Table 1. The Risk of Hepatitis B Virus Reactivation Due to Some Selected Treatments in Hepatitis B Surface Antigen Carriers and Non-Hepatitis B Surface Antigen Carriers.
Risk | HBsAg+ | HBsAg−, anti-HBc+ |
---|---|---|
Very high (> 20%) | Rituximab; ofatumumab; hematopoietic stem cell transplantation | NA |
High (10 – 20%) | Doxorubicin; epirubicin; high dose of prednisone (> 20 mg, > 4 weeks); Anti-CD52 (alemtuzumab) | Rituximab; ofatumumab |
Moderate (1 – 10%) | Infliximab; etanercept; adalimumab; ustekinumab; natalizumab; vedolizumab; imantinib; nilotinib; combination cytotoxic chemotherapy (without corticosteroids); anti-rejection therapy for solid organ transplant recipients; moderate prednisone therapy (> 20 mg, < 4 weeks) | Infliximab; etanercept; adalimumab; ustekinumab; natalizumab; vedolizumab; imantinib; nilotinib |
Low (< 1%) | Methotrexate; azathioprine; 6-mercaptopurine; mild prednisone therapy (< 20 mg, < 1 week) | NA |
Rare (< 1%) | NA | Methotrexate; azathioprine |