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Telaprevir + peginterferon alfa + ribavirin is a triple combination antiviral regimen formerly used for the treatment of genotype 1 chronic hepatitis C virus (HCV) infection in adults with compensated liver disease, including cirrhosis. Telaprevir is an NS3/4A serine protease inhibitor that blocks viral replication by inhibiting the proteolytic cleavage of HCV polyproteins into mature viral proteins essential for replication. Peginterferon alfa is a pegylated form of interferon alpha, which stimulates host immune responses against HCV, while ribavirin is a nucleoside analog with broad-spectrum antiviral activity that enhances the efficacy of interferons. This combination was indicated for both treatment-naïve patients and those who had previously failed interferon-based therapy[1][3][6]. Telaprevir was developed by Vertex Pharmaceuticals and marketed under the brand name Incivek but has since been withdrawn from the US market due to newer therapies with improved safety and efficacy profiles[3].
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