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Telbivudine + peginterferon alpha-2a is an experimental, unapproved combination therapy of the nucleoside analogue **telbivudine** and the pegylated interferon **peginterferon alpha-2a** for the treatment of *chronic hepatitis B*. Telbivudine inhibits hepatitis B virus (HBV) DNA polymerase by acting as a chain terminator, thereby inhibiting viral DNA synthesis and replication[4][6]. Peginterferon alpha-2a is a recombinant modified interferon that binds human type I interferon receptors, activating the JAK/STAT pathway and stimulating the innate antiviral immune response[2][8]. The combination showed rapid and profound reductions in HBV DNA but was associated with a significantly increased risk of peripheral neuropathy, leading to early termination of clinical studies and strong recommendations against its clinical use[1][8][9].
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