Trial Outcomes & Findings for Estradiol/Norethindrone Acetate Tablets, 1/0.5 mg Under Fasting Conditions (NCT NCT01157182)

NCT ID: NCT01157182

Last Updated: 2010-12-17

Results Overview

Bioequivalence based on Norethindrone Cmax.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

Blood samples collected over a 36 hour period.

Results posted on

2010-12-17

Participant Flow

Participant milestones

Participant milestones
Measure
Estradiol/Norethindrone Acetate (Test) First
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in first period followed by 1/0.5 mg Activella® Tablets reference product dosed in the second period.
Activella® (Reference) First
1/0.5 mg Activella® Tablets reference product dosed in first period followed by 1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in the second period.
First Intervention
STARTED
18
18
First Intervention
COMPLETED
18
18
First Intervention
NOT COMPLETED
0
0
Washout of 28 Days
STARTED
18
18
Washout of 28 Days
COMPLETED
16
18
Washout of 28 Days
NOT COMPLETED
2
0
Second Intervention
STARTED
16
18
Second Intervention
COMPLETED
16
18
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Estradiol/Norethindrone Acetate (Test) First
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in first period followed by 1/0.5 mg Activella® Tablets reference product dosed in the second period.
Activella® (Reference) First
1/0.5 mg Activella® Tablets reference product dosed in first period followed by 1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in the second period.
Washout of 28 Days
Adverse Event
2
0

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Estradiol/Norethindrone Acetate (Test) First
n=18 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in first period followed by 1/0.5 mg Activella® Tablets reference product dosed in the second period.
Activella® (Reference) First
n=18 Participants
1/0.5 mg Activella® Tablets reference product dosed in first period followed by 1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in the second period.
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
18 Participants
n=7 Participants
35 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
18 Participants
n=7 Participants
36 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
12 participants
n=5 Participants
14 participants
n=7 Participants
26 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
0 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
Race/Ethnicity, Customized
Black
3 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
Race/Ethnicity, Customized
American Indian
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Canada
18 participants
n=5 Participants
18 participants
n=7 Participants
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: Blood samples collected over a 36 hour period.

Population: All participants that completed the study had their samples analyzed.

Bioequivalence based on Norethindrone Cmax.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)
10.08 ng/mL
Standard Deviation 3.32
9.90 ng/mL
Standard Deviation 3.68

PRIMARY outcome

Timeframe: Blood samples collected over a 36 hour period.

Population: All participants that completed the study had their samples analyzed.

Bioequivalence based on Norethindrone AUC0-t.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
36.59 ng*h/mL
Standard Deviation 19.54
37.05 ng*h/mL
Standard Deviation 18.07

PRIMARY outcome

Timeframe: Blood samples collected over a 36 hour period.

Population: All participants that completed the study had their samples analyzed.

Bioequivalence based on Norethindrone AUC0-inf.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
39.94 ng*h/mL
Standard Deviation 20.14
40.40 ng*h/mL
Standard Deviation 18.90

PRIMARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Bioequivalence based on Corrected Total Estrone Cmax.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
43997.17 pg/mL
Standard Deviation 10387.84
47015.47 pg/mL
Standard Deviation 9894.22

PRIMARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Bioequivalence based on Corrected Total Estrone AUC0-t.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
365242.88 pg*h/mL
Standard Deviation 155344.76
374730.12 pg*h/mL
Standard Deviation 145770.97

PRIMARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Bioequivalence based on Corrected Total Estrone AUC0-inf.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
375439.71 pg*h/mL
Standard Deviation 164404.58
384535.16 pg*h/mL
Standard Deviation 153333.46

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of Cmax values for Uncorrected Total Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
43723.53 pg/mL
Standard Deviation 10562.40
47170.59 pg/mL
Standard Deviation 9913.52

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-t values for Uncorrected Total Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
372088.37 pg*h/mL
Standard Deviation 159941.67
385829.05 pg*h/mL
Standard Deviation 150207.71

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-inf values for Uncorrected Total Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
387085.29 pg*h/mL
Standard Deviation 172021.74
400726.94 pg*h/mL
Standard Deviation 160336.60

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of Cmax values for Uncorrected Unconjugated Estradiol.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)
52.09 pg/mL
Standard Deviation 19.78
56.26 pg/mL
Standard Deviation 18.96

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-t values for Uncorrected Unconjugated Estradiol.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
1575.01 pg*h/mL
Standard Deviation 670.36
1656.16 pg*h/mL
Standard Deviation 680.55

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estradiol.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)
1739.31 pg*h/mL
Standard Deviation 671.74
1905.28 pg*h/mL
Standard Deviation 865.43

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of Cmax values for Uncorrected Unconjugated Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
475.44 pg/mL
Standard Deviation 155.40
502.24 pg/mL
Standard Deviation 163.45

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-t values for Uncorrected Unconjugated Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
10870.03 pg*h/mL
Standard Deviation 4207.05
11252.64 pg*h/mL
Standard Deviation 4220.20

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
12387.14 pg*h/mL
Standard Deviation 4715.23
12646.49 pg*h/mL
Standard Deviation 4673.97

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of Cmax values for Corrected Unconjugated Estradiol.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)
47.80 pg/mL
Standard Deviation 19.05
51.59 pg/mL
Standard Deviation 18.77

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-t values for Corrected Unconjugated Estradiol.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
1267.50 pg*h/mL
Standard Deviation 574.02
1323.70 pg*h/mL
Standard Deviation 615.33

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-inf values for Corrected Unconjugated Estradiol.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)
1359.50 pg*h/mL
Standard Deviation 664.41
1410.51 pg*h/mL
Standard Deviation 695.23

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of Cmax values for Corrected Unconjugated Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
455.16 pg/mL
Standard Deviation 153.38
481.46 pg/mL
Standard Deviation 163.19

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-t values for Corrected Unconjugated Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
9409.59 pg*h/mL
Standard Deviation 4029.75
9762.49 pg*h/mL
Standard Deviation 4170.35

SECONDARY outcome

Timeframe: Blood samples collected over a 72 hour period.

Population: All participants that completed the study had their samples analyzed.

Informational comparison of AUC0-inf values for Corrected Unconjugated Estrone.

Outcome measures

Outcome measures
Measure
Estradiol/Norethindrone Acetate (Test)
n=34 Participants
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in either period.
Activella® (Reference)
n=34 Participants
1/0.5 mg Activella® Tablets reference product dosed in either period.
AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
10267.03 pg*h/mL
Standard Deviation 4156.10
10214.23 pg*h/mL
Standard Deviation 4497.68

Adverse Events

Estradiol/Norethindrone Acetate (Test) First

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Activella® (Reference) First

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Estradiol/Norethindrone Acetate (Test) First
n=36 participants at risk
1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in first period followed by 1/0.5 mg Activella® Tablets reference product dosed in the second period.
Activella® (Reference) First
n=36 participants at risk
1/0.5 mg Activella® Tablets reference product dosed in first period followed by 1/0.5 mg Estradiol/Norethindrone acetate Tablets test product dosed in the second period.
General disorders
Headache
8.3%
3/36 • Number of events 4 • Adverse event data was collected over the course of the study, which was approximately 6 weeks in duration.
Volunteers were monitored throughout the study for any adverse experiences. AEs were collected through both solicited and unsolicited methods. The volunteers were encouraged to report signs, symptoms, and any changes in health to the clinic staff.
0.00%
0/36 • Adverse event data was collected over the course of the study, which was approximately 6 weeks in duration.
Volunteers were monitored throughout the study for any adverse experiences. AEs were collected through both solicited and unsolicited methods. The volunteers were encouraged to report signs, symptoms, and any changes in health to the clinic staff.

Additional Information

Associate Director, Biopharmaceutics

TEVA Pharmaceuticals, USA

Phone: 1-866-384-5525

Results disclosure agreements

  • Principal investigator is a sponsor employee The Principal Investigator is not permitted to discuss or publish trial results.
  • Publication restrictions are in place

Restriction type: OTHER