Interferon alfa-n3
Also known as: alfa-n3, Alferon N, human leukocyte interferon alpha, n-alpha interferon
Summary
Interferon alfa-n3 is a natural, human leukocyte-derived mixture of alpha interferons approved for intralesional treatment of refractory or recurring condylomata acuminata (genital warts) caused by HPV in adults. It is a purified blend of natural alfa interferons rather than a recombinant single subtype, marketed as Alferon N Injection.
Mechanism of Action
Binds to type I interferon receptors (IFNAR1/IFNAR2) on cell surfaces, activating the JAK-STAT signaling pathway (JAK1 and TYK2), which induces transcription of interferon-stimulated genes. This leads to antiviral, antiproliferative, and immunomodulatory effects. In condylomata acuminata, it exerts direct antiviral activity against human papillomavirus (HPV) and enhances immune-mediated clearance.
Routes of Administration
Goals & Uses
- ImmunomodulationImmunologyModerate
- Treatment of condylomata acuminata (genital warts)Antiviral / DermatologyHigh
- Antiviral activity against HPVAntiviralHigh
Contraindications
- Hypersensitivity to mouse immunoglobulinAllergy / ImmunologyHigh
- Autoimmune diseaseImmuneModerateMay worsen or interact with immune-mediated disease
- Severe psychiatric disorders (pre-existing)PsychiatricHigh
- Hypersensitivity to human interferon alfa or any product componentAllergy / ImmunologyHigh
- Hypersensitivity to egg protein or neomycinAllergyHigh
Adverse Effects
- Flu-like symptoms (fever, chills, myalgia, headache)SystemicCommon
- Fatigue / malaiseSystemicCommon
- Injection site reactions (pain, burning)LocalCommon
- Depression / neuropsychiatric effectsPsychiatric / NeurologicalUncommon
- Elevated liver enzymesHepaticUncommonIncrease in AST/ALT or other hepatic markers
- Leukopenia / neutropeniaHematologicUncommon
Drug Interactions
- Myelosuppressive agentsModerate
- CNS depressants / psychotropic agentsModerate
- TheophyllineModerate
Population Constraints
- PregnancyReproductive SafetyRelative
- Pediatric patients (<18 years)AgeAbsolute
- Severe hepatic or renal impairmentOrgan ImpairmentRelative
- Immunocompromised patientsImmunologicRelative
Regulatory Status
- European UnionUnknownNot widely approved as a distinct product in EU; other interferon alfa products are used
- United StatesApprovedApproved: Refractory or recurring external condylomata acuminata (genital warts) in adults ≥18 yearsFDA-approved since 1989; marketed as Alferon N Injection by Hemispherx Biopharma; availability has been sporadic
- United KingdomUnknownNo specific MHRA approval identified for interferon alfa-n3 as a distinct product
FDA-approved in 1989 for intralesional treatment of refractory or recurring external condylomata acuminata in patients 18 years of age or older. Manufactured by Interferon Sciences / Hemispherx Biopharma. Supply and availability have been intermittent.
Evidence & Sources
No sources recorded yet.