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Thymosin Alpha-1

Also called Thymalfasin, Zadaxin, Tα1

SubcutaneousEvidence A

What to know about Thymosin Alpha-1

Thymosin alpha 1 is a 28-amino-acid immune-modulating peptide marketed in some countries and studied across infection, immune, and oncology settings.

How it may work
Laboratory and clinical research suggests effects on innate immune signalling, dendritic cells, T-cell maturation, and inflammatory balance. Effects vary by disease context.
What research found
The 1,106-person TESTS phase 3 trial found no reduction in 28-day all-cause mortality versus placebo in adults with sepsis, superseding optimism from smaller studies.
What is not settled
The large phase 3 trial found no statistically significant difference in prespecified safety outcomes, but that result is specific to its seven-day regimen and setting.
Research and product status
Thymosin alpha 1 is available as a medicine in some countries but has no licensed U.S. product. Country-specific status should not be generalized.

Research reference

Research amount range
1.6–1.6 mg per administration — not a starting amount
Reference frequency
2x per week — catalogue input, not a personal schedule
Evidence route
Subcutaneous in the cited evidence; formulation matters. Sites and rotation
Model accumulation timescale
~10 hours — about five half-lives with regular repeated exposure; not time to a result
Storage
Storage and in-use limits depend on the exact formulation and packaging. A compound name alone cannot establish temperature, diluent, or shelf life. Details

A research and community reference, not medical advice. Figures are descriptive, vary between sources, and are not a recommendation for use.

When results may show

When change was measured
A large recent sepsis study used a seven-day course and assessed 28-day mortality; it found no significant difference from placebo. Older small studies in other settings are not a universal timeline.
When to assess
Outcome timing depends entirely on the specific research setting. The seven-day course and 28-day endpoint cannot be repurposed as a general immune or wellness checkpoint.
Conditions and limitations
No evidence supports transferring a hospital study schedule to general use or adding companion compounds. The underlying condition, route, and monitored setting are essential context.
When to stop
No broad self-directed maintenance or quit rule exists. A neutral large study does not justify extending exposure for an undefined immune goal.

Research timing is descriptive, not a promise or personal instruction. A severe or persistent reaction needs prompt clinical review. This is not medical advice.

Key properties

Formula
C129H215N33O55
Mol. weight
3,108.3 Da
CAS
62304-98-7
PubChem CID
16130571

Vial arithmetic

Published research contexts for Thymosin Alpha-1 describe 1.6–1.6 mg per administration. Descriptive only, not a recommendation.

Roughly 2 hours in plasma.

An immune-modulating peptide licensed as a medicine in roughly 35 countries but never in the US. Human dosing was subcutaneous, so a schedule table is shown; the amount matches the chronic hepatitis B study and the Zadaxin label.

Research schedule reference

Reported schedule context for Thymosin Alpha-1; not a plan to start or adjust personal use.

These are commonly-discussed research protocols shared for educational reference. Study amounts apply to the source's population, formulation, and oversight; they do not establish personal suitability. This is not medical advice and is not a substitute for guidance from a qualified professional.

PhaseAmountFrequencyRoute
Reported scheduleThe amount and spacing given to trial participants in the chronic hepatitis B study and carried on the Zadaxin label.1.6 mgTwice weeklySubQ

Modelled level — 2x per week

1× is the peak after a single dose.

Steady-state peak
1.00× single dose

Read off the modelled curve, not an even-interval formula

Time to steady state
10hours

About five half-lives

Administrations
2/ week

Where these numbers come from

  • Andreone P et al., Hepatology 1996A placebo-controlled study of chronic hepatitis B gave thymosin alpha-1 1.6 mg subcutaneously twice weekly to trial participants over about six months.
  • Zadaxin (thymalfasin) product labelLicensed as a medicine in roughly 35 countries; the label lists 1.6 mg subcutaneously twice weekly.

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