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PRODUCT NAME
SUBMITTED BY
EVEREST Pharmaceuticals Ltd.
Kanchpur BSCIC, Soanragon, Narayanagnj
BANGLADESH
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FORM DA – 1/88
b) Name under which the drug is proposed to be sold: To be submitted at the time of inclusion.
b) Uses:
Molnupiravir is clinically effective for the treatment of mild-to-moderate COVID-19.
Molnupiravir 400 mg twice daily for 5 days is recommended and treatment should be initiated within
seven days of symptom onset.
d) Contraindications:
e) Precautions:
f) Drug Interactions:
No data regarding the interactions of Molnupiravir was found.
g) Side Effects:
Molnupiravir is possibly safe when taken by mouth. No side effects have been reported.
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h) Mechanism of Action:
Molnupiravir increases the frequency of viral RNA mutations and impairs SARS-CoV-2 replication in
animal models and in patients. Molnupiravir induced RNA mutagenesis by the RNA-dependent RNA
polymerase (RdRp) of the coronavirus SARS-CoV-2. Biochemical assays show that the RdRp readily
uses the active form of molnupiravir, β-D-N4-hydroxycytidine (NHC) triphosphate, as a substrate
instead of CTP or UTP. Incorporation of NHC monophosphate into nascent RNA does not impair
further RdRp progression. When the RdRp uses the resulting RNA as a template, NHC directs
incorporation of either G or A, leading to mutated RNA products. Structural analysis of RdRp-RNA
complexes containing mutagenesis products shows that NHC can form stable base pairs with either G
or A in the RdRp active center, explaining how the polymerase escapes proofreading and synthesizes
mutated RNA. This two-step mutagenesis mechanism likely applies to various viral polymerases and
can explain the broad-spectrum antiviral activity of molnupiravir.
i) Package quantities:
Active Ingredient
Molnupiravir
INN 400.000 mg Active
Excipients
b) Manufacturing Instructions:
Step-1: Start the operation when the Room Temperature reaches below 250C and the Relative
Humidity reaches below 60%.
Step-2: Sieve Molnupiravir, Mannitol Spray Dried, Sodium Starch Glycolate through a Vibratory
Sifter fitted with 40 mesh SS screen and transfer into a Suitable Blender.
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Step -3: Sieve Magnesium Stearate and Colloidal Anhydrous Silica through 80 mesh SS screen and
transfer into the same blender of Step-2.
Step-4: Mix the contents of Step-3 for 10 minutes in the blender. Check the LOD of the Blend.
Step -5: Inform Quality Assurance Department to collect samples for blend analysis.
Step -6: After getting approval from Quality Assurance Department, encapsulate the blend into
Empty Hard Gelatin Capsule Shell, Size # 0 by maintaining the Room Temperature at
below 250C and the Relative Humidity below 50%.
Step-7: Inform Quality Assurance Department to collect samples of capsules for determining
average weight of content per capsule, weight variation, size, appearance, disintegration
time as per specifications.
Step -8: After getting release from Quality Assurance Department continue the encapsulation.
Step-9: Polish the capsules and collect the polished capsules in an air tight, light resistant and
double polyethylene lined container. Keep with proper labeling and dried Silica Gel bag
inside
Step-10: Inform Quality Assurance Department to collect sample for analysis.
Step-11: After getting approval from Quality Assurance Department, blister the capsules properly in
controlled environment.
d) Stability data:
Submitted
e) Proposed shelf life:
2 years
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Full Name : Shah Galib Eftekhar
Qualification : M. Pharm.
Date of Joining in the applicant Company : 02.11.2019
Total experience in the Pharmaceutical Industries: 10 Years
Registration No. : A-5728
Signature : _________________
Signature : _________________
Signature : _________________
09 : Date of Submission :
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