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TG4040 + pegylated interferon + ribavirin is a **three-drug combination** developed for the treatment of chronic hepatitis C virus (HCV) infection. TG4040 is a therapeutic vaccine based on a recombinant Modified Vaccinia Ankara (MVA) viral vector encoding the NS3, NS4, and NS5B antigens of HCV, designed to induce a strong and broad T-cell immune response against HCV. Pegylated interferon (peginterferon alfa-2a or alfa-2b) is a long-acting form of interferon with antiviral and immunomodulatory effects, while ribavirin is a nucleoside analog that enhances viral clearance when used with interferon. This combination therapy aims to boost the host's immune response against HCV (via TG4040) and enhance viral elimination with standard antiviral agents (pegylated interferon + ribavirin). Preclinical and clinical phase 2 data have been published for this triple therapy.
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