Table 2.
HBV-R risk groups based on patient infection status and associated immunosuppressive treatment.
Risk group | HBV-R rate (%) | Hepatitis status | Associated medications |
---|---|---|---|
Very high risk | >20% | Chronic infection | Anti-CD20 monoclonal antibodies (rituximab, ofatumumab), HSCT |
High risk | 10–20% | Chronic infection | Anthracycline derivatives: daunorubicin, doxorubicin, epirubicin High-dose glucocorticoids (>20 mg/day for 4 weeks and longer) Anti-CD52 antibody: alemtuzumab |
Moderate risk | 1–10% | Chronic infection | Cytotoxic therapy without glucocorticoids: cyclophosphamide, vincristine; TNF-α inhibitors: infliximab, etanercept, golimumab, adalimumab; Cytokine and integrin inhibitors (mogamulizumab); Tyrosine kinase inhibitors (TKIs): imatinib, dasatinib, nilotinib; Proteasome inhibitors: carfilzomib |
Low risk | <1% | Chronic infection | Glucocorticoids (methotrexate or azathioprine) lasting less than a week or a low-dose (<10 mg prednisone) within 4 weeks |
Resolved infection | High-dose glucocorticoid or the anti-CD52 antibody alemtuzumab |
HBsAg, hepatitis B surface antigen; HBcAb, anti-hepatitis B core antibody; HSCT, hematopoietic stem cell transplantation; TNF, tumor necrosis factor.
Chronic infection: HBsAg(+) and HBcAb(+) patients.
Resolved infection: HBsAg(−) and HBcAb(+) patients.