Table 4.
Virus | Guidelines during study period | Contemporary guidelines | ||||
---|---|---|---|---|---|---|
ASCO | NCCN | AASLD | ASCO | NCCN | AASLD | |
HBV |
Chronic HBV [7]: Start anti-HBV therapy before and continue during anticancer therapy, continue after anticancer therapy is completed. Past HBV [7]: For patients receiving anti-CD20 monoclonal antibody therapy, start anti-HBV therapy (or monitor) before and continue during anticancer therapy, continue after anticancer therapy is completed. For all other anticancer therapies, monitor and start anti-HBV therapy only if HBV reactivation occurs. |
Start anti-HBV therapy before and continue during anticancer therapy, continue after anticancer therapy is completed. For patients receiving anti-CD20 monoclonal antibody therapy, start anti-HBV therapy (or monitor) before and continue during anticancer therapy, continue after anticancer therapy is completed. |
Chronic HBV [8]: Start anti-HBV therapy before and continue during anticancer therapy, continue after anticancer therapy is completed. |
Chronic HBV [1]: Same as guidelines during the study period. Optimal timing for anti-HBV therapy is not clear for patients with a solid tumor due to lack of strong data. Past HBV [1]: Same as guidelines during the study period. |
Chronic HBV [2]: Same as guidelines during the study period. Past HBV [2]: Same as guidelines during the study period. |
Chronic HBV [3]: Same as guidelines during the study period. Past HBV [3]: For patients receiving anti-CD20 monoclonal antibody therapy, start anti-HBV therapy (or monitor) before and continue during anticancer therapy, continue after anticancer therapy is completed. For all other anticancer therapies, monitor and start anti-HBV therapy only if HBV reactivation occurs. |
HCV | Not available. | Start and complete DAA therapy before cancer therapy or after cancer therapy, not during cancer therapy. [2] | Not available. | Not applicable. | Same as guidelines during the study period. [2] | Not applicable. |
HIV | Not available. | Select ART cautiously due to potential drug-drug interactions, start and continue during anticancer therapy. [2] | Not applicable. | Not applicable. | Same as guidelines during the study period. [4] | Not applicable. |
AASLD, American Association for the Study of Liver Diseases; ART, antiretroviral therapy; ASCO, American Society of Clinical Oncology; DAA, direct-acting antiviral; HBV, hepatitis B virus; HCV, hepatitis C virus; NCCN, National Comprehensive Cancer Network