrelvir in Participants With COVID-19

A Phase 3 interventional study of Secutrelvir and Placebo in COVID-19, sponsored by Shionogi. Recruiting at 1 site in Japan. Open to participants aged 12 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Shionogi · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
1,200
Allocation
Randomized
Ages
12 Years to 74 Years
Sex
All
01

Study summary

The main purpose of this study is to compare secutrelvir to placebo with respect to resolution of clinical symptoms in nonhospitalized participants with Coronavirus Disease 2019 (COVID-19) starting intervention within 48 hours of COVID-19 symptom onset.

02

Conditions studied

  • COVID-19

Browse trials for

Keywords

  • S-892216
  • SARS-CoV-2
  • Mpro
  • Main Protease
  • Nonstructural Protein 5
  • nsp5
03

In context

COVID-19

7,990 studies on the registry are indexed under COVID-19; 466 are open to participants now.

This study's planned enrollment of 1,200 is above the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Shionogi is the lead sponsor of 105 studies on the registry; 10 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 21 (54%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Must be 12 to \< 18 years of age (where permitted by local regulation) with a body weight ≥ 40 kilograms (kg), or ≥ 18 and \< 75 years of age regardless of body weight, at the time of signing the form (ICF).
  • Must have ≥ 1 of the protocol-defined COVID-19 symptoms of moderate or severe, present within 24 hours prior to randomization.
  • Confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as determined by any SARS-CoV-2 test, collected ≤ 48 hours prior to randomization.
  • Must be randomized within 48 hours of COVID-19 symptom onset, defined as the time when the first COVID-19 symptom occurs.
  • Agrees not to participate in another clinical study for the treatment of COVID-19 until completion of the study.

Key Exclusion Criteria:

  • Current need or anticipated need for hospitalization within 24 hours, due to signs of severe COVID-19 illness or due to other medical conditions requiring hospitalization in the opinion of the site investigator.
  • Documented respiratory infection (for example, influenza, respiratory syncytial virus infection) other than COVID 19 within 14 days prior to the screening visit.
  • Known history of cirrhosis or liver decompensation (including ascites, variceal bleeding, or hepatic encephalopathy).
  • Suspected or confirmed COVID-19 outside of the current episode within 3 months of randomization.
  • Suspected or confirmed concurrent active systemic infection other than COVID-19 that may interfere with the evaluation of response to the intervention.
  • Ongoing long COVID or postacute sequelae of COVID (PASC) diagnosis.
  • Current severely conditions.
  • Received or expected to receive any other COVID-19-specific therapies.
  • Have previously received secutrelvir.
  • Exposed to an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to the screening visit.

Note: Other protocol-defined inclusion and exclusion criteria may apply.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,200 participants (estimated)

Study arms

  • Experimental
    Secutrelvir

    Participants will receive secutrelvir administered orally.

    Drug: Secutrelvir

  • Placebo comparator
    Placebo

    Participants will receive placebo administered orally.

    Drug: Placebo

Interventions

  • DrugSecutrelvir

    Secutrelvir will be administered orally as a tablet.

    Also known as: S-892216

  • DrugPlacebo

    Placebo will be administered orally as a tablet.

06

What researchers measure

Primary outcomes

  1. Time to First Resolution of 14 Protocol-defined Symptoms of COVID-19 Through Day 21

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 21

Secondary outcomes

  1. Time to Sustained Resolution of 14 Protocol-defined Symptoms of COVID-19 Through Day 28

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 28

  2. Time to Sustained Resolution of 14 Protocol-defined Symptoms of COVID-19 Through Day 21

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 21

  3. Time to First Resolution of 14 Protocol-defined Symptoms of COVID-19 Symptoms Through Day 28

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 28

  4. Time to First Alleviation of 14 Protocol-defined Symptoms of COVID-19 Through Day 21

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 21

  5. Time to Sustained Alleviation of 14 Protocol-defined Symptoms of COVID-19 Through Day 21

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 21

  6. Area Under The Curve (AUC) of Change From Baseline in Protocol-defined 14 COVID 19 Symptoms Total Score at Day 8

    Time frame: Baseline, Day 8

  7. Time to First Resolution of Fever Based on Body Temperature

    Symptoms will be assessed by the investigator via a participant daily electronic diary.

    Time frame: Baseline through Day 28

  8. Time to Sustained Resolution of Fever Based on Body Temperature

    Symptoms will be assessed by the investigator via a participant daily electronic diary

    Time frame: Baseline through Day 28

  9. Change From Baseline in SARS-CoV-2 Viral RNA Level

    Time frame: Baseline through Day 28

  10. Percentage of Participants With All-cause Hospitalization

    Time frame: Baseline through Day 21

  11. Percentage of Participants With All-cause Death

    Time frame: Baseline through Day 21

  12. Plasma Concentration of Secutrelvir and Its Metabolites

    Time frame: Days 4 and 8

  13. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame: Baseline through Day 28

07

Study locations

1 of 1 sites recruiting
  • Japanese Site 1
    Multiple Locations, Japan
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07746544
Lead sponsor
Shionogi
Responsible party
Sponsor
First posted
Aug 5, 2026
Start date
Aug 5, 2026
Primary completion
Jul 31, 2027 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Sep 2, 2026

Study contacts

Shionogi Clinical Trials Administrator Clinical Support Help Line
Contact
Shionogiclintrials-admin@shionogi.co.jp
1-800-849-9707

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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