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A combination therapy consisting of tenofovir disoproxil fumarate (TDF) and peginterferon alfa-2a. TDF is a nucleotide analog reverse transcriptase inhibitor that blocks HBV DNA polymerase, inhibiting viral replication. Peginterferon alfa-2a is a pegylated form of recombinant human interferon that stimulates the innate antiviral immune response by binding to type 1 interferon receptors and activating the JAK/STAT pathway, leading to expression of interferon-stimulated genes with antiviral properties. This combination has shown superior efficacy in achieving hepatitis B surface antigen (HBsAg) loss compared to either agent alone in chronic hepatitis B patients.
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