A Pharmacokinetic Study to Assess Nevirapine [Viramune] Levels in HIV Infected Patients With Impaired Hepatic Functions
1 other identifier
interventional
51
3 countries
8
Brief Summary
The objective of this study was to evaluate the steady-state clearance of nevirapine among HIV-1 positive patients with hepatic fibrosis, and to examine whether the degree of hepatic impairment influences clearance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 hiv-infections
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 25, 2004
CompletedFirst Submitted
Initial submission to the registry
September 2, 2005
CompletedFirst Posted
Study publicly available on registry
September 5, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2006
CompletedDecember 1, 2023
November 1, 2023
1.9 years
September 2, 2005
November 30, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
The primary endpoints are the degree of hepatic impairment, steady state nevirapine clearance, and the increase in estimated clearance when trough is supplemented by plasma levels measured one, two and four hours after nevirapine administration
Up to 4 hours
Secondary Outcomes (1)
Plasma levels of nevirapine metabolites of all patients and Child-Pugh scores among patients with cirrhosis.
Up to 14 hours
Interventions
Eligibility Criteria
You may qualify if:
- Male or female subjects \>=18 years of age with HIV-1 infection and chronic liver disease as reflected by a documented biopsy with hepatic fibrosis present.
- a. Participants must be receiving nevirapine 200 mg twice daily as part of a stable ARV regimen for a minimum of 6 weeks prior to trough level sample collection.
- b. Participants receiving nevirapine 400 mg once daily as part of a stable ARV regimen for a minimum of 6 weeks, who are willing to switch to nevirapi0 mg twice daily for a minimum of 14 days prior to trough collection.
- Participants must have uoxylin and Eosin (H and E) stained slide and one trichrome stained pathology slide available at the time of enrollment. There is no time restriction on liver biopsy slides that pathologically confirm the presence of cirrhosis. The presence of cirrhosis must be documented on the liver biopsy report.
You may not qualify if:
- Current (within the past 4 weeks) HIV antiviral therapy with other NNRTI's.
- Concurrent use (within the past 7 days) of any of the following:
- Systemic azole antifungal agents (fluconazole, itraconazole, ketoconazole, etc.)
- Clarithromycin
- Rifampin
- St John's Wort
- Inability to provide a blood sample.
- Patients who have evidence for hepatic or other encephalopathy above Grade 1
- Patients with renal failure who require dialysis.
- Pregnant and/or breast feeding women..
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
Boehringer Ingelheim Investigational Site
Bakersfield, California, United States
Boehringer Ingelheim Investigational Site
San Francisco, California, United States
California Pacific Medical Center
San Francisco, California, United States
Albany Medical College, MC 142
Albany, New York, United States
Boehringer Ingelheim Investigational Site
Providence, Rhode Island, United States
Hopital de l'Hotel Dieu
Lyon, France
Hopital Pitie Salpetriere
Paris, France
Hospital Clinico y Provincial de Barcelona - HIV
Barcelona, Spain
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Boehringer Ingelheim Study Coordinator
Boehringer Ingelheim
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 2, 2005
First Posted
September 5, 2005
Study Start
June 25, 2004
Primary Completion
June 1, 2006
Last Updated
December 1, 2023
Record last verified: 2023-11