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The study aimed for:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RT-sequence | Other | The volunteers will take 1 capsule (200 mg) of Lagevrio (R), 200 mg capsules (Merck Sharp & Dohme (UK) Limited, UK) in Period 1, and 1 capsule (200 mg) of Molnupiravir (T), 200 mg capsules (Valenta Pharm, Russia) in Period 2. |
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| TR-sequence | Other | The volunteers will take 1 capsule (200 mg) of the drug Molnupiravir (T), capsules, 200 mg (Valenta Pharm JSC, Russia) in Period 1, and 1 capsule (200 mg) of the drug Lagevrio (R), capsules, 200 mg (Merck Sharp & Dohme (UK) Limited, UK) in Period 2. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Molnupiravir | Drug | A single dose of R or T drug in each of 2 periods of the study in fasted conditions |
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| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics - Cmax | Maximum plasma concentration (Cmax) of β-D-N-4-hydroxycytidine (NHC) | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - tmax | Time to reach Cmax (tmax) of NHC | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - AUC0-t | Area under the plasma concentration-time curve from time 0 to t (AUC0-t) of NHC | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - AUC0-inf | Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf) of NHC | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - AUCextr | Extrapolated AUC of NHC, defined as (AUC0-inf - AUC0-t)/AUC0-inf | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - t1/2 | Elimination half-life (t1/2) of NHC | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - kel | Elimination constant (kel) of NHC | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Pharmacokinetics - MRT | Mean residence time (MRT) of NHC |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability: adverse event (AE) number and frequency | Number and frequency of adverse events (AEs) or serious AEs (SAEs) | From the screening (and signing informed consent form) to Day 14 of the study or to an early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: adverse event (AE) characteristics |
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Inclusion Criteria:
Exclusion Criteria:
Withdrawal criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Limited Liability Company "Research Center Eco-Safety" | Saint Petersburg | 196143 | Russia |
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| ID | Term |
|---|---|
| D014777 | Virus Diseases |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D007239 | Infections |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
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| ID | Term |
|---|---|
| C000656703 | molnupiravir |
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| From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Bioequivalence - ratio of Cmax | Ratio of geometric mean Cmax for NHC after intake of R or T (with 90% confidence intervals) | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Bioequivalence - ratio of AUC0-t | Ratio of geometric mean AUC0-t for NHC after intake of R or T (with 90% confidence intervals) | From 0 to 24 hours (Day 1-2 and Day 8-9) |
| Bioequivalence - ratio of AUC0-inf | Ratio of geometric mean AUC0-inf for NHC after intake of R or T (with 90% confidence intervals) | From 0 to 24 hours (Day 1-2 and Day 8-9) |
Description and severity of AEs or serious AEs (SAEs), concomitant therapy for AEs/SAEs, causal relationship, outcomes. |
| From the screening (and signing informed consent form) to Day 14 of the study or to an early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: vital signs - systolic blood pressure (SBP) | SBP, mmHg | Screening, from Day 0 to Day 2, from Day 7 to Day 9, and/or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: vital signs - diastolic blood pressure (DBP) | DBP, mmHg | Screening, from Day 0 to Day 2, from Day 7 to Day 9, and/or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: vital signs - respiratory rate (RR) | RR, breaths per minute | Screening, from Day 0 to Day 2, from Day 7 to Day 9, and/or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: vital signs - heart rate (HR) | HR, beats per minute | Screening, from Day 0 to Day 2, from Day 7 to Day 9, and/or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: vital signs - body temperature | Body temperature, centigrade scale | Screening, from Day 0 to Day 2, from Day 7 to Day 9, and/or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: physical examination results | Physical examination results | Screening, from Day 0 to Day 2, from Day 7 to Day 9, and/or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - color | Color of the urine | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - transparency | Transparency of the urine | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - pH | pH of the urine | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - specific gravity | Specific gravity of the urine | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - nitrites | Nitrites in the urine (+/-) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - protein | Protein in the urine (g/L) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - glucose | Glucose in the urine (mmol/L) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - ketones | Ketones in the urine (mmol/L) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - urobilinogen | Urobilinogen in the urine (mmol/L) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis - bilirubin | Bilirubin in the urine (+/-) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis (microscopy) - red blood cells | Red blood cells in the urine (number in sight) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis (microscopy) - white blood cells | White blood cells in the urine (number in sight) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis (microscopy) - cylinders (except hyaline) | Cylinders (except hyaline) in the urine (number in sight) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: urinalysis (microscopy) - bacteria | Bacteria in the urine (number in sight) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - hemoglobin | Hemoglobin, g/dL | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - red blood cells | Red blood cells, 10^6/uL | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - hematocrit | Hematocrit, % | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - platelets | Platelets, 10^3/uL | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - white blood cells | White blood cells, 10^3/uL | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - erythrocyte sedimentation rate | Erythrocyte sedimentation rate, mm per hour | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - neutrophils | Neutrophils, % | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - lymphocytes | Lymphocytes, % | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - eosinophils | Eosinophils, % | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - monocytes | Monocytes, % | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: complete blood count - basophils | Basophils, % | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - total protein | Total protein in blood serum, g/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - creatinine | Creatinine in blood serum, umol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - urea | Urea in blood serum, mmol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - glucose | Glucose in blood serum, mmol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - total bilirubin | Total bilirubin in blood serum, umol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - direct bilirubin | Direct bilirubin in blood serum, umol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - total cholesterol | Total cholesterol in blood serum, mmol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - triglycerides | Triglycerides in blood serum, mmol/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - alanine transaminase (ALT) | ALT in blood serum, U/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - aspartate transaminase (AST) | AST in blood serum, U/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: blood test results - alkaline phosphatase (ALP) | ALP in blood serum, U/L | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate | 12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: heart rate (beats per minute) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval | 12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: PQ interval (ms) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex | 12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: QRS complex (ms) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval (QTc) | 12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: QTc (ms) | Screening, Day 3, Day 9 or on early termination visit within the time frame of the study (from Day 0 to Day 14) |
| D018352 |
| Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |