Phase 1
Completed N=36
Estradiol/Norethindrone Acetate Tablets, 1/0.5 mg Under Fasting Conditions
Healthy
Source: ClinicalTrials.gov NCT01157182 ↗
Enrolled (actual)
36
Serious AEs
0.0%
Results posted
Dec 2010
Primary outcomePrimary: Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma) — 10.08; 9.90 ng/mL
Summary
The objective of this study was to determine and compare the rate and extent of absorption of norethindrone and unconjugated estradiol from a test formulation of Estradiol/Norethindrone Acetate Tablets, 1 mg/0.5 mg versus the reference Activella® (1 mg estradiol/0.5 mg norethindrone acetate) Tablets under fasting conditions.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma) |
10.08; 9.90 | — |
| PRIMARY AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
36.59; 37.05 | — |
| PRIMARY AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
39.94; 40.40 | — |
| PRIMARY Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
43997.17; 47015.47 | — |
| PRIMARY AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
365242.88; 374730.12 | — |
| PRIMARY AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
375439.71; 384535.16 | — |
| SECONDARY Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
43723.53; 47170.59 | — |
| SECONDARY AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
372088.37; 385829.05 | — |
| SECONDARY AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
387085.29; 400726.94 | — |
| SECONDARY Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma) |
52.09; 56.26 | — |
| SECONDARY AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
1575.01; 1656.16 | — |
| SECONDARY AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity) |
1739.31; 1905.28 | — |
| SECONDARY Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
475.44; 502.24 | — |
| SECONDARY AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
10870.03; 11252.64 | — |
| SECONDARY AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
12387.14; 12646.49 | — |
| SECONDARY Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma) |
47.80; 51.59 | — |
| SECONDARY AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
1267.50; 1323.70 | — |
| SECONDARY AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity) |
1359.50; 1410.51 | — |
| SECONDARY Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
455.16; 481.46 | — |
| SECONDARY AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
9409.59; 9762.49 | — |
| SECONDARY AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
10267.03; 10214.23 | — |
Eligibility Criteria
Inclusion Criteria
- Non-smoking or smoking (up to 10 cigarettes/day), physiologically or surgically post-menopausal female within the age range of 18-65 years.
- 17β-estradiol serum levels of 40 IU/L.
- Body Mass Index greater than or equal to 19.0 and less than or equal to 32.0.
- Normal findings in the physical examination, 12-lead electrocardiogram (ECG) and vital signs.
- Hemoglobin > 115 g/L
- Normal Pap smear within 6 months.
- Normal mammogram within 1 year for subjects who are over the age of 50 years.
- Negative for drugs of abuse and alcohol.
- Negative for hepatitis B surface antigen, hepatitis C and Human Immunodeficiency Virus (HIV).
- No clinical laboratory values outside of the acceptable range as defined by BCR, unless the Principal Investigator or Sub-investigator decides that they are not clinically significant.
- Negative for pregnancy.
- Subjects who are surgically post-menopausal with an intact uterus (i.e. bilateral oophorectomy) for at least 6 months, or physiologically post-menopausal (i.e. spontaneous amenorrhea) for at least 1 year, and who will adhere to contraceptive requirements from at least 10 days before Period I check in, during the study and up to 1 month after the end of the study.
- Availability of the subject for the entire study period and willingness of the subject to adhere to protocol requirements, as evidence by a signed ICF.
Exclusion Criteria
- Known history of hypersensitivity to norethindrone and estradiol combinations and/or norethindrone, and/or estradiol.
- Known history or presence of cardiac, pulmonary, gastrointestinal, endocrine, musculoskeletal, neurological, or hematological diseases, malignancies, or migraines, unless deemed NCS by the Principal Investigator or Sub-investigator.
- Known history of liver, kidney, and/or gallbladder dysfunction/disease, chronic diarrhea or inflammatory bowel disease.
- Known history or presence of cerebrovascular diseases or venous thromboembolic events, including deep vein thrombosis, pulmonary embolism, and retinal vein thrombosis.
- Any history of stroke.
- Presence of any significant physical or organ abnormality.
- History of osteoporosis.
- History or presence of fibrocystic breast disease.
- History or presence of breast, endometrial, cervical, and/or uterine carcinoma.
- Any illness during the 4 weeks before the study, unless deemed NCS by the Principal Investigator or Sub-investigator.
- Any history or evidence of psychiatric or psychological disease, unless deemed NCS by the Principal Investigator or Sub-investigator.
- Any history of abnormal vaginal bleeding, unless deemed NCS by the Principal Investigator or Sub-investigator.
- Any history of asthma (after 12 years of age).
- Evidence of pregnancy or lactation.
- Any history of severe allergic reaction (including drugs, food, insect bites, environmental allergens).
- Known history or presence of food allergies, or any condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
- Any history of drug abuse.
- Any recent history of alcohol abuse (less than 1 year).
- Use of any prescription medication within 30 days preceding this study.
- Use of hormone replacement therapy within 30 days before drug administration.
- Use of over-the-counter medication or any herbal supplement within the 7 days preceding this study (except for spermicidal/barrier contraceptive products).
- Use of hormonal contraceptives within the 30 days before drug administration or a depot injection of progestogen drug within 1 year before drug administration.
- Depot injection of any drug (other than progestogen) within 6 months.
- Blood draws within 56 days preceding this study, during the conduct of any clinical study at a facility other than BCR, or within the lockout period specified by a previous study conducted at BCR.
- Blood donations within 56 days preceding this study.
- Participation as a plasma donor in a plasmapheresis program within 7 days preceding th
Data sourced from ClinicalTrials.gov (NCT01157182). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.