# Nirmatrelvir/ritonavir use reduces risk for long COVID in patients with immunodeficiency

**Authors:** Karen M. Gilbert, Mostafa Aglan, Aditi Jogdand, Neha V. Khairnar, Henry Ssemaganda, Mei-Sing Ong, Jocelyn R. Farmer

PMC · DOI: 10.70962/jhi.20250107 · Journal of Human Immunity · 2025-11-04

## TL;DR

Using nirmatrelvir/ritonavir during early SARS-CoV-2 infection may lower the risk of long COVID in immunodeficient patients.

## Contribution

Demonstrates that nirmatrelvir/ritonavir reduces long COVID risk in immunodeficient individuals for the first time.

## Key findings

- Nirmatrelvir/ritonavir treatment during acute infection lowers long COVID risk in immunodeficient patients.
- Early antiviral intervention may help prevent long-term effects in this vulnerable population.
- Prospective studies are needed to confirm these retrospective findings.

## Abstract

Our retrospective study highlights that acute use of nirmatrelvir/ritonavir significantly reduces the risk of post-acute sequelae of SARS-CoV-2 infection (long COVID) in immunodeficient patients, emphasizing the need for clinical trials that include this high-risk population.

A retrospective study indicates that nirmatrelvir/ritonavir treatment during acute SARS-CoV-2 infection significantly reduces the risk of long COVID in patients with immunodeficiency. These findings may support early antiviral intervention to mitigate long-term sequelae in this vulnerable population, though prospective validation is required.

## Linked entities

- **Chemicals:** nirmatrelvir (PubChem CID 155903259), ritonavir (PubChem CID 5076)
- **Diseases:** immunodeficiency (MONDO:0021094)

## Full-text entities

- **Diseases:** immunodeficiency (MESH:D007153), long COVID (MESH:D000094024)
- **Chemicals:** Nirmatrelvir/ritonavir (MESH:C000719967)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12829738/full.md

## References

5 references — full list in the complete paper: https://tomesphere.com/paper/PMC12829738/full.md

---
Source: https://tomesphere.com/paper/PMC12829738