Phase 1
Completed N=40
Estradiol/Norethindrone Acetate Tablets, 1/0.5 mg Under Fed Conditions
Healthy
Source: ClinicalTrials.gov NCT01181726 ↗
Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Oct 2010
Primary outcomePrimary: Cmax of Norethindrone (Maximum Observed Concentration of Drug Substance in Plasma) — 6.54; 6.06 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 fed conditions.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cmax of Norethindrone (Maximum Observed Concentration of Drug Substance in Plasma) |
6.54; 6.06 | — |
| PRIMARY AUC0-t of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
45.03; 46.13 | — |
| PRIMARY AUC0-inf of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
49.55; 50.68 | — |
| PRIMARY Cmax of Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
27076.08; 27240.03 | — |
| PRIMARY AUC0-t of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
384547.68; 407028.98 | — |
| PRIMARY AUC0-inf of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
380131.12; 424801.99 | — |
| SECONDARY Cmax of Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
27256.41; 27430.77 | — |
| SECONDARY AUC0-t of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
397537.88; 420763.02 | — |
| SECONDARY AUC0-inf of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
398139.63; 425739.45 | — |
| SECONDARY Cmax of Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma) |
59.24; 60.33 | — |
| SECONDARY AUC0-t of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
2016.26; 2086.39 | — |
| SECONDARY AUC0-inf of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity) |
2301.59; 2274.04 | — |
| SECONDARY Cmax of Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
513.56; 529.23 | — |
| SECONDARY AUC0-t of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
12444.22; 12977.00 | — |
| SECONDARY AUC0-inf of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
13592.44; 14155.46 | — |
| SECONDARY Cmax of Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma) |
55.18; 56.24 | — |
| SECONDARY AUC0-t of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
1723.44; 1793.04 | — |
| SECONDARY AUC0-inf of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity) |
1823.43; 1871.56 | — |
| SECONDARY Cmax of Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma) |
492.81; 509.81 | — |
| SECONDARY AUC0-t of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
10952.25; 11369.60 | — |
| SECONDARY AUC0-inf of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) |
11293.21; 11747.97 | — |
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 ≤ 92 pmol/L and follicle-stimulating hormone (FSH) of ≥ 40 IU/L.
- Body Mass Index (BMI) greater than or equal to 19.0 kg/m2 and less than or equal to 30.0 kg/m2.
- Normal findings in the physical examination, 12-lead electrocardiogram (ECG) and vital signs.
- Hemoglobin ≥ 115 g/L.
- Normal pap smear.
- 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 the acceptable range unless the Principal Investigator or Sub-Investigator decides that they are not clinically significant (NCS).
- 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 until 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 evidenced 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 not clinically significant by the Principal Investigator or Sub-Investigator.
- Known history of liver, kidney, and/or gallbladder dysfunction/disease, chronic diarrhea, or inflammatory bowel diseases.
- 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 this study, unless deemed not clinically significant by the Principal Investigator or Sub-Investigator.
- Any history or evidence of psychiatric or psychological disease, unless deemed not clinically significant by the Principal Investigator or the Sub-Investigator.
- Any history or abnormal vaginal bleeding, unless deemed not clinically significant by the Principal Investigator or the 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 or 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 (OTC) medication or any herbal supplement within the 7 days preceding this study.
- Use of hormonal contraceptives, oral, transdermal, implant within 30 days before drug administration or a depot injection or progestogen drug within 1 year before the drug administration.
- Depot injection of any drug within 6 months.
- Blood draws within 56 days preceding this study, during the conduct of any clinical study at another facility, or within the lockout period specified by previous study.
- Blood donations within 56 days preceding this study.
- Participat
Data sourced from ClinicalTrials.gov (NCT01181726). 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.