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

A Two-Way Crossover, Open-Label, Single-Dose, Fasting, 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

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01157182
Enrollment
36
Registered
2010-07-05
Start date
2007-02-28
Completion date
2007-04-30
Last updated
2010-12-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

Healthy, Bioequivalence, Post-Menopausal

Brief 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.

Detailed description

Criteria for Evaluation: FDA Bioequivalence Criteria Statistical Methods: FDA Bioequivalence Statistical Methods

Interventions

1/0.5 mg Tablets

Sponsors

Teva Pharmaceuticals USA
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
Yes

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 \< 90 pmol/L and follicle-stimulating hormone (FSH) 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 this study. * Participation in a clinical trial with an investigational drug within 30 days preceding this study. * Intolerance to venipuncture.

Design outcomes

Primary

MeasureTime frameDescription
Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 36 hour period.Bioequivalence based on Norethindrone Cmax.
AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 36 hour period.Bioequivalence based on Norethindrone AUC0-t.
AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 36 hour period.Bioequivalence based on Norethindrone AUC0-inf.
Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 72 hour period.Bioequivalence based on Corrected Total Estrone Cmax.
AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 72 hour period.Bioequivalence based on Corrected Total Estrone AUC0-t.
AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 72 hour period.Bioequivalence based on Corrected Total Estrone AUC0-inf.

Secondary

MeasureTime frameDescription
Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 72 hour period.Informational comparison of Cmax values for Uncorrected Unconjugated Estrone.
AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 72 hour period.Informational comparison of AUC0-t values for Uncorrected Unconjugated Estrone.
AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 72 hour period.Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estrone.
Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 72 hour period.Informational comparison of Cmax values for Corrected Unconjugated Estradiol.
Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 72 hour period.Informational comparison of Cmax values for Uncorrected Total Estrone.
AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 72 hour period.Informational comparison of AUC0-inf values for Corrected Unconjugated Estradiol.
Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 72 hour period.Informational comparison of Cmax values for Corrected Unconjugated Estrone.
AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 72 hour period.Informational comparison of AUC0-t values for Corrected Unconjugated Estrone.
AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 72 hour period.Informational comparison of AUC0-inf values for Corrected Unconjugated Estrone.
AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 72 hour period.Informational comparison of AUC0-t values for Corrected Unconjugated Estradiol.
AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 72 hour period.Informational comparison of AUC0-t values for Uncorrected Total Estrone.
AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 72 hour period.Informational comparison of AUC0-inf values for Uncorrected Total Estrone.
Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)Blood samples collected over a 72 hour period.Informational comparison of Cmax values for Uncorrected Unconjugated Estradiol.
AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)Blood samples collected over a 72 hour period.Informational comparison of AUC0-t values for Uncorrected Unconjugated Estradiol.
AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)Blood samples collected over a 72 hour period.Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estradiol.

Countries

Canada

Participant flow

Participants by arm

ArmCount
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.
18
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.
18
Total36

Withdrawals & dropouts

PeriodReasonFG000FG001
Washout of 28 DaysAdverse Event20

Baseline characteristics

CharacteristicActivella® (Reference) FirstTotalEstradiol/Norethindrone Acetate (Test) First
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants1 Participants1 Participants
Age, Categorical
Between 18 and 65 years
18 Participants35 Participants17 Participants
Race/Ethnicity, Customized
American Indian
1 participants1 participants0 participants
Race/Ethnicity, Customized
Asian
0 participants3 participants3 participants
Race/Ethnicity, Customized
Black
0 participants3 participants3 participants
Race/Ethnicity, Customized
Caucasian
14 participants26 participants12 participants
Race/Ethnicity, Customized
Hispanic
3 participants3 participants0 participants
Region of Enrollment
Canada
18 participants36 participants18 participants
Sex: Female, Male
Female
18 Participants36 Participants18 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
3 / 360 / 36
serious
Total, serious adverse events
0 / 360 / 36

Outcome results

Primary

AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Bioequivalence based on Corrected Total Estrone AUC0-inf.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)375439.71 pg*h/mLStandard Deviation 164404.58
Activella® (Reference)AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)384535.16 pg*h/mLStandard Deviation 153333.46
90% CI: [92.62, 98.91]
Primary

AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Bioequivalence based on Norethindrone AUC0-inf.

Time frame: Blood samples collected over a 36 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)39.94 ng*h/mLStandard Deviation 20.14
Activella® (Reference)AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)40.40 ng*h/mLStandard Deviation 18.9
90% CI: [95.33, 102.26]
Primary

AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Bioequivalence based on Corrected Total Estrone AUC0-t.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)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/mLStandard Deviation 155344.76
Activella® (Reference)AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)374730.12 pg*h/mLStandard Deviation 145770.97
90% CI: [92.6, 98.81]
Primary

AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Bioequivalence based on Norethindrone AUC0-t.

Time frame: Blood samples collected over a 36 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)36.59 ng*h/mLStandard Deviation 19.54
Activella® (Reference)AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)37.05 ng*h/mLStandard Deviation 18.07
90% CI: [95.15, 101.76]
Primary

Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Bioequivalence based on Corrected Total Estrone Cmax.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)43997.17 pg/mLStandard Deviation 10387.84
Activella® (Reference)Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)47015.47 pg/mLStandard Deviation 9894.22
90% CI: [88.64, 96.55]
Primary

Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)

Bioequivalence based on Norethindrone Cmax.

Time frame: Blood samples collected over a 36 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)10.08 ng/mLStandard Deviation 3.32
Activella® (Reference)Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)9.90 ng/mLStandard Deviation 3.68
90% CI: [97.63, 108.55]
Secondary

AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)1359.50 pg*h/mLStandard Deviation 664.41
Activella® (Reference)AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)1410.51 pg*h/mLStandard Deviation 695.23
90% CI: [88.1, 103.81]
Secondary

AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)10267.03 pg*h/mLStandard Deviation 4156.1
Activella® (Reference)AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)10214.23 pg*h/mLStandard Deviation 4497.68
90% CI: [92.75, 100.93]
Secondary

AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)387085.29 pg*h/mLStandard Deviation 172021.74
Activella® (Reference)AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)400726.94 pg*h/mLStandard Deviation 160336.6
90% CI: [92.68, 98.88]
Secondary

AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)1739.31 pg*h/mLStandard Deviation 671.74
Activella® (Reference)AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)1905.28 pg*h/mLStandard Deviation 865.43
90% CI: [90.7, 104.76]
Secondary

AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)12387.14 pg*h/mLStandard Deviation 4715.23
Activella® (Reference)AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)12646.49 pg*h/mLStandard Deviation 4673.97
90% CI: [93.62, 100.96]
Secondary

AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)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/mLStandard Deviation 574.02
Activella® (Reference)AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)1323.70 pg*h/mLStandard Deviation 615.33
90% CI: [88.37, 103.14]
Secondary

AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)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/mLStandard Deviation 4029.75
Activella® (Reference)AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)9762.49 pg*h/mLStandard Deviation 4170.35
90% CI: [92.14, 100.04]
Secondary

AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)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/mLStandard Deviation 159941.67
Activella® (Reference)AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)385829.05 pg*h/mLStandard Deviation 150207.71
90% CI: [92.68, 98.77]
Secondary

AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)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/mLStandard Deviation 670.36
Activella® (Reference)AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)1656.16 pg*h/mLStandard Deviation 680.55
90% CI: [89.04, 99.47]
Secondary

AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

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

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)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/mLStandard Deviation 4207.05
Activella® (Reference)AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)11252.64 pg*h/mLStandard Deviation 4220.2
90% CI: [92.73, 99.36]
Secondary

Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Corrected Unconjugated Estradiol.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)47.80 pg/mLStandard Deviation 19.05
Activella® (Reference)Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)51.59 pg/mLStandard Deviation 18.77
90% CI: [84.46, 99.62]
Secondary

Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Corrected Unconjugated Estrone.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)455.16 pg/mLStandard Deviation 153.38
Activella® (Reference)Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)481.46 pg/mLStandard Deviation 163.19
90% CI: [89.56, 98.98]
Secondary

Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Total Estrone.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)43723.53 pg/mLStandard Deviation 10562.4
Activella® (Reference)Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)47170.59 pg/mLStandard Deviation 9913.52
90% CI: [88.65, 96.33]
Secondary

Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Unconjugated Estradiol.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)52.09 pg/mLStandard Deviation 19.78
Activella® (Reference)Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)56.26 pg/mLStandard Deviation 18.96
90% CI: [84.62, 98.31]
Secondary

Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Unconjugated Estrone.

Time frame: Blood samples collected over a 72 hour period.

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

ArmMeasureValue (MEAN)Dispersion
Estradiol/Norethindrone Acetate (Test)Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)475.44 pg/mLStandard Deviation 155.4
Activella® (Reference)Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)502.24 pg/mLStandard Deviation 163.45
90% CI: [89.78, 98.81]

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026