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PEG-Interferon Alfa + Tenofovir Disoproxil Fumarate is a combination antiviral regimen consisting of peginterferon alfa, a pegylated biologic immunomodulator, and tenofovir disoproxil fumarate (TDF), a small molecule nucleotide reverse transcriptase inhibitor. This regimen is primarily investigated for the treatment of chronic hepatitis B virus (HBV) infection and HBV-related liver fibrosis. Peginterferon alfa works by binding to the interferon alpha/beta receptor (IFNAR), stimulating the innate immune system and activating signaling pathways that inhibit viral replication and enhance the host immune response. Tenofovir disoproxil fumarate, a prodrug of tenofovir, acts by inhibiting HBV DNA polymerase/reverse transcriptase, leading to chain termination of the viral DNA. The combination is being evaluated for its potential to achieve HBsAg seroclearance (functional cure) and reverse liver fibrosis in patients who are already experienced with nucleos(t)ide analogue therapy.
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