Safety and Efficacy of Raltegravir+TDF+3TC in HBV/HIV Co-infected Patients

Inclusion Criteria: * Ability and willingness to provide written informed consent * HIV-1 infection, documented in patient medical record. Acceptable forms of documentation include positive HIV antibody or detectable HIV RNA * HIV-1 antiretroviral therapy naïve * Chronic HBV infection, defined as HBsAg positive \>6 months. Both HBeAg positive and negative subjects will be eligible * Detectable HBV DNA ( \> 300 copies/ml) * Serum alpha-fetoprotein (AFP) of ≤ 50 ng/ml within 4 weeks of study entry, or if elevated \> 50 ng/ml, an imaging study demonstrating no evidence of hepatic tumor within 4 weeks of enrollment Exclusion Criteria: * Allergy or sensitivity to study drug * Pregnancy, breastfeeding or unwillingness/inability to adhere to contraceptive methods for the duration of the study (Female study volunteers must not participate in a conception process (e.g., active attempt to become pregnant). If participating in sexual activity that could lead to pregnancy, the female study volunteer must use the following forms of contraception while receiving study-specific medication(s) and for 30 days after stopping the medication. One of the following methods MUST be used appropriately: (1)Condoms\* (male or female) with or without a spermicidal agent; (2)Diaphragm or cervical cap with spermicide; (3)IUD; (4)Hormonal-based method.Condoms are recommended because their appropriate use is the only contraception method effective for preventing HIV transmission. * Prisoners or subjects who are incarcerated * Receipt of the following drugs with anti-HBV activity within 90 days prior to study entry or anticipated receipt during the course of the study including: ADV, telbivudine, alpha interferon, and other investigational agents with anti-HBV activity * Active opportunistic infection * Other causes of chronic liver disease identified (autoimmune hepatitis, haemochromatosis, Wilsons disease, alfa-1-antitrypsin deficiency) * Concurrent malignancy requiring cytotoxic chemotherapy * Decompensated or Child's C cirrhosis * Any other condition which in the opinion of the investigator might interfere with compliance or outcome of the study