Thymosin Alpha-1
Thymosin Alpha-1 (Ta1) is a 28-amino-acid peptide originally isolated from thymic tissue (thymosin fraction 5) by Allan Goldstein in the 1970s. It is one of the most clinically validated peptides in immunology, approved in 37+ countries under the brand name Zadaxin (thymalfasin) for chronic hepatitis B and C, and as an immune adjuvant in cancer therapy. It has not received FDA approval in the United States, though it was granted orphan drug designation for hepatocellular carcinoma. Ta1 works by enhancing both innate and adaptive immune responses without causing immune overactivation in healthy individuals. For educational purposes only. Not medical advice.
This content is for educational and research purposes only. VialBase does not provide medical advice. Consult a healthcare professional before using any peptide.
Mechanism
Immune modulator — enhances T-cell maturation, dendritic cell function, NK cell activity, and TLR signaling; modulates Treg/Teff balance
Dosing
Clinical dose in approved countries: 1.6 mg SubQ twice weekly. Research protocols up to 3.2 mg. Used clinically in 37+ countries for immune support.
Research summary
| Study | Type | Year | Key Finding |
|---|---|---|---|
| A Case Report of a Multisystemic Immune-Related Adverse Event Caused by Sintilimab in Combination With Thymosin Alpha-1 | Case report | 2026 | Nasopharyngeal carcinoma patient developed multisystem irAEs after sintilimab + Ta1 |
| Neoadjuvant serplulimab + SOX + thymalfasin for stage III G/EGJ adenocarcinoma | Phase II clinical trial | 2026 | 30% pathological complete response (pCR) rate |
| Thymosin alpha1-induced secretion of the IL-15/RA complex by THP-1-derived dendritic cells restrains HIV latency in vitro | In vitro | 2026 | Ta1 induced IL-15/IL-15RA complex secretion from THP-1-derived dendritic cells |
| IL-15 Plus Thymosin alpha1 Reduces Senescent Hepatic CD8+ T Cells in HCC via PI3K/AKT Suppression | Preclinical (aged mouse model + in vitro human cells) | 2026 | IL-15 + Ta1 combination suppressed tumor growth and prolonged survival in aged HCC mice |
| Thymosin alpha1 improves the outcomes of patients with HBV-related ACLF by restoring immune balance | Open-label RCT | 2026 | Ta1 + SMT significantly increased 90-day transplant-free survival vs SMT alone |
| Thymosin Alpha-1 as Immune Adjuvant for COVID-19 Vaccination | — | — | — |
Stacking & interactions
Immune + gut healing
Immune modulation + anti-inflammatory
Immune + anxiolytic/cognitive support
28-day resets featuring Thymosin Alpha-1
Sourcing
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What bloodwork do I need?
Reference ranges are general guidelines. Consult your physician for interpretation.
- CMP
- CBC with differential
- CRP
- ESR
- Immunoglobulins (IgG, IgA, IgM)
- CBC with differential
- CRP
- CMP
- CBC with differential
- Immunoglobulins
Safety & Regulatory Status
Regulatory status for Thymosin Alpha-1 may change. Verify current status with your jurisdiction before use. This is not legal or medical advice.
References
- Li T, Wu BL, Yu CL, Jin LY. A Case Report of a Multisystemic Immune-Related Adverse Event Caused by Sintilimab in Combination With Thymosin Alpha-1. Clin Case Rep (2026). PMID: 41669704
- Phase II Trial investigators. Neoadjuvant serplulimab + SOX + thymalfasin for stage III G/EGJ adenocarcinoma. BMC Med (2026). PMID: 41749205
- Chen C, Xun J, Wang J, et al.. Thymosin alpha1-induced secretion of the IL-15/RA complex by THP-1-derived dendritic cells restrains HIV latency in vitro. Virulence (2026). PMID: 41824632
- Wu F, Guo Z, Guan J, et al.. IL-15 Plus Thymosin alpha1 Reduces Senescent Hepatic CD8+ T Cells in HCC via PI3K/AKT Suppression. J Gastroenterol Hepatol (2026). PMID: 41883056
- Li ZH, Wu LL, Zhu YQ, et al.. Thymosin alpha1 improves the outcomes of patients with HBV-related ACLF by restoring immune balance. Immunopharmacol Immunotoxicol (2026). PMID: 41887933
- Thymosin Alpha-1 as Immune Adjuvant for COVID-19 Vaccination.