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**Azvudine + tenofovir alafenamide fumarate** is a combination of two antiviral small molecules, both nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs). **Azvudine** (FNC) inhibits HIV-1 reverse transcriptase and RNA-dependent RNA polymerase, originally developed for hepatitis C, now approved in China for HIV-1 and COVID-19. **Tenofovir alafenamide fumarate** (TAF, GS-7340) is a prodrug of tenofovir, providing enhanced delivery and reduced toxicity, approved globally as part of fixed-dose regimens for HIV-1 and hepatitis B[1][4]. Both act by chain termination during viral DNA synthesis[3][4]. The combination is being investigated for drug-drug interactions, with azvudine offering potential for broad antiviral coverage and improved tolerability in HIV co-formulations[3][4]. TAF is currently manufactured by Gilead for branded combinations, but no fixed-dose brand nor global approval currently exists for this dual combination.
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