Traws Pharma initiates Phase 2 trials for ratutrelvir, comparing it to PAXLOVID® and assessing PAXLOVID®-ineligible patients. Top data due 2025.
Quiver AI Summary
Traws Pharma, Inc. has initiated a Phase 2 clinical trial to evaluate the safety and efficacy of ratutrelvir, a new ritonavir-free antiviral treatment for newly diagnosed COVID-19 patients. The study will assess ratutrelvir against the established treatment PAXLOVID®, focusing on safety, infection rates, COVID symptoms, disease rebound, and the incidence of Long COVID. Additionally, a separate trial will look at ratutrelvir's effectiveness in patients ineligible for PAXLOVID®, who face limited treatment options. Traws expects to release top-line results from both studies by the end of 2025. The company aims for ratutrelvir to become a new standard of care, addressing ongoing public health challenges posed by COVID-19, especially among vulnerable populations.
Potential Positives
- Traws Pharma announced the initiation of a Phase 2 study to compare ratutrelvir, an investigational ritonavir-free anti-viral treatment, against the established standard, PAXLOVID®, positioning the company competitively in the COVID-19 treatment market.
- The trials will address important safety and efficacy parameters, including disease rebound rates and Long COVID incidence, potentially enhancing understanding of ratutrelvir's benefits over existing therapies.
- The second trial targets a vulnerable population that is ineligible for current PAXLOVID® treatment options, highlighting Traws Pharma's commitment to addressing significant unmet medical needs.
- Positive results from these studies could represent a critical inflection point for Traws Pharma, potentially establishing ratutrelvir as a new standard of care in the treatment of COVID-19.
Potential Negatives
- The top-line data from both trials is not expected until year-end 2025, indicating a lengthy wait for results that may affect investor confidence and interest.
- The press release heavily references potential benefits and market opportunities but lacks concrete evidence of efficacy or safety for ratutrelvir, raising concerns about the feasibility of these claims.
- The reliance on forward-looking statements signifies uncertainty in the company's future performance and potential regulatory challenges that could impact product approval timelines.
FAQ
What is ratutrelvir and its purpose in COVID treatment?
Ratutrelvir is a ritonavir-free antiviral treatment designed to target SARS-CoV-2, developed by Traws Pharma for COVID-19.
How does ratutrelvir compare to PAXLOVID®?
The non-inferiority trial will evaluate ratutrelvir's safety and efficacy against PAXLOVID®, the current gold standard COVID treatment.
When will the trial results for ratutrelvir be available?
Top-line data from both Phase 2 trials of ratutrelvir are expected by the end of 2025.
Who are the participants in the second trial of ratutrelvir?
The second trial will focus on PAXLOVID®-ineligible subjects, a vulnerable population with limited treatment options.
What future implications could ratutrelvir’s results have?
Positive results may position ratutrelvir as a new standard of care for COVID-19, potentially reducing risks of disease rebound and Long COVID.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
Non-inferiority trial versus PAXLOVID ® assessing safety and efficacy, including rates of disease rebound and incidence of Long COVID development, of ratutrelvir, a ritonavir-free anti-viral treatment
Separate single-arm trial assessing safety and efficacy in PAXLOVID ® -ineligible subjects, who represent a significant, vulnerable population with few available treatment options
Top-line data from both trials expected by year-end 2025
NEWTOWN, Pa., Oct. 14, 2025 (GLOBE NEWSWIRE) -- Traws Pharma, Inc. (NASDAQ: TRAW) (“Traws Pharma”, “Traws” or “the Company”), a clinical-stage biopharmaceutical company developing novel therapies to target critical threats to human health from respiratory viral diseases, today announced the dosing of the first subject in a Phase 2 study to evaluate ratutrelvir, a ritonavir-free anti-viral treatment in newly diagnosed COVID subjects.
“The first trial will enable Traws to compare ratutrelvir, a potential best in class ritonavir-free agent, against the current gold standard, PAXLOVID ® ,” said Iain D. Dukes, MA, DPhil, Chief Executive Officer of Traws Pharma. “This study will evaluate safety, as well as rates of infection, COVID symptoms, disease rebound and incidence of Long COVID. In addition, we will initiate a second trial to evaluate the safety and efficacy of ratutrelvir in PAXLOVID ® -ineligible patients, a population at risk for poor outcomes from COVID infection with few available treatment options. Our expectation is to be able to report the results of both Phase 2 studies by year-end 2025.”
“Across the US, we see multiple signs that COVID continues to threaten public health, especially among elderly and vulnerable individuals,” said Robert R. Redfield, MD, Chief Medical Officer of Traws Pharma. “We believe that Traws’ ritonavir-free COVID therapeutic candidate, ratutrelvir, has the potential to overcome the shortcomings of current treatments and become the new standard of care. Ratutrelvir’s good overall tolerability allows once-daily, single tablet dosing for 10 days, which could reduce the rate of rebound and the risk of Long COVID. Positive results could provide important proof-of-concept data and represent a valuable inflection point for the program.”
About Ratutrelvir
Ratutrelvir is an investigational oral, small molecule Mpro (3CL protease) inhibitor designed to be a broadly acting treatment for SARS-CoV-2/COVID-19 that is used without ritonavir. It has demonstrated in vitro activity against a range of virus strains. Preclinical and Phase 1 studies show that ratutrelvir does not require co-administration with a metabolic inhibitor, such as ritonavir, which could avoid ritonavir-associated drug-drug interactions 1 , and potentially enable wider patient use. Phase 1 data also showed that ratutrelvir’s pharmacokinetic (PK) profile demonstrated maintenance of target blood plasma levels approximately 13 times above the EC 50 using the target Phase 2 dosing regimen of 600 mg/day for ten days, which may reduce the likelihood of clinical rebound and, consequently, reduce the risk for Long COVID 2 . Industry data indicate that COVID treatment represents a potential multi-billion dollar market opportunity 3 .
Source information:
- https://ascpt.onlinelibrary.wiley.com/doi/pdf/10.1002/cpt.2646
- Carly Herbert et al. (2025) Clinical Infectious Diseases. https://doi.org/10.1093/cid/ciae539
-
Pfizer Inc. 10K report 2024, Feb 27, 2025
Third-party products mentioned herein are the trademarks of their respective owners.
About Traws Pharma, Inc.
Traws Pharma is a clinical stage biopharmaceutical company dedicated to developing novel therapies to target critical threats to human health in respiratory viral diseases. Traws integrates antiviral drug development, medical intelligence and regulatory strategy to meet real world challenges in the treatment of viral diseases. We are advancing novel investigational oral small molecule antiviral agents that have potent activity against difficult to treat or resistant virus strains that threaten human health: COVID-19/Long COVID and bird flu and seasonal influenza. Ratutrelvir is in development as a ritonavir-independent COVID treatment, targeting the Main protease (Mpro or 3CL protease). Tivoxavir marboxil is in development as a single dose treatment for bird flu and seasonal influenza, targeting the influenza cap-dependent endonuclease (CEN).
Traws is actively seeking development and commercialization partners for its legacy clinical oncology programs, rigosertib and narazaciclib. More details can be found on Traws’ website at https://www.ir.trawspharma.com/partnering .
For more information, please visit www.trawspharma.com and follow us on LinkedIn.
Forward-Looking Statements
Some of the statements in this release are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, and involve risks and uncertainties including statements regarding the Company, its business and product candidates, including the potential opportunity, market size, benefits, effectiveness, safety, and the clinical and regulatory plans for ratutrelvir and tivoxavir marboxil, as well as plans for its legacy programs. The Company has attempted to identify forward-looking statements by terminology including “believes”, “estimates”, “anticipates”, “expects”, “plans”, “intends”, “may”, “could”, “might”, “will”, “should”, “potential”, “preliminary”, “encouraging”, “approximately” or other words that convey uncertainty of future events or outcomes. Although Traws believes that the expectations reflected in such forward-looking statements are reasonable as of the date made, expectations may prove to have been materially different from the results expressed or implied by such forward looking statements. These statements are only predictions and involve known and unknown risks, uncertainties, and other factors, including the success and timing of Traws’ clinical trials, including when Traws will report results of the Phase 2 studies of ratutrelvir; the potential efficacy of ratutrelvir for the treatment of COVID-19; the potential for ratutrelvir to gain market acceptance, if and when regulatory approval is obtained, or become the new standard of care; Traws’ interactions with the FDA, BARDA and similar foreign regulators; collaborations; market conditions; regulatory requirements and pathways for approval; the ongoing need for improved therapy to reduce the frequency of clinical rebound and the concomitant risk for Long COVID; the extent of the spread and threat of the bird flu; Traws’ ability to raise additional capital when needed; and those discussed under the heading “Risk Factors” in Traws’ filings with the U.S. Securities and Exchange Commission (SEC). Any forward-looking statements contained in this release speak only as of its date. Traws undertakes no obligation to update any forward-looking statements contained in this release to reflect events or circumstances occurring after its date or to reflect the occurrence of unanticipated events, except to the extent required by law.
Traws Pharma Contact:
Charles Parker
Traws Pharma, Inc.
[email protected]
www.trawspharma.com
Investor Contact:
John Fraunces
LifeSci Advisors, LLC
917-335-2395
[email protected]