Research News


Reducing Hepatitis B Reactivation Risks in Cancer Patients

19 December 2024

A systematic review and meta-analysis published in *Seminars in Oncology* reveals critical insights into hepatitis B virus (HBV) reactivation among cancer patients undergoing chemotherapy. The study highlights that while the overall HBV reactivation rate is 9%, the risk significantly decreases to 4% with the use of antiviral prophylaxis, such as tenofovir or entecavir, which are the most effective options.

Key Findings

- Patients with hematologic cancers have a higher HBV reactivation rate (10%) compared to those with solid tumors (5%). 

- Antiviral prophylaxis is essential, reducing reactivation rates across all cancer types and chemotherapy regimens, including those containing rituximab. 

Significance

This study emphasizes the importance of preemptive HBV screening and antiviral therapy to mitigate risks and improve cancer treatment outcomes.


Funding :
Supported by the Graduate Scholarship Program for ASEAN or Non-ASEAN Countries at Chulalongkorn University and Clinical Fellowship Program at the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Title of Original Paper :
Hepatitis B Virus Reactivation in Cancer Patients Receiving Chemotherapy—A Systematic Review and Meta-Analysis
Journal :
Seminars in Oncology
DOI Link :
https://doi.org/10.1053/j.seminoncol.2024.08.001
Correspondence :
Division of Gastroenterology, Department of Medicine,
Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hos-
pital, Thai Red Cross Society, 1873 Rama IV Road, Patumwan, Bangkok, 10330, Thai-
land.
Program :
Master of Science Program : Clinical Sciences (International Program)
Advisor :
Associate Professor Roongruedee Chaiteerakij, M.D., Ph.D.