Table 2.
Specific aim | Ref. | Number of patients | Method | Main results |
HBIG minimization | Di Paolo et al[71] | 11 | HBIG administration on demand (when HBsAb < 70 IU/L) with Lam | No HBV reactivation (1 yr F/U) |
Gane et al[72] | 147 | Very-low HBIG dose (400-800 IU monthly) with Lam | 4% of HBV recurrence (5 yr F/U) | |
High-genetic barrier nucleos(t)ide analogues monotherapy | Fung et al[73,74] | 80 | ETV monotherapy | 92% HBsAg-100%HBV-DNA undetectable (8 yr F/U) |
Teperman et al[75] | 40 | TDF monotherapy after HBIG discontinuation | No change (72 wk F/U) | |
Manini et al[77] | 77 | ETV or TDF monotherapy after HBIG discontinuation | 100%HBV-DNA undetectable 9% HBsAg reappearance (5 yr F/U) | |
Complete withdrawal of HBV prophylaxis | Lenci et al[81,82] | 30 | Sequential discontinuation of HBIG and Lam in low risk (cccDNA negative) patients | 90% successful withdrawal 60% HBsAb > 10 IU (6 yr F/U) |
cccDNA: Covalently closed circular DNA; HBV: Hepatitis B virus; ETV: Entecavir; F/U: Follow-up; HBIG: HBsAb immunoglobulin; Lam: Lamivudine; TDF: Tenofovir dipivoxyl.