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Pegylated interferon alfa 2a + tenofovir alafenamide is a combination regimen used in the treatment of chronic hepatitis B virus (HBV) infection. Pegylated interferon alfa-2a is an immunomodulatory cytokine receptor agonist that enhances both innate and adaptive immune responses, and tenofovir alafenamide is a nucleotide analog reverse transcriptase inhibitor that suppresses HBV replication by inhibiting the viral polymerase. The combination exploits the immune-stimulating effect of interferon with the direct antiviral potency of tenofovir alafenamide, aiming for higher rates of functional cure (HBsAg loss), especially in hepatitis B e antigen (HBeAg)-positive patients. This regimen offers improved virologic suppression compared to monotherapy, and tenofovir alafenamide has a better renal safety profile than tenofovir disoproxil fumarate. Main indications are chronic hepatitis B virus infection in adults[1][3].
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