Bioequivalence Study of Nirmatrelvir & Ritonavir From Copaxid 150 +100 mg Tablets (Eva Pharma, Egypt) Versus Paxlovid 150 + 100 mg Film Coated Tablets (Pfizer Europe, Belgium)

Study Overview
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Brief Summary
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Comparative randomized, single dose, three-way, three-sequence, two treatment, partial replicate, crossover, open-label study to determine the bioequivalence of Nirmatrelvir & Ritonavir From Copaxid 150 +100 mg Tablets (Eva Pharma, Egypt) Versus Paxlovid 150 + 100 mg Film Coated Tablets (Pfizer Europe, Belgium)

Detailed Description
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Primary Pharmacokinetic Parameters: Cmax, AUC0→t and AUC0→∞ Secondary Pharmacokinetic Parameters: Ke, tmax and t1/2e. ANOVA using 5% significance level for transformed (with the 90% confidence intervals) and untransformed data of Cmax, AUC0→t and AUC0→∞ and for untransformed data of Ke, tmax and t1/2e. The confidence intervals of logarithmically transformed Test/Reference ratios for Cmax, AUC0→t and AUC0→∞ to be within 80.00-125.00%. A comprehensive final report will be issued upon the completion of the study.

Official Title
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Comparative Randomized, Single Dose, Three-way, Three-sequence, Two Treatment, Partial Replicate, Crossover, Open-label Study to Determine the Bioequivalence of Nirmatrelvir & Ritonavir From Copaxid 150 +100 mg Tablets (Eva Pharma, Egypt) Versus Paxlovid 150 + 100 mg Film Coated Tablets (Pfizer Europe, Belgium)

Conditions
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Healthy

Intervention / Treatment
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* Drug: Nirmatrelvir 150 mg + Ritonavir 100 mg (Reference first dose)
* Drug: Nirmatrelvir 150 mg + Ritonavir 100 mg (test)
* Drug: Nirmatrelvir 150 mg + Ritonavir 100 mg (Reference second dose)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy male or female, age 18 to 55 years, inclusive. Body weight within 15% of normal range according to the accepted normal values for body mass index (BMI). Medical demographics without evidence of clinically significant deviation from normal medical condition, eg.: no history of heart, liver, kidney, gastrointestinal, nervous system, or metabolic abnormalities. Results of clinical laboratory test are within the normal range or with a deviation that is not considered clinically significant by principal investigator. Females should be on a suitable birth control method. Fully informed subjects that consented to participate in the study. Exclusion Criteria: Subjects with known allergy to the products tested. Female subjects who were pregnant or nursing. Acute infection within one week preceding first study drug administration. History of drug or alcohol abuse. Subject does not comply with the stated instruction of not taking any prescription or non-prescription drugs within two weeks before first study drug administration and until the end of the study. Subject is on a special diet (for example subject is vegetarian). Subject does not agree not to consume any beverages or foods containing methyl-xanthenes e.g. caffeine (coffee, tea, cola, chocolate etc.) 48 hours prior to the study administration of either study period until donating the last sample in each respective period. Subject does not agree not to consume any beverages or foods containing grapefruit 7 days prior to first study drug administration until the end of the study. Subject has a family history of severe diseases which have direct impact on the study. Participation in a bioequivalence study or in a clinical study within the last 8 weeks before first study drug administration. Subject intends to be hospitalized within 3 months after first study drug administration. Subjects who have donated blood or lost more than 500 mL blood within 3 months prior to the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: R reference (first dose)<br>Reference drug (Paxlovid) Nirmatrelvir 150 mg + Ritonavir 100 mg tablets | Drug: Nirmatrelvir 150 mg + Ritonavir 100 mg (Reference first dose)<br>* 2 tablets from Nirmatrelvir 150 mg + 1 tablet from Ritonavir 100 mg<br>* Other names: Paxlovid;|
| Experimental: T test<br>Test drug (Copaxid) Nirmatrelvir 150 mg + Ritonavir 100 mg tablets | Drug: Nirmatrelvir 150 mg + Ritonavir 100 mg (test)<br>* 2 tablets from Nirmatrelvir 150 mg + 1 tablet from Ritonavir 100 mg<br>* Other names: Copaxid;|
| Active Comparator: R reference (second dose)<br>Reference drug (Paxlovid) Nirmatrelvir 150 mg + Ritonavir 100 mg tablets | Drug: Nirmatrelvir 150 mg + Ritonavir 100 mg (Reference second dose)<br>* 2 tablets from Nirmatrelvir 150 mg + 1 tablet from Ritonavir 100 mg<br>* Other names: Paxlovid;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cmax | Maximal measured plasma concentration | Up to 48 hours post dose in each treatment period | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time of the maximum plasma concentration (Tmax) | The amount of time that a drug is present at the maximum concentration in serum | Up to 48 hours post dose in each treatment period |