Coronavirus Disease (COVID-19)Phase 3MOVe-AHEADNCT04939428
Study of MK-4482 for Prevention of Coronavirus Disease 2019 (COVID-19) in Adults (MK-4482-013)
A Phase 3 study testing Molnupiravir in people with Coronavirus Disease (COVID-19), run by Merck Sharp & Dohme LLC at 226 sites in 23 countries.
Trial summary
The purpose of the study is to assess if the study medication (molnupiravir, MK-4482) will prevent symptomatic coronavirus disease 2019 (COVID-19) in adults who live with someone with confirmed COVID-19 infection. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Coronavirus Disease (COVID-19)
- What is being tested?
- Molnupiravir
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,441 participants
- Where
- 226 sitesin 23 countries
- Study dates
- 11 Aug 2021to 16 Nov 2022
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Lives in a household with an index case where the index case is a person with documented COVID-19 (laboratory-confirmed SARS-CoV-2 infection with symptoms case) and must have 1) a first detectable SARS-CoV-2 test result from a sample collected within ≤5 days prior to randomization of the participant, and 2) at least 1 symptom attributable to COVID-19 (e.g., fever, difficulty breathing)
- Does not have confirmed or suspected COVID-19
- Is willing and able to take oral medication
- For males, agrees to be abstinent from penile-vaginal intercourse OR agrees to use a highly effective contraceptive method while receiving study drug and for ≥3 months after the last dose of study drug
- Is female and not pregnant/breastfeeding and at least one of the following applies during the study and for ≥4 days after: is not a woman of childbearing potential (WOCBP), is a WOCBP and uses highly effective contraception (low user dependency method OR a user dependent hormonal method in combination with a barrier method), or is a WOCBP who is abstinent from heterosexual intercourse
Who cannot join
- Has a prior history of laboratory-confirmed SARS-CoV-2 infection (with or without symptoms) within 6 months prior to randomization
- Has either of the following: human immunodeficiency virus (HIV) with a recent viral load >50 copies/mL (regardless of CD4 count) or an acquired immunodeficiency syndrome (AIDS)-defining illness
- Has a history of hepatitis B virus (HBV) or hepatitis C virus (HCV) infection with any of the following: cirrhosis, end-stage liver disease, hepatocellular carcinoma; aspartate transaminase (AST) and/or (ALT) >3x upper limit of normal at screening
- Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator
- Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments including but not limited to participants with conditions that could limit gastrointestinal absorption of capsule contents
- Has received, is taking, or is anticipated to require any prohibited therapies
Show all 9Show fewer
- Has received a COVID-19 vaccination with the first dose ≥7 days prior to randomization
- Is unwilling to abstain from participating in another interventional clinical study through Day 29 with an investigational compound or device, including those for COVID-19 therapeutics
- Is living in a household with >10 people
Trial locations and contacts
226 sites in 23 countries.
226 sites in 23 countries
United States59 sites
PharmaTex Research, LLC ( Site 2541)
Amarillo, Texas, 79109
Institute of Human Virology ( Site 2504)
Baltimore, Maryland, 21201
Cahaba Research, Inc. ( Site 2523)
Birmingham, Alabama, 35235
TTS Research ( Site 2433)
Boerne, Texas, 78006
Synergy Healthcare ( Site 2521)
Bradenton, Florida, 34208
Mercury Street Medical Group PLLC ( Site 2476)
Butte, Montana, 59701
Hope Clinical Research ( Site 2400)
Canoga Park, California, 91303
Carbon Health ( Site 2515)
Carlsbad, California, 92009
Chicago Clinical Research Institute Inc ( Site 2454)
Chicago, Illinois, 60607
Rush University Medical Center ( Site 2510)
Chicago, Illinois, 60612
The Lindner Center for Research and Education at The Christ Hospital ( Site 2517)
Cincinnati, Ohio, 45219
Future Innovative Treatments, LLC ( Site 2471)
Colorado Springs, Colorado, 80907
University of Missouri Hospital ( Site 2486)
Columbia, Missouri, 65201
Dayton Clinical Research ( Site 2488)
Dayton, Ohio, 45406
Accel Research Sites-DeLand Clinical Research Unit ( Site 2535)
DeLand, Florida, 32720
Velocity Clinical Research-Providence ( Site 2432)
East Greenwich, Rhode Island, 02818
Centennial Medical Group ( Site 2435)
Elkridge, Maryland, 21075
Michigan Center of Medical Research ( Site 2445)
Farmington Hills, Michigan, 48334
Prime Health and Wellness/SKYCRNG ( Site 2538)
Fayette, Mississippi, 39069
UCSF Fresno ( Site 2528)
Fresno, California, 93701
ASCADA Research, LLC ( Site 2516)
Fullerton, California, 92835
ECU Adult Specialty Care ( Site 2415)
Greenville, North Carolina, 27834
Tribe Clinical Research, LLC ( Site 2409)
Greenville, South Carolina, 29607
Velocity Clinical Research, Hallandale Beach ( Site 2485)
Hallandale, Florida, 33009
Indago Research and Health Center Inc ( Site 2412)
Hialeah, Florida, 33012
ID Care ( Site 2466)
Hillsborough, New Jersey, 08844
Houston Methodist Hospital ( Site 2463)
Houston, Texas, 77030
Santa Clara Family Clinic ( Site 2462)
Houston, Texas, 77087
Marvel Clinical Research ( Site 2490)
Huntington Beach, California, 92647
Advanced Research For Health Improvement LLC ( Site 2436)
Immokalee, Florida, 34142
Excel Clinical Research, LLC ( Site 2404)
Las Vegas, Nevada, 89109
Michigan Center of Medical Research ( Site 2525)
Lathrup Village, Michigan, 48076
Balanced Life Healthcare Solutions/SKYCRNG ( Site 2539)
Lawrenceville, Georgia, 30046
National Research Institute ( Site 2452)
Los Angeles, California, 90057
The Institute for Liver Health DBA Arizona Clinical Trials ( Site 2484)
Mesa, Arizona, 85210
Southern Clinical Research Associates ( Site 2542)
Metairie, Louisiana, 70001
MedPharmics, LLC ( Site 2443)
Metairie, Louisiana, 70006
Clinical Site Partners, LLC d/b/a CSP Miami ( Site 2508)
Miami, Florida, 33186
Allina Health Infectious Diseases Research Clinic ( Site 2507)
Minneapolis, Minnesota, 55404
Valley Clinical Trials Inc. ( Site 2406)
Northridge, California, 91325
Carbon Health ( Site 2514)
Oakland, California, 94610
University of Nebraska Medical Center ( Site 2430)
Omaha, Nebraska, 68198-3135
Preferred Clinical Research ( Site 2470)
Pittsburgh, Pennsylvania, 15236
CDC Research Institute, LLC ( Site 2540)
Port Saint Lucie, Florida, 34952
Amici Clinical Research LLC ( Site 2426)
Raritan, New Jersey, 08869
Quinn Healthcare/Skycrng ( Site 2537)
Ridgeland, Mississippi, 39157
University of California Davis ( Site 2497)
Sacramento, California, 95817
AXCES Research Group ( Site 2437)
Santa Fe, New Mexico, 87505
Covid-19 Clinical Research Center (CCRC) ( Site 2421)
Seattle, Washington, 98109
Jadestone Clinical Research, LLC ( Site 2530)
Silver Spring, Maryland, 20904
Millennium Clinical Trials ( Site 2468)
Simi Valley, California, 93065
Cherokee Nation WW Hastings Indian Hospital/Cherokee Nation Health Services ( Site 2459)
Tahlequah, Oklahoma, 74464
Clinical Research Trials of Florida ( Site 2402)
Tampa, Florida, 33607
Montefiore Medical Center ( Site 2503)
The Bronx, New York, 10462
The Institute for Liver Health DBA Arizona Clinical Trials ( Site 2448)
Tucson, Arizona, 85712
Crossroads Clinical Research LLC ( Site 2451)
Victoria, Texas, 77901
Emerson Clinical Research Institute ( Site 2457)
Washington D.C., District of Columbia, 20011
TPMG Clinical Research ( Site 2495)
Williamsburg, Virginia, 23188
Clinical Site Partners, LLC d/b/a CSP Miami ( Site 2425)
Winter Park, Florida, 32789
South Africa18 sites
IATROS International ( Site 1921)
Bloemfontein, Free State, 9300
REIMED Reiger Park ( Site 1910)
Boksburg, Gauteng, 1459
TASK Applied Science ( Site 1920)
Cape Town, Western Cape, 7405
DTHF Masiphumelele Clinical Research Site ( Site 1919)
Cape Town, Western Cape, 7975
Dr Jugnundun & Partners ( Site 1905)
Durban, KwaZulu-Natal, 4091
Enhancing Care Foundation-DICRS ( Site 1922)
Durban, KwaZulu-Natal, 4091
Private Practice - Dr. Neyaseelan Gounden ( Site 1911)
Durban, KwaZulu-Natal, 4093
Midrand Medical Centre ( Site 1913)
Halfway House, Gauteng, 1685
Wits Health Consortium. Clinical HIV Research Unit ( Site 1923)
Johannesburg, Gauteng, 2041
Right To Care Research - Esizayo ( Site 1907)
Johannesburg, Gauteng, 2087
DJW Navorsing ( Site 1915)
Krugersdorp, Gauteng, 1739
Zinakekele Medical Centre ( Site 1926)
Moloto, Gauteng, 1022
Mzansi Ethical Research Centre ( Site 1918)
Mpumalanga, Gauteng, 1055
Be Part Yoluntu Centre ( Site 1914)
Paarl, Western Cape, 7626
Paarl Research Centre ( Site 1924)
Paarl, Western Cape, 7646
Global Clinical Trial Centre ( Site 1904)
Pretoria, Gauteng, 0186
Jongaie Research ( Site 1900)
Pretoria West, Gauteng, 0183
Limpopo Clinical Research Initiative ( Site 1901)
Thabazimbi, Limpopo, 0380
Russia16 sites
Republican Clinical Infectious Hospital n.a. A.F. Agafonov ( Site 1802)
Kazan', Tatarstan, Respublika, 420140
FSBI Central Hospital with Policlinics ( Site 1807)
Moscow, Moscow, 121359
Infectious Clinical Hospital # 1 ( Site 1834)
Moscow, Moscow, 125310
SPb SBHI. City outpatient clinic No.44 ( Site 1830)
Saint Petersburg, Sankt-Peterburg, 192071
SPb SBHI City outpatient clinic 112 ( Site 1829)
Saint Petersburg, Sankt-Peterburg, 195427
Medical Research Institute LLC. ( Site 1814)
Saint Petersburg, Sankt-Peterburg, 196084
Limited liability company "Scientific research center Eco-safety" ( Site 1809)
Saint Petersburg, Sankt-Peterburg, 196143
Smorodintsev Research Institute of Influenza ( Site 1833)
Saint Petersburg, Sankt-Peterburg, 197376
City Polyclinic #88 ( Site 1808)
Saint Petersburg, Sankt-Peterburg, 198261
Nikolaevskaya hospital ( Site 1810)
Saint Petersburg, Sankt-Peterburg, 198510
SPb SBHI City outpatient clinic 4 ( Site 1831)
Saint Petersburg, Sankt-Peterburg, 199406
LLC -Medical Center . Capital-Polis ( Site 1825)
Saint-Petrsburg, Sankt-Peterburg, 190013
St.Petersburg Outpatient Clinic No. 109 ( Site 1818)
Saint-Petrsburg, Sankt-Peterburg, 192289
Smolensk State Medical Academy ( Site 1803)
Smolensk, Smolensk Oblast, 214019
Voronezh Regional Clinical Hospital #1 ( Site 1823)
Voronezh, Voronezskaja Oblast, 394066
LLC -Clinic of modern medicine of Doctor Bogorodskaya ( Site 1828)
Yaroslavl, Yaroslavl Oblast, 150001
Mexico13 sites
Hospital General de Acapulco ( Site 1319)
Acapulco de Juárez, Guerrero, 39570
Centro de Investigacion Medica Aguascalientes ( Site 1305)
Aguascalientes, 20116
Centro de Investigacion y Avances Medicos Especializados -CIAME ( Site 1301)
Cancún, Quintana Roo, 77500
ICARO Investigaciones en Medicina ( Site 1313)
Chihuahua City, 31000
Centro Médico Universitario ( Site 1316)
Cuernavaca, Morelos, 62210
CHRISTUS - LATAM HUB CENTER OF EXCELLENCE AND INNOVATION S.C. ( Site 1315)
General Escobedo, Nuevo León, 66055
Instituto Jalisciense de Metabolismo SC ( Site 1314)
Guadalajara, Jalisco, 44670
Morales Vargas Centro de Investigacion, S.C. ( Site 1318)
León, Guanajuato, 37000
Köhler & Milstein Research S.A. de C.V. ( Site 1300)
Mérida, Yucatán, 97070
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran ( Site 1308)
Mexico City, Mexico City, 14080
Medica Sur S.A.B de C.V. ( Site 1303)
Mexico City, 14050
Oaxaca Site Management Organization S.C. ( Site 1304)
Oaxaca City, 68000
Arké SMO S.A de C.V ( Site 1306)
Veracruz, 91910
Ukraine13 sites
Ivano-Frankivsk Regional Clinical Infectious Diseases Hospital ( Site 2232)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76007
Regional Phthisiopulmonological Center ( Site 2203)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018
NPME -Central Clinical Hospital of Ivano-Frankivsk City Council ( Site 2204)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76025
Non profit municipal enterprise City hospital student of Kharkiv city council ( Site 2229)
Kharkiv, Kharkiv Oblast, 61002
PCNE Kharkiv City polyclinic 9 of the Kharkiv City Council ( Site 2201)
Kharkiv, Kharkiv Oblast, 61172
Limited Liability Company Medical center Healthy Happy ( Site 2225)
Kyiv, Kyivska Oblast, 01033
MNPE Consultative-Diagnostic Centre of Desnyanskyi District of Kyiv ( Site 2205)
Kyiv, Kyivska Oblast, 02232
Kyiv railway clinical hospital 2 of Branch Health center ( Site 2207)
Kyiv, Kyivska Oblast, 03049
Municipal Noncommercial Enterprise Lviv 4th City Clinical Hospital ( Site 2200)
Lviv, Lviv Oblast, 79011
Odesa Regional Center of Socially Significant Diseases ( Site 2230)
Odesa, Odesa Oblast, 65014
MNCE -Odesa regional clinical hospital of Odesa regional council ( Site 2226)
Odesa, Odesa Oblast, 65025
Municipal Enterprise Poltava Regional Clinical Infectious Hospital ( Site 2227)
Poltava, Poltava Oblast, 36011
Medical Clinical Investigational Center of Medical Center Health Clinic ( Site 2210)
Vinnytsia, Vinnytsia Oblast, 21009
Turkey (Türkiye)11 sites
Ankara Universitesi Ibni Sina Hastanesi ( Site 2101)
Ankara, 06230
Hacettepe Universitesi Tip Fakultesi ( Site 2102)
Ankara, 06230
Gazi Universitesi Tip Fakultesi Hastanesi ( Site 2106)
Ankara, 06560
Ankara Sehir Hastanesi ( Site 2111)
Ankara, 06800
Atakent Acibadem Hastanesi ( Site 2103)
Halkali/K.cekmece, Istanbul, 34303
Istanbul Universitesi Istanbul Tip Fakultesi ( Site 2110)
Istanbul, 34093
Medipol Universite Hastanesi ( Site 2108)
Istanbul, 34214
Basaksehir Cam ve Sakura City Hospital ( Site 2112)
Istanbul, 34494
Sancaktepe Prof Dr Ilhan Varank EAH-Prof Dr Feriha Oz Hastanesi ( Site 2113)
Istanbul, 34785
Ege Universitesi Tip Fakultesi Hastanesi ( Site 2105)
Izmir, 35100
Sakarya Universitesi Egitim ve Arastirma Hastanesi ( Site 2107)
Sakarya, 54100
Colombia10 sites
Centro Cientifico Asistencial Jose Luis Accini ( Site 0412)
Barranquilla, Atlántico, 080020
Clinica de la Costa Ltda. ( Site 0407)
Barranquilla, Atlántico, 080020
Hospital Universitario Clinica San Rafael ( Site 0410)
Bogota, Cundinamarca, 110411
Caja de Compensacion Familiar CAFAM ( Site 0403)
Bogotá, Bogota D.C., 111211
Instituto Neumologico del Oriente S.A. ( Site 0408)
Bucaramanga, Santander Department, 681004
Fundacion Valle del Lili ( Site 0405)
Cali, Valle del Cauca Department, 760032
Fundacion Centro de Investigacion Clinica CIC ( Site 0402)
Medellín, Antioquia, 050021
Oncomedica S.A. ( Site 0406)
Montería, Departamento de Córdoba, 230002
Fundacion Centro de Investigaciones Clinicas CARDIOMET ( Site 0409)
Pereira, Risaralda Department, 660003
Healthy Medical Center S.A.S ( Site 0413)
Zipaquirá, Cundinamarca, 250252
Argentina8 sites
CEMIC ( Site 0101)
Buenos Aires, C1431FWO
Mautalen Salud e Investigacion ( Site 0103)
Caba, Buenos Aires, C1128AAF
Sanatorio de la Trinidad Mitre ( Site 0108)
CABA, Buenos Aires, C1039AAO
Hospital Italiano de Buenos Aires ( Site 0102)
CABA, Buenos Aires, C1199ABB
Instituto de Investigaciones Clínicas Mar del Plata ( Site 0105)
Mar del Plata, Buenos Aires, B7600FZO
Clinica Independencia ( Site 0104)
Munro, Buenos Aires, B1605FRE
Instituto Medico de la Fundacion Estudios Clinicos ( Site 0106)
Rosario, Santa Fe Province, 2000
Grupo Oroño Centro medico San Nicolas ( Site 0109)
San Nicolás de los Arroyos, Buenos Aires, B2900DPA
Hungary8 sites
DRC Gyogyszervizsgalo Kozpont Kft. ( Site 0801)
Balatonfüred, Veszprém megye, 8230
Obudai Egeszsegugyi Centrum - OEC ( Site 0821)
Budapest, 1036
Strazsahegy Medicina Bt ( Site 0823)
Budapest, 1171
Debreceni Egyetem Klinikai Kozpont- Infektologiai Klinika ( Site 0824)
Debrecen, Hajdú-Bihar, 4031
Bugat Pal Korhaz ( Site 0817)
Gyöngyös, Heves County, 3200
Medifarma-98 Kft. ( Site 0808)
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
LONA MEDIC Kft ( Site 0804)
Orosháza, Bekes County, 5900
Obudai Egeszsegugyi Centrum - Zalaegerszeg ( Site 0819)
Zalaegerszeg, 8900
Japan8 sites
Chiba Aoba Municipal Hospital ( Site 1100)
Chiba, 260-0852
National Hospital Organization Okinawa National Hospital ( Site 1109)
Ginowan, Okinawa, 901-2214
IUHW Narita Hospital ( Site 1105)
Narita, Chiba, 286-8520
Global Healthcare Clinic ( Site 1106)
Tokyo, 102-0083
Den-en-chofu family clinic ( Site 1104)
Tokyo, 145-0071
Center Hospital of the National Center for Global Health and Medicine ( Site 1101)
Tokyo, 162-8655
Sekino Hospital ( Site 1110)
Tokyo, 171-0014
Social Medical Corporation Yuuaikai Yuuai Medical Center ( Site 1108)
Tomigusuku, Okinawa, 901-0224
Romania8 sites
Centrul Medical Unirea ( Site 1705)
Brasov, 500091
Centrul Medical Unirea SRL Bucuresti ( Site 1706)
Bucharest, 011601
Delta Heath Care S.R.L ( Site 1708)
Bucharest, 014142
SC Policlinica CCBR SRL. Bucuresti ( Site 1704)
Bucharest, 030463
Centrul Medical Unirea SRL ( Site 1707)
Cluj-Napoca, Cluj, 400349
Centrul Medical Unirea SRL Constanta ( Site 1703)
Constanța, 900540
Centrul Medical Unirea SRL IASI ( Site 1701)
Iași, 700023
S.C Materna Care SRL ( Site 1702)
Timișoara, Timiș County, 300645
Brazil7 sites
Faculdade de Medicina da Universidade Federal de Mato Grosso do Sul - UFMS ( Site 0305)
Campo Grande, Mato Grosso do Sul, 79070-900
Hospital Nossa Senhora das Gracas ( Site 0310)
Curitiba, Paraná, 80810-040
Oncosite-Centro de Pesquisa Clinica em Oncologia ( Site 0300)
Ijuí, Rio Grande do Sul, 98700-000
Fundaçao de Medicina Tropical Doutor Heitor Vieira Dourado ( Site 0303)
Manaus, Amazonas, 69040-000
Centro de Referencia Professor Helio Fraga - FIOCRUZ/RJ ( Site 0314)
Rio de Janeiro, 22780-192
Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 0312)
São José do Rio Preto, São Paulo, 15090000
Centro de Referência e Treinamento DST/AIDS ( Site 0301)
São Paulo, 04121-000
Peru7 sites
Policlínico Especializado en Neurología - Unid. Inv. Neurológica ( Site 1403)
La Perla, Qallaw, 07011
Clínica Ricardo Palma ( Site 1406)
Lima, 15036
Asociacion Civil por la Salud ( Site 1411)
Lima, 15046
Investigaciones Medicas en Salud - INMENSA ( Site 1401)
Lima, 15046
Asociacion Civil IMPACTA Salud y Educacion - Sede San Miguel ( Site 1410)
Lima, 15088
Clinica Providencia ( Site 1400)
Lima, 15088
Instituto de Investigacion Nutricional - Anexo Huascar ( Site 1404)
Lima, 15423
Spain7 sites
Hospital de Alcorcon ( Site 2003)
Alcorcón, Madrid, Comunidad de, 28922
Hospital Universitari Germans Trias i Pujol ( Site 2010)
Badalona, Barcelona, 08916
C.S. Vallcarca-Sant Gervasi ( Site 2000)
Barcelona, 08023
CAP de Sardenya ( Site 2009)
Barcelona, 08025
CAP Centelles ( Site 2011)
Centelles, Barcelona, 08540
Hospital Universitario Infanta Leonor ( Site 2002)
Madrid, 28031
Hospital Universitario La Paz ( Site 2024)
Madrid, 28046
Egypt6 sites
Masri - CRC - Ain Shams University ( Site 2900)
Cairo, Cairo Governorate, 11566
Masri - CRC - Ain Shams University ( Site 2910)
Cairo, Cairo Governorate, 11566
National Hepatology and Tropical Medicine Research Institute ( Site 2930)
Cairo, Cairo Governorate, 11796
Air Force Specialized Hospital Clinical Research Center ( Site 2920)
Cairo, Cairo Governorate, 11835
National Center for allergies and chest ( Site 2940)
Giza, Giza Governorate, 12651
Imbaba Fevers Hospital ( Site 2945)
Giza, Giza Governorate, 12661
France5 sites
CHU Martinique ( Site 0511)
Fort-de-France, Martinique, 97200
Maison de santé du Pays Neufchatelois ( Site 0507)
Neufchâtel-en-Bray, Seine-Maritime, 76270
Hôpital Pitié - Salpêtrière ( Site 0501)
Paris, Île-de-France Region, 75013
CHU de la Reunion - Groupe Hospitalier Sud ( Site 0508)
Saint-Pierre, La Reunion, 97448
Maison de Sante Universitaire La Providence ( Site 0506)
Toulouse, Haute-Garonne, 31500
Guatemala5 sites
Centro de Investigaciones Pediatricas ( Site 0703)
Guatemala City, 01001
Unidad de Diagnostico Cardiologico ( Site 0701)
Guatemala City, 01001
Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 0702)
Guatemala City, 01009
Clinica Privada ( Site 0705)
Guatemala City, 01010
Private Clinic - Dr. Hugo Pezzarossi ( Site 0704)
Guatemala City, 01015
Thailand5 sites
HIV-NAT AIDS Research Centre ( Site 2804)
Bangkok, Bangkok, 10330
Songklanagarind Hospital ( Site 2802)
Hat Yai, Changwat Songkhla, 90110
Chulabhorn Hospital ( Site 2801)
Lak Si, Bangkok, 10210
The Golden Jubilee Medical Center ( Site 2800)
Phutthamonthon, Changwat Nakhon Pathom, 73170
Rajavithi Hospital ( Site 2803)
Ratchathewi, Bangkok, 10400
Bulgaria3 sites
Medical Center Hera Kyustendi EOOD ( Site 3003)
Kyustendil, 2500
Medical Center Hera EOOD - Montana branch ( Site 3002)
Montana, 3400
Medical Center Hera EOOD ( Site 3001)
Sofia, Sofia (stolitsa), 1510
Kenya3 sites
KEMRI-CMR-RCTP- Kenya Medical Research Institute Kisumu ( Site 1925)
Kisumu, 40100
Center for Clinical Research (CCR) KEMRI ( Site 1929)
Nairobi, Nairobi City, 00200
Partners in Health Research and Development PHRD ( Site 1928)
Nairobi, Nairobi City, 00202
Philippines3 sites
Health Index Multi-Specialty and Lying -in Clinic ( Site 1504)
Cavite, 4102
Asian Hospital and Medical Center ( Site 1503)
Muntinlupa, National Capital Region, 1780
Quirino Memorial Medical Center ( Site 1501)
Quezon City, National Capital Region, 1109
Malaysia2 sites
Hospital Raja Perempuan Zainab II ( Site 2851)
Kota Bharu, Kelantan, 15586
Klinik Kesihatan Masjid Tanah ( Site 2850)
Masjid Tanah, Melaka, 78300
Dominican Republic1 site
Unidad de Aislamiento del Centro de Obstetricia y Ginecologia ( Site 2650)
Santo Domingo, Nacional, 10605
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of MK-4482 for the Prevention of COVID-19 (Laboratory-confirmed SARS-CoV-2 Infection With Symptoms) in Adults Residing With a Person With COVID-19
The purpose of the study is to assess if the study medication (molnupiravir, MK-4482) will prevent symptomatic coronavirus disease 2019 (COVID-19) in adults who live with someone with confirmed COVID-19 infection. This is a phase 3, multicenter, randomized, double-blind, placebo-controlled study; half of the study participants will receive molnupiravir twice daily by mouth and the other half will receive a placebo. The primary objectives of the study are to determine if molnupiravir prevents symptomatic COVID-19 disease and to evaluate its safety and tolerability. All participants who develop COVID-19 during the study are still eligible for any COVID-19 treatment recommended by their doctor.
- Conditions
- Coronavirus Disease (COVID-19)
- Being tested
- Molnupiravir, Placebo
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MolnupiravirDrug
Also called MK-4482
Four molnupiravir 200 mg capsules taken by mouth.
PlaceboDrug
Placebo capsule matched to molnupiravir 200 mg capsules taken by mouth.
| Study group | Role | What they receive |
|---|---|---|
| Molnupiravir | Experimental | Participants take molnupiravir 800 mg every 12 hours (Q12H) on Days 1 to 5. Receives: Drug: Molnupiravir |
| Placebo | Placebo comparator | Participants take placebo Q12H on Days 1 to 5. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline Nasopharyngeal (NP) Swabs and Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14
Percentage of participants who had undetectable SARS-CoV-2 in baseline NP swabs and developed COVID-19 (laboratory-confirmed SARS-CoV-2 infection with symptoms) through Day 14 were reported.
Measured: Day 14
Percentage of Participants With ≥1 Adverse Event
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: 29 days
Percentage of Participants Discontinuing From Study Therapy Due to AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to 5 days
Secondary outcomes (4)
Percentage of Participants (Regardless of SARS-CoV-2 in Baseline NP Swabs) Who Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14
Participants who experienced targeted symptoms of COVID-19 (e.g., cough, sore throat) and had NP swabs tested for SARS-CoV-2 using reverse-transcription polymerase chain reaction (RT-PCR).Efficacy analysis was conducted on the mITT (modified intent to treat) population consisting of all randomized participants who received at least 1 dose of study intervention.
Measured: Up to Day 14
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline NP Swabs and Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 29
Participants who experienced targeted symptoms of COVID-19 (e.g., cough, sore throat) and had NP swabs tested for SARS-CoV-2 using RT-PCR. The efficacy analysis population was the mITT (modified intent to treat) population consisting of all randomized participants who received at least 1 dose of study intervention.
Measured: Up to Day 29
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline NP Swabs and Developed Detectable SARS-CoV-2 in NP Swabs on or Before Day 14
All participants had NP swabs collected at screening and through Day 14 to test for SARS-CoV-2 using RT-PCR. Efficacy analysis was conducted on the mITT (modified intent to treat) population consisting of all randomized participants who received at least 1 dose of study intervention.
Measured: Up to Day 14
Percentage of Participants Who Had Detectable SARS-CoV-2 in Baseline NP Swabs and Developed COVID-19 (Laboratory-confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14
Participants who experienced targeted symptoms of COVID-19 (e.g., cough, sore throat) and had NP swabs tested for SARS-CoV-2 using RT-PCR. Efficacy analysis was conducted on the mITT (modified intent to treat) population consisting of all randomized participants who received at least 1 dose of study intervention.
Measured: Up to Day 14
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jun 2021
- Study start11 Aug 2021
- Primary completion16 Nov 2022
- Study completion16 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Coronavirus Disease (COVID-19)Studies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 2,441 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04939428
- Sponsor's protocol ID
- 4482-013
- Other IDs
- MK-4482-013, jRCT2031210281, PHRR211007-003980, 2021-000904-39
- Acronym
- MOVe-AHEAD
- Status last verified
- Sep 2024
- First submitted
- 24 Jun 2021
- Last updated
- 26 Sep 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
Publications
Alpizar SA, Accini J, Anderson DC, Eysa B, Medina-Pinon I, Ohmagari N, Ostrovskyy MM, Aggrey-Amable A, Beck K, Byrne D, Grayson S, Hwang PMT, Lonchar JD, Strizki J, Xu Y, Paschke A, De Anda CS, Sears PS; MOVe-AHEAD study group. Molnupiravir for intra-household prevention of COVID-19: The MOVe-AHEAD randomized, placebo-controlled trial. J Infect. 2023 Nov;87(5):392-402. doi: 10.1016/j.jinf.2023.08.016. Epub 2023 Sep 9.
PubMed 37690669
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of MK-4482 for the Prevention of COVID-19 (Laboratory-confirmed SARS-CoV-2 Infection With Symptoms) in Adults Residing With a Person With COVID-19
- ClinicalTrials.gov ID
- NCT04939428
- Acronym / sponsor ID
- MOVe-AHEAD / 4482-013
- Conditions
- Coronavirus Disease (COVID-19)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,441 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 11 Aug 2021 (actual)
- Primary completion
- 16 Nov 2022 (actual)
- Study completion
- 16 Nov 2022 (actual)
- First posted
- 25 Jun 2021 (actual)
- Results
- Posted 6 Feb 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to assess if the study medication (molnupiravir, MK-4482) will prevent symptomatic coronavirus disease 2019 (COVID-19) in adults who live with someone with confirmed COVID-19 infection. This is a phase 3, multicenter, randomized, double-blind, placebo-controlled study; half of the study participants will receive molnupiravir twice daily by mouth and the other half will receive a placebo. The primary objectives of the study are to determine if molnupiravir prevents symptomatic COVID-19 disease and to evaluate its safety and tolerability. All participants who develop COVID-19 during the study are still eligible for any COVID-19 treatment recommended by their doctor.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Molnupiravir | Experimental | Drug: MolnupiravirParticipants take molnupiravir 800 mg every 12 hours (Q12H) on Days 1 to 5. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants take placebo Q12H on Days 1 to 5. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Lives in a household with an index case where the index case is a person with documented COVID-19 (laboratory-confirmed SARS-CoV-2 infection with symptoms case) and must have 1) a first detectable SARS-CoV-2 test result from a sample collected within ≤5 days prior to randomization of the participant, and 2) at least 1 symptom attributable to COVID-19 (e.g., fever, difficulty breathing)
- Does not have confirmed or suspected COVID-19
- Is willing and able to take oral medication
- For males, agrees to be abstinent from penile-vaginal intercourse OR agrees to use a highly effective contraceptive method while receiving study drug and for ≥3 months after the last dose of study drug
- Is female and not pregnant/breastfeeding and at least one of the following applies during the study and for ≥4 days after: is not a woman of childbearing potential (WOCBP), is a WOCBP and uses highly effective contraception (low user dependency method OR a user dependent hormonal method in combination with a barrier method), or is a WOCBP who is abstinent from heterosexual intercourse
Key exclusion criteria (9 listed)
- Has a prior history of laboratory-confirmed SARS-CoV-2 infection (with or without symptoms) within 6 months prior to randomization
- Has either of the following: human immunodeficiency virus (HIV) with a recent viral load >50 copies/mL (regardless of CD4 count) or an acquired immunodeficiency syndrome (AIDS)-defining illness
- Has a history of hepatitis B virus (HBV) or hepatitis C virus (HCV) infection with any of the following: cirrhosis, end-stage liver disease, hepatocellular carcinoma; aspartate transaminase (AST) and/or (ALT) >3x upper limit of normal at screening
- Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator
- Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments including but not limited to participants with conditions that could limit gastrointestinal absorption of capsule contents
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MolnupiravirAlso: MK-4482Four molnupiravir 200 mg capsules taken by mouth. | Drug | Molnupiravir |
| PlaceboPlacebo capsule matched to molnupiravir 200 mg capsules taken by mouth. | Drug | Placebo |
Primary outcome
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline Nasopharyngeal (NP) Swabs and Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14
Time frame: Day 14
Percentage of participants who had undetectable SARS-CoV-2 in baseline NP swabs and developed COVID-19 (laboratory-confirmed SARS-CoV-2 infection with symptoms) through Day 14 were reported.
Percentage of Participants With ≥1 Adverse Event
Time frame: 29 days
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Participants Discontinuing From Study Therapy Due to AE
Time frame: Up to 5 days
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
4 secondary outcomes
Percentage of Participants (Regardless of SARS-CoV-2 in Baseline NP Swabs) Who Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14
Time frame: Up to Day 14
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline NP Swabs and Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 29
Time frame: Up to Day 29
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline NP Swabs and Developed Detectable SARS-CoV-2 in NP Swabs on or Before Day 14
Time frame: Up to Day 14
Percentage of Participants Who Had Detectable SARS-CoV-2 in Baseline NP Swabs and Developed COVID-19 (Laboratory-confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14
Time frame: Up to Day 14
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 37690669Alpizar SA, Accini J, Anderson DC, Eysa B, Medina-Pinon I, Ohmagari N, Ostrovskyy MM, Aggrey-Amable A, Beck K, Byrne D, Grayson S, Hwang PMT, Lonchar JD, Strizki J, Xu Y, Paschke A, De Anda CS, Sears PS; MOVe-AHEAD study group. Molnupiravir for intra-household prevention of COVID-19: The MOVe-AHEAD randomized, placebo-controlled trial. J Infect. 2023 Nov;87(5):392-402. doi: 10.1016/j.jinf.2023.08.016. Epub 2023 Sep 9.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
Related trials for Coronavirus Disease (COVID-19)
RecruitingPhase 3
A Study of Secutrelvir in Participants With Coronavirus Disease 2019 (COVID-19) Who Are at High Risk for Progression to Severe Disease
SARS-CoV-2
RecruitingObservational study
Viral Infections in Healthy and Immunocompromised Hosts
Anogenital Herpes, COVID-19
Active, not recruiting
Lupus Education Alliance Program
Systemic Lupus Erythematosus, COVID-19
Not yet recruitingPhase 1
Phase I Open-Label Safety Trial of Pembrolizumab for Neurological Post- Acute Sequelae of SARS-CoV-2 (PD1-PASC I)
Post-Acute COVID-19 Syndrome
RecruitingPhase 2
COVID-19 Booster and IIV Schedule in Immunocompromised Hosts
COVID 19, Influenza
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
226 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Molnupiravir in people with Coronavirus Disease (COVID-19), run by Merck Sharp & Dohme LLC at 226 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 226 sites in United States, South Africa, Russia, Mexico, Ukraine and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Feb 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Had Undetectable SARS-CoV-2 in Baseline Nasopharyngeal (NP) Swabs and Developed COVID-19 (Laboratory-Confirmed SARS-CoV-2 Infection With Symptoms) Through Day 14 (time frame: Day 14). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04939428, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2024.