Nirmatrelvir / Ritonavir (2) – Paxlovid®

COVID-19, no need for supplemental oxygen, aged ≥ 6 years to < 18 years, weighing ≥ 20 kg

Characteristics

Start date 15.12.2025 – Marketing authorisation: 26.11.2025
Resolution 04.06.2026
INN Nirmatrelvir/Ritonavir
Brand name Paxlovid®
Pharm. company Pfizer Pharma GmbH
G-BA Procedure ID D-1276
ATC code J05AE30 Protease inhibitors (J05AE)
Therapeutic area Infectious diseases
Reason for procedure New therapeutic indication

Studies and Results

Children and adolescents aged 6 to < 18 years with a body weight of at least 20 kg who do not require supplemental oxygen and are at increased risk of developing severe COVID-19

  • The additional benefit is not proven.
  • In its dossier, the pharmaceutical manufacturer has not submitted any data for the assessment of the additional benefit of nirmatrelvir/ritonavir compared with the appropriate comparator therapy.
  • Overall, there are therefore no data available to assess the additional benefit of nirmatrelvir/ritonavir for the treatment of coronavirus disease 2019 (COVID-19) in children and adolescents aged 6 to < 18 years with a body weight of at least 20 kg, who do not require supplemental oxygen and are at increased risk of developing severe COVID-19.
  • Overall assessment
    • The pharmaceutical manufacturer has not submitted any data to demonstrate the additional benefit of nirmatrelvir/ritonavir compared with remdesivir. Consequently, additional benefit from nirmatrelvir/ritonavir for the treatment of children and adolescents aged 6 to < 18 years with a body weight of at least 20 kg who do not require supplemental oxygen and are at increased risk of developing severe COVID-19 is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Nirmatrelvir / Ritonavir (2) Paxlovid® Pfizer Pharma GmbH Infectious diseases COVID-19, no need for supplemental oxygen, aged ≥ 6 years to < 18 years, weighing ≥ 20 kg 40–230 100% additional benefit not proven
Nirmatrelvir / Ritonavir (1) Paxlovid® Pfizer Pharma GmbH Infectious diseases COVID-19, no need for supplementary oxygen, increased risk of severe progression 218,000–1,307,000 100% Hint for considerable additional benefit


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