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Plasma exchange + Fecal microbiota transplant + Tenofovir is a combination therapy regimen being investigated by the Institute of Liver and Biliary Sciences in India. This regimen combines a medical procedure (plasma exchange), a microbiome therapy (fecal microbiota transplant or FMT), and an antiviral drug (tenofovir). Plasma exchange works by removing harmful substances like toxins and inflammatory mediators from the blood. FMT aims to restore a healthy gut microbiome to reduce systemic inflammation. Tenofovir is an antiviral drug that specifically inhibits the replication of the hepatitis B virus (HBV). This combination is being studied for its efficacy in treating patients with acute-on-chronic liver failure (ACLF) resulting from HBV reactivation.
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