Estradiol/Norethindrone Acetate Tablets, 1/0.5 mg Under Fed Conditions

This study has been completed.
Sponsor:
Information provided by:
Teva Pharmaceuticals USA
ClinicalTrials.gov Identifier:
NCT01181726
First received: August 11, 2010
Last updated: November 22, 2010
Last verified: November 2010
  Purpose

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.


Condition Intervention Phase
Healthy
Drug: Estradiol/Norethindrone acetate
Drug: Activella®
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Bio-equivalence Study
Intervention Model: Crossover Assignment
Masking: Open Label
Official Title: A Two-Way Crossover, Open-Label, Single-Dose, Fed, Bioequivalence Study of Estradiol/Norethindrone Acetate Tablets, 1 mg/0.5 mg Versus Activella® (1 mg Estradiol/0.5 mg Norethindrone Acetate) Tablets in Normal, Healthy, Post-Menopausal Female Subjects.

Resource links provided by NLM:


Further study details as provided by Teva Pharmaceuticals USA:

Primary Outcome Measures:
  • Cmax of Norethindrone (Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 36 hour period. ] [ Designated as safety issue: No ]
    Bioequivalence based on Norethindrone Cmax.

  • AUC0-t of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 36 hour period. ] [ Designated as safety issue: No ]
    Bioequivalence based on Norethindrone AUC0-t.

  • AUC0-inf of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 36 hour period. ] [ Designated as safety issue: No ]
    Bioequivalence based on Norethindrone AUC0-inf.

  • Cmax of Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Bioequivalence based on Corrected Total Estrone Cmax.

  • AUC0-t of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Bioequivalence based on Corrected Total Estrone AUC0-t.

  • AUC0-inf of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Bioequivalence based on Corrected Total Estrone AUC0-inf.


Secondary Outcome Measures:
  • Cmax of Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of Cmax values for Uncorrected Total Estrone.

  • AUC0-t of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-t values for Uncorrected Total Estrone.

  • AUC0-inf of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-inf values for Uncorrected Total Estrone.

  • Cmax of Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of Cmax values for Uncorrected Unconjugated Estradiol.

  • AUC0-t of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-t values for Uncorrected Unconjugated Estradiol.

  • AUC0-inf of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estradiol.

  • Cmax of Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of Cmax values for Uncorrected Unconjugated Estrone.

  • AUC0-t of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-t values for Uncorrected Unconjugated Estrone.

  • AUC0-inf of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estrone.

  • Cmax of Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of Cmax values for Corrected Unconjugated Estradiol.

  • AUC0-t of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-t values for Corrected Unconjugated Estradiol.

  • AUC0-inf of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-inf values for Corrected Unconjugated Estradiol.

  • Cmax of Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of Cmax values for Corrected Unconjugated Estrone.

  • AUC0-t of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-t values for Corrected Unconjugated Estrone.

  • AUC0-inf of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity) [ Time Frame: Blood samples collected over a 72 hour period. ] [ Designated as safety issue: No ]
    Informational comparison of AUC0-inf values for Corrected Unconjugated Estrone.


Enrollment: 40
Study Start Date: January 2007
Study Completion Date: February 2007
Primary Completion Date: February 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Investigational Test Product
Estradiol/Norethindrone Acetate Tablets, 1 mg/0.5 mg
Drug: Estradiol/Norethindrone acetate
1 mg/0.5 mg Tablets
Other Name: Mimvey®
Active Comparator: Reference Listed Drug
Activella® (1 mg estradiol/0.5 mg norethindrone acetate) Tablets
Drug: Activella®
1 mg/0.5 mg Tablets
Other Name: Estradiol/Norethindrone acetate (generic name)

Detailed Description:

Criteria for Evaluation: FDA Bioequivalence Criteria

Statistical Methods: FDA Bioequivalence Statistical Methods

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
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.
  • Participation as a plasma donor in a plasmapheresis program within 7 days preceding this study.
  • Participation in a clinical trial with an investigational drug within 30 days preceding this study.
  • Intolerance to venipuncture.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01181726

Locations
Canada, Ontario
Biovail Contract Research
Toronto, Ontario, Canada, M1L 4S4
Sponsors and Collaborators
Teva Pharmaceuticals USA
Investigators
Principal Investigator: Paul Y Tam, M.D., F.R.C.P., F.A.C.P. Biovail Clinical Research
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT01181726     History of Changes
Other Study ID Numbers: 3252
Study First Received: August 11, 2010
Results First Received: September 15, 2010
Last Updated: November 22, 2010
Health Authority: Canada: Ethics Review Committee

Keywords provided by Teva Pharmaceuticals USA:
Bioequivalence
Healthy Subjects

Additional relevant MeSH terms:
Estradiol
Polyestradiol phosphate
Estradiol valerate
Estradiol 3-benzoate
Estradiol 17 beta-cypionate
Norethindrone
Norethindrone acetate
Estrogens
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Pharmacologic Actions
Contraceptive Agents
Reproductive Control Agents
Therapeutic Uses
Contraceptive Agents, Female
Contraceptives, Oral, Synthetic
Contraceptives, Oral

ClinicalTrials.gov processed this record on July 28, 2014