Evidence map›Paper›PMID 41199272›Full record

ArticleTrials2025

Randomized trial of nirmatrelvir/ritonavir versus placebo for adults with acute COVID-19 to prevent long COVID: PanoramicNOR Trial.

Bjørn Blomberg, Nikolai Norevik Myklebust, Oddvar Oppegaard, Camilla Tøndel, Rebecca Jane Cox, Arild Iversen, Marianne Emblem Lehmann, Axel Sandvig, Tuva Børresdatter Dahl, Vibeke Devold Valderhaug and 8 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05852873 (PAxlovid loNg cOvid-19 pRevention triAl With recruitMent In the Community in Norway), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05852873 phase3active not recruitingnot on this map

PAxlovid loNg cOvid-19 pRevention triAl With recruitMent In the Community in Norway

TypeinterventionalSponsorHaukeland University HospitalRan2023 to 2027Enrolled2,000ConditionsPost COVID-19 Condition, Unspecified, SARS-CoV2 Infection, COVID-19ArmsNirmatrelvir/ritonavir, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Bjørn BlombergDepartment of Clinical Science, University of Bergen, Bergen, Norway. bjorn.blomberg@uib.no.ORCID http://orcid.org/0000-0001-5647-4297
Nikolai Norevik MyklebustDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Oddvar OppegaardDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Camilla TøndelDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Rebecca Jane CoxDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Arild IversenDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Marianne Emblem LehmannDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Axel SandvigSt. Olav's Hospital, Trondheim, Norway.
Tuva Børresdatter DahlResearch Institute for Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Vibeke Devold ValderhaugDepartment of Research and Innovation, Møre Og Romsdal Hospital Trust, Ålesund, Norway.
Peter SzodorayDepartment of Immunology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Maja WilhelmsenUniversity Hospital of Northern Norway, Tromsø, Norway.
Bjørn Eivind KirsebomDepartment of Neurology, University Hospital of North Norway, Tromsø, Norway.
Marte GlambekDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Oddvar KaarbøeDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Pål AukrustResearch Institute for Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Rolv Terje LieDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Nina LangelandDepartment of Clinical Science, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high prevalence of long-term persisting symptoms after COVID-19 (coronavirus disease 2019), termed long COVID or post-COVID-19 condition, even among those with mild initial disease, may have a large public health impact. Apart from avoiding infection, there is no proven prevention or treatment for long COVID. We will perform a randomized placebo-controlled clinical trial to assess whether treatment with the novel antiviral, nirmatrelvir and ritonavir (Paxlovid®) for acute COVID-19 can prevent the development of long COVID.

methodsThis is a randomized double-blinded placebo-controlled trial that aims to recruit 2000 nonpregnant persons aged 18 to 64 years with acute COVID-19 with positive PCR and/or antigen test and symptom duration of not more than 5 days. Participants will be randomized 1:1 to a 5-day course of Paxlovid (two tablets 150-mg nirmatrelvir and one tablet 100-mg ritonavir twice daily) or a 5-day course of placebo (similar number of tablets of equal appearance). The primary endpoint will be persistent symptoms compatible with long COVID, assessed as the prevalence of a dichotomous variable corresponding to the presence (1) or absence (0) of one or more of the following symptoms: (i) fatigue, (ii) dyspnea, and (iii) cognitive symptoms (memory and/or concentration problems). The primary outcome will be evaluated at 3-month follow-up and then re-evaluated at 6, 12, and 24 months. DISCUSSION: As more than 750 million people with confirmed COVID-19 have survived globally, the potential burden of long COVID on societies is formidable. If a simple 5-day oral treatment course with nirmatrelvir/ritonavir is shown to prevent long COVID, it would be a highly attractive intervention at an individual level and a mitigation of its public health consequences.

trial registrationClinicalTrials.gov NCT05852873. Registered on May 2023.

Indexed as

Antiviral AgentsCOVID-19COVID-19 Drug TreatmentRitonavirAdolescentAdultDouble-Blind MethodDrug CombinationsFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeAntiviral AgentsDrug CombinationsRitonavirCOVID-19Long COVIDNirmatrelvir/ritonavirPaxlovidPost-COVID-19 conditionPreventionRandomized controlled trialSARS-CoV-2

Identifiers

PMID41199272
PMCPMC12590622

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.