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. Author manuscript; available in PMC: 2024 Apr 10.
Published in final edited form as: Lancet Glob Health. 2023 Dec;11(12):e1899–e1910. doi: 10.1016/S2214-109X(23)00436-9

Table 3:

Hepatotoxicity resulting in isoniazid discontinuation, and serious adverse events

Group 1 (n=169) Group 2 (n=169) Group 3 (n=170) Group 4 (n=172) Total (n=680)
Adverse events
All grade 3 and higher adverse events 18 (10·7%) 14 (8·3%) 25 (14·7%) 13 (7·6%) 70 (10·3%)
Hepatotoxicity resulting in isoniazid discontinuation (grade 3 or higher hepatotoxicity)* 13 (7·7%) 10 (5·9%) 15 (8·8%) 9 (5·2%) 47 (6·9%)
Other grade 3 or higher adverse events resulting in isoniazid discontinuation (ie, not due to hepatotoxicity) 1 (0·6%) 2 (1·2%) 3 (1·8%) 0 6 (0·1%)
Serious adverse events
Severe hepatotoxicity (grade 4) 3 (1·8%) 2 (1·2%) 3 (1·8%) 3 (1·7%) 11 (1·6%)
Hospitalisation
 Unrelated to isoniazid 1 (0·6%) 2 (1·2%) 2 (1·2%) 1 (0·6%) 6 (0·9%)
 Possibly related to isoniazid 0 1 (0·6%) 0 0 1 (0·1%)
Death§ 1 (0·6%) 0 4 (2·4%) 0 5 (0·7%)
Total serious adverse events 5 (3·0%) 5 (3·0%) 9 (5·3%) 4 (2·3%) 23 (3·4%)
*

Grade 3 hepatotoxicity defined by laboratory or clinical criteria as alanine aminotransferase or aspartate aminotransferase elevation ≥5 (but <10) times the upper limit of normal or symptoms consistent with hepatotoxicity; and grade 4 as ≥10 times the upper limit of normal or potentially life-threatening symptoms.

Two participants with severe hepatotoxicity diagnosed upon or after completing course of isoniazid.

Acute psychosis attributed to alcohol withdrawal-associated delirium.

§

Causes of death: group 1—one participant with oesophageal cancer; group 3—one participant with haemorrhagic pancreatitis with pneumonia; one participant with active tuberculosis disease; one participant with sepsis; one participant died of unknown cause (participant had completed isoniazid).