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Phase 1 Completed N=36 Randomized

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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