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Table 1 Basic characteristics of included studies

From: Hepatitis B reactivation in cancer patients receiving immune checkpoint inhibitors: a systematic review and meta-analysis

First author

(publication year)

Study design

Study country

Total patients

Name of ICIs

Tumor type

Anti-neoplastic agent combined with ICIs

HBV Reactivation rate (total)

HCC (Yes vs No)

Reactivation rate

(HCC vs non-HCC)

HBsAg

(+ vs −)

HBV Reactivation rate

(HBsAg + vs HBsAg-)

Median follow-up time

Zhu et al.

(2018) [30]

Clinical trial

United States

103

Pembrolizumab

HCC

ICI monotherapy

0/103 (0%)

103/0

0 vs 0

22/81

0 vs 0

12 months

Tio et al.

(2018) [31]

Retrospective

Australia

14

Atezolizumab, ipilimumab, nivolumab, pembrolizumab

MM, HCC, GC, UTUC, GBM

ICI monotherapy

0/14 (0%)

1/13

0 vs 0

14/0

0 vs 0

N.A

Yau et al. (2019) [32]

Clinical trial

China

105

Nivolumab

HCC

ICI monotherapy

10/105

(9.52%)

105/0

9.52% vs 0

N.A

N.A

31.6 months

Finn et al. (2019) [33]

Clinical trial

United States

72

Pembrolizumab

HCC

ICI monotherapy

0/72 (0%)

72/0

0 vs 0

N.A

N.A

13.8 months

Gane et al. (2019) [28]

Clinical trial

New Zealand

14

Nivolumab

N.A

ICI monotherapy

0/14 (0%)

N.A

N.A

14/0

0 vs 0

24 weeks

Shah et al. (2019) [34]

Retrospective

United States

15

Atezolizumab, avelumab, durvalumab, ipilimumab nivolumab,

pembrolizumab

HCC, NSCLC

ICI ± chemotherapy

0/15 (0%)

N.A

N.A

8/7

0 vs 0

N.A

Zhang et al. (2019) [35]

Retrospective

China

101

Atezolizumab, camrelizumab,

ipilimumab, nivolumab, pembrolizumab, sintilimab, toripalimab

NPC, HCC, MM

ICI ± chemotherapy or apatinib or bevacizumab or cetuximab or nimotuzumab or osimertinib or

regorafenib or sunitinib

6/101 (5.94%)

28/73

3.57% vs 6.85%

101/0

5.94% vs 0

N.A

Qin et al. (2020) [36]

Clinical trial

China

180

Camrelizumab

HCC

ICI monotherapy

0/180 (0%)

180//0

0 vs 0

180/0

0 vs 0

12.5 months

Pertejo-Fernandez et al.

(2020) [37]

Retrospective

United States

14

Atezolizumab, durvalumab, ipilimumab, nivolumab, pembrolizumab

NSCLC

ICI ± chemotherapy or ICIs combination therapy

0/14 (0%)

0/14

0 vs 0

2/12

0 vs 0

N.A

Lee et al. (2020) [38]

Retrospective

China

60

Nivolumab, pembrolizumab

HCC

ICI + TKIs not specified

1/60 (1.67%)

60/0

1.67% vs 0

N.A

N.A

6.6 months

Byeon et al.

(2020) [39]

Retrospective

The Republic of Korea

32

Nivolumab, pembrolizumab

NSCLC

ICI monotherapy

3/32 (9.38%)

0/32

0 vs 9.38%

16/16

18.75% vs 0

6 months

Chan et al. (2020) [40]

Retrospective

Singapore

42

Atezolizumab, durvalumab nivolumab, pembrolizumab

NSCLC

ICI ± chemotherapy

1/42 (2.38%)

0/42

0 vs 2.38%

8/34

12.5% vs 0

6 months

Ng et al. (2020) [41]

Retrospective

Singapore

62

Not specified

HCC

IC I ± chemotherapy or targeted agent not specified

6/62 (9.68%)

62/0

9.68% vs 0

55/7

9.09% vs 14.29%

13.8 months

Chen et al. (2020) [42]

Retrospective

China

70

Camrelizumab, sintilimab, toripalimab

HCC

ICI + lenvatinib or

sorafenib or

apatinib

0/70 (0%)

70/0

0 vs 0

70/0

0 vs 0

44.7 weeks

Saw et al.

(2020) [43]

Retrospective

Australia

127

Not specified

N.A

N.A

0/127 (0%)

N.A

N.A

0/127

0 vs 0

N.A

Zhong et al. (2021) [44]

Retrospective

China

15

Camrelizumab, nivolumab, pembrolizumab, sintilimab, toripalimab

HCC

IC I ± chemotherapy or anti-neoplastic agent not specified

0/15 (0%)

4/11

0 vs 0

15/0

0 vs 0

6 months

Xu et al. (2021) [45]

Retrospective

China

17

Camrelizumab, nivolumab, pembrolizumab, sintilimab, tislelizumab, triprizumab

LC

ICI ± chemotherapy

0/17 (0%)

0/17

0 vs 0

N.A

N.A

7.5 months

Wang et al. (2021) [46]

Retrospective

China

182

Atezolizumab camrelizumab, durvalumab, nivolumab, pembrolizumab, sintilimab, tislelizumab, toripalimab

HCC

ICI + apatinib or bevacizumab or lenvatini or regorafenib or sorafenib

8/182 (4.40%)

182/0

4.40% vs 0

182/0

4.40% vs 0

8 months

Wong et al. (2021) [6]

Retrospective

China

990

Atezolizumab, avelumab, durvalumab ipilimumab, nivolumab, pembrolizumab, spartalizumab, tremelimumab

HCC

ICI monotherapy or ICIs combination therapy

3/990 (0.30%)

N.A

N.A

397/

593

0.50% vs 0.17%

6.9 months

He et al.

(2021) [47]

Retrospective

China

202

Camrelizumab nivolumab, pembrolizumab, sintilimab, toripalimab,

HCC

ICI + lenvatinib or regorafenib or sorafenib

7/202 (3.47%)

202/0

3.47% vs 0

202/0

3.47% vs 0

6 months

Yoo et al. (2021) [48]

Retrospective

The Republic of Korea

3465

Atezolizumab, avelumab, durvalumab, ipilimumab, nivolumab, pembrolizumab,

tremelimumab

LC, HPBC, GC, UC

ICI monotherapy or ICIs combination therapy

5/3465 (0.14%)

524/2941

0.38% vs 0.10%

511/

2954

0.98% vs 0

6 months

Lee et al. (2021) [49]

Clinical trial

Singapore

36

Nivolumab

HCC

ICI monotherapy

0/36 (0%)

36/0

0 vs 0

22/14

0 vs 0

24.8 months

Zhang et al. (2021) [50]

Retrospective

China

62

Atezolizumab, camrelizumab nivolumab, pembrolizumab

NSCLC

ICI monotherapy

1/62 (1.61%)

62/0

1.61% vs 0

10/52

1% vs 0

28.4 months

Lee et al. (2021) [51]

Clinical trial

The Republic of Korea

26

Avelumab

HCC

ICI monotherapy

0/26 (0%)

26/0

0 vs 0

26/0

0 vs 0

13.9 months

Zhao et al. (2022) [52]

Retrospective

China

60

Not specified

NSCLC

ICI ± chemotherapy or/and bevacizumab

0/60 (0%)

0/60

0 vs 0

3/57

0 vs 0

6.49 months

Hagiwara et al. (2022) [53]

Retrospective

Japan

166

Not specified

HCC

ICI ± chemotherapy or targeted agent not specified

1/166 (0.6%)

28/138

3.57% vs 0

24/142

4.17% vs 0

48 weeks

Cheng et al.

(2022) [54]

Retrospective

China

77

Camrelizumab nivolumab, pembrolizumab, teriprizumab, toripalimab

CRC

ICI ± chemotherapy or

TKIs not specified

0/77 (0%)

0/77

0 vs 0

20/57

0 vs 0

N.A

Nakabori et al. (2022) [55]

Retrospective

Japan

266

Atezolizumab, avelumab, durvalumab, ipilimumab, nivolumab, pembrolizumab

N.A

ICI ± chemotherapy or axitinib or bevacizumab

0/266 (0%)

N.A

N.A

8/258

0 vs 0

N.A

Shun et al.

(2022) [56]

Clinical trial

China

17

Nivolumab

NSCLC

ICI monotherapy

3/17 (17.65%)

0/17

0 vs 17.65%

17/0

17.65% vs 0

37.6 months

Hu et al.

(2022) [57]

Retrospective

China

70

Atezolizumab, tislelizumab, other anti-PD-1/L1 not specified

HCC

ICI + apatinib or

bevacizumab or lenvatinib or

regorafenib or sorafenib

2/70 (2.86%)

70/0

2.86% vs 0

70/0

2.86% vs 0

N.A

Lei et al.

(2023) [58]

Retrospective

China

203

Atezolizumab, camrelizumab, nivolumab, pembrolizumab, sintilimab, tislelizumab, toripalimab

HCC

ICI + chemotherapy or lenvatinib or sorafenib

61/203

(30.05%)

203/0

30.05% vs 0

203 vs 0

30.05% vs 0

5 months

Lasagna et al. (2023) [59]

Retrospective

Italy

150

Atezolizumab, nivolumab, pembrolizumab

MM, RCC, HNC, other tumor not specified

ICI ± chemotherapy

0/150 (0%)

0/150

0 vs 0

0 vs 150

0 vs 0

12 months

Nardo et al. (2023) [60]

Retrospective

United States

10

Anti-PD-1 ± 

Anti-CTLA-4

N.A

ICI ± chemotherapy or bevacizumab

0/10 (0%)

N.A

N.A

10/0

0 vs 0

33 months

Chen et al. (2023) [61]

Retrospective

China

101

ICIs not specified

HCC

ICI + 

TKIs not specified

5/101 (5.0%)

101/0

5.0% vs 0

N.A

N.A

11.68 months

  1. TKIs tyrosine kinase inhibitors, MM malignant melanoma, GBM glioblastoma multiforme, HCC hepatocellular carcinoma, UTUC upper tract urothelial carcinoma, NSCLC non-small cell lung cancer, LC lung cancer, NPC nasopharyngeal carcinoma, UC urologic cancer, HPBC hepato-pancreato-biliary cancer, GC gastric cancer, CRC colorectal cancer, RCC renal cell carcinoma, HNC head and neck cancer, N.A not available