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. 2016 Jul 28;22(28):6484–6500. doi: 10.3748/wjg.v22.i28.6484

Table 2.

Prospective studies on HBV reactivation in haematology patients with resolved hepatitis B virus infection (HBsAg negative anti-HBc positive patients)

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.