Table 2.
Clinical characteristics of patients with serum HBsAg loss during PD-1 inhibitor combinational therapy.
| Patient | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 |
|---|---|---|---|---|---|---|---|
| Age | 61 | 48 | 57 | 70 | 62 | 50 | 52 |
| Gender (male, female) | male | male | male | male | male | male | male |
| Cancer type | Liver cancer | Gastric cancer | Liver cancer | Liver cancer | Gastric cancer | Liver cancer | Liver cancer |
| Liver cirrhosis (yes/no) | Yes | No | Yes | Yes | Yes | Yes | Yes |
| HBeAg status (seronegative/seropositive) | Seronegative | Seronegative | Seronegative | Seronegative | Seronegative | Seronegative | Seronegative |
| Baseline HBsAg (IU/ml) | 0.19 | 0.25 | 57.20 | 1.14 | 0.35 | 0.77 | 1.97 |
| Baseline HBV-DNA (IU/ml) | Not detected | <100 | <20 | <100 | <100 | <20 | <100 |
| Prior use of antiviral therapy (yes/no) | Yes | No | Yes | Yes | Yes | Yes | Yes |
| Cycles of PD-1 inhibitor | 9 | 5 | 11 | 14 | 4 | 2 | 2 |
| Weeks to achieve HBsAg loss (since PD-1 inhibitor initiation) | 26.00 | 18.86 | 27.71 | 42.86 | 11.43 | 12.14 | 9.29 |
| PD-1 inhibitor type | Tislelizumab | Sintilimab | Camrelizumab | Sintilimab | Sintilimab | Tislelizumab Sintilimab |
Sintilimab |
| Antiviral treatment regimen | ETV | ETV | TDF | TAF | TDF | ETV | TDF, TAF |
| Combined therapy | Lenvatinib | Chemotherapy | Apatinib Oncolytic virotherapy |
Donafenib | Chemotherapy | Donafenib TACE |
Chemotherapy Lenvatinib |
| HBV reactivation (yes/no) | No | No | No | No | No | No | No |
| HBsAg seroconversion (yes/no) | No | No | Yes | No | No | No | No |
HBeAg, hepatitis B e antigen; HBsAg, hepatitis B surface antigen; PD-1, programmed cell death protein-1; TACE, transcatheter arterial chemoembolization; ETV, Entecavir; TDF, Tenofovir disoprox fumarate; HBsAg seroconversion, defined as anti-HBs changing from negative at baseline to positive at any postbaseline visit with HBsAg loss occurring within the targeted time window.