Nirmatrelvir-ritonavir versus usual care in at-risk adults with early SARS-CoV-2 infection in the UK, 2022-23: virological and immunological results of an open-label randomised trial (PANORAMIC).

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Title: Nirmatrelvir-ritonavir versus usual care in at-risk adults with early SARS-CoV-2 infection in the UK, 2022-23: virological and immunological results of an open-label randomised trial (PANORAMIC).
Authors: Lowe DM; Institute of Immunity and Transplantation, University College London, London, UK; Department of Clinical Immunology, Royal Free London NHS Foundation Trust, London, UK. Electronic address: d.lowe@ucl.ac.uk., Zhang S; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK., Ellis S; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK., Buggiotti L; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK., Miller C; Great Ormond Street Hospital for Children NHS Trust, London, UK., Harris V; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Shields AM; Clinical Immunology Services, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK., Richter AG; Clinical Immunology Services, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK., Ashmore E; Clinical Immunology Services, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK., Yu LM; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Khoo S; Department of Pharmacology, University of Liverpool, Liverpool, UK; Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK., Hobbs FDR; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Little P; Primary Care Research Centre, University of Southampton, Southampton, UK., Butler CC; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Breuer J; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK; Great Ormond Street Hospital for Children NHS Trust, London, UK., Standing JF; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK; School of Pharmacy, University College London, London, UK; Great Ormond Street Hospital for Children NHS Trust, London, UK.
Corporate Authors: PANORAMIC Trial Collaborative Group and PANORAMIC Trial Virology Group
Source: The Lancet. Microbe [Lancet Microbe] 2026 May; Vol. 7 (5), pp. 101360. Date of Electronic Publication: 2026 Apr 23.
Publication Type: Journal Article; Randomized Controlled Trial
Journal Info: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101769019 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2666-5247 (Electronic) Linking ISSN: 26665247 NLM ISO Abbreviation: Lancet Microbe Subsets: MEDLINE
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  Data: Nirmatrelvir-ritonavir versus usual care in at-risk adults with early SARS-CoV-2 infection in the UK, 2022-23: virological and immunological results of an open-label randomised trial (PANORAMIC).
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  Data: <searchLink fieldCode="AU" term="%22Lowe+DM%22">Lowe DM</searchLink>; Institute of Immunity and Transplantation, University College London, London, UK; Department of Clinical Immunology, Royal Free London NHS Foundation Trust, London, UK. Electronic address: d.lowe@ucl.ac.uk.<br /><searchLink fieldCode="AU" term="%22Zhang+S%22">Zhang S</searchLink>; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.<br /><searchLink fieldCode="AU" term="%22Ellis+S%22">Ellis S</searchLink>; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.<br /><searchLink fieldCode="AU" term="%22Buggiotti+L%22">Buggiotti L</searchLink>; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.<br /><searchLink fieldCode="AU" term="%22Miller+C%22">Miller C</searchLink>; Great Ormond Street Hospital for Children NHS Trust, London, UK.<br /><searchLink fieldCode="AU" term="%22Harris+V%22">Harris V</searchLink>; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Shields+AM%22">Shields AM</searchLink>; Clinical Immunology Services, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Richter+AG%22">Richter AG</searchLink>; Clinical Immunology Services, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Ashmore+E%22">Ashmore E</searchLink>; Clinical Immunology Services, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Yu+LM%22">Yu LM</searchLink>; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Khoo+S%22">Khoo S</searchLink>; Department of Pharmacology, University of Liverpool, Liverpool, UK; Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.<br /><searchLink fieldCode="AU" term="%22Hobbs+FDR%22">Hobbs FDR</searchLink>; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Little+P%22">Little P</searchLink>; Primary Care Research Centre, University of Southampton, Southampton, UK.<br /><searchLink fieldCode="AU" term="%22Butler+CC%22">Butler CC</searchLink>; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Breuer+J%22">Breuer J</searchLink>; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK; Great Ormond Street Hospital for Children NHS Trust, London, UK.<br /><searchLink fieldCode="AU" term="%22Standing+JF%22">Standing JF</searchLink>; Infection, Immunity, and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK; School of Pharmacy, University College London, London, UK; Great Ormond Street Hospital for Children NHS Trust, London, UK.
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  Data: <searchLink fieldCode="JN" term="%22101769019%22">The Lancet. Microbe</searchLink> [Lancet Microbe] 2026 May; Vol. 7 (5), pp. 101360. <i>Date of Electronic Publication: </i>2026 Apr 23.
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