Table 2.
Author/year | Disease | Study design | Sample size | Definition of HBV reactivation | Rate of HBV reactivation | Risk factor(s) identified for HBV reactivation | Death from HBV reactivation |
Yeo et al[99] 2009 | Diffuse large B-cell lymphoma | All patients were observed every 2-3 wk during anticancer therapy and every 6-8 wk for 9 mo after anticancer therapy | 46 | HBsAg seroconversion (the reappearance of HBsAg) with an increase in HBV DNA levels when compared with baseline HBV DNA levels, in the absence of acute infection with HAV, HCV, or other systemic infections | 25% in patients receiving R-CHOP | Absence of anti-HBs, use of rituximab and male sex | 20% died of HBV reactivation |
Start lamivudine upon HBV reactivation | |||||||
Huang et al[107] 2013 | B-cell lymphoma | Entecavir prophylaxis (continued until 3 mo after completing chemotherapy) vs preemptive treatment | 80 | Elevation of HBV viral load to 2000 IU/mL with two consecutive determinations (2 wk apart) | Incidence was 4.3% in entecavir group and 25.9% in the control group at 1.5 yr | Lack of entecavir prophylaxis | Nil |
Seto et al[45] 2014 | CD20 positive B-cell lymphoma | HBV DNA monitoring every 4 wk | 63 | HBV DNA ≥ 10 IU/mL | 2-yr cumulative rate 41.5% | Anti-HBs < 10 mIU/mL | Nil |
Start entecavir upon detection of HBV reactivation | |||||||
Hsu et al[16] 2014 | CD20 positive B-cell lymphoma | HBV DNA monitoring every 4 wk | 150 | > 10-fold increase in HBV DNA, compared with previous nadir levels | Incidence was 10.4% | Absence of anti-HBs | Nil |
Start entecavir upon detection of HBV reactivation | |||||||
Kusumoto et al[46] 2015 | CD20 positive B-cell lymphoma | HBV DNA monitoring every 4 wk | 269 | HBV DNA ≥ 11 IU/mL | Incidence was 8.3% at 1.5 yr | Anti-HBs < 10 mIU/mL and baseline HBV DNA below level of quantification | Nil |
Start entecavir upon detection of HBV reactivation |
HBV: Hepatitis B virus; HBsAg: Hepatitis B surface antigen; HBc: Hepatitis B core antigen.