CClinicalTrials.gg
CompletedNCT01340625Updated May 25, 2011Results posted

Norethindrone/Ethinyl Estradiol 0.4 mg/35 Mcg Chewable Tablets Under Fasting Conditions

A Phase 1 interventional study of Norethindrone/Ethinyl Estradiol and Ovcon® 35 Fe in Bioequivalence, sponsored by Teva Pharmaceuticals USA. Completed at 1 site in United States. Open to female participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2011-05-25.

Sponsored by Teva Pharmaceuticals USA · Phase 1 and Interventional

Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

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.

02

Conditions studied

  • Bioequivalence

Keywords

  • Healthy Subjects
03

In context

Lead sponsor

Teva Pharmaceuticals USA is the lead sponsor of 171 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Volunteers who have been informed of the nature of the study and agree to read, review, and sign the informed consent document prior to Period I dosing.
  • Volunteers who have completed the screening process within 28 days prior to Period I dosing.
  • Volunteers who are healthy adult women 18-35 years of age, inclusive, at the time of dosing.
  • Volunteers who have a body mass index (BMI) between 19-30 kg/m2, inclusive, and weight at least 110 lbs.
  • Volunteers who are healthy as documented by the medical history, physical examination, vital sign assessments, 12-lead electrocardiogram, clinical laboratory assessments, and by general observations. The physical examination will also include a gynecological exam. If the subject has completed an acceptable Papanicolaou smear and gynecological exam in the previous 12 months and documentation of acceptable results are provided, both will be deferred. Any abnormalities/deviations from the normal range that might be considered clinically relevant by the study physician and investigator will be evaluated for individual cases, documented in study files, and agreed upon by both the study physician and investigator prior to enrolling the volunteer in this study and for continued enrollment.
  • Volunteers must practice an acceptable non-hormonal birth control method as judged by the investigator(s) at least 14 days prior to Period I dosing, throughout the study, and until 14 days after second period dosing.

Exclusion criteria

Exclusion Criteria:

  • Volunteers who report receiving any investigational drug within 30 days prior to Period I dosing.
  • Volunteers who report taking any oral contraceptives including estrogen and progestin combined pills and progestin only pills or patch within 28 days prior to Period I dosing, using injectable contraceptives within 6 months of first period dosing.
  • Volunteers who have ever had progestational hormone implants.
  • Volunteers who report any presence or history of a clinically significant disorder involving the cardiovascular, respiratory, renal, gastrointestinal, immunologic, hematologic, endocrine, or neurologic systems or psychiatric disease as determined by the clinical investigator(s).
  • Volunteers who report any presence or history of migraines or severe headaches.
  • Volunteers who have systolic blood pressure lower than 90 or over 140 mmHg, diastolic blood pressure lower than 45 or over 90 mmHg will be excluded from the study.
  • Volunteers who have a history of thrombotic disorders or have ever had cerebrovascular accident or transient ischemic attacks.
  • Volunteers with a history of breast cancer or undiagnosed breast nodules, active malignancies or undiagnosed vaginal bleeding.
  • Volunteers having other conditions that may be aggravated by fluid retention (as determined by principal investigator).
  • Volunteers who have a history of jaundice with previous use of oral contraceptives or any other kinds of hormonal contraceptives.
  • Volunteers whose clinical laboratory test values fall outside the accepted reference range and when confirmed on re-examination is deemed to be clinically significant.
  • Volunteers who demonstrate a reactive screen for hepatitis B surface antigen, hepatitis C antibody, or HIV antibody.
  • Volunteers who report a history of allergic response(s) to norethindrone/ethinyl estradiol or progestin/estrogens or related drugs.
  • Volunteers who report the use of any systemic prescription medication in the 14 days prior to Period I dosing (with the exception of hormonal contraceptives).
  • Volunteers with a history of clinically significant allergies including drug allergies.
  • Volunteers who report a clinically significant illness during the 4 weeks prior to Period I dosing (as determined by the clinical investigators).
  • Volunteers who report a history of drug or alcohol addiction or abuse within the past year.
  • Volunteers who demonstrate a positive drug abuse screen for this study prior to Period I dose administration.
  • Volunteers who currently use or have used tobacco products within 30 days prior to Period I dosing.
  • Volunteers who report donating greater that 150 mL of blood within 30 days prior to Period I dosing. All subjects will be advised not to donate blood for 4 weeks after completing the study.
  • Volunteers who report donating plasma within 30 days prior to Period I dosing. All subjects will be advised not to donate plasma for 4 weeks after completing the study.
  • Volunteers who demonstrate a positive pregnancy screen.
  • Volunteers who are currently pregnant of breastfeeding.
  • Volunteers who are using or have used within the 3 months preceding Period I dosing any vaginally administered estrogen or progestin-containing products.
  • Any volunteer who engages in unprotected sexual intercourse during the time interval starting 14 days prior to first period dosing and until 14 days after the Period II dosing.
  • Volunteers who have had a hysterectomy or oophorectomy (unilateral or bilateral).
05

Study design

Phase
Phase 1
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Investigational Test Product

    Norethindrone/Ethinyl Estradiol 0.4 mg/35 mcg Chewable Tablets (Teva)

    Drug: Norethindrone/Ethinyl Estradiol

  • Active comparator
    Reference Listed Drug

    Ovcon® 35 Fe 0.4 mg/35 mcg Chewable Tablets (Warner Chilcott)

    Drug: Ovcon® 35 Fe

Interventions

  • DrugNorethindrone/Ethinyl Estradiol

    0.4 mg/35 mcg Chewable Tablets

    Also known as: Zeosa®

  • DrugOvcon® 35 Fe

    0.4 mg/35 mcg Chewable Tablets

    Also known as: Femcon® Fe, Norethindrone/Ethinyl Estradiol (generic name)

06

What researchers measure

Primary outcomes

  1. Cmax of Norethindrone

    Bioequivalence based on Norethindrone Cmax (maximum observed concentration of drug substance in plasma).

    Time frame: Blood samples collected over a 60 hour period.

  2. 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).

    Time frame: Blood samples collected over a 60 hour period.

  3. AUC0-inf of Norethindrone

    Bioequivalence based on Norethindrone AUC0-inf (area under the concentration-time curve from time zero to infinity).

    Time frame: Blood samples collected over a 60 hour period.

  4. Cmax of Ethinyl Estradiol

    Bioequivalence based on Ethinyl Estradiol Cmax (maximum observed concentration of drug substance in plasma).

    Time frame: Blood samples collected over a 60 hour period.

  5. 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).

    Time frame: Blood samples collected over a 60 hour period.

  6. AUC0-inf of Ethinyl Estradiol

    Bioequivalence based on Ethinyl Estradiol AUC0-inf (area under the concentration-time curve from time zero to infinity).

    Time frame: Blood samples collected over a 60 hour period.

07

Results

Posted May 25, 2011

Participant flow

First Intervention
Participant flow — First Intervention
MilestoneNorethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) First
Started1818
Completed1718
Not completed10
Withdrew: Adverse event10
Washout Period of 28 Days
Participant flow — Washout Period of 28 Days
MilestoneNorethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) First
Started1718
Completed1618
Not completed10
Withdrew: Withdrawal by subject10
Second Intervention
Participant flow — Second Intervention
MilestoneNorethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) First
Started1618
Completed1618
Not completed00

Outcome measures

PrimaryCmax of Norethindrone

Bioequivalence based on Norethindrone Cmax (maximum observed concentration of drug substance in plasma).

Time frame:
Blood samples collected over a 60 hour period.
Reported as:
Mean · ng/mL
Cmax of Norethindrone
ng/mLNorethindrone/Ethinyl Estradiol (Test)Ovcon® 35 Fe (Reference)
Cmax of Norethindrone10.94 ± 5.2210.00 ± 4.13
Statistical analysis
  • Norethindrone/Ethinyl Estradiol (Test) vs Ovcon® 35 Fe (Reference) · Ratio of the t/r geometric mean x 100: 107.84 · 90% CI 100.91 to 115.24Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference (R) and test (T) product fall within the interval of 80-125%.
PrimaryAUC0-t of Norethindrone

Bioequivalence based on Norethindrone AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration).

Time frame:
Blood samples collected over a 60 hour period.
Reported as:
Mean · ng*h/mL
AUC0-t of Norethindrone
ng*h/mLNorethindrone/Ethinyl Estradiol (Test)Ovcon® 35 Fe (Reference)
AUC0-t of Norethindrone43.83 ± 30.5040.73 ± 22.41
Statistical analysis
  • Norethindrone/Ethinyl Estradiol (Test) vs Ovcon® 35 Fe (Reference) · Ratio of the t/r geometric mean x 100: 104.03 · 90% CI 96.74 to 111.88Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference (R) and test (T) product fall within the interval of 80-125%.
PrimaryAUC0-inf of Norethindrone

Bioequivalence based on Norethindrone AUC0-inf (area under the concentration-time curve from time zero to infinity).

Time frame:
Blood samples collected over a 60 hour period.
Reported as:
Mean · ng*h/mL
AUC0-inf of Norethindrone
ng*h/mLNorethindrone/Ethinyl Estradiol (Test)Ovcon® 35 Fe (Reference)
AUC0-inf of Norethindrone48.67 ± 34.3645.43 ± 27.03
Statistical analysis
  • Norethindrone/Ethinyl Estradiol (Test) vs Ovcon® 35 Fe (Reference) · Ratio of the t/r geometric mean x 100: 101.97 · 90% CI 95.73 to 108.62Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference (R) and test (T) product fall within the interval of 80-125%.
PrimaryCmax of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol Cmax (maximum observed concentration of drug substance in plasma).

Time frame:
Blood samples collected over a 60 hour period.
Reported as:
Mean · pg/mL
Cmax of Ethinyl Estradiol
pg/mLNorethindrone/Ethinyl Estradiol (Test)Ovcon® 35 Fe (Reference)
Cmax of Ethinyl Estradiol230.56 ± 74.02237.00 ± 62.90
Statistical analysis
  • Norethindrone/Ethinyl Estradiol (Test) vs Ovcon® 35 Fe (Reference) · Ratio of the t/r geometric mean x 100: 96.24 · 90% CI 90.04 to 102.86Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference (R) and test (T) product fall within the interval of 80-125%.
PrimaryAUC0-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).

Time frame:
Blood samples collected over a 60 hour period.
Reported as:
Mean · pg*h/mL
AUC0-t of Ethinyl Estradiol
pg*h/mLNorethindrone/Ethinyl Estradiol (Test)Ovcon® 35 Fe (Reference)
AUC0-t of Ethinyl Estradiol1976.72 ± 518.961989.82 ± 475.30
Statistical analysis
  • Norethindrone/Ethinyl Estradiol (Test) · Ratio of the t/r geometric mean x 100: 98.80 · 90% CI 93.89 to 103.97Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference (R) and test (T) product fall within the interval of 80-125%.
PrimaryAUC0-inf of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol AUC0-inf (area under the concentration-time curve from time zero to infinity).

Time frame:
Blood samples collected over a 60 hour period.
Reported as:
Mean · pg*h/mL
AUC0-inf of Ethinyl Estradiol
pg*h/mLNorethindrone/Ethinyl Estradiol (Test)Ovcon® 35 Fe (Reference)
AUC0-inf of Ethinyl Estradiol2129.43 ± 560.042131.84 ± 545.91
Statistical analysis
  • Norethindrone/Ethinyl Estradiol (Test) vs Ovcon® 35 Fe (Reference) · Ratio of the t/r geometric mean x 100: 99.59 · 90% CI 94.91 to 104.50Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference (R) and test (T) product fall within the interval of 80-125%.

Adverse events

Collected over Adverse event data was collected over the course of the study, which was approximately 6 weeks in duration.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Norethindrone/Ethinyl Estradiol (Test) First—0/36 (0%)14/36 (38.9%)
Ovcon® 35 Fe (Reference) First—0/36 (0%)12/36 (33.3%)
Most frequent other events
Most frequent other events
EventNorethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) First
HeadacheGeneral disorders9/369/36
NauseaGeneral disorders8/361/36
DiarrhoeaGeneral disorders0/362/36
PallorGeneral disorders2/360/36
SyncopeGeneral disorders2/360/36

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Norethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) FirstTotal
<=18 years000
Between 18 and 65 years181836
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Norethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) FirstTotal
Female181836
Male000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Norethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) FirstTotal
American Indian011
Caucasian181735
Region of Enrollment
Region of Enrollment(participants)Norethindrone/Ethinyl Estradiol (Test) FirstOvcon® 35 Fe (Reference) FirstTotal
United States181836
08

Study locations

1 site
  • PRACS Institute, Ltd.
    Fargo, North Dakota 58104, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01340625
Lead sponsor
Teva Pharmaceuticals USA
First posted
Apr 22, 2011
Start date
Dec 2006
Primary completion
Jan 2007
Completion
Jan 2007
Results posted
May 25, 2011
Last update
May 25, 2011

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2011. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion