Table 5.
Main baseline characteristics and clinical outcomes of the 15 patients who developed withdrawal hepatitisa
Patient no. | Age (yr) | Gender | HBeAg/anti-HBe | HBV DNA at baseline (IU/ml) | Pre-exacerbation HBV DNA nadir (IU/ml) | Liver cirrhosis | Underlying malignancy | HBV DNA at WH (IU/ml) | ALT level at WH (IU/liter) | Duration of LAM after completion of chemotherapy (days) | Time to WH after end of LAM (days) | Rescue therapy | Clinical course |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 58 | F | −/+ | 9.06 × 107 | Undetectable | No | Breast cancer | >1.1 × 108 | 384 | 103 | 93 | LAM | Improvement |
2 | 57 | F | −/+ | 1.08 × 105 | Undetectable | Yes | Breast cancer | 2.05 × 105 | 219 | 92 | 74 | ETV | Improvement |
3 | 49 | F | −/+ | Undetectable | Undetectable | No | Breast cancer | 2.49 × 107 | 245 | 113 | 174 | LAM | Improvement |
4 | 50 | M | −/+ | 3.44 × 104 | 1,650 | No | Colorectal cancer | 4.41 × 107 | 795 | 166 | 104 | Observation | Improvement |
5 | 39 | F | −/+ | 9.42 × 102 | Undetectable | No | Breast cancer | 1.58 × 107 | 107 | 40 | 61 | LAM | Improvement |
6 | 49 | M | −/+ | Undetectable | Undetectable | No | NHL | 1.41 × 106 | 1,771 | 0 | 177 | LAM | Improvement |
7 | 62 | M | −/− | 2.98 × 105 | 38 | Yes | Colorectal cancer | 4.25 × 106 | 95 | 54 | 48 | ETV | Improvement |
8 | 60 | M | −/+ | 8.35 × 102 | NAb | No | NHL | 7.11 × 107 | 2,762 | 30 | 86 | ETV | Improvement |
9 | 56 | F | −/+ | 1.20 × 10 | Undetectable | No | NHL | 3.21 × 106 | 1,750 | 72 | 172 | ETV | Improvement |
10 | 59 | M | −/− | 2.11 × 106 | NA | No | NHL | >1.1 × 108 | 507 | 96 | 72 | ETV | Improvement |
11 | 59 | M | −/+ | 1.21 × 105 | NA | No | Non-small cell lung cancer | >1.1 × 108 | 323 | 0 | 73 | LAM | Death due to disease progression |
12 | 60 | M | NA | 1.23 × 105 | 240 | Yes | Leukemia | 2.41 × 105 | 111 | 67 | 152 | ETV | Improvement |
13 | 52 | M | +/− | 1.36 × 106 | 44 | Yes | Stomach cancer | 2.67 × 105 | 118 | 111 | 69 | Observation | Loss to follow up |
14 | 47 | F | −/+ | 1.74 × 107 | 51 | Yes | Breast cancer | 3.00 × 105 | 48 | 154 | 62 | Observation | Improvement |
15 | 53 | F | NA | NA | NA | Yes | NHL | 2.17 × 107 | 56 | 0 | 59 | LAM + ADV | Death due to hepatic failure |
F, female; M, male; ADV, adefovir; anti-HBe, hepatitis B e antibody; ETV, entecavir; HBeAg, hepatitis B e antigen; HBV, hepatitis B virus; LAM, lamivudine; NHL, non-Hodgkin's lymphoma; WH, withdrawal hepatitis.
NA, laboratory data were not available at either baseline or nadir.