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This study compared the relative bioavailability (rate and extent of absorption) of 0.4 mg/35 mcg Norethindrone and Ethinyl Estradiol Chewable Tablets by Teva Pharmaceuticals, USA with that of 0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets manufactured by Warner Chilcott Company, Inc., following a single oral dose (2 * 0.4 mg/35 mcg chewable tablets) in healthy female adult volunteers administered under fasting conditions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Investigational Test Product | Experimental | Norethindrone/Ethinyl Estradiol 0.4 mg/35 mcg Chewable Tablets (Teva) |
|
| Reference Listed Drug | Active Comparator | Ovcon® 35 Fe 0.4 mg/35 mcg Chewable Tablets (Warner Chilcott) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Norethindrone/Ethinyl Estradiol | Drug | 0.4 mg/35 mcg Chewable Tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cmax of Norethindrone | Bioequivalence based on Norethindrone Cmax (maximum observed concentration of drug substance in plasma). | Blood samples collected over a 60 hour period. |
| AUC0-t of Norethindrone | Bioequivalence based on Norethindrone AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). | Blood samples collected over a 60 hour period. |
| AUC0-inf of Norethindrone | Bioequivalence based on Norethindrone AUC0-inf (area under the concentration-time curve from time zero to infinity). | Blood samples collected over a 60 hour period. |
| Cmax of Ethinyl Estradiol | Bioequivalence based on Ethinyl Estradiol Cmax (maximum observed concentration of drug substance in plasma). | Blood samples collected over a 60 hour period. |
| AUC0-t of Ethinyl Estradiol | Bioequivalence based on Ethinyl Estradiol AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). | Blood samples collected over a 60 hour period. |
| AUC0-inf of Ethinyl Estradiol | Bioequivalence based on Ethinyl Estradiol AUC0-inf (area under the concentration-time curve from time zero to infinity). | Blood samples collected over a 60 hour period. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRACS Institute, Ltd. | Fargo | North Dakota | 58104 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Norethindrone/Ethinyl Estradiol (Test) First | 0.4 mg/35 mcg Norethindrone/Ethinyl Estradiol Chewable Tablets test product dosed in first period followed by 0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets reference product dosed in the second period. |
| FG001 | Ovcon® 35 Fe (Reference) First | 0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets reference product dosed in first period followed by 0.4 mg/35 mcg Norethindrone/Ethinyl Estradiol Chewable Tablets test product dosed in the second period. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
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| Washout Period of 28 Days |
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| Second Intervention |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Norethindrone/Ethinyl Estradiol (Test) First | 0.4 mg/35 mcg Norethindrone/Ethinyl Estradiol Chewable Tablets test product dosed in first period followed by 0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets reference product dosed in the second period. |
| BG001 | Ovcon® 35 Fe (Reference) First |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cmax of Norethindrone | Bioequivalence based on Norethindrone Cmax (maximum observed concentration of drug substance in plasma). | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng/mL | Blood samples collected over a 60 hour period. |
|
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.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Norethindrone/Ethinyl Estradiol (Test) First | 0.4 mg/35 mcg Norethindrone/Ethinyl Estradiol Chewable Tablets test product dosed in first period followed by 0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets reference product dosed in the second period. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Associate Director, Biopharmaceutics | Teva Pharmaceuticals, USA | 1-866-384-5525 | clinicaltrialqueries@tevausa.com |
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| ID | Term |
|---|---|
| C484525 | ovcon 35 |
| D009640 | Norethindrone |
| D004997 | Ethinyl Estradiol |
| ID | Term |
|---|---|
| D009652 | Norpregnenes |
| D009650 | Norpregnanes |
| D009654 | Norsteroids |
| D013256 | Steroids |
| D000072473 |
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| Ovcon® 35 Fe | Drug | 0.4 mg/35 mcg Chewable Tablets |
|
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| NOT COMPLETED |
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| NOT COMPLETED |
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0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets reference product dosed in first period followed by 0.4 mg/35 mcg Norethindrone/Ethinyl Estradiol Chewable Tablets test product dosed in the second period. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Primary | AUC0-t of Norethindrone | Bioequivalence based on Norethindrone AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| Primary | AUC0-inf of Norethindrone | Bioequivalence based on Norethindrone AUC0-inf (area under the concentration-time curve from time zero to infinity). | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| Primary | Cmax of Ethinyl Estradiol | Bioequivalence based on Ethinyl Estradiol Cmax (maximum observed concentration of drug substance in plasma). | 34 out of 36 subjects completed the study. Subjects 13 & 35 were excluded from the statistical analysis for Ethinyl Estradiol due to pre-dose concentrations greater than 5% of Cmax; therefore analysis included 32 data sets. | Posted | Mean | Standard Deviation | pg/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| Primary | AUC0-t of Ethinyl Estradiol | Bioequivalence based on Ethinyl Estradiol AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). | 34 out of 36 subjects completed the study. Subjects 13 & 35 were excluded from the statistical analysis for Ethinyl Estradiol due to pre-dose concentrations greater than 5% of Cmax; therefore analysis included 32 data sets. | Posted | Mean | Standard Deviation | pg*h/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| Primary | AUC0-inf of Ethinyl Estradiol | Bioequivalence based on Ethinyl Estradiol AUC0-inf (area under the concentration-time curve from time zero to infinity). | 34 out of 36 subjects completed the study. Subjects 13 & 35 were excluded from the statistical analysis for Ethinyl Estradiol due to pre-dose concentrations greater than 5% of Cmax; therefore analysis included 32 data sets. | Posted | Mean | Standard Deviation | pg*h/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| 0 |
| 36 |
| 14 |
| 36 |
| EG001 | Ovcon® 35 Fe (Reference) First | 0.4 mg/35 mcg Ovcon® 35 Fe Chewable Tablets reference product dosed in first period followed by 0.4 mg/35 mcg Norethindrone/Ethinyl Estradiol Chewable Tablets test product dosed in the second period. | 0 | 36 | 12 | 36 |
| Headache | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Nausea | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Pallor | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Syncope | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
The Principal Investigator is not permitted to discuss or publish trial results.
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D009651 | Norpregnatrienes |
| D042782 | Estrogenic Steroids, Alkylated |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |