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HEISCO-149 is a small molecule nucleotide reverse transcriptase inhibitor (NRTI) developed by Sichuan Haisco Pharmaceutical. It is a tartrate salt formulation of tenofovir alafenamide (TAF), designed as a generic alternative or improved formulation of tenofovir alafenamide fumarate (Vemlidy). The drug is primarily indicated for the treatment of chronic hepatitis B virus (HBV) infection. Its mechanism of action involves the inhibition of HBV DNA polymerase, which prevents the replication of the viral genome. Compared to older tenofovir formulations, TAF-based drugs like HEISCO-149 offer high antiviral potency at lower doses, resulting in reduced systemic exposure to tenofovir and a more favorable safety profile regarding renal and bone toxicity.
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