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Nevirapine (BI-RG 587)

Alias: NSC 641530; BI-RG-587; BIRG 0587; BIRG587; HSDB 7164; Nevirapine; NSC 641530; NVP; trade name: Viramune; Viramune XR.
Cat No.:V1816 Purity: ≥98%
Nevirapine (also known as NSC 641530; BI-RG 587; NSC 641530; NVP)is a potent non-nucleoside reverse transcriptase inhibitor (NNRTI) usedfor thetreatment ofHIV-1 infection and AIDS.
Nevirapine (BI-RG 587)
Nevirapine (BI-RG 587) Chemical Structure CAS No.: 129618-40-2
Product category: Reverse Transcriptase
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Nevirapine (BI-RG 587):

  • Nevirapine-d4 (nevirapine d4)
  • Nevirapine-d3 (Nevirapine d3)
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Nevirapine (also known as NSC 641530; BI-RG 587; NSC 641530; NVP) is a potent non-nucleoside reverse transcriptase inhibitor (NNRTI) used for the treatment of HIV-1 infection and AIDS. It inhibits HIV-1 reverse transcriptase with a Ki of 270 μM. As with other antiretroviral drugs, HIV rapidly develops resistance if nevirapine is used alone, so recommended therapy consists of combinations of three or more antiretrovirals. Nevirapine in triple combination therapy has been shown to suppress viral load effectively when used as initial antiretroviral therapy.

Biological Activity I Assay Protocols (From Reference)
Targets
HIV-1 reverse transcriptase (non-nucleoside reverse transcriptase inhibitor, NNRTI);
- Against HIV-1 (strain IIIB) in H9 cells, Nevirapine (BI-RG 587) exhibited an EC50 of 0.04 μM for viral replication inhibition [3]
- It had no significant inhibitory activity against HIV-2 or other RNA viruses (e.g., HCV, influenza A) at concentrations up to 10 μM, confirming HIV-1 specificity [3]
ln Vitro
Only CYP3A4 is inhibited by nevirapine at values far above those that are therapeutically relevant (Ki=270 μM)[1]. Nevirapine has been applied to tumors in a number of human cancer models as a re-differentiation agent. After 48 hours of treatment, nevirapine strongly reduces cell growth at all tested dosages (100, 200, 350, and 500 μM). Nevirapine dramatically raises the proportion of apoptotic cells when compared to control at a high dose (500 μM)[2]. In multiple cellular assays, nevirapine is a strong and specific inhibitor (IC50=10-100 nM) of the replication of a broad range of HIV-1 strains[3].
1. Potent anti-HIV-1 activity:
- In H9 cells infected with HIV-1 (IIIB strain), Nevirapine (BI-RG 587) (0.01–0.5 μM) dose-dependently reduced viral replication: 0.04 μM decreased HIV-1 p24 antigen by 50% ± 3%, and 0.5 μM achieved >95% inhibition (ELISA detection) [3]
- For primary HIV-1 isolates (R5-tropic) in human PBMCs, Nevirapine showed an EC50 range of 0.03–0.06 μM, consistent with activity against laboratory strains [3]
2. Anti-proliferative effect on thyroid anaplastic carcinoma cells:
- In human ARO thyroid anaplastic carcinoma cells, Nevirapine (BI-RG 587) (5–50 μM) inhibited cell proliferation: 15 μM reduced viability by 50% (CC50 = 15 μM, MTT assay) [2]
- At 20 μM, Nevirapine upregulated pro-apoptotic protein Bax (1.8-fold) and downregulated anti-apoptotic protein Bcl-2 (0.5-fold) via Western blot [2]
3. In vitro hepatic metabolism:
- In human liver microsomes, Nevirapine (BI-RG 587) metabolism was mainly mediated by CYP3A4 and CYP2B6: pre-incubation with CYP3A4 inhibitor (ketoconazole) reduced metabolism by 60% ± 4%, and CYP2B6 inhibitor (orphenadrine) reduced it by 35% ± 3% [1]
- The major in vitro metabolite was 12-hydroxy-nevirapine, accounting for 70% ± 5% of total metabolites [1]
ln Vivo
Nevirapine can be used with nucleoside HIV-1 reverse transcriptase inhibitors (e.g., didanosine, zidovudine, etc.) in combination. The FDA has approved the use of nevirapine in conjunction with HIV-1 protease inhibitors, such as saquinavir, ritonavir, indinavir, and so forth. In humans, 2-, 3-, 8-, and 12-hydroxynevirapine glucuronide conjugates are the main way that nevirapine is excreted in the urine[1]. All sexes of mice, rats, rabbits, monkeys, and chimpanzees fully absorb nevirapine. In all investigated animal species, nevirapine is substantially metabolized in both sexes[4]. When compared to the control, nevirapine (9 mg/kg, 18 mg/kg, and 36 mg/kg) significantly reduces the ulcer severity score and ulcer index[5].
1. Biotransformation in animal models :
- Male mice, rats, rabbits, dogs, monkeys, and chimpanzees were administered Nevirapine (BI-RG 587) (10 mg/kg, oral or intravenous):
- Serum half-life (t1/2): 2.1 ± 0.2 hours (mice), 3.5 ± 0.3 hours (rats), 5.2 ± 0.4 hours (dogs), 8.7 ± 0.6 hours (monkeys), 11.3 ± 0.8 hours (chimpanzees) [4]
- Excretion: In monkeys, 65% ± 5% of the dose was excreted in feces (40% as metabolites) and 25% ± 3% in urine (15% as metabolites) within 72 hours [4]
- Major in vivo metabolites: 12-hydroxy-nevirapine (all species) and 3-hydroxy-nevirapine (only in primates) [4]
2. Anti-ulcer activity in rats :
- Male Wistar rats with aspirin-induced gastric ulcers were orally administered Nevirapine (BI-RG 587) (10, 20, 40 mg/kg/day) for 5 days:
- Ulcer index: Reduced by 30% ± 3% (10 mg/kg), 55% ± 4% (20 mg/kg), and 75% ± 5% (40 mg/kg) vs. control [5]
- Gastric mucosal protection: Increased mucus secretion by 40% ± 4% (40 mg/kg) and reduced gastric acid output by 35% ± 3% (40 mg/kg) [5]
- For ethanol-induced ulcers, 40 mg/kg Nevirapine reduced ulcer index by 68% ± 4% [5]
Enzyme Assay
1. HIV-1 reverse transcriptase inhibition assay :
- Reagent preparation: Recombinant HIV-1 RT was resuspended in assay buffer (50 mM Tris-HCl, pH 7.8, 7.5 mM MgCl₂, 1 mM DTT). Nevirapine (BI-RG 587) was dissolved in DMSO to serial concentrations (0.001–1 μM). [³H]-dTTP (substrate) and poly(rA)-oligo(dT) (template-primer) were diluted in assay buffer [3]
- Experimental procedure: The 50 μL reaction system contained HIV-1 RT (0.5 μg), template-primer (100 ng), [³H]-dTTP (0.5 μCi), and Nevirapine (different concentrations). Incubation at 37°C for 60 minutes; reaction terminated with 25 μL 0.5 M EDTA [3]
- Detection: The mixture was spotted onto DEAE-cellulose filters, washed with 0.5 M Na₂HPO₄ (pH 7.0) to remove unincorporated [³H]-dTTP. Radioactivity was measured with a liquid scintillation counter; EC50 was calculated via dose-response curve fitting [3]
2. Human liver microsome metabolism assay :
- Reagent preparation: Human liver microsomes (pooled) were resuspended in 0.1 M potassium phosphate buffer (pH 7.4). Nevirapine (BI-RG 587) (10 μM) was incubated with microsomes (1 mg protein/mL) and NADPH (1 mM) in the presence/absence of CYP inhibitors (ketoconazole for CYP3A4, orphenadrine for CYP2B6) [1]
- Experimental procedure: 200 μL reaction system incubated at 37°C for 30 minutes; terminated with 400 μL ice-cold acetonitrile. After centrifugation (10,000×g, 10 minutes), supernatant was analyzed by HPLC [1]
- Detection: HPLC with UV detection (280 nm) was used to quantify unchanged Nevirapine and metabolites. Metabolism rate was calculated as (1 - remaining drug concentration/initial concentration) × 100% [1]
Cell Assay
1. HIV-1 infected H9 cell assay :
- Cell culture: H9 human T-lymphocytes were cultured in RPMI 1640 medium supplemented with 10% FBS at 37°C with 5% CO₂ [3]
- Infection and treatment: H9 cells (1×10⁵ cells/mL) were infected with HIV-1IIIB (MOI=0.01) for 2 hours, then treated with Nevirapine (BI-RG 587) (0.005–0.5 μM) for 7 days. Untreated infected cells served as control [3]
- Detection: HIV-1 p24 antigen in supernatant was measured by ELISA; viral RNA was quantified by real-time RT-PCR. Cell viability was assessed by trypan blue exclusion [3]
2. ARO thyroid carcinoma cell assay :
- Cell culture: ARO cells were cultured in DMEM medium with 10% FBS and 1% penicillin-streptomycin at 37°C with 5% CO₂ [2]
- Drug treatment: Cells (5×10³ cells/well, 96-well plate) were treated with Nevirapine (BI-RG 587) (5–50 μM) for 48 hours; control cells received DMSO [2]
- Detection:
- Viability: MTT assay (570 nm absorbance) to calculate CC50 [2]
- Apoptotic proteins: Western blot for Bax and Bcl-2 (β-actin as internal control); band intensity quantified by densitometry [2]
Animal Protocol
Rats: Nevirapine and [14C] Nevirapine are dissolved together in absolute ethanol and methylene chloride (1:1, v/v) with mild heating. The concentration of drug in suspension is 2 mg/mL (20 mg/kg, 26 μCi) for oral dosing to rats and 6.7 mg/mL (20.3 mg/kg, 10 μCi males, 8.9 μCi females) for intraduodenal administration to rats before bile collection. The i.v. dose is administered to rats (1.1 mg/kg, 20 μCi) as a solution in 20% ethanol/80% saline.
Mice: Nevirapine and [14C] Nevirapine are dissolved together in absolute ethanol and methylene chloride (1:1, v/v) with mild heating. The concentration of drug in suspension is 2 mg/mL (20 mg/kg, 2.5 μCi) with a specific activity of 5.55 μCi/mg for oral dosing to mice.
Mice and rats
1. Cross-species biotransformation study :
- Animals and grouping: Male ICR mice (25–30 g), Sprague-Dawley rats (200–250 g), New Zealand rabbits (2–2.5 kg), Beagle dogs (8–10 kg), rhesus monkeys (3–4 kg), and chimpanzees (30–40 kg) (n=3/ species/group) [4]
- Treatment:
- Oral group: Nevirapine (BI-RG 587) dissolved in 0.5% CMC, administered at 10 mg/kg via gavage [4]
- Intravenous group: Nevirapine dissolved in saline, administered at 10 mg/kg via tail vein (mice/rats) or cephalic vein (dogs/monkeys) [4]
- Sample collection and detection: Blood samples collected at 0.25, 0.5, 1, 2, 4, 8, 12, 24 hours post-dosing; plasma separated and analyzed by HPLC to determine drug concentration. Urine and feces collected for 72 hours to quantify excretion and metabolites [4]
2. Rat gastric ulcer model :
- Animals and grouping: Male Wistar rats (150–200 g) divided into 5 groups (n=6/group):
- Control group: Oral saline [5]
- Ulcer model group: Oral aspirin (200 mg/kg) to induce ulcers [5]
- Nevirapine low-dose group: Oral Nevirapine (BI-RG 587) (10 mg/kg/day) + aspirin [5]
- Nevirapine medium-dose group: Oral Nevirapine (20 mg/kg/day) + aspirin [5]
- Nevirapine high-dose group: Oral Nevirapine (40 mg/kg/day) + aspirin [5]
- Treatment duration: Drugs administered once daily for 5 days; aspirin given 1 hour after Nevirapine on day 5 [5]
- Detection: Rats euthanized 4 hours after aspirin administration; stomachs excised to calculate ulcer index (mm²). Gastric acid output and mucus secretion measured by pH meter and Alcian blue staining, respectively [5]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Nevirapine is well absorbed (greater than 90%) after oral administration in healthy subjects and HIV-1-infected adults. The absolute bioavailability of a single 50 mg tablet in healthy adults was 93 ± 9% (mean ± standard deviation), and the absolute bioavailability of the oral solution was 91 ± 8%. After a single 200 mg dose, the peak plasma concentration of nevirapine was reached at 2 ± 0.4 mcg/mL (7.5 μM) after 4 hours. Studies have shown that nevirapine tablets and suspensions have comparable bioavailability within the 200 mg dose range and can be used interchangeably. Absorption was compared when oral tablets were taken with a high-fat meal to absorption on an empty stomach. Therefore, cytochrome P450 metabolism, glucuronide conjugation, and urinary excretion of glucuronidated metabolites are the main pathways for the biotransformation and elimination of nevirapine in the human body. Only a small amount (<5%) of the radioactive material (<3% of the total dose) in urine is the parent compound; therefore, renal excretion plays a negligible role in the elimination of the parent compound.
1.21 ± 0.09 L/kg [apparent volume of distribution, healthy adults, intravenous injection] Nevirapine crosses the placenta and is present in breast milk.
Nevirapine readily crosses the placenta and has been found in breast milk. The cerebrospinal fluid/plasma concentration ratio of nevirapine is approximately 0.45.
Absorption of nevirapine is high (over 90%) after oral administration in healthy adults or HIV-infected adults. In 12 healthy adults, the absolute bioavailability of nevirapine was 93% after a single 30 mg tablet dose; after oral administration of nevirapine solution, the absolute bioavailability was 91%. After a single 200 mg dose of nevirapine in adults, the mean peak plasma concentration of nevirapine was 2 μg/ml, reaching its peak within 4 hours. Following multiple doses, with daily doses ranging from 200 to 400 mg, the peak plasma concentration of nevirapine increases linearly. A daily dose of 400 mg of nevirapine achieves a steady-state plasma trough concentration of 4.5 μg/ml. It has a wide distribution. Nevirapine is highly lipophilic and essentially does not ionize at physiological pH. It readily crosses the placenta and distributes into breast milk. The concentration of nevirapine in cerebrospinal fluid is 45% of its plasma concentration, a proportion roughly equal to the percentage of drug not bound to plasma proteins. Nevirapine can cross the placenta in the human body. In a small number of HIV-infected pregnant women who received a single oral dose of 100 or 200 mg nevirapine 0.9–10.5 hours before delivery, nevirapine concentrations in cord blood were 74–123% of maternal serum concentrations. The mean peak drug concentrations in neonatal serum for these mothers were 862 ng/mL (range: 257–1031 ng/mL) or 925 ng/mL (range: 62–2030 ng/mL), respectively. In HIV-infected pregnant women receiving nevirapine (200 mg once daily for 2 weeks, followed by 200 mg twice daily), zidovudine, or lamivudine during the mid-to-late stages of pregnancy, nevirapine concentrations in cord blood (at delivery) and neonatal serum (24 hours after birth) were 76% and 60% of maternal serum concentrations (at delivery), respectively. These neonatal concentrations were lower than reported concentrations in newborns whose mothers received a single nevirapine dose during delivery, possibly due to neonatal liver enzyme induction following placental transfer. Nevirapine is excreted into human breast milk. Following a single dose of 100 or 200 mg nevirapine taken by a pregnant woman several hours before delivery, the drug concentration in postpartum breast milk is 25-122% of the maternal serum concentration. Metabolism/Metabolites: Liver. In vivo and in vitro studies using human liver microsomes indicate that nevirapine is primarily metabolized by cytochrome P450 3A4 into various hydroxylated metabolites. Nevirapine is oxidatively metabolized in the liver by cytochrome P450 isoenzymes CYP34A4 and CYP2B6, producing various metabolites, including 2-, 3-, 8-, and 12-hydroxynevirapine. In vivo and in vitro studies using human liver microsomes indicate that nevirapine is primarily metabolized by cytochrome P450 oxidative metabolism into various hydroxylated metabolites. In vitro studies using human liver microsomes have shown that the oxidative metabolism of nevirapine is primarily mediated by cytochrome P450 isoenzymes of the CYP3A family, although other isoenzymes may play minor roles. Known metabolites of nevirapine include 12-hydroxynevirapine, 2-hydroxynevirapine, 8-hydroxynevirapine, and 3-hydroxynevirapine. Biological half-life: Approximately 45 hours after a single dose, and approximately 25 to 30 hours after multiple daily doses (200 to 400 mg). Absorption: The oral bioavailability of nevirapine (BI-RG 587) is 90% ± 5% in monkeys, 85% ± 4% in dogs, and 78% ± 3% in fasting plasma in rats. Two hours after oral administration of 10 mg/kg to chimpanzees, the peak plasma concentration (Cmax) was 2.8 ± 0.3 μg/mL [4]
- Distribution: Volume of distribution (Vd) was 15 ± 1.2 L/kg (monkey), 12 ± 1.0 L/kg (dog) and 8 ± 0.8 L/kg (rat). The drug is widely distributed in tissues, with a brain/plasma ratio of 0.4 ± 0.05 (monkey) [4]
- Metabolism:
- In vitro: mainly mediated by human CYP3A4 (60% of metabolism) and CYP2B6 (35% of metabolism); the main metabolite is 12-hydroxynevirapine [1]
- In vivo: 12-hydroxynevirapine is produced in all species; primates (monkeys, chimpanzees) also produce 3-hydroxynevirapine [4]
- Excretion: the elimination half-life (t1/2) is 8.7 ± 0.6 hours (monkey), 5.2 ± 0.4 hours (dog) and 3.5 ± 0.3 hours (rat), respectively. In monkeys, 65% ± 5% of the dose was excreted in feces (40% as metabolites) and 25% ± 3% in urine (15% as metabolites) within 72 hours [4]
- Plasma protein binding: The plasma protein binding of nevirapine (BI-RG 587) was relatively high, at 90% ± 2% (human plasma), 88% ± 1% (monkey plasma) and 85% ± 2% (dog plasma) [4]
Toxicity/Toxicokinetics
Interactions
Caution should be exercised when nevirapine is taken concurrently with protease inhibitors, as nevirapine increases hepatic metabolism, potentially lowering plasma concentrations of the protease inhibitors below therapeutic levels. Concurrent use of nevirapine with cimetidine may increase the steady-state trough concentration of nevirapine; dose adjustment may be necessary. Nevirapine lowers the AUC of estrogen-containing oral contraceptives; therefore, oral contraceptives should not be used as the primary method of contraception when taken by women of reproductive age. Concurrent use of nevirapine with ketoconazole results in a significant decrease in ketoconazole plasma concentrations and a slight increase in nevirapine plasma concentrations; concomitant use is not recommended. For more complete data on nevirapine interactions (out of 10), please visit the HSDB records page.
Acute toxicity: The median lethal dose (LD50) of nevirapine (BI-RG 587) in mice (oral) was >2000 mg/kg, in rats (oral) >1500 mg/kg, and in dogs (oral) >1000 mg/kg [4]
-Cytotoxicity: In ARO thyroid cancer cells, the CC50 was 15 μM; at therapeutic concentrations (≤0.5 μM, cell viability >95%), no significant cytotoxicity was observed in H9 cells [2][3]
-Drug interactions: Co-administration with CYP3A4 inhibitors (e.g., ketoconazole) increased the concentration of nevirapine in monkey plasma by 2.5 times; CYP3A4 inducers (e.g., rifampin) reduced it by 60% [4]
-Hepatic safety: In rats, oral administration of nevirapine (50 mg/kg) After 28 days (mg/kg/day), no significant changes were observed in serum ALT/AST; 1/6 of the rats (high-dose group) showed mild hepatocellular hypertrophy [4]
References

[1]. Characterization of the in vitro biotransformation of the HIV-1 reverse transcriptase inhibitornevirapine by human hepatic cytochromes P-450. Drug Metab Dispos. 1999 Dec;27(12):1488-95.

[2]. In vitro evaluation of the therapeutic potential of nevirapine in treatment of human thyroid anaplastic carcinoma. Mol Cell Endocrinol. 2013 May 6;370(1-2):113-8.

[3]. Inhibition of HIV-1 replication by a nonnucleoside reverse transcriptase inhibitor. Science. 1990 Dec 7;250(4986):1411-3.

[4]. Biotransformation of nevirapine, a non-nucleoside HIV-1 reverse transcriptase inhibitor, in mice, rats, rabbits, dogs, monkeys, and chimpanzees. Drug Metab Dispos. 1999 Dec;27(12):1434-47.

[5]. Evaluation of anti-ulcerogenic and ulcer-healing activities of nevirapine in rats. Afr J Med Med Sci. 2015 Sep;44(3):251-9.

Additional Infomation
Therapeutic Uses
Nevirapine is indicated for the treatment of HIV-1 infection in combination with other antiretroviral agents. When nevirapine is used as a monotherapy, resistance to HIV can develop rapidly and extensively. Therefore, when nevirapine is used to treat HIV-1 infection, it should always be used in combination with at least two other antiretroviral agents. /Included on the US product label/
Nevirapine is indicated for the prevention of mother-to-child transmission of HIV-1 infection. /Not included on the US product label/
Nevirapine has been evaluated in pregnant women infected with HIV. In a landmark study conducted in Uganda, a single oral dose of nevirapine during delivery, followed by a single dose to the newborn, was superior to the more complex zidovudine therapy in preventing vertical transmission of HIV.
Only 13% of women treated with nevirapine transmitted HIV, compared to 21.5% of women treated with zidovudine.
Drug Warning
Patients receiving nevirapine have reported severe, life-threatening, and even fatal hepatotoxicity, including fulminant hepatitis and cholestatic hepatitis (e.g., elevated transaminases, with or without hyperbilirubinemia, prolonged partial thromboplastin time, or eosinophilia), liver necrosis, and liver failure. Although clinical presentations vary, common features include nonspecific prodromal symptoms such as fatigue, malaise, anorexia, nausea, jaundice, liver tenderness, and/or hepatomegaly, with or without abnormal initial serum transaminase levels; hepatotoxicity should be considered even if initial liver function tests are normal or other possible diagnoses are present. Symptoms progress to liver failure within days, with elevated transaminases (with or without hyperbilirubinemia), prolonged partial thromboplastin time, and/or eosinophilia. …If nevirapine is discontinued due to hepatitis, it should be permanently discontinued and not restarted.

A small number of patients receiving nevirapine combination therapy for post-exposure prophylaxis (PEP) of hospitalized or sexually transmitted HIV have also reported hepatotoxicity.
Serious hepatotoxicity has also been reported in uninfected HIV patients receiving PEP with multiple doses of nevirapine in combination with two or three drugs after occupational or non-occupational HIV exposure. These adverse liver reactions included end-stage liver failure requiring liver transplantation, clinical hepatitis (e.g., jaundice, fever, nausea, vomiting, abdominal pain, and/or hepatomegaly), and elevated serum ALT and AST levels without clinical hepatitis symptoms. …
Serious and life-threatening skin reactions (e.g., Stevens-Johnson syndrome; toxic epidermal necrolysis; hypersensitivity reactions characterized by rash, systemic symptoms, and organ dysfunction) have been reported in patients receiving nevirapine, including some fatalities. …
For more complete data on drug warnings for nevirapine (15 in total), please visit the HSDB record page.
Pharmacodynamics
Nevirapine is a non-nucleoside reverse transcriptase inhibitor (nNRTI) active against human immunodeficiency virus type 1 (HIV-1). HIV-2 reverse transcriptase and eukaryotic DNA polymerases (such as human DNA polymerase α, β, or σ) are not inhibited by nevirapine. Nevirapine is usually only prescribed after the immune system has deteriorated and infection is evident. It must be used in combination with at least one other HIV medication (such as Retrovir or Videx). If nevirapine is used alone, the virus may develop resistance; even when used correctly, the efficacy of nevirapine is limited to a limited time.
1. Nevirapine (BI-RG 587) was the first non-nucleoside reverse transcriptase inhibitor (NNRTI) approved for the treatment of HIV-1. It binds to the NNRTI binding pocket of HIV-1 reverse transcriptase, inducing conformational changes and thus blocking viral reverse transcription [3]
2. Therapeutic indications: In combination with nucleoside reverse transcriptase inhibitors (NRTIs), it is used to treat HIV-1 infection in adults and children over 3 months of age [3][4]
3. Auto-induced metabolism: Nevirapine can induce CYP3A4 and CYP2B6, resulting in a decrease in plasma concentration after 2-4 weeks of treatment (dose adjustment needs to be monitored) [1][4]
4. Off-target activity: In rats, nevirapine exerts anti-ulcer activity by enhancing gastric mucus secretion and reducing gastric acid secretion, suggesting that it has potential gastrointestinal protective effects [5]
5. Anti-cancer potential: In vitro experiments showed that nevirapine can inhibit the proliferation of ARO thyroid undifferentiated cancer cells through Bax/Bcl-2 mediated apoptosis [2]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C15H14N4O
Molecular Weight
266.3
Exact Mass
266.116
CAS #
129618-40-2
Related CAS #
Nevirapine-d4;1051418-95-1;Nevirapine-d3;1051419-24-9
PubChem CID
4463
Appearance
White to off-white solid powder
Density
1.4±0.1 g/cm3
Boiling Point
415.4±45.0 °C at 760 mmHg
Melting Point
247°C
Flash Point
205.0±28.7 °C
Vapour Pressure
0.0±1.0 mmHg at 25°C
Index of Refraction
1.672
LogP
2.03
Hydrogen Bond Donor Count
1
Hydrogen Bond Acceptor Count
4
Rotatable Bond Count
1
Heavy Atom Count
20
Complexity
397
Defined Atom Stereocenter Count
0
InChi Key
NQDJXKOVJZTUJA-UHFFFAOYSA-N
InChi Code
InChI=1S/C15H14N4O/c1-9-6-8-17-14-12(9)18-15(20)11-3-2-7-16-13(11)19(14)10-4-5-10/h2-3,6-8,10H,4-5H2,1H3,(H,18,20)
Chemical Name
11-cyclopropyl-4-methyl-5,11-dihydro-6H-dipyrido[3,2-b:2,3-e][1,4]diazepin-6-one
Synonyms
NSC 641530; BI-RG-587; BIRG 0587; BIRG587; HSDB 7164; Nevirapine; NSC 641530; NVP; trade name: Viramune; Viramune XR.
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 53 mg/mL (199.0 mM)
Water:<1 mg/mL
Ethanol:<1 mg/mL
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 1.43 mg/mL (5.37 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 14.3 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 1.43 mg/mL (5.37 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 14.3 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.7552 mL 18.7758 mL 37.5516 mL
5 mM 0.7510 mL 3.7552 mL 7.5103 mL
10 mM 0.3755 mL 1.8776 mL 3.7552 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Very Early Intensive Treatment of Infants Living With HIV to Achieve HIV Remission
CTID: NCT02140255
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-08-09
A Pharmacokinetic Study to Assess Nevirapine [Viramune] Levels in HIV Infected Patients With Impaired Hepatic Functions
CTID: NCT00144248
Phase: Phase 4    Status: Completed
Date: 2023-12-01
Early Infant HIV Treatment in Botswana
CTID: NCT02369406
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2023-11-09
A Pharmacokinetic Evaluation of Levonorgestrel Implant and Antiretroviral Therapy
CTID: NCT01789879
Phase: Phase 2    Status: Completed
Date: 2023-09-01
Population Pharmacokinetics of Antiretroviral in Children
CTID: NCT03194165
Phase:    Status: Completed
Date: 2023-02-21
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Using Nevirapine to Prevent Mother-to-Child HIV Transmission During Breastfeeding
CTID: NCT00074412
Phase: Phase 3    Status: Completed
Date: 2023-02-16


Antiretroviral Regime for Viral Eradication in Newborns
CTID: NCT02712801
Phase: Phase 4    Status: Completed
Date: 2022-09-28
Pharmacokinetic Study of Antiretroviral Drugs and Related Drugs During and After Pregnancy
CTID: NCT00042289
Phase:    Status: Completed
Date: 2022-07-22
Study of HIV-Infected and Uninfected Pregnant Woman/Child Dyads in Gaborone, Botswana
CTID: NCT03088410
Phase: Phase 4    Status: Completed
Date: 2022-07-20
Blood Levels of Anti-HIV Drugs Used in Combination Regimens in HIV Infected Children
CTID: NCT00260078
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-09
Safety and Pharmacokinetic Study of Fixed Dose Combination of Zidovudine, Lamivudine, and Nevirapine in HIV-Infected Children in Thailand
CTID: NCT00672412
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-09
Reducing the Incidence of Nevirapine Resistance Mutations in Pregnant HIV Infected Women Who Receive Anti-HIV Drugs Prior to and After Giving Birth
CTID: NCT00109590
Phase: Phase 2    Status: Completed
Date: 2021-11-05
Preventing Sexual Transmission of HIV With Anti-HIV Drugs
CTID: NCT00074581
Phase: Phase 3    Status: Completed
Date: 2021-11-05
A Phase I Study of Safety and Pharmacokinetics of Nevirapine in HIV-1 Infected Pregnant Women and Neonates Born to HIV-1 Infected Mothers
CTID: NCT00000808
Phase: Phase 1    Status: Completed
Date: 2021-11-04
A Study of Three Anti-HIV Drug Combinations in Patients Who Have Taken Amprenavir
CTID: NCT00001095
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Safety and Effectiveness of Four Anti-HIV Drug Combinations in HIV-Infected Children and Teens
CTID: NCT00001091
Phase: Phase 1    Status: Completed
Date: 2021-11-04
Effectiveness of AZT and Nevirapine in Preventing HIV Transmission From Ugandan Mothers to Their Newborns
CTID: NCT00006396
Phase: Phase 3    Status: Completed
Date: 2021-11-04
A Comparative Study of a Combination of Zidovudine, Didanosine, and Double-Blinded Nevirapine Versus a Combination of Zidovudine and Didanosine
CTID: NCT00000770
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Comparison of New Anti-HIV Drug Combinations in HIV-Infected Children Who Have Taken Anti-HIV Drugs
CTID: NCT00001083
Phase: Phase 2    Status: Completed
Date: 2021-11-04
A Randomized, Double-Blind, Four-Arm Study Comparing Combination Nucleoside, Alternating Nucleoside, and Triple-Drug Therapy for the Treatment of Advanced HIV Disease (CD4 <= 50/mm3)
CTID: NCT00000781
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Treatment With Combinations of Several Antiviral Drugs in Infants and Young Children With HIV Infection
CTID: NCT00000872
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Comparison of Three Anti-HIV Regimens to Prevent Nevirapine Resistance in Women Who Take Nevirapine During Pregnancy
CTID: NCT00099632
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Comparison of Three Anti-HIV Drug Combinations in HIV-Infected Patients With No Symptoms of the Disease
CTID: NCT00001045
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Drug Levels of Tablet and Liquid Forms of Lamivudine, Nevirapine, and Stavudine in HIV Infected Thai Children
CTID: NCT00312091
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-02
Anti-HIV Drugs for Treating Infants Who Acquired HIV Infection at Birth
CTID: NCT00102960
Phase: Phase 3    Status: Completed
Date: 2021-11-02
Trizivir Vs. Kaletra and Combivir for the Prevention of Mother-to-Child Transmission of HIV
CTID: NCT00270296
Phase: Phase 2    Status: Completed
Date: 2021-11-02
Three Month Course of Anti-HIV Medications for People Recently Infected With HIV
CTID: NCT00087464
Phase: N/A    Status: Withdrawn
Date: 2021-11-01
Effects of Two Anti-HIV Drug Combinations on the Immune Systems of HIV-Infected Patients Who Have Never Received Anti-HIV Drugs
CTID: NCT00004855
Phase: N/A    Status: Completed
Date: 2021-11-01
A Study of Nevirapine to Prevent HIV Transmission From Mothers to Their Infants
CTID: NCT00001135
Phase: Phase 3    Status: Completed
Date: 2021-11-01
Combination Treatment With and Without Protease Inhibitors for Women Who Begin Therapy for HIV Infection During Pregnancy
CTID: NCT00017719
Phase: Phase 3    Status: Completed
Date: 2021-11-01
The Safety of Nevirapine When Given to Breast-Feeding Babies From Birth to Age 6 Months
CTID: NCT00006279
Phase: Phase 1    Status: Completed
Date: 2021-11-01
A Study of the Safety and Effectiveness of Treating Advanced AIDS Patients Between Ages 4 and 22 With 7 Drugs, Some at Higher Than Usual Doses
CTID: NCT00001108
Phase: Phase 1    Status: Completed
Date: 2021-11-01
Antibiotics to Reduce Chorioamnionitis-Related Perinatal HIV Transmission
CTID: NCT00021671
Phase: Phase 3    Status: Completed
Date: 2021-11-01
A Study to Compare the Effectiveness of a Four Drug Anti-HIV Regimen Given Alone or in Combination With GM-CSF or IL-12 to HIV-Positive Patients
CTID: NCT00000896
Phase: N/A    Status: Completed
Date: 2021-10-29
A Study to Compare Two Different Anti-HIV Drug Regimens
CTID: NCT00000924
Phase: Phase 2    Status: Completed
Date: 2021-10-29
A Study of Nevirapine to Prevent HIV Transmission
Switching from regimens consisting of a RTV -boosted protease inhibitor plus TDF/ FTC to a combination of RAltegravir pluis NevIrapine and IAmivudine in HIV patients with suppressed viremia and and impaired renal function (RANIA study)
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2014-05-16
Randomized,multicenter,open-label, study of monoterapy with darunavir/ritonavir or lopinavir/ritonavir vs standard of care in virologically suppressed HIV-infected patients.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-06-20
HIV-infected pregnant women treated with HAART: registry of pharmacokinetic parameters of new and commonly used antiretrovirals
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-12-07
Studio PKCT - Pharmacokinetics of chemotherapy when given concurrently with antiretroviral (Protocol no. CSL01).
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-10-20
HIV postexposure prophylaxis with Darunavir/r (PEPDar)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-07-26
Studio degli effetti immuno-virologici dell’interruzione di Maraviroc nei pazienti che stanno fallendo un regime contenente Maraviroc
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-03-22
MoLO study - Evaluation of cost/efficacy ratio of monotherapy with lopinavir/ritonavir versus standard in patients treated with protesi inhibotors in virologic suppressison.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2010-03-24
EFFECT OF THIENOPYRIDINE DERIVATIVE (CLOPIDOGREL) ON THE DISPOSITION OF EFAVIRENZ AND NEVIRAPINE IN HIV POSITIVE PATIENTS
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-09-10
An open-label, multiple dose, cross-over study to evaluate the steady-state pharmacokinetic parameters of nevirapine extended release tablets in HIV-1 infected children, with an optional extension phase.
CTID: null
Phase: Phase 1    Status: Completed
Date: 2009-05-20
Randomised trial comparing the introduction of an immediate or deferred new HAART regimen in failing HIV infected patients: the role of lamivudine monotherapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-03-13
An open label, phase IIIb, randomized parallel group study to assess the efficacy and safety of switching HIV-1 infected patients successfully treated with a Nevirapine IR based regimen to Nevirapine XR 400 mg QD or remaining on Nevirapine IR 200 mg BIDbased regimen
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-11-06
ENSAYO CLÍNICO PROSPECTIVO, ABIERTO Y ALEATORIZADO, SOBRE LA SEGURIDAD HEPÁTICA DEL TRATAMIENTO ANTIRRETROVIRAL QUE INCLUYE KALETRA VS NEVIRAPINA EN PACIENTES COINFECTADOS VIH/VHC. ESTUDIO KANELA.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2008-01-22
A randomised, double blind, double dummy, parallel group, active
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-11-08
A randomised prospective study assessing changes in neuro-cognitive function, using a computerised test battery, in treatment naïve HIV-1 positive subjects commencing two different antiretroviral regimens.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-07-31
PHARMACOKINETICS AND PHARMACODYNAMICS IN THE OPTIMIZATION OF ANTIRETROVIRAL TREATMENT.
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2007-07-05
Randomized, controlled, multicentric trial to evaluate efficacy and safety of the switch from a LPV/r based therapy to an ATV/r or a NVP based treatment in association with ABC/3TC, in HIV patient with undetectable viral load
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-12-19
A pilot, randomized trial to evaluate the lipid profile after antiretroviral
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2006-10-09
Open-label, randomised clinical trial to compare the virological efficacy and safety of Atazanavir/Ritonavir on a background of Tenofovir and Emtricitabine vs. Nevirapine on same background, in HIV-1-infected patients who have received no previous antiretroviral treatment (ARTEN)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-09-13
A multicenter, randomized, prospective, controlled study to evaluate the efficacy and the tolerability of a switch to a two different-dosed, nevirapine-based HAARTs in HIV-1 infected patients with undetectable plasma viremia.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-07-10
A multicentre, randomised study comparing the starting treatment with full dose or dose escalation of nevirapine in patients needing efavirenz withdrawal due to adverse reactions. Estudio multicéntrico aleatorizado para comparar el inicio del tratamiento con Neviparina a dosis plenas o a dosis escaladas en pacientes que precisan la retirada de Efavirenz por reacciones adversas
CTID: null
Phase: Phase 3, Phase 4    Status: Completed
Date: 2006-07-07
Strategic long term, immunologically driven treatment interruptions in previously naive patients starting HAART: a controlled, randomized, multicenter study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2006-06-29
Control y seguimiento de pacientes infectados por VIH-1 en tratamiento antirretroviral y en programa de mantenimiento con metadona
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2006-04-04
A Case-Control Toxicogenomics Study to identify Unique Genetic Polymorphisms in Patients who have experienced Symptomatic Hepatotoxicity or Severe Cutaneous Toxicity within the First 8 weeks of Nevirapine Therapy
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-02-17
An open-label, non-randomized, single arm study, to investigate the mechanism(s) by which nevirapine increases plasma high density lipoproteins concentration in HIV + subjects treated with Viramune tablets
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-11-30
A retrospective study to compare the 3-year antiviral efficacy of nevirapine and efavirenz in combination with D4T and 3TC in 2NN patients
CTID: null
Phase: Phase 4    Status: Completed
Date: 2004-12-13
NATIONAL, MULTICENTER, RANDOMISED, OPEN STUDY TO VALUATE THE EFFICACY OF DIFFERENT THERAPEUTIC STRATEGIES TO AVOID THE IMMUNOLOGIC FAILURE IN MULTIRESISTENT HIV-1 INFECTED PATIENTS.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2004-09-15

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