- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT05441215
Une étude pour en savoir plus sur le médicament (PF-07321332 ou nirmatrelvir/ritonavir) chez des femmes allaitantes en bonne santé
UNE ÉTUDE PHARMACOCINÉTIQUE DE PHASE I À DOSES MULTIPLES EN OUVERT SUR LE NIRMATRELVIR/RITONAVIR CHEZ DES FEMMES ALLAITANTES EN BONNE SANTÉ
L'objectif principal de cette étude est de mesurer le niveau d'ingrédient actif du médicament à l'étude (nirmatrelvir) qui est sécrété dans le lait maternel humain lorsqu'il est administré à des femmes allaitantes en bonne santé. Le médicament à l'étude se compose de deux médicaments, le nirmatrelvir et le ritonavir. Nous recherchons des participantes qui sont :
- Allaitement actif (allaitement) au moins 12 semaines après l'accouchement ;
- Âge entre 18 et 55 ans et pas actuellement enceinte ;
- Avoir un Indice de Masse Corporelle (IMC) : 17,5 kg/m2 ; et un poids corporel total> 50 kg (110 lb).
Les participants prendront le médicament à l'étude par voie orale pour un total de 3 fois sur 2 jours (2 doses le matin et 1 dose le soir) à la clinique de l'étude. Nous collecterons périodiquement le lait maternel du jour 2 au jour 4 pour mesurer le niveau de nirmatrelvir et de ritonavir qu'il contient. Un appel de suivi de sécurité sera effectué environ 28 à 35 jours après la dernière dose pour surveiller toute réaction que les participants pourraient avoir au médicament à l'étude.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- La phase 1
Contacts et emplacements
Lieux d'étude
-
-
Bruxelles-capitale, Région de
-
Brussels, Bruxelles-capitale, Région de, Belgique, B-1070
- Pfizer Clinical Research Unit - Brussels
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
La description
Critère d'intégration:
- Femmes allaitantes en bonne santé qui allaitent activement ou expriment du lait maternel, au moins 12 semaines après l'accouchement et pas actuellement enceintes entre 18 et 55 ans
- Indice de masse corporelle (IMC) : 17,5 kg/m2 ; et un poids corporel total> 50 kg (110 lb)
- Les nourrissons des femmes inscrites à l'étude doivent être capables de se nourrir avec succès à partir d'un biberon ou d'une autre méthode d'alimentation alternative adaptée à l'âge avant le début de l'étude et doivent être capables de tolérer les préparations pour nourrissons si la mère n'a pas d'approvisionnement en sein stocké lait en quantité suffisante pour couvrir la durée de l'étude
- Les participants doivent être disposés à interrompre temporairement l'allaitement de leurs nourrissons pendant un total de 4,5 jours (108 heures)
- Les participants doivent être disposés à pomper régulièrement leurs seins tout au long de l'étude et à exprimer leur lait selon un calendrier conçu pour maintenir la lactation tout au long de la période d'étude
Critère d'exclusion:
- Résultat de test positif (RT-PCR) pour l'infection par le SRAS-CoV-2 au moment du dépistage ou au jour -1
- Preuve ou antécédents de résultats cliniquement significatifs
- Antécédents de maladie fébrile ou de mammite dans les 5 jours précédant la première dose du médicament à l'étude
- Participants qui ont reçu un vaccin COVID-19 dans les 7 jours précédant le dépistage ou l'admission, ou qui doivent être vaccinés avec un vaccin COVID-19 à tout moment pendant la période de confinement de l'étude
- Antécédents d'infection par le VIH, d'hépatite B ou d'hépatite C ; test positif pour le VIH, HBsAg ou HCVAb. La vaccination contre l'hépatite B est autorisée
- Signes vitaux anormaux tels que tension artérielle, électrocardiogramme à 12 dérivations
- Antécédents d'abus d'alcool et/ou de consommation de drogues illicites, consommation de tabac supérieure à 5 cigarettes/jour ou 2 mastications/jour
- Don de sang dans les 60 jours
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Autre
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: nirmatrelvir/ritonavir
le nirmatrelvir/ritonavir sera administré par voie orale deux fois par jour sous forme de comprimé
|
nirmatrelvir/ritonavir
Autres noms:
nirmatrelvir/ritonavir
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
The Maximum Observed Concentration of Nirmatrelvir in Breast Milk Over the Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The maximum observed concentration and was directly observed from data.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Time to Reach Cmax of Nirmatrelvir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Cmax was defined as maximum observed concentration of nirmatrelvir in breast milk.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Area Under the Concentration-Time Profile From Time Zero to End of Dosing Interval for Nirmatrelvir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Area under the concentration curve for nirmatrelvir in breast milk from time 0 to end of dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Terminal Half-Life of Nirmatrelvir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The time measured for the breast milk nirmatrelvir concentration to decrease by one half.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Average Steady State Concentration of Nirmatrelvir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The average concentration across time and can be calculated by dividing AUCtau by time.
AUCtau was defined area under the concentration curve from time 0 to end of dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Amount of Nirmatrelvir Excreted in Breast Milk Over the Dosing Interval Tau
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The amount of nirmatrelvir excreted into breast milk over the dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Percent of Amount of Nirmatrelvir Excreted in Breast Milk Over The Dosing Interval Tau
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The percent of nirmatelvir excreted in breast milk to amount of breast milk over the dosing interval .
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Breast Milk Clearance of Nirmatrelvir
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Clearance was defined as the apparent volume (Liter) of breast milk completely cleared the nirmatrelvir per hour.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
The Maximum Observed Concentration of Ritonavir in Breast Milk Observed Over the Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The maximum observed concentration and was directly observed from data.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Time to Reach Cmax of Ritonavir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Cmax was defined as maximum observed concentration of ritonavir in breast milk.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Area Under the Concentration-Time Profile for Ritonavir in Breast Milk From Time Zero to End of Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Area under the concentration curve for ritonavir in breast milk from time 0 to end of dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Half-Life of Ritonavir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The time measured for the breast milk ritonavir concentration to decrease by one half.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Average Steady State Concentration of Ritonavir in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The average concentration across time and can be calculated by dividing AUCtau by time.
AUCtau was defined area under the concentration curve from time 0 to end of dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Amount of Ritonavir Excreted in Breast Milk Over the Dosing Interval Tau
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The amount of ritonavir excreted into breast milk over the dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Percent of Ritonavir Excreted in Breast Milk Over The Dosing Interval Tau
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The percent of ritonavir excreted in breast milk to amount of breast milk over the dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Breast Milk Clearance of Ritonavir
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Clearance was defined as the apparent volume (L) of breast milk completely cleared the ritonavir per hour.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
The Maximum Observed Concentration of Nirmatrelvir in Plasma Observed Over the Dosing Interval
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The maximum observed concentration and was directly observed from data.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
The Maximum Observed Concentration of Ritonavir in Plasma Observed Over the Dosing Interval
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The maximum observed concentration and was directly observed from data.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Area Under the Concentration-Time Profile for Nirmatrelvir in Plasma From Time Zero to End of Dosing Interval
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Area under the concentration curve for nirmatrelvir in breast milk from time 0 to end of dosing interval.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Area Under the Concentration-Time Profile for Ritonavir in Plasma From Time Zero to End of Dosing Interval
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Area under the concentration curve for ritonavir in plasma from time 0 to end of dosing interval.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Half-Life of Nirmatrelvir in Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The time measured for the plasma nirmatrelvir concentration to decrease by one half.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Half-Life of Ritonavir in Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The time measured for the plasma ritonavir concentration to decrease by one half.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
The Minimum Plasma Concentration of Nirmatrelvir Observed Over the Dosing Interval
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The minimum observed concentration and was directly observed from data.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
The Minimum Plasma Concentration of Ritonavir Observed Over the Dosing Interval
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The minimum observed concentration and was directly observed from data.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Time to Reach Cmax of Nirmatrelvir in Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Cmax was defined as maximum observed concentration of nirmatrelvir in plasma.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Time to Reach Cmax of Ritonavir in Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Cmax was defined as maximum observed concentration of ritonavir in plasma.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Apparent Clearance of Nirmatrelvir From Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Clearance was defined as the apparent volume (L) of plasma completely cleared the nirmatrelvir per hour.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Apparent Clearance of Ritonavir From Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Clearance was defined as the apparent volume (L) of plasma completely cleared the ritonavir per hour.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Apparent Volume of Nirmatrelvir Distribution
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.
Apparent volume of distribution after oral dose was influenced by the fraction absorbed.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Apparent Volume of Ritonavir Distribution
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.
Apparent volume of distribution after oral dose was influenced by the fraction absorbed.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
The Average Steady State Concentration of Nirmatrelvir in Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The average concentration across time and can be calculated by dividing AUCtau by time.
AUCtau was defined area under the concentration curve from time 0 to end of dosing interval.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
The Average Steady State Concentration of Ritonavir in Plasma
Délai: At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
The average concentration across time and can be calculated by dividing AUCtau by time.
AUCtau was defined area under the concentration curve from time 0 to end of dosing interval.
|
At 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 32, 40, 48 Hours Post Dose on Day 2
|
|
Daily (24 Hour) Amount of Nirmatrelvir Excreted in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Amount of nirmatrelvir excreted in breast milk in 24 hours.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Daily (24 Hour) Amount of Ritonavir Excreted in Breast Milk
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Amount of ritonavir excreted in breast milk in 24 hours.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Milk to Plasma Ratio of Nirmatrelvir for AUCtau During Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The ratio of area under the concentration-time profile for nirmatrelvir in milk to those in plasma from time zero to end of dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Milk to Plasma Ratio of Ritonavir for AUCtau During Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The ratio of area under the concentration-time profile for ritonavir in milk to those in plasma from time zero to end of dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Milk to Plasma Ratio of Nirmatrelvir for Cmax During Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The ratio of the maximum concentration of nirmatrelvir in breast milk to those in plasma observed over the dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Milk to Plasma Ratio of Ritonavir for Cmax During Dosing Interval
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
The ratio of the maximum concentration of ritonavir in breast milk to those in plasma observed over the dosing interval.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Body Weight Normalized Infant Dose (BWNID) of Nirmatrelvir in mg/kg/Day
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
BWNID = MPAUCtau * Cav * 150 mL/kg/day, where 150 mL/kg/day^2 is the standardized milk consumption for an infant.
MPAUCtau: Milk to plasma ratio for AUCtau.
Cav: Average concentration.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
BWNID of Ritonavir in mg/kg/Day
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
BWNID = MPAUCtau * Cav * 150 mL/kg/day, where 150 mL/kg/day^2 is the standardized milk consumption for an infant.
MPAUCtau: Milk to plasma ratio for AUCtau.
Cav: Average concentration.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Body Weight Normalized Maternal Dose (BWNMD) of Nirmatrelvir in mg/kg/Day
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Maternal dose in mg/day (300 mg BID = 600 mg/day for nirmatrelvir and 100 mg BID = 200 mg/day for ritonavir) / maternal weight in kg at screening.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
BWNMD of Ritonavir in mg/kg/Day
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
Maternal dose in mg/day (300 mg BID = 600 mg/day for nirmatrelvir and 100 mg BID = 200 mg/day for ritonavir) / maternal weight in kg at screening.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
Infant Dose Expressed As % of Body Weight Normalized Maternal Dose (BWNIDPCM) for Nirmatrelvir
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
BWNIDPCM = 100 * BWNID / BWNMD.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
|
BWNIDPCM for Ritonavir
Délai: At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
BWNIDPCM = 100 * BWNID / BWNMD.
|
At Day -1 (24 Hours Prior to Dosing on Day 1), Pre-dose on Day 1, 0 to 2, 2 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 32, 32 to 40 and 40 to 48 Hours Post-dose on Day 2
|
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Number of Participants With Treatment Emergent Adverse Events
Délai: From the first dose of study treatment on Day 1 to up to 28 days after the last dose of study intervention on Day 2 (maximum to 30 days)
|
An adverse event (AE) was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
AEs might arise from symptoms or other complaints reported to the investigator by the participant (or, when appropriate, by a caregiver, surrogate, or the participant's legally authorized representative), or they might arise from clinical findings of the investigator or other healthcare providers (clinical signs, test results, etc.).
TEAEs were those with initial onset or increasing in severity after the first dose of study treatment.
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From the first dose of study treatment on Day 1 to up to 28 days after the last dose of study intervention on Day 2 (maximum to 30 days)
|
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Number of Participants With Laboratory Abnormalities (Without Regard to Baseline Abnormality)
Délai: At Screening (Day -28 to Day -2), Day -1, and Day 4
|
The laboratory abnormality parameters included urinalysis: urine bilirubin (>=1), urine hemoglobin (>=1) and leukocyte esterase (>=1).
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At Screening (Day -28 to Day -2), Day -1, and Day 4
|
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Number of Participants With Vital Signs Abnormalities
Délai: At Screening (Day -28 to Day -2), Pre-dose and 12 Hours post-dose on Day 1, Pre-dose and 48 Hours Post-dose on Day 2
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Single supine blood pressure (BP), and pulse rate (PR) were performed following approximately a 5-minute rest in a supine position.
BP, and PR assessments will be performed after collection of electrocardiogram (ECGs) and prior to collection of blood draws if scheduled at the same time.
Vital signs abnormality included supine systolic BP <90mmHg.
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At Screening (Day -28 to Day -2), Pre-dose and 12 Hours post-dose on Day 1, Pre-dose and 48 Hours Post-dose on Day 2
|
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Number of Participants With ECG Abnormalities
Délai: At Screening (from Day -28 to Day -2)
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Standard 12-lead ECGs utilizing limb leads (with a 10 second rhythm strip) were collected.
All ECG assessments were made after at least a 5-minute rest in a supine position and prior to any blood draws or vital sign measurements.
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At Screening (from Day -28 to Day -2)
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Number of Participants With Physical Examination Abnormalities
Délai: At Screening (from Day -28 to Day -2) or Day -1
|
Physical examination included height, weight and body mass index (BMI, BMI = weight [kg] / height [m^2]) obtained for eligibility criteria.
Physical examination abnormalities: BMI <17.5 kg/m^2; and a total body weight <=50 kg (110 lb).
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At Screening (from Day -28 to Day -2) or Day -1
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Collaborateurs et enquêteurs
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Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
- Infections des voies respiratoires
- Infections
- Infections par virus à ARN
- Maladies virales
- Maladies des voies respiratoires
- Maladies pulmonaires
- Pneumonie virale
- Pneumonie
- Infections à coronavirus
- Infections à Coronaviridae
- Infections à Nidovirales
- Comportement
- Comportement alimentaire
- COVID-19 [feminine]
- Allaitement maternel
- Composés de soufre
- Produits chimiques organiques
- Composés hétérocycliques, 1 anneau
- Composés hétérocycliques
- Thiazoles
- Azoles
- Ritonavir
- combinaison de médicaments Nirmatrelvir et Ritonavir
- nirmatrelvir
Autres numéros d'identification d'étude
- C4671039
- 2022-001020-15 (Numéro EudraCT)
Plan pour les données individuelles des participants (IPD)
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Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
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