Table 3.
Hepatitis B immunoglobulin-free regimens in preventing recurrence of hepatitis B virus infection after liver transplantation
| Ref. | No. of patients | Median duration of follow-up (mo) | Therapy | HBsAg loss | Undetectable HBV DNA |
| Fung et al[161], 2017 | 265 | 59 | ETV | At 1, 3, 5, and 8 yr of follow up, 85%, 88%, 87.0%, and 92% were negative for HBsAg, respectively | At 1, 3, 5 and 8 yr of follow up, 95%, 99%, 100%, and 100% had undetectable HBV DNA, respectively |
| Fung et al[158], 2013 | 362 | 53 | LAM = 176 (49%), ETV = 142 (39%), and 44 (12%) were on combination therapy (Either LAM or ETV) plus nucleotide analog (either ADV or TDF) | HBsAg seronegativity at 1, 3, 5 and 8 yr was 80%, 82%, 82% and 88% | HBV DNA suppression to undetectable levels at 1, 3, 5 and 8 yr was 94%, 96%, 96%, and 98%. Rate of HBV DNA suppression for LAM, combination therapy, and ETV at 1 yr was 97%, 94%, and 95%, respectively |
| Fung et al[159], 2011 | 80 | 26 | ETV | The cumulative rate of HBsAg loss was 86% and 91% after 1 and 2 yr, respectively | 95% with undetectable HBV DNA and 5% had low level viremia |
| Wadhawan et al[157], 2013 | 75 | 21 | 19 patients received a combination of LAM+ADV, 42 received entecavir, 12 received TDF, and 2 received a combination of ETV + TDF | The cumulative probabilities of clearing HBsAg were 90% and 92% at 1 and 2 yr after transplantation, respectively | Nine patients were HBsAg-positive with undetectable DNA at the last follow-up. The recurrence rate in our series was 8% (6/75) |
HBV: Hepatitis B virus; HBsAg: Hepatitis B surface antigen; LAM: Lamivudine; ETV: Entecavir; TDF: Tenofovir.