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Filibuvir + peginterferon alfa-2a + ribavirin is an experimental triple combination regimen for the treatment of chronic hepatitis C virus (HCV) infection. Filibuvir is a non-nucleoside inhibitor of the HCV NS5B RNA-dependent RNA polymerase, developed to block viral replication. Peginterferon alfa-2a is a pegylated form of interferon alfa—an immunomodulatory cytokine—that exerts antiviral effects by inducing an antiviral state within host cells and modulating the immune response. Ribavirin is a nucleoside analog antiviral, acting as a mutagen and immunomodulator, that has been widely used in combination with interferon-based regimens to enhance antiviral efficacy. While peginterferon alfa-2a plus ribavirin is a well-established dual regimen for HCV, the addition of filibuvir as a specifically targeted antiviral (a direct-acting antiviral) was studied to improve virologic response, particularly in difficult-to-treat HCV genotypes.Filibuvir development was discontinued and this triple combination has not been approved for use.
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