What is the recommended post-transplant prophylactic regimen for hepatitis B (HBV) using entecavir?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 25, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Post-Transplant Hepatitis B Prophylaxis with Entecavir

For post-transplant hepatitis B prophylaxis, entecavir should be used in combination with hepatitis B immunoglobulin (HBIG) for high-risk patients, while entecavir monotherapy can be considered for low-risk patients after an initial course of combination therapy. 1

Liver Transplantation Prophylaxis Regimen

Standard Approach

  • The current standard treatment for prevention of HBV recurrence after liver transplantation is a combination of nucleos(t)ide analogues (NAs) and HBIG, which reduces post-transplant HBV reinfection rate to less than 5% 1
  • Entecavir is one of the preferred antivirals due to its high potency and low rate of drug resistance 1

Risk-Stratified Approach

  • High-risk patients (HBV DNA positive at transplantation, HDV coinfection, or poor adherence to NA therapy) should receive lifelong combination of HBIG and entecavir 1
  • Low-risk patients (HBV DNA negative at transplantation) can receive a short course of HBIG followed by entecavir monotherapy 1
  • Entecavir has shown excellent efficacy in preventing HBV recurrence with the highest probability (31%) as the best prophylactic option compared to other regimens 2

Duration of Therapy

  • For high-risk patients, lifelong prophylaxis with entecavir is recommended 1
  • For low-risk patients, after HBIG discontinuation, indefinite entecavir monotherapy is recommended 3, 4
  • Studies have shown that maintenance therapy with entecavir after discontinuation of HBIG prophylaxis is safe and effective, with a low rate of serological recurrence 3

Special Considerations

Renal and Bone Health

  • In patients with or at risk for renal and/or bone disease, entecavir is preferred over tenofovir DF 1
  • Tenofovir AF is an alternative option in post-transplant patients with renal or bone concerns 1

Donor Considerations

  • For HBsAg-negative patients receiving anti-HBc-positive liver grafts, prophylactic antiviral therapy with entecavir should be initiated immediately after surgery 1
  • The risk of HBV reactivation varies depending on recipient's immunization status against HBV, with rates ranging from 1.4% to 47.8% without prophylaxis 1

Hematopoietic Stem Cell Transplantation (HSCT)

  • All HBsAg-positive or HBV DNA-positive HSCT recipients should receive prophylactic entecavir at the time of transplantation 1
  • Prophylactic antiviral therapy should be maintained for at least 12 months after HSCT 1
  • HBsAg-negative, HBV DNA undetectable, but anti-HBc-positive HSCT recipients should also start prophylactic entecavir at the time of transplantation 1

Monitoring

  • Regular monitoring of HBV serum markers (HBsAg, anti-HBs) and HBV DNA levels is essential 4
  • Monitor renal function periodically in all patients on long-term entecavir therapy 1
  • For patients who discontinue HBIG, more vigilant monitoring for HBV recurrence is recommended during the first year after discontinuation 3

Pitfalls and Caveats

  • Lamivudine is associated with a higher risk of viral resistance and should be avoided for long-term prophylaxis 1
  • HBV reactivation can occur late (up to 5-7 years) after transplantation, necessitating long-term prophylaxis 1
  • Patients who received B-cell depleting agents are at risk for delayed HBV reactivation and require extended prophylaxis 1
  • Entecavir has shown superior efficacy compared to lamivudine in preventing HBV reactivation in the setting of immunosuppression 1, 2

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.