Traws Pharma Receives Approval to Launch Phase 2 Trials for Ritonavir-Free COVID Treatment

Traws Pharma

NEWTOWN, PATraws Pharma, Inc. (NASDAQ: TRAW) announced it has received approval from the Human Research Ethics Committee (HREC) to begin Phase 2 clinical trials of ratutrelvir, a ritonavir-free antiviral candidate for the treatment of COVID-19 in newly diagnosed patients.

The studies aim to evaluate ratutrelvir’s safety and efficacy compared to PAXLOVID®, the current standard of care, as well as its potential benefits for patients who cannot take ritonavir-containing therapies.

Two Phase 2 Studies Planned

The first trial is a non-inferiority study comparing ratutrelvir to PAXLOVID®, focusing on rates of infection, COVID-19 symptom resolution, disease rebound, and the development of Long COVID. A second single-arm study will assess ratutrelvir’s performance in PAXLOVID®-ineligible patients, a high-risk group with limited treatment options.

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Top-line results from both studies are expected by the end of 2025.

Addressing Treatment Gaps

According to Interim CEO Iain D. Dukes, the trials represent a significant step toward offering a “best-in-class” alternative to existing antivirals. He noted that while Pfizer reported $427 million in PAXLOVID® sales for the second quarter of 2025—a 70% increase year-over-year—current therapies still leave critical needs unmet, particularly for patients excluded from ritonavir-based treatments.

Chief Medical Officer Dr. Robert R. Redfield emphasized that COVID-19 continues to pose serious risks, especially for elderly and immunocompromised individuals. Current treatments, he said, have limitations, including the potential for drug interactions and rebound infections. Ratutrelvir’s ritonavir-free formulation and once-daily, single-tablet dosing for 10 days could help reduce these risks and lower the likelihood of Long COVID.

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Rising Variants, Renewed Urgency

Traws’ Chief Science Officer Dr. C. David Pauza highlighted the rapid spread of the NB.1.8.1 variant, which now accounts for roughly 40% of U.S. cases. With waning immunity and declining vaccination rates, effective antivirals are becoming increasingly important.

Ratutrelvir’s broad activity against multiple viral strains, including drug-resistant variants, positions it as a promising candidate for widespread adoption if trial results prove favorable.

The company expects that positive outcomes from these Phase 2 studies could represent a pivotal moment in the development of next-generation COVID-19 therapeutics.

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