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This combination therapy regimen consists of **tenofovir disoproxil fumarate (TDF)** administered alongside a **nucleoside analogue (NA)**, such as lamivudine, entecavir, telbivudine, or clevudine. It was specifically investigated by **Yonsei University** in the **SATIS (Switching from Adefovir To Tenofovir In patients with Suboptimal response)** trial. The regimen is designed for patients with chronic hepatitis B (CHB) who exhibit a suboptimal virological response to adefovir-based rescue therapy, often due to pre-existing nucleoside analogue resistance. Tenofovir is a potent nucleotide analogue that provides a high genetic barrier to resistance and effectively suppresses HBV DNA by inhibiting the viral polymerase. The combination strategy aims to achieve deeper viral suppression and increase the rates of HBeAg loss or seroconversion in treatment-experienced patients.
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