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Phase 1 Completed N=40 Randomized

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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