Table 1.

Clinical and demographic characteristics of 27 HBV+ patients treated with TNF-α-blocking agents (TNFBA).

StudyDiseaseAge, SexTNFBADMARDHBV StatusLAM ProphylaxisHBV Reactivation (HBV–DNA)*LAM TherapyOutcome Followup (mo)
13CD40 MINFCirrhosisNANAYStable (36)
23RA73 METAChronic hepatitisNANAYDiscontinued LAM for resistance (36)
2CD26 MINFAZAICYNNAWell (4)
11RA58 MINF, ETAICYNNAWell (24)
12AS32 MINFICYY (< 10,000)NAWell (12)
16RA54 META, ADAMTXICYNNAWell (21)
16AS49 MINFLICYNNAWell (7)
Present #1RA73 FETAICYNNAWell (36), discontinued LAM 12 mo after ETA
Present #2RA67 FINFMTXICYNNAWell (43)
15RA36 FINFICNNNAWell (12)
19AS41 MINF, ETAICNNNAWell, with raised ALT (54)
22RA55 FETAMTXICNNNAWell (13)
22AS38 FETAICNNNAWell (12)
4AOSD28 FINFICNNYLiver transplant
3CD50 MINFAZAICNY (> 10,000)YWell (2)
10RA49 FINFMTXICNY (> 10,000)YWell (2)
14AS35 FINFMTXICNY (> 10,000)YWell, continue INF (4)
20CD43 FINFICNY (> 10,000)YWell (13)
19AS43 FINFICNY (not specified)YWell (56)
16RA53 METAICNY (< 10,000)YWell (6)
21RA62 FETAMTX, HCQICNY (< 10,000)YWell, restarted ETA (6)
Present #3RA56 FADASSZICNY (< 10,000)YWell (12), discontinued LAM 12 mo after ADA
2CD34 MINFAZAICNY (> 10,000)NSpontaneous resolution
2CD38 MINFAZAICNY (> 10,000)NFulminant hepatitis, death
17CD29 FINFICNY (> 10,000)NWell, persistent viral replication (8)
18CD41 FINFOCNY (> 10,000)YWell, discontinued LAM after 10 mo
24AS73 METAOCNY (< 10,000)YWell, restarted ETA (4)
  • * Data are copies/ml. Y: yes, N: no. HBV: hepatitis B virus; CD: Crohn’s disease; RA: rheumatoid arthritis; AS: ankylosing spondylitis; AOSD: adult onset Still’s disease; INF: infliximab; ETA: etanercept; ADA: adalimumab; DMARD: disease modifying antirheumatic drug; AZA: azathioprine; MTX: methotrexate; HCQ: hydroxychloroquine; SSZ: sulfasalazine; IC: inactive carrier; OC: occult carrier; LAM: lamivudine; NA: not applicable; ALT: alanine aminotransferase.