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Thymosin-alpha-1

Thymalfasin, Zadaxin, Thymosin α1

A synthetic 28-amino acid peptide that enhances immune function by modulating T-cell activity, used for viral infections and immunodeficiencies.

Quick Stats
Studies 759
Trials 63
Formula C129H215N33O55
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Utility 4
pubmed Mar 3, 2023

Thymosin alpha 1 - Reimagine its broader applications in the immuno-oncology era.

Mao. Li L

Thymosin alpha‑1 (Tα1) is a tiny peptide that boosts T‑cell function and has a solid safety record. Recent clinical data show it can improve overall survival after surgery for lung and liver cancers, lessen the drop in immune cells caused by chemo‑radiation, and may help turn “cold” tumors into “hot” ones that respond better to checkpoint‑inhibitor drugs. Pre‑clinical work also suggests it can reduce side‑effects like colitis from those immunotherapies.

Utility 4
pubmed May 1, 2005

The efficacy and safety of thymosin alpha-1 in Japanese patients with chronic hepatitis B; results from a randomized clinical trial.

Iino. S S; Toyota. J J; Kumada. H H; Kiyosawa. K K; Kakumu. S S; Sata. M M; Suzuki. H H; Martins. E...

Thymosin‑alpha‑1 (Tα1) taken at either 0.8 mg or 1.6 mg daily for 24 weeks helped a good share of chronic hepatitis B patients lower liver enzymes, clear the virus from the blood, and lose the HBe‑antigen, with benefits still visible a year after stopping the drug. Side effects were mild and similar at both doses.

Utility 4
pubmed Oct 1, 2012

Thymosin α1 continues to show promise as an enhancer for vaccine response.

Tuthill. Cynthia C; Rios. Israel I; De Rosa. Alfonso A; Camerini. Roberto R

Thymosin‑alpha‑1 is a short peptide that can boost how well your body responds to vaccines. In both animal work and human studies it helped older or otherwise immune‑compromised people make more antibodies and stronger T‑cell defenses, even cutting down the number of vaccine shots needed in some cases. Giving the peptide twice around the time of a flu shot led to a faster and bigger immune response.

Utility 4
pubmed Dec 14, 2011

Thymosin-alpha 1 (Zadaxin) enhances the immunogenicity of an adjuvated pandemic H1N1v influenza vaccine (Focetria) in hemodialyzed patients: a pilot study.

Carraro. G G; Naso. A A; Montomoli. E E; Gasparini. R R; Camerini. R R; Panatto. D D; Tineo. M C MC;...

In a small pilot study, adding the peptide Thymosin‑alpha‑1 to a pandemic H1N1 flu shot made the vaccine work better in people on dialysis, who normally have weak immune responses. Both low (3.2 mg) and higher (6.4 mg) doses improved antibody levels without extra side effects, suggesting the peptide can safely boost vaccine effectiveness.

Utility 4
pubmed 2002

[Fusion expression of human thymosin alpha 1 in Escherichia coli].

Xiu. Zhao-Yang ZY; Yu. Ying Y; Chen. Chang-Qing CQ

Scientists built a bacteria strain that can make the peptide thymosin‑alpha‑1, then cut it out to get about 0.2 g of pure, active peptide per litre of culture. The process is fairly efficient and the product works like the natural version, meaning hobby labs could potentially produce their own supply if they have the right equipment.

Utility 4
pubmed 2001

Clonal growth inhibition as a bioassay for thymosin alpha1: inactivation of Talpha1 by trifluroacetic acid.

Bianco-Batlles. D D; Naylor. C W CW; Moshier. J A JA; Dosescu. J J; Naylor. P H PH

The study shows that exposing thymosin‑alpha‑1 to the acid trifluoroacetic acid (TFA) wipes out its immune‑boosting effects, even though standard lab tests like HPLC can’t tell the difference. Heat doesn’t harm the peptide, so the loss of activity is specific to TFA. This means how you handle and store the peptide matters a lot for it to work.

Utility 4
pubmed 2004

[Clinical trial of sequential antiviral therapy for patients with chronic hepatitis B in China].

Lei. Chun-liang CL; Peng. Xiao-mou XM; Tang. Xiao-ping XP; Yang. Zhan Z; Fan. Hui-min HM; Yuan. Xiao...

A Chinese clinical trial tested a step‑by‑step treatment for chronic hepatitis B that starts with thymosin‑alpha‑1, adds interferon, then later adds lamivudine. This “sequential” plan gave much higher rates of virus‑clearance markers and liver‑enzyme normalization than using lamivudine alone, and performed about as well as giving thymosin‑alpha‑1 and interferon together from the start.

Utility 3
pubmed Mar 22, 2023

Thymosin alpha 1 restores the immune homeostasis in lymphocytes during Post-Acute sequelae of SARS-CoV-2 infection.

Minutolo. Antonella A; Petrone. Vita V; Fanelli. Marialaura M; Maracchioni. Christian C; Giudice. Ma...

The study shows that thymosin‑alpha‑1 can help fix the messed‑up immune system seen in people with long COVID, especially those who were very sick during the infection, by boosting low‑count T‑cells and improving some lingering physical and mental symptoms.

Utility 3
pubmed Aug 6, 2020

Thymosin α1 therapy in critically ill patients with COVID-19: A multicenter retrospective cohort study.

Wu. Ming M; Ji. Jing-Jing JJ; Zhong. Li L; Shao. Zi-Yun ZY; Xie. Qi-Feng QF; Liu. Zhe-Ying ZY; Wang....

A study in China looked at giving the peptide thymosin‑alpha‑1 to very sick COVID‑19 patients. It found that people who got the drug were less likely to die within 28 days, especially those who were older and had worse lab numbers. The benefit was seen mainly in the most critical cases, and the drug also seemed to improve lung oxygen levels.

Utility 3
pubmed Aug 28, 2023

Mechanism and clinical application of thymosin in the treatment of lung cancer.

Liu. Yafeng Y; Lu. Jibin J

This paper reviews how thymosin‑alpha‑1, a peptide that boosts the immune system, is being used alongside standard lung‑cancer treatments. It shows that adding thymosin can improve patient outcomes in some studies, but the exact doses and schedules aren’t settled yet. The review also points to future research needed before it becomes a routine part of cancer care.

Utility 3
pubmed Dec 24, 2020

PASylated Thymosin α1: A Long-Acting Immunostimulatory Peptide for Applications in Oncology and Virology.

Binder. Uli U; Skerra. Arne A

Scientists made a new version of the immune‑boosting peptide thymosin‑alpha‑1 that sticks around in the blood much longer by attaching a big, floppy PAS chain and adding an acetyl group. In rats the modified peptide lasted over eight times longer than the regular one, meaning fewer injections could be needed. The method also makes the peptide easier to produce and more stable, but it’s still only tested in animals, not humans.

Utility 3
pubmed Mar 13, 2023

Novel evidence of Thymosin α1 immunomodulatory properties in SARS-CoV-2 infection: Effect on innate inflammatory response in a peripheral blood mononuclear cell-based in vitro model.

Ricci. Daniela D; Etna. Marilena Paola MP; Severa. Martina M; Fiore. Stefano S; Rizzo. Fabiana F; Ia...

This study shows that the peptide thymosin‑alpha‑1 can calm down the early immune over‑reaction seen in COVID‑19 by lowering harmful inflammatory signals and boosting a calming signal, at least in lab‑grown blood cells. It doesn’t give dosing tips or human trial results, but it supports the idea that Tα1 might help manage the “cytokine storm” during viral infections.

Utility 3
pubmed Dec 1, 2024

Thymosin Alpha 1 Plus Routine Treatment for the Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.

Cao. Ailing A; Feng. Fanchao F; Zhou. Xianmei X

A big review of 39 trials found that adding the peptide thymosin‑alpha‑1 to standard care helped people with sudden flare‑ups of COPD breathe better, get more oxygen, have lower carbon‑dioxide levels, stay in hospital shorter, and showed stronger immune cells.

Utility 3
pubmed Aug 2, 2021

Efficacy of Thymosin Alpha 1 in the Treatment of COVID-19: A Multicenter Cohort Study.

Liu. Jiao J; Shen. Yanfei Y; Wen. Zhenliang Z; Xu. Qianghong Q; Wu. Zhixiong Z; Feng. Huibin H; Li....

A big study in China looked at people with COVID‑19 who got the peptide thymosin‑alpha‑1 and found they did worse than those who didn’t get it. They were more likely to stay sick, die, need a ventilator, develop lung injury, kidney injury, and spend longer in the ICU. Starting the peptide later or using it in very sick patients made the risk even higher.

Utility 3
pubmed Sep 25, 2023

Thymalfasin therapy accelerates COVID-19 pneumonia rehabilitation through anti-inflammatory mechanisms.

Wang. Zirui Z; Wang. Cong C; Fei. Xiaohua X; Wu. Haixing H; Niu. Peiqin P; Shen. Changxing C

A study of 338 COVID‑19 patients found that those given thymosin‑alpha‑1 (Thymalfasin) got better faster – they stayed in the hospital shorter, were less likely to become severely ill, cleared the virus quicker, and felt less fever and fatigue.

Utility 3
pubmed Mar 24, 2023

Association between pretreatment lymphocyte count and efficacy of immune-enhancing therapy in acute necrotising pancreatitis: a post-hoc analysis of the multicentre, randomised, placebo-controlled TRACE trial.

Ke. Lu L; Mao. Wenjian W; Shao. Fang F; Zhou. Jing J; Xu. Minyi M; Chen. Tao T; Liu. Yuxiu Y; Tong....

The study found that the immune‑boosting peptide thymosin‑alpha‑1 can lower the chance of infected pancreatic tissue death in severe pancreatitis, but only in patients who already have a decent number of lymphocytes (a type of white blood cell). People with low lymphocyte counts didn’t see the benefit. This suggests the drug works best when the immune system isn’t already weakened.

Utility 3
pubmed Jul 12, 2025

Unveiling lymphocyte dynamics: Navigating postoperative immune landscapes in gastric cancer patients undergoing laparoscopic D2 gastrectomy.

Gao. Chun C; Zhu. Li L; Tong. Yi Xin YX; Zhang. Sheng S

After stomach cancer surgery, patients lose a lot of immune cells like T, B, and NK cells. Giving the peptide thymosin‑alpha‑1 helped keep these cells from dropping as much, especially T and B cells. This suggests the peptide can protect the immune system during big physical stress, though the study was in cancer patients, not healthy people.

Utility 3
pubmed Dec 1, 2024

Effect analysis of entecavir on serum hyaluronic acid, laminin and IV collagen in the treatment of hepatitis B E-antigen-positive chronic hepatitis B.

Qian. Jiancheng J; Sun. Xiaoyong X; Cheng. Yue Y

Adding the immune‑boosting peptide thymosin‑alpha‑1 (thymalfasin) to the standard antiviral drug entecavir helped patients with chronic hepatitis B show lower liver enzymes, better immune cell counts, and reduced markers of liver scarring compared to entecavir alone.

Utility 3
pubmed Oct 8, 2022

Identification and determination of structurally related peptide impurities in thymalfasin by liquid chromatography-high-resolution mass spectrometry.

Cheng. Yuya Y; Wu. Peize P; Kan. Ying Y; Li. Ming M; Li. Hongmei H

The study mapped out many tiny chemical variations (impurities) in the peptide thymosin‑alpha‑1, showing that most of them come from the last building block (asparagine) which isn’t needed for its immune‑boosting effect. This means commercial products may contain unwanted side‑products, and a cleaner version could be made by removing or altering that last piece.