Background: The efficacy and safety evidence of bortezomib in multiple myeloma (MM) patients with hepatitis B is vacant.This study aimed to investigate the efficacy and safety of bortezomib in MM patients with hepa...Background: The efficacy and safety evidence of bortezomib in multiple myeloma (MM) patients with hepatitis B is vacant.This study aimed to investigate the efficacy and safety of bortezomib in MM patients with hepatitis B in China.Methods: From 2006 to 2011, 739 newly diagnosed MM patients were screened for serum hepatitis B virus (HBV) biomarkers.HBV-infected patients were followed for HBV reactivation by monitoring of serum alanine transaminase (ALT) and HBV DNA load.The pattern of HBV reactivation in relation to bortezomib was evaluated.Seven hundred thirty-nine MM patients were included in this study.Results: The prevalence of MM patients infected with HBV was 3.4% (n =25), of which 17 cases were treated with bortezomib.Bortezomib had no significant influence on liver function (ALT before and after treatment: 36.69 ± 8.90 U/L vs.11.31 ± 2.74 U/L, P =0.19) and HBV DNA of MM patients with HBV (detectable HBV DNA percentage: 5.9% vs.11.8%, P =0.12).Conclusions: Bortezomib can be used safely and effectively in MM patients with hepatitis B.HBV prophylaxis and surveillance are recommended during the MM treatment.展开更多
文摘Background: The efficacy and safety evidence of bortezomib in multiple myeloma (MM) patients with hepatitis B is vacant.This study aimed to investigate the efficacy and safety of bortezomib in MM patients with hepatitis B in China.Methods: From 2006 to 2011, 739 newly diagnosed MM patients were screened for serum hepatitis B virus (HBV) biomarkers.HBV-infected patients were followed for HBV reactivation by monitoring of serum alanine transaminase (ALT) and HBV DNA load.The pattern of HBV reactivation in relation to bortezomib was evaluated.Seven hundred thirty-nine MM patients were included in this study.Results: The prevalence of MM patients infected with HBV was 3.4% (n =25), of which 17 cases were treated with bortezomib.Bortezomib had no significant influence on liver function (ALT before and after treatment: 36.69 ± 8.90 U/L vs.11.31 ± 2.74 U/L, P =0.19) and HBV DNA of MM patients with HBV (detectable HBV DNA percentage: 5.9% vs.11.8%, P =0.12).Conclusions: Bortezomib can be used safely and effectively in MM patients with hepatitis B.HBV prophylaxis and surveillance are recommended during the MM treatment.