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Healthy VolunteersPhase 1NCT05665647

Drug-Drug Interaction Study of Itraconazole, Rifampicin and Midazolam With SIM0417/Ritonavir in Healthy Participants

A Phase 1 study testing Cohort 1: SIM0417/ritonavir and itraconazole, Cohort 2: SIM0417/ritonavir and rifampicin and Cohort 3: SIM0417/ritonavir and midazolam in people with Healthy Volunteers, run by Jiangsu Simcere Pharmaceutical Co., Ltd. at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a phase 1, open-label, fixed-sequence, 2-period drug-drug interaction study to evaluate the pharmacokinetic interactions of itraconazole, rifampicin, midazolam, and SIM0417/ritonavir in healthy Chinese subjects. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
Cohort 1: SIM0417/ritonavir and itraconazole, Cohort 2: SIM0417/ritonavir and rifampicin and Cohort 3: SIM0417/ritonavir and midazolam
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteChina
Study dates
29 Dec 2022to 14 Feb 2023
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Fully understand the research content, process, and potential risks of this trial, voluntarily participate in the clinical trial and sign the informed consent,
  • Healthy male and female subjects aged ≥18 years and ≤45 years old.
  • Male weight ≥50kg, female weight ≥45kg, body mass index ≥19 kg/m2 and ≤28 kg/m2.
  • Subjects agree to use generally accepted effective contraception from the time they sign the informed consent form. And female subjects of Cohort 1 agree to take recognized effective contraceptive measures during the study period and for the next menstrual cycle after the last dose of the study drug (male subjects up to 1 month after the last dose of the study drug ). Subjects of cohort 2 agree to take recognized effective contraceptive measures during the study period and within 1 month after the last dose of the study drug. Subjects of cohort 3 agree to take recognized effective contraceptive measures during the study period and within 3 months after the last dose of the study drug. Female subjects had been using effective contraception for 14 days prior to screening.

Who cannot join

  • Any diseases that may affect the study results or the safety and status of the subjects, including but not limited to the central nervous system, respiratory system, cardiovascular system, alimentary system, blood and lymphatic system, endocrine system, musculoskeletal system, hepatic and kidney function obstacle.
  • Difficulty in venous blood collection, a history of fainting blood or needles, or those who cannot tolerate blood collection with intravenous indwelling needles.
  • With dysphagia or any history of gastrointestinal diseases that affect drug absorption.
  • Have special requirements for diet and cannot comply with the diet provided and corresponding regulations.
  • With specific allergic history ( asthma, urticaria, eczema, etc. ) or allergic constitution ( such as those allergic to two or more drugs, food such as milk, and pollen ) or allergic to any component of the research drug or research drug.
  • With special diet ( including pitaya, mango, grapefruit, food or beverage containing caffeine, etc. ) or intense exercise taken within 48 h before the first administration of the drug.
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  • Taken of any prescription, non-prescription, vitamin, or herbal medicine within 4 weeks before and during the screening period and/or any vitamin, health care products were taken within 2 weeks before and during the screening period.
  • During the first 3 months prior to screening or from the screening period to the first administration period, alcohol was often consumed, i.e., more than 2 units of alcohol per day ( 1 unit = 360 mL beer or 45 mL spirits with 40 % alcohol or 150 mL wine ); or alcohol breath test positive.
  • More than 5 cigarettes per day during the 3 months prior to screening.
  • Participated in any drug clinical trial as a subject within 3 months prior to screening and took the study drug.
  • With blood donation or blood loss greater than 200 mL within 3 months prior to screening, or blood transfusion or blood products were received within 4 weeks.
  • Have a history of drug abuse or a positive drug abuse screen.
  • At the time of screening or baseline, the blood pressure in the resting state and the pulse are within the following ranges: such as systolic blood pressure <90 mmHg or ≥140 mmHg, diastolic blood pressure <60 mmHg or ≥90 mmHg, pulse <55 bpm or >100 bpm.
  • Electrocardiographic QTc > 450 msec (Fridericia formula) at screening and/or baseline, or presence of risk factors for Torsade de Pointes (eg, history of heart failure, history of hypokalemia, family with prolonged QT syndrome) history), or other abnormal clinical significance (judged by the investigator).
  • HBV surface antigen, HCV antibody, HIV, or syphilis are positive during screening.
  • Physical examination, vital signs, ECG, blood routine, blood biochemistry ( serum creatinine, total bilirubin> 1.0 × ULN, ALT, AST, triglyceride>1.1 ULN)), coagulation function, thyroid function, urine routine, chest X-ray, abdominal B-scan ultrasonography results were abnormal and have clinical significance (judged by the investigator).
  • Those who have been vaccinated within 1 month before screening, or have been vaccinated with a COVID-19 vaccine within 1 week before screening, or plan to be vaccinated during the treatment or within 2 weeks after the last dose of study drug.
  • Be positive in SARS-CoV-2 nucleic acid test at screening.
  • Those who had undergone major surgery within 6 months prior to screening or were scheduled to undergo surgery during the study period and were determined by the investigators to be unsuitable for inclusion.
  • Subjects have acute disease with clinical significance that judged unsuitable for inclusion judged by the investigator within 1 month before screening.
  • Females who are pregnant or breastfeeding or positive result from pregnancy test.
  • Subjects have other conditions that are not suitable for participating in this research, or the subjects may not be able to complete this research for other reasons (judged by the investigator).

Trial locations and contacts

1 site in 1 country.

China1 site
  • Shandong First Medical University

    Jinan, Shandong, 250014

Other trials in China

About this study

Official title: An Open Labe Study to Evaluate the Drug-Drug Interaction of Itraconazole, Rifampicin and Midazolam With SIM0417/Ritonavir in Healthy Adult Chinese Participants

This is a phase 1, open-label, fixed-sequence, 2-period drug-drug interaction study to evaluate the pharmacokinetic interactions of itraconazole, rifampicin, midazolam, and SIM0417/ritonavir in healthy Chinese subjects.

Read the detailed description

This is a phase 1, open-label, fixed-sequence, 2-period drug-drug interaction study which was divided into three cohorts.

Cohort 1: to evaluate the effect of the CYP3A4 inhibitor itraconazole on the pharmacokinetics of SIM0417 and ritonavir in healthy participants.

Cohort 2: to evaluate the effect of the CYP3A4 inducer rifampicin on the pharmacokinetics of SIM0417 and ritonavir in healthy participants.

Cohort 3: to evaluate the effect of SIM0417/ ritonavir on the pharmacokinetics of CYP3A4 substrate midazolam in healthy participants.

Being tested
Cohort 1: SIM0417/ritonavir and itraconazole, Cohort 2: SIM0417/ritonavir and rifampicin, Cohort 3: SIM0417/ritonavir and midazolam
Keywords
Drug-drug interaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cohort 1: SIM0417/ritonavir and itraconazoleDrug

    Also called Interaction between SIM0417/ritonavir and itraconazole

    SIM0417/Ritonavir: Dose: 750 mg SIM0417 coadministered with 100 mg ritonavir once: Day1-Day2, Day9-Day10, BID; Day3,Day11(once only in the morning); Itraconazole:Dose: 200mg once;Day6-Day13, QD

  • Cohort 2: SIM0417/ritonavir and rifampicinDrug

    Also called Interaction between SIM0417/ritonavir and rifampicin

    SIM0417/Ritonavir:Dose: 750 mg SIM0417 coadministered with 100 mg ritonavir once: Day1,Day11(once only in the morning); Rifampicin:Dose: 0.6g once; Day4-Day12, QD

  • Cohort 3: SIM0417/ritonavir and midazolamDrug

    Also called Interaction between SIM0417/ritonavir and midazolam

    SIM0417/Ritonavir: 750 mg SIM0417 coadministered with 100 mg ritonavir, Day3-Day6, BID; Day7(once only in the morning) Midazolam:Dose: 2mg once; Day1, Day6, QD

Study groups in NCT05665647
Study groupRoleWhat they receive
Cohort 1: SIM0417/ritonavir and itraconazoleExperimentalInteraction between SIM0417/ritonavir and itraconazole
Receives: Drug: Cohort 1: SIM0417/ritonavir and itraconazole
Cohort 2: SIM0417/ritonavir and rifampicinExperimentalInteraction between SIM0417/ritonavir and rifampicin
Receives: Drug: Cohort 2: SIM0417/ritonavir and rifampicin
Cohort 3: SIM0417/ritonavir and midazolamExperimentalInteraction between SIM0417/ritonavir and midazolam
Receives: Drug: Cohort 3: SIM0417/ritonavir and midazolam

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cmax of SIM0417 in cohort 1

    Cmax of SIM0417 when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  2. Ctrough of SIM0417 in cohort 1

    Ctrough of SIM0417 when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  3. AUC0-t of SIM0417 in cohort 1

    AUC0-t of SIM0417 when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  4. AUC0-∞ of SIM0417 in cohort 1

    AUC0-∞ of SIM0417 when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  5. AUCtau of SIM0417 in cohort 1

    AUCtau of SIM0417 when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  6. t1/2 of SIM0417 in cohort 1

    t1/2 of SIM0417 when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  7. Cmax of SIM0417 in cohort 2

    Cmax of SIM0417 when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  8. AUC0-t of SIM0417 in cohort 2

    AUC0-t of SIM0417 when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  9. AUC0-∞ of SIM0417 in cohort 2

    AUC0-∞ of SIM0417 when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  10. t1/2 of SIM0417 in cohort 2

    t1/2 of SIM0417 when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  11. Cmax of midazolam

    Cmax of midazolam when midazolam is single dosed administration or combined with SIM0417/ritonavir

    Measured: Up to Day 9

  12. AUC0-t of midazolam

    AUC0-t of midazolam when midazolam is single dosed administration or combined with SIM0417/ritonavir

    Measured: Up to Day 9

  13. AUC0-∞ of midazolam

    AUC0-∞ of midazolam when midazolam is single dosed administration or combined with SIM0417/ritonavir

    Measured: Up to Day 9

  14. t1/2 of midazolam

    t1/2 of midazolam when midazolam is single dosed administration or combined with SIM0417/ritonavir

    Measured: Up to Day 9

Secondary outcomes (16)
  1. Adverse Events of Cohort 1

    Number of Participants With Adverse Events

    Measured: Up to Day 26

  2. Adverse Events of Cohort 2

    Number of Participants With Adverse Events

    Measured: Up to Day 25

  3. Adverse Events of Cohort 3

    Number of Participants With Adverse Events

    Measured: Up to Day 20

  4. Vital Signs

    Number of Participants With Clinically Notable Vital Signs

    Measured: Up to Day 14

  5. ECG

    Number of Participants With Clinically Notable Electrocardiogram (ECG) Values

    Measured: Up to Day 14

  6. Laboratory Tests

    Number of Participants With Clinically Notable Laboratory Tests

    Measured: Up to Day 14

  7. Cmax of ritonavir in Cohort 1

    Cmax of ritonavir when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  8. Ctrough of ritonavir in Cohort 1

    Ctrough of ritonavir when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  9. AUC0-t of ritonavir in Cohort 1

    AUC0-t of ritonavir when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  10. AUC0-∞ of ritonavir in Cohort 1

    AUC0-∞ of ritonavir when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  11. AUCtau of ritonavir in Cohort 1

    AUCtau of ritonavir when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  12. t1/2 of ritonavir in Cohort 1

    t1/2 of ritonavir when SIM0417/ritonavir is multiple administered or combined with itraconazole

    Measured: Up to Day 14

  13. Cmax of ritonavir in Cohort 2

    Cmax of ritonavir when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  14. AUC0-t of ritonavir in Cohort 2

    AUC0-t of ritonavir when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  15. AUC0-∞ of ritonavir in Cohort 2

    AUC0-∞ of ritonavir when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

  16. t1/2 of ritonavir in Cohort 2

    t1/2 of ritonavir when SIM0417/ritonavir is single dosed administration or combined with rifampicin

    Measured: Up to Day 14

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Dec 2022
  2. Study start29 Dec 2022
  3. Primary completion26 Jan 2023
  4. Study completion14 Feb 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05665647
Sponsor's protocol ID
SIM0417-107
Status last verified
Jan 2023
First submitted
19 Dec 2022
Last updated
21 Feb 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ye PP, Yao BF, Yang Y, Yang XM, Li Q, Song LL, Chen KG, Zhou HY, Shi JY, Zhang YH, Zhao FR, Guo ZJ, Xu SS, Chen J, Goh AH, Zhu SW, Zheng Y, Zhao W. Drug-drug interactions of simnotrelvir/ritonavir: an open-label, fixed-sequence, two-period clinical trial. Clin Microbiol Infect. 2025 Jan;31(1):101-107. doi: 10.1016/j.cmi.2024.09.007. Epub 2024 Sep 18.

    PubMed 39299559

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cohort 1: SIM0417/ritonavir and itraconazole, Cohort 2: SIM0417/ritonavir and rifampicin and Cohort 3: SIM0417/ritonavir and midazolam in people with Healthy Volunteers, run by Jiangsu Simcere Pharmaceutical Co., Ltd. at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cmax of SIM0417 in cohort 1 (time frame: Up to Day 14). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05665647, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2023.

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