Table 1.
Patient characteristics. CNI—calcineurin inhibitor; LT—liver transplantation; HCC—hepatocellular cancer; mTOR—mTOR Inhibitor; MMF—mycophenolate mofetil; HBIG—hepatitis B immunoglobulin; NA—nucleos(t)ide analog; standard group–life-long combination of HBIG with NA; discontinuation group—NA-based and discontinuation of HBIG.
Patient Characteristic | Standard (NA + HBIG) | Discontinuation (NA + HBIG-) | p |
---|---|---|---|
Total patients (%) | 0.74 | ||
Male | 9 (47.4) | 9 (52.9) | |
Female | 10 (52.6) | 8 (47.1) | |
Median age at LT (min–max) | 45 (32–59) | 42 (20–62) | 0.95 |
HBV/HDV infection (%) | 19 (100) | 17 (100) | |
HBsAG+/HBV-DNA+ at LT | 17 (89.5) | 15 (88.2) | 0.91 |
HBV reinfection after LT | 4 (21.1) | 5 (29.4) | 0.56 |
HDV reinfection after LT | 0 (0) | 1 (5.9) | 0.11 |
HCV infection at LT (%) | 7 (36.8) | 4 (23.5) | 0.43 |
HCV reinfection after LT | 3 (42.9) | 2 (50.0) | |
HCC at LT (%) | 4 (21.1) | 7 (41.2) | 0.43 |
Re-transplantation (%) | 2 (10.5) | 2 (11.8) | 0.26 |
Rejection | 0 (0) | 1 (5.9) | |
Reinfection | 0 (0) | 1 (5.9) | |
Surgical complications | 2 (10.5) | 0 (0) | |
HBV/HDV prophylaxis after LT (%) | 0.11 | ||
NA: low genetic barrier | 10 (52.6) | 9 (52.9) | |
NA: high genetic barrier | 7 (36.8) | 4 (23.5) | |
IFN | 2 (10.5) | 1 (5.9) | |
HBIg monotherapy | 0 (0) | 5 (29.4) | |
Median HBIG titer (U/L) during combination therapy in (min–max) | 215.5 (140–845) | 199 (102–1000) | 0.40 |
Recent immune suppression (%) | |||
CNI | 17 (68.4) | 15 (58.8) | 0.55 |
MMF | 8 (42.1) | 7 (41.2) | 0.92 |
mTOR | 0 (0) | 1 (5.9) | 0.28 |
others | 1 (5.3) | 1 (5.9) | 0.93 |
combination | |||
CNI/MMF | 7 (36.8) | 5 (29.4) | |
others | 1 (5.3) | 1 (5.9) | |
Median follow-up after LT (min–max) | 227 (24–381) | 204 (7–360) | 0.69 |
Median time of HBIG discontinuation after LT (min–max) | n.a. | 72 (0–312) | n.a. |
Median time after HBIG discontinuation (min–max) | n.a. | 120 (6–360) | n.a. |
Deceased (%) | 7 (36.8) | 3 (17.6) | 0.2 |