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Tenofovir alafenamide is a small molecule antiviral prodrug in the class of nucleoside reverse transcriptase inhibitors. It is used primarily for the treatment of chronic hepatitis B virus infection and as a component in fixed-dose combinations for HIV-1 treatment and prevention. Tenofovir alafenamide is an alanine ester prodrug that delivers high intracellular concentrations of its active metabolite, tenofovir diphosphate, while maintaining lower plasma levels compared to its predecessor, tenofovir disoproxil fumarate. This results in improved renal and bone safety profiles. The drug inhibits viral reverse transcriptase by acting as a chain terminator during viral DNA synthesis, thereby blocking replication in both HBV and HIV-1[1][3][4][8]. Tenofovir alafenamide was developed by Gilead Sciences.
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