Thymosin Alpha-1
Tested in peopleGet notified when the evidence changes.
It has been tested in people, but it is not an approved medicine. The studies are usually small.
Compiled and reviewed by the PeptideSearch Editorial Team · Status checked 2026-08-25
Also called Tα1 / Zadaxin / Thymalfasin
A copy of a natural immune signal, tested in people for hepatitis and severe infection. Results are mixed and it is not approved in the US.
The basics
- What is it?
- A copy of a natural peptide the immune system uses as a signal.
- What do we know?
- It has been tested in people with hepatitis and with severe infection, and it is used as a medicine in some countries.
- What do we still not know?
- Whether it clearly helps. Results across studies do not point the same way.
Official status: Not nominated for 503A compounding · Checked 2026-08-25
Can a doctor prescribe this?
- Small pharmacy (503A)
- Never put forward to FDA
- Large outsourcing facility (503B)
- Category 3 — not enough evidence sent in
Not FDA approved in the United States. Nobody has put it forward for small-pharmacy (503A) compounding — it does not appear anywhere in the FDA 503A category document — so there is no 503A pathway and no 503A restriction either. Its only appearance is on the separate list for large outsourcing facilities (503B).
503A is a pharmacy making a single prescription for one patient. 503B is a facility making batches. They are governed by separate lists. Where a category is shown, it is a position on the FDA's list of substances that have been put forward and are still being worked through — not the final list, which is set by rulemaking. Category 1 means the FDA does not plan to act against a pharmacy that makes it while the review runs.
Lab suppliers we list: 14
Doses used in research
Taken word for word from the studies and trials listed on this page. This is not a recommendation and not a dose for anyone to take.
This is a sample, not the whole literature.
About 2,000 papers mentioning this compound have been published. We show a selected sample of 82 of them, not the full literature. How we choose them · count checked 2026-08-23
- Study in peopleNeoadjuvant immunochemotherapy plus thymalfasin in locally advanced gastric cancer: a prospective clinical trial.
BMC medicine · 2026
- Study in peopleIL-15 Plus Thymosin α1 Reduces Senescent Hepatic CD8<sup>+</sup> T Cells in Hepatocellular Carcinoma via PI3K/AKT Suppression.
Journal of gastroenterology and hepatology · 2026
- Study in peoplePreliminary results from a phase II trial of spatially fractionated radiotherapy combined with immunotherapy and anti-angiogenic therapy in patients with bulky solid tumors: early evidence of promising efficacy and favorable safety.
Radiation oncology (London, England) · 2026
- Study in peopleEfficacy of Thymosin Alpha 1 Combined with Sivelestat and Ambroxol in Elderly Sepsis-Associated ARDS: A Randomized Trial
2025
- Study in peopleIndications for an antidepressive effect of thymosin alpha-1 in a small open-label proof of concept study in common variable immune deficiency patients with depression.
Brain, behavior, & immunity - health · 2025
- Study in peopleEffect of thymosin α1 on Immune response and organ function in acute aortic dissection surgery: PANDA II trial protocol.
Future cardiology · 2025
- Study in peopleImmune-Enhancing Treatment among Acute Necrotizing Pancreatitis Patients with Metabolic Abnormalities: A <i>Post Hoc</i> Analysis of a Randomized Clinical Trial.
Gut and liver · 2024
- Study in peopleA pilot trial of Thymalfasin (Ta1) to prevent covid-19 infection and morbidities in renal dialysis patients: Preliminary report.
International immunopharmacology · 2023
- Study in peopleImmune enhancement in patients with predicted severe acute necrotising pancreatitis: a multicentre double-blind randomised controlled trial.
Intensive care medicine · 2022
- Study in peopleThymosin alpha 1 in the prevention of infected pancreatic necrosis following acute necrotising pancreatitis (TRACE trial): protocol of a multicentre, randomised, double-blind, placebo-controlled, parallel-group trial.
BMJ open · 2020
- Study in peopleCombination of entecavir with thymosin alpha-1 in HBV-related compensated cirrhosis: a prospective multicenter randomized open-label study.
Expert opinion on biological therapy · 2018
- Study in people[Effect of transcatheter arterial chemoembolization combined with thymosin alpha 1 on the autophagy of immune cells from advanced hepatocellular carcinoma].
Zhonghua yi xue za zhi · 2017
- Study in peopleSafety and Efficacy of Nucleic Acid Polymers in Monotherapy and Combined with Immunotherapy in Treatment-Naive Bangladeshi Patients with HBeAg+ Chronic Hepatitis B Infection.
PloS one · 2016
- Study in people[Effect of Acupuncture on Prognosis and Immune Function of Sepsis Patients].
Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine · 2015
- Study in peopleThe efficacy of thymosin alpha 1 for severe sepsis (ETASS): a multicenter, single-blind, randomized and controlled trial.
Critical care (London, England) · 2013
- Study in peopleThymosin alpha-1 with peginterferon alfa-2a/ribavirin for chronic hepatitis C not responsive to IFN/ribavirin: an adjuvant role?
Journal of viral hepatitis · 2012
- Study in peopleThymosin alpha 1 is associated with improved cellular immunity and reduced infection rate in severe acute pancreatitis patients in a double-blind randomized control study.
Inflammation · 2011
- Study in peopleLarge randomized study of thymosin alpha 1, interferon alfa, or both in combination with dacarbazine in patients with metastatic melanoma.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2010
- Study in peopleThymosin alpha 1 provides short-term and long-term benefits in the reimplantation of avulsed teeth: a double-blind randomized control pilot study.
The American journal of emergency medicine · 2008
- Study in peopleCombination therapy of thymosin alpha-1 and lamivudine for HBeAg positive chronic hepatitis B: A prospective randomized, comparative pilot study.
Journal of gastroenterology and hepatology · 2008
- Study in peopleThe efficacy and safety of thymosin alpha-1 in Japanese patients with chronic hepatitis B; results from a randomized clinical trial.
Journal of viral hepatitis · 2005
- Study in peopleThymosin-alpha 1 plus interferon-alpha for naive patients with chronic hepatitis C: results of a randomized controlled pilot trial.
Journal of viral hepatitis · 2004
- Study in peopleCombination therapy of thymalfasin (thymosin-alpha 1) and peginterferon alfa-2a in patients with chronic hepatitis C virus infection who are non-responders to standard treatment.
Journal of gastroenterology and hepatology · 2004
- Study in peopleA pilot study of the safety and efficacy of thymosin alpha 1 in augmenting immune reconstitution in HIV-infected patients with low CD4 counts taking highly active antiretroviral therapy.
Clinical and experimental immunology · 2003
- Study in peopleLong-term outcomes of thymosin-alpha 1 and interferon alpha-2b combination therapy in patients with hepatitis B e antigen (HBeAg) negative chronic hepatitis B.
Journal of pharmaceutical sciences · 2003
- Study in peopleA double-blind, placebo-controlled, pilot trial of thymosin alpha 1 for the treatment of chronic hepatitis C.
Liver · 1996
- Study in peopleCombination low-dose lymphoblastoid interferon and thymosin alpha 1 therapy in the treatment of chronic hepatitis B.
Journal of viral hepatitis · 1996
- Study in peopleSequential chemoimmunotherapy for advanced non-small cell lung cancer using cisplatin, etoposide, thymosin-alpha 1 and interferon-alpha 2a.
European journal of cancer (Oxford, England : 1990) · 1995
- Study in peopleCombination treatment with zidovudine, thymosin alpha 1 and interferon-alpha in human immunodeficiency virus infection.
International journal of clinical & laboratory research · 1994
- Study in peopleBiochemotherapy with thymosin alpha 1, interleukin-2 and dacarbazine in patients with metastatic melanoma: clinical and immunological effects.
Annals of oncology : official journal of the European Society for Medical Oncology · 1994
- Study in peopleA randomized trial to evaluate the immunorestorative properties of synthetic thymosin-alpha 1 in patients with lung cancer.
Journal of biological response modifiers · 1985
- Study in peopleT-cell abnormalities after mediastinal irradiation for lung cancer. The in vitro influence of synthetic thymosin alpha-1.
Cancer · 1985
- Data from people, not a trialA Case Report of a Multisystemic Immune-Related Adverse Event Caused by Sintilimab in Combination With Thymosin Alpha-1.
Clinical case reports · 2026
- Data from people, not a trialThe efficacy and safety of thymosin alpha-1 combined with lenvatinib plus sintilimab in unresectable hepatocellular carcinoma: a retrospective study.
Scientific reports · 2025
- Data from people, not a trialThymosin alpha 1 restores the immune homeostasis in lymphocytes during Post-Acute sequelae of SARS-CoV-2 infection.
International immunopharmacology · 2023
- Data from people, not a trialAnti-PD-1 antibody therapy combined with thymosin alpha-1 improves the postoperative prognosis in patients with hepatocellular carcinoma after hepatectomy: a prospective cohort study
2023
- Data from people, not a trial[Thymosin alpha 1 for the adjuvant treatment of coronavirus disease 2019: a retrospective cohort study].
Zhonghua wei zhong bing ji jiu yi xue · 2022
- Data from people, not a trialThymosin Alpha-1 Has no Beneficial Effect on Restoring CD4+ and CD8+ T Lymphocyte Counts in COVID-19 Patients.
Frontiers in immunology · 2021
- Data from people, not a trialThymosin Alpha 1 Mitigates Cytokine Storm in Blood Cells From Coronavirus Disease 2019 Patients.
Open forum infectious diseases · 2021
- Data from people, not a trialEfficacy of Thymosin Alpha 1 in the Treatment of COVID-19: A Multicenter Cohort Study.
Frontiers in immunology · 2021
- Data from people, not a trialThymosin alpha-1 therapy improves postoperative survival after curative resection for solitary hepatitis B virus-related hepatocellular carcinoma: A propensity score matching analysis.
Medicine · 2021
- Data from people, not a trialGender-associated difference following COVID-19 virus infection: Implications for thymosin alpha-1 therapy.
International immunopharmacology · 2021
- Data from people, not a trialThymosin Alpha 1 Reduces the Mortality of Severe Coronavirus Disease 2019 by Restoration of Lymphocytopenia and Reversion of Exhausted T Cells.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
- Animal study, rats or miceThymosin Alpha-1 Restores Chemotherapy-Induced Antitumor Immunity by Chaperoning a MicroRNA Ligand of TLR7 in Dendritic Cells.
Cancer research · 2026
- Animal study, rats or miceThymosin Alpha-1 Provides Direct Neuroprotection by Engaging the Orexin Receptor HCRTR1 to Suppress Neuronal Necroptosis.
Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
- Animal study, rats or miceThymosin alpha 1 as an adjuvant to hyperthermic intraperitoneal chemotherapy in an experimental model of peritoneal metastases from colonic carcinoma.
International immunopharmacology · 2022
- Animal study, rats or miceThymosin alpha 1 exerts beneficial extrapulmonary effects in cystic fibrosis.
European journal of medicinal chemistry · 2021
- Animal study, rats or miceThymosin alpha-1 blocks the accumulation of myeloid suppressor cells in NSCLC by inhibiting VEGF production.
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2020
- Animal study, rats or miceThymosin Alpha-1 Inhibits Complete Freund's Adjuvant-Induced Pain and Production of Microglia-Mediated Pro-inflammatory Cytokines in Spinal Cord.
Neuroscience bulletin · 2019
- Lab dish studyThymosin α1 Augments CD8⁺ T-Cell Activation and Reverses Exhaustion In Vitro.
Asian Pacific journal of cancer prevention : APJCP · 2026
- Lab dish studyThe Immunomodulatory Activity of Thymosin Alpha 1 on Tumor Cell Lines and Distinct Immune Cell Subsets.
OncoTargets and therapy · 2025
- Lab dish studyExploiting the potential of <i>in situ</i> forming liquid crystals: development and <i>in vitro</i> performance of long-acting depots for peptide drug thymosin alpha 1 subcutaneous administration.
Drug delivery · 2025
- Lab dish studyEnhanced Immunomodulatory Effects of Thymosin-Alpha-1 in Combination with Polyanionic Carbosilane Dendrimers against HCMV Infection.
International journal of molecular sciences · 2024
- Lab dish studyImmune modulation via dendritic cells by the effect of Thymosin-alpha-1 on immune synapse in HCMV infection.
International immunopharmacology · 2023
- Lab dish studyCombination of Gemcitabine and Thymosin alpha 1 exhibit a better anti-tumor effect on nasal natural killer/T-cell lymphoma.
International immunopharmacology · 2021
- Lab dish studyThymosin alpha-1 Protected T Cells from Excessive Activation in Severe COVID-19
2020
- Aging and Thymosin Alpha-1.
International journal of molecular sciences · 2025
- Phenotypic drug discovery: a case for thymosin alpha-1.
Frontiers in medicine · 2024
- A Prospective and Randomized Control Study on Effects of Thymalfasin for Injection on Perioperative Immune Function and Long-term Prognosis of Patients with Colorectal Cancer.
Biotechnology & genetic engineering reviews · 2024
- Thymosin alpha 1 - Reimagine its broader applications in the immuno-oncology era.
International immunopharmacology · 2023
- Clinical efficacy of thymosin alpha 1 combined with multi-modality chemotherapy and its effects on immune function of patients with pulmonary tuberculosis complicated with diabetes.
Pakistan journal of medical sciences · 2022
- Immunopotentiator thymosin alpha-1 attenuates inflammatory pain by modulating the Wnt3a/β-catenin pathway in spinal cord.
Neuroreport · 2020
- Modified Thymosin Alpha 1 Distributes and Inhibits the Growth of Lung Cancer in Vivo.
ACS omega · 2020
- Fusion of thymosin alpha 1 with mutant IgG1 CH3 prolongs half-life and enhances antitumor effects in vivo.
International immunopharmacology · 2019
- [The prophylactic effect of thymosin alpha 1 on the acute exacerbation of chronic obstructive pulmonary disease].
Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2008
- Thymosin alpha 1 as an adjunct to influenza vaccination in the elderly: rationale and trial summaries.
Annals of the New York Academy of Sciences · 2007
- Efficacy of thymosin alpha-1 and interferon alpha in treatment of chronic viral hepatitis B: a randomized controlled study.
World journal of gastroenterology · 2006
- A randomized, controlled, clinical study of thymosin alpha-1 versus interferon-alpha in [corrected] patients with chronic hepatitis B lacking HBeAg in China [corrected].
Journal of the Chinese Medical Association : JCMA · 2005
- The combined treatment of interferon alpha-2a and thymosin alpha 1 for chronic hepatitis C: the 48 weeks end of treatment results.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2001
- No abstract available, not yet classifiedA pilot study of thymosin-alpha 1 therapy for chronic hepatitis D.
Journal of clinical gastroenterology · 1996
- Polyethylene glycol-modified interleukin-2 and thymosin alpha 1 in human immunodeficiency virus type 1 infection.
The Journal of infectious diseases · 1996
- Treatment with thymosin alpha-1 increases fertilizing capacity of sperm of infertile men: a multicenter trial.
Archives of andrology · 1995
- Review of earlier workThymosin alpha 1 alleviates inflammation and prevents infection in patients with severe acute pancreatitis through immune regulation: a systematic review and meta-analysis.
Frontiers in immunology · 2025
- Review of earlier workComprehensive Review of the Safety and Efficacy of Thymosin Alpha 1 in Human Clinical Trials.
Alternative therapies in health and medicine · 2024
- Review of earlier workThymosin Alpha 1 Plus Routine Treatment for the Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP · 2024
- Review of earlier workPD-1 inhibitor combined with SBRT, GM-CSF, and thymosin alpha-1 in metastatic breast cancer: A case report and literature review.
Medicine · 2024
- Review of earlier workThe efficacy of thymosin alpha-1 therapy in moderate to critical COVID-19 patients: a systematic review, meta-analysis, and meta-regression.
Inflammopharmacology · 2023
- Review of earlier workThymosin alpha 1: A comprehensive review of the literature.
World journal of virology · 2020
- Review of earlier workThe clinical efficacy and adverse effects of Entecavir plus Thymosin alpha-1 combination therapy versus Entecavir Monotherapy in HBV-related cirrhosis: a systematic review and meta-analysis.
BMC gastroenterology · 2020
- Review of earlier workThymosin alpha 1 treatment for patients with sepsis.
Expert opinion on biological therapy · 2018
- Review of earlier workSerum thymosin alpha 1 levels in normal and pathological conditions.
Expert opinion on biological therapy · 2018
- Review of earlier workLong-term follow up of metastatic melanoma patients treated with Thymosin alpha-1: investigating immune checkpoints synergy.
Expert opinion on biological therapy · 2018
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What has happened so far
- 21 March 2025503B
FDA lists "Thymosin alpha-1" under 503B Category 3: Bulk Drug Substances Nominated Without Adequate Support. This is the only FDA compounding list it appears on; there is no 503A entry. Read from the FDA 503B category document dated March 21, 2025.