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This drug is a combination therapy consisting of REP 2139-Mg (a magnesium chelate nucleic acid polymer), peginterferon alfa-2a (a pegylated form of recombinant human interferon alfa-2a), and tenofovir disoproxil fumarate (a nucleotide reverse transcriptase inhibitor). REP 2139-Mg is designed to clear hepatitis B virus surface antigen (HBsAg), which enables restoration of immune control over HBV and HDV infections. Peginterferon alfa-2a acts as an immunomodulatory cytokine that upregulates interferon-stimulated genes and bolsters antiviral immune responses. Tenofovir disoproxil fumarate inhibits viral reverse transcriptase, limiting replication of hepatitis B virus. This triple combination is primarily being investigated for the treatment of chronic hepatitis B and hepatitis D (HDV) infections, particularly in patients with cirrhosis and those unresponsive to other therapies[8][4][1].
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