SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = 'T33U-GIE5-JNO9-B2OM-1UVD-OEUF-9DN9-O5YQ' 
  AND product_id = 57 
  AND expires_at > 1777511713 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00046

JSON explain

{
  "query_block": {
    "select_id": 1,
    "message": "no matching row in const table"
  }
}