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. 2020 May 14;26(18):2166–2176. doi: 10.3748/wjg.v26.i18.2166

Table 2.

Main studies examining prophylaxis minimization in hepatitis B virus liver transplanted patients, employing different approaches

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.