Page last updated: 2024-10-31

nevirapine and Hepatitis B

nevirapine has been researched along with Hepatitis B in 15 studies

Nevirapine: A potent, non-nucleoside reverse transcriptase inhibitor used in combination with nucleoside analogues for treatment of HIV INFECTIONS and AIDS.
nevirapine : A dipyridodiazepine that is 5,11-dihydro-6H-dipyrido[3,2-b:2',3'-e][1,4]diazepine which is substituted by methyl, oxo, and cyclopropyl groups at positions 4, 6, and 11, respectively. A non-nucleoside reverse transcriptase inhibitor with activity against HIV-1, it is used in combination with other antiretrovirals for the treatment of HIV infection.

Hepatitis B: INFLAMMATION of the LIVER in humans caused by a member of the ORTHOHEPADNAVIRUS genus, HEPATITIS B VIRUS. It is primarily transmitted by parenteral exposure, such as transfusion of contaminated blood or blood products, but can also be transmitted via sexual or intimate personal contact.

Research Excerpts

ExcerptRelevanceReference
"Widespread use of lamivudine in antiretroviral therapy may lead to hepatitis B virus resistance in HIV-HBV coinfected patients from endemic settings where tenofovir is not readily available."9.15HBV lamivudine resistance among hepatitis B and HIV coinfected patients starting lamivudine, stavudine and nevirapine in Kenya. ( Cent, A; Chung, MH; Cook, L; Jerome, KR; John-Stewart, G; Kim, HN; Lule, G; Morrow, RA; Richardson, B; Scott, J; Tapia, K, 2011)
"Coinfection with hepatitis B virus (HBV) or hepatitis C virus (HCV) in HIV-infected patients receiving a commonly used nevirapine-based antiretroviral therapy is a major concern for African clinicians owing to its high prevalence, the infrequent testing and treatment of viral hepatitis, and the impact of liver disease on the tolerability and effectiveness of anti-HIV treatment."7.76Hepatotoxicity and effectiveness of a Nevirapine-based antiretroviral therapy in HIV-infected patients with or without viral hepatitis B or C infection in Cameroon. ( Bourgeois, A; Calmy, A; Ciaffi, L; Delaporte, E; Ducos, J; Gwet, H; Kouanfack, C; Koulla-Shiro, S; Laurent, C; Mbougua, JB; Molinari, N; Mpoudi-Ngolé, E, 2010)
"Widespread use of lamivudine in antiretroviral therapy may lead to hepatitis B virus resistance in HIV-HBV coinfected patients from endemic settings where tenofovir is not readily available."5.15HBV lamivudine resistance among hepatitis B and HIV coinfected patients starting lamivudine, stavudine and nevirapine in Kenya. ( Cent, A; Chung, MH; Cook, L; Jerome, KR; John-Stewart, G; Kim, HN; Lule, G; Morrow, RA; Richardson, B; Scott, J; Tapia, K, 2011)
"It has been proposed that hepatitis B virus (HBV) sub-genotype A1 infections have mild outcomes and a low risk of drug-resistance among patients infected with human immunodeficiency virus (HIV) receiving lamivudine-containing antiretroviral therapy (ART) without tenofovir in Africa."3.80Hepatitis B virus sub-genotype A1 infection is characterized by high replication levels and rapid emergence of drug resistance in HIV-positive adults receiving first-line antiretroviral therapy in Malawi. ( Aoudjane, S; Beloukas, A; Chaponda, M; Geretti, AM; González Del Castillo, AA; Hopkins, M; Khoo, S; Noguera, M; O'Connor, J; van Oosterhout, JJ, 2014)
"Coinfection with hepatitis B virus (HBV) or hepatitis C virus (HCV) in HIV-infected patients receiving a commonly used nevirapine-based antiretroviral therapy is a major concern for African clinicians owing to its high prevalence, the infrequent testing and treatment of viral hepatitis, and the impact of liver disease on the tolerability and effectiveness of anti-HIV treatment."3.76Hepatotoxicity and effectiveness of a Nevirapine-based antiretroviral therapy in HIV-infected patients with or without viral hepatitis B or C infection in Cameroon. ( Bourgeois, A; Calmy, A; Ciaffi, L; Delaporte, E; Ducos, J; Gwet, H; Kouanfack, C; Koulla-Shiro, S; Laurent, C; Mbougua, JB; Molinari, N; Mpoudi-Ngolé, E, 2010)
" Risk factors were higher baseline alanine aminotransferase levels, chronic hepatitis B or C virus infection, antiretroviral therapy-naive patients undergoing their first HAART regimen, recent start of a regimen of nevirapine or high-dose ritonavir, and female sex."3.71Incidence of and risk factors for severe hepatotoxicity associated with antiretroviral combination therapy. ( Jurriaans, S; Lange, JM; Weel, J; Weverling, GJ; Wit, FW, 2002)
" Multivariate logistic regression was used to test independent association of CD4 and hepatitis C virus (HCV) infection related to the outcome of toxic effects of NVP."1.33Nevirapine toxicity in a cohort of HIV-1-infected pregnant women. ( Calvet, GA; Cruz, ML; D'Ippolito, MM; João, EC; Matos, HJ; Menezes, JA; Salgado, LA, 2006)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (40.00)29.6817
2010's8 (53.33)24.3611
2020's1 (6.67)2.80

Authors

AuthorsStudies
Bhattacharya, D1
Guo, R1
Tseng, CH1
Emel, L1
Sun, R1
Chiu, SH1
Stranix-Chibanda, L1
Chipato, T1
Mohtashemi, NZ1
Kintu, K1
Manji, KP1
Moodley, D1
Thio, CL1
Maldonado, Y1
Currier, JS1
Su, S1
Fairley, CK1
Sasadeusz, J1
He, J1
Wei, X1
Zeng, H1
Jing, J1
Mao, L1
Chen, X1
Zhang, L1
Torimiro, JN1
Nanfack, A1
Takang, W1
Keou, CK1
Joyce, AN1
Njefi, K1
Agyingi, K1
Domkam, I1
Takou, D1
Moudourou, S1
Sosso, S1
Mbu, RE1
van Griensven, J1
Phirum, L1
Choun, K1
Thai, S1
De Weggheleire, A1
Lynen, L1
Andreotti, M1
Pirillo, MF1
Liotta, G1
Jere, H1
Maulidi, M1
Sagno, JB1
Luhanga, R1
Amici, R1
Mancini, MG1
Gennaro, E1
Marazzi, MC1
Vella, S1
Giuliano, M1
Palombi, L1
Mancinelli, S1
Aoudjane, S1
Chaponda, M1
González Del Castillo, AA1
O'Connor, J1
Noguera, M1
Beloukas, A1
Hopkins, M1
Khoo, S1
van Oosterhout, JJ1
Geretti, AM1
Mbougua, JB1
Laurent, C1
Kouanfack, C1
Bourgeois, A1
Ciaffi, L1
Calmy, A1
Gwet, H1
Koulla-Shiro, S1
Ducos, J1
Mpoudi-Ngolé, E1
Molinari, N1
Delaporte, E1
Kim, HN1
Scott, J1
Cent, A1
Cook, L1
Morrow, RA1
Richardson, B1
Tapia, K1
Jerome, KR1
Lule, G1
John-Stewart, G1
Chung, MH1
Rosso, R1
Rossotti, R1
Di Biagio, A1
Nicolini, L1
Adorni, F1
Orani, A1
Viscoli, C1
Pulido, F1
Torralba, M1
Law, WP1
Dore, GJ1
Duncombe, CJ1
Mahanontharit, A1
Boyd, MA1
Ruxrungtham, K1
Lange, JM2
Phanuphak, P1
Cooper, DA1
Almond, LM1
Boffito, M1
Hoggard, PG1
Bonora, S1
Raiteri, R1
Reynolds, HE1
Garazzino, S1
Sinicco, A1
Khoo, SH1
Back, DJ1
Di Perri, G1
João, EC1
Calvet, GA1
Menezes, JA1
D'Ippolito, MM1
Cruz, ML1
Salgado, LA1
Matos, HJ1
Sulkowski, MS1
Thomas, DL1
Mehta, SH1
Chaisson, RE1
Moore, RD1
Wit, FW1
Weverling, GJ1
Weel, J1
Jurriaans, S1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase III Trial to Determine the Efficacy and Safety of an Extended Regimen of Nevirapine in Infants Born to HIV-Infected Women to Prevent Vertical HIV Transmission During Breastfeeding[NCT00074412]Phase 32,026 participants (Actual)Interventional2007-01-31Completed
A Long-term Follow-up Study for HIV-infected Individuals Who Have Participated in HIV-NAT Study Protocols[NCT00411983]10,000 participants (Anticipated)Observational2002-11-30Recruiting
Multicenter, Pilot Study of Telbivudine (LdT) Anti-HBV Treatment Prior to the Initiation of Highly Active Antiretroviral Therapy Containing Lamivudine in Subjects Coinfected With HBV and HIV[NCT00051090]0 participants (Actual)InterventionalWithdrawn
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Frequency and Severity of Adverse Reactions Among Participating Infants

For those infants who were randomized at 6 weeks and who initiated study drug we looked at the frequency and severity of adverse reactions through 18 months of study. The severity of all AEs was graded according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events. The term severity is described as the intensity grade or level for specific event (i.e. mild, moderate, severe, or life-threatening). Severity is not the same as seriousness. (NCT00074412)
Timeframe: 6 weeks through 18 months

,
InterventionNumber of Adverse Events (Number)
DeathLife-ThreateningSevereModerateMild
Nevirapine2687375694832
Placebo3087332677838

HIV Infection in Infants Determined to be HIV Uninfected at 6 Weeks Enrolled in Each Arm of the Study

(NCT00074412)
Timeframe: At Month 6

,
Interventionparticipants (Number)
# of HIV infections at 6 months# of Infants at risk for HIV infection at 6 months
Nevirapine8700
Placebo18699

Infant Survival Rates (Mortality Regardless of HIV Infection) in the Two Arms

(NCT00074412)
Timeframe: At Month 18

,
Interventionparticipants (Number)
# Infant Deaths at 18 months# Infants at risk of death at 18 months
Nevirapine26678
Placebo30684

Proportion of Infants Who Are Alive and HIV-uninfected in the Two Arms

(NCT00074412)
Timeframe: At Months 6 and 18

,
Interventionparticipants (Number)
Number of Infants Alive and HIV-free at 6 monthsNumber of Infants Alive and HIV-free at 18 months
Nevirapine689629
Placebo683616

Relative Rates of HIV Infection in the Two Arms

(NCT00074412)
Timeframe: At Month 18

,
Interventionparticipants (Number)
# of infants with HIV infection at 18 months# of infants @ risk for HIV infection at 18 months
Nevirapine16664
Placebo23663

Reviews

1 review available for nevirapine and Hepatitis B

ArticleYear
NNRTI hepatotoxicity: efavirenz versus nevirapine.
    Journal of HIV therapy, 2002, Volume: 7 Suppl 2

    Topics: Alkynes; Anti-HIV Agents; Benzoxazines; Chemical and Drug Induced Liver Injury; Cyclopropanes; Hepat

2002

Trials

2 trials available for nevirapine and Hepatitis B

ArticleYear
Maternal HBV Viremia and Association With Adverse Infant Outcomes in Women Living With HIV and HBV.
    The Pediatric infectious disease journal, 2021, 02-01, Volume: 40, Issue:2

    Topics: Anti-HIV Agents; Birth Weight; Coinfection; Double-Blind Method; Female; Hepatitis B; Hepatitis B vi

2021
HBV lamivudine resistance among hepatitis B and HIV coinfected patients starting lamivudine, stavudine and nevirapine in Kenya.
    Journal of viral hepatitis, 2011, Volume: 18, Issue:10

    Topics: Adult; Anti-HIV Agents; Antiretroviral Therapy, Highly Active; DNA, Viral; Drug Resistance, Viral; F

2011

Other Studies

12 other studies available for nevirapine and Hepatitis B

ArticleYear
HBV, HCV, and HBV/HCV co-infection among HIV-positive patients in Hunan province, China: Regimen selection, hepatotoxicity, and antiretroviral therapy outcome.
    Journal of medical virology, 2018, Volume: 90, Issue:3

    Topics: Adult; Alkynes; Anti-Retroviral Agents; Benzoxazines; CD4 Lymphocyte Count; Chemical and Drug Induce

2018
Rates of HBV, HCV, HDV and HIV type 1 among pregnant women and HIV type 1 drug resistance-associated mutations in breastfeeding women on antiretroviral therapy.
    BMC pregnancy and childbirth, 2018, Dec-22, Volume: 18, Issue:1

    Topics: Adolescent; Adult; Anti-HIV Agents; Breast Feeding; Cameroon; Coinfection; Drug Resistance, Viral; F

2018
Hepatitis B and C co-infection among HIV-infected adults while on antiretroviral treatment: long-term survival, CD4 cell count recovery and antiretroviral toxicity in Cambodia.
    PloS one, 2014, Volume: 9, Issue:2

    Topics: Adult; Alkynes; Anti-Retroviral Agents; Benzoxazines; Cambodia; CD4 Lymphocyte Count; Coinfection; C

2014
The impact of HBV or HCV infection in a cohort of HIV-infected pregnant women receiving a nevirapine-based antiretroviral regimen in Malawi.
    BMC infectious diseases, 2014, Apr-04, Volume: 14

    Topics: Adult; Anti-HIV Agents; Chemical and Drug Induced Liver Injury; Coinfection; Female; Hepatitis B; He

2014
Hepatitis B virus sub-genotype A1 infection is characterized by high replication levels and rapid emergence of drug resistance in HIV-positive adults receiving first-line antiretroviral therapy in Malawi.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2014, Dec-01, Volume: 59, Issue:11

    Topics: Adult; Anti-HIV Agents; DNA, Viral; Drug Resistance, Viral; Female; Hepatitis B; Hepatitis B virus;

2014
Hepatotoxicity and effectiveness of a Nevirapine-based antiretroviral therapy in HIV-infected patients with or without viral hepatitis B or C infection in Cameroon.
    BMC public health, 2010, Mar-01, Volume: 10

    Topics: Adult; Anti-HIV Agents; Cameroon; CD4 Lymphocyte Count; Chemical and Drug Induced Liver Injury; Coho

2010
Nevirapine-based regimens in routine clinical settings: results from a large Italian cohort of HIV-1 infected adults.
    Current drug safety, 2011, Volume: 6, Issue:3

    Topics: Adult; Age Factors; Aged; Anti-HIV Agents; CD4 Lymphocyte Count; Cholesterol; Cohort Studies; Databa

2011
Risk of severe hepatotoxicity associated with antiretroviral therapy in the HIV-NAT Cohort, Thailand, 1996-2001.
    AIDS (London, England), 2003, Oct-17, Volume: 17, Issue:15

    Topics: Adult; Alkynes; Anti-Retroviral Agents; Benzoxazines; Chemical and Drug Induced Liver Injury; Cyclop

2003
The relationship between nevirapine plasma concentrations and abnormal liver function tests.
    AIDS research and human retroviruses, 2004, Volume: 20, Issue:7

    Topics: Alanine Transaminase; Anti-HIV Agents; Cross-Sectional Studies; Ethnicity; Female; gamma-Glutamyltra

2004
Nevirapine toxicity in a cohort of HIV-1-infected pregnant women.
    American journal of obstetrics and gynecology, 2006, Volume: 194, Issue:1

    Topics: Adult; Anti-HIV Agents; CD4 Lymphocyte Count; Cholestasis; Cohort Studies; Female; Hepatitis B; Hepa

2006
Hepatotoxicity associated with nevirapine or efavirenz-containing antiretroviral therapy: role of hepatitis C and B infections.
    Hepatology (Baltimore, Md.), 2002, Volume: 35, Issue:1

    Topics: Adult; Alanine Transaminase; Alkynes; Anti-HIV Agents; Antiretroviral Therapy, Highly Active; Aspart

2002
Incidence of and risk factors for severe hepatotoxicity associated with antiretroviral combination therapy.
    The Journal of infectious diseases, 2002, Jul-01, Volume: 186, Issue:1

    Topics: Adult; Alanine Transaminase; Anti-HIV Agents; Antiretroviral Therapy, Highly Active; Chemical and Dr

2002