Home Compounds Immune & Anti-Aging Thymosin Alpha-1
Immune & Anti-Aging Research High Evidence

Thymosin Alpha-1

Naturally occurring thymus-derived peptide. FDA-approved (Zadaxin) in 35+ countries. Most studied immune-modulating peptide with decades of clinical data in infectious disease and oncology.

immunethymusT-cellNK cellFDAinfectious diseasecancerCOVID
Half-life
2 hours
SKUs
2
Evidence
High Evidence

Thymosin Alpha-1 (TA-1) is a 28-amino-acid peptide naturally produced by the thymus gland that plays a key role in T-cell maturation and immune regulation. It is available commercially as Zadaxin (thymalfasin) and is approved in more than 30 countries for hepatitis B, hepatitis C, and as a vaccine adjuvant. It represents one of the most clinically advanced thymic peptides with a substantial body of human clinical trial evidence.

Hepatitis B and C Treatment
TA-1 is approved and clinically used for chronic hepatitis B and C in multiple countries. Clinical trials show improvements in seroconversion rates and viral load reduction, particularly when combined with interferon. It is considered an immune modulator that enhances the antiviral response.
Vaccine Adjuvant Research
TA-1 has been studied as an adjuvant to enhance immune responses to vaccines, particularly in elderly individuals and immunocompromised patients who may have blunted responses to standard vaccines. Research shows improved antibody titers with TA-1 co-administration.
Sepsis and Critical Illness
TA-1 has been studied in sepsis — a life-threatening immune dysregulation. Research and some clinical trials suggest it may help restore immune competence in sepsis-associated immunosuppression, with reductions in secondary infection rates observed in some studies.
Oncology Support
Clinical research has examined TA-1 alongside chemotherapy to reduce treatment-related immunosuppression. Studies show reductions in infectious complications and improvements in immune markers during cancer treatment.
  • Approved in 35+ countries for hepatitis B and C with randomized controlled trial evidence.
  • Improves vaccine responses in elderly and immunocompromised patients.
  • Some evidence for benefit in sepsis and critical illness-associated immunosuppression.
  • Reduces infectious complications during cancer chemotherapy.
  • Well-tolerated with a long clinical track record.

Thymosin Alpha-1 is not FDA-approved in the United States, though it has regulatory approval in many other countries. In the US it would be used off-label or under investigational status. The evidence quality varies by indication — strongest for hepatitis, more preliminary for other applications. Cost can be significant.

Thymosin Alpha-1 is the most biologically active peptide produced by the thymus for T-cell education. It works by activating dendritic cells — the immune system's intelligence cells that present threats to T-cells for recognition — and by directly stimulating T-cell maturation and function. It activates toll-like receptor 9 signaling, which puts the immune system in an alert state appropriate for fighting infections. Unlike immunosuppressants, which broadly reduce immune activity, TA-1 is an immune modulator — it enhances appropriate immune responses without triggering autoimmune reactions. This makes it useful in contexts where the immune system is underperforming rather than overactive.

Thymosin Alpha-1 has an excellent safety profile based on decades of clinical use globally. It is remarkably well-tolerated with injection site reactions being the primary adverse effect. No significant drug interactions or serious adverse events have been consistently identified across its broad clinical use. It is not FDA-approved but is widely used clinically in other countries.

High Evidence

This compound has been studied in multiple large randomized controlled trials with human subjects. The evidence base is strong and consistent across independent research groups.

Published Research Ranges
1.6mg 2x weekly (approved dose in clinical use)
Research Context Only: These are ranges reported in published scientific studies for educational reference. They are not dosing recommendations. This is not medical advice. Always consult a qualified healthcare professional.

Sources listed here are from the platform research library. All links open the original publication. No citations are generated by AI.

Thymosin Alpha 1 and Its Role in Immunotherapy: A Review
Annals of the New York Academy of Sciences • 2010  • DOI: 10.1111/j.1749-6632.2010.05534.x
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Thymosin Alpha 1 in COVID-19 Critical Illness — Observational Evidence
International Immunopharmacology • 2020  • DOI: 10.1016/j.intimp.2020.106879
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Zadaxin (Thymalfasin, Thymosin Alpha-1) for Hepatitis B: Randomized Controlled Trial
Hepatology • 1995  • DOI: 10.1002/hep.1840220513
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Thymosin Alpha-1 as an Immune Adjuvant in Cancer: Mechanisms and Evidence
Expert Review of Clinical Immunology • 2021  • DOI: 10.1080/1744666X.2021.1940133
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Systematic Review of Thymosin Alpha 1 Clinical Trials in Infectious Disease
Journal of Infection • 2021  • DOI: 10.1016/j.jinf.2021.02.028
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A pilot trial of Thymalfasin (Ta1) to prevent covid-19 infection and morbidities in renal dialysis patients: Preliminary report
 • 2023  • DOI: 10.1016/j.intimp.2023.109950
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The efficacy of thymosin alpha 1 for severe sepsis (ETASS): a multicenter, single-blind, randomized and controlled trial
 • 2013  • DOI: 10.1186/cc11932
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A randomized controlled clinical trial on the treatment of Thymosin a1 versus interferon-alpha in patients with hepatitis B
 • 2001  • DOI: 10.3748/wjg.v7.i3.411
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Hypofractionated radiotherapy combined with a PD-1 inhibitor, granulocyte macrophage-colony stimulating factor, and thymosin-α1 in advanced metastatic solid tumors: a multicenter Phase II clinical trial
 • 2025  • DOI: 10.1007/s00262-024-03934-9
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Safety and Efficacy of Nucleic Acid Polymers in Monotherapy and Combined with Immunotherapy in Treatment-Naive Bangladeshi Patients with HBeAg+ Chronic Hepatitis B Infection
 • 2016  • DOI: 10.1371/journal.pone.0156667
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Efficacy of thymosin α1 for sepsis: a systematic review and meta-analysis of randomized controlled trials
 • 2025  • DOI: 10.3389/fcimb.2025.1673959
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Thymosin alpha1 use in adult COVID-19 patients: A systematic review and meta-analysis on clinical outcomes
 • 2023  • DOI: 10.1016/j.intimp.2022.109584
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Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults
 • 2020  • DOI: 10.1111/apa.15270
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The efficacy of thymosin α1 as immunomodulatory treatment for sepsis: a systematic review of randomized controlled trials
 • 2016  • DOI: 10.1186/s12879-016-1823-5
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Thymic peptides for treatment of cancer patients
 • 2011  • DOI: 10.1002/14651858.cd003993.pub3
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A Comprehensive Overview of Antimicrobial Peptides: Broad-Spectrum Activity, Computational Approaches, and Applications
 • 2025  • DOI: 10.3390/antibiotics14111115
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Aging and Thymosin Alpha-1
 • 2025  • DOI: 10.3390/ijms262311470
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Phenotypic drug discovery: a case for thymosin alpha-1
 • 2024  • DOI: 10.3389/fmed.2024.1388959
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Amino acid metabolism in immune cells: essential regulators of the effector functions, and promising opportunities to enhance cancer immunotherapy
 • 2023  • DOI: 10.1186/s13045-023-01453-1
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Thymosin α1 and Its Role in Viral Infectious Diseases: The Mechanism and Clinical Application
 • 2023  • DOI: 10.3390/molecules28083539
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Therapeutic applications of thymosin peptides: a patent landscape 2018-present
 • 2023  • DOI: 10.1080/13543776.2023.2298833
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A Critical Analysis of the FDA's Omics-Driven Pharmacodynamic Biomarkers to Establish Biosimilarity
 • 2023  • DOI: 10.3390/ph16111556
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Sepsis-induced immunosuppression: mechanisms, diagnosis and current treatment options
 • 2022  • DOI: 10.1186/s40779-022-00422-y
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Acute Pancreatitis: Diagnosis and Treatment
 • 2022  • DOI: 10.1007/s40265-022-01766-4
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Development of Anticancer Peptides Using Artificial Intelligence and Combinational Therapy for Cancer Therapeutics
 • 2022  • DOI: 10.3390/pharmaceutics14050997
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A Review on Measures to Rejuvenate Immune System: Natural Mode of Protection Against Coronavirus Infection
 • 2022  • DOI: 10.3389/fimmu.2022.837290
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Immunosuppressive Mechanisms of Regulatory B Cells
 • 2021  • DOI: 10.3389/fimmu.2021.611795
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An update on drugs with therapeutic potential for SARS-CoV-2 (COVID-19) treatment
 • 2021  • DOI: 10.1016/j.drup.2021.100794
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T cell immunobiology and cytokine storm of COVID-19
 • 2021  • DOI: 10.1111/sji.12989
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Immunotherapies and immunomodulatory approaches in clinical trials - a mini review
 • 2021  • DOI: 10.1080/21645515.2020.1871295
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Antiviral Activity and Pharmacokinetics of the Hepatitis B Virus (HBV) Capsid Assembly Modulator GLS4 in Patients With Chronic HBV Infection
 • 2021  • DOI: 10.1093/cid/ciaa961
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Neoadjuvant immunochemotherapy plus thymalfasin in locally advanced gastric cancer: a prospective clinical trial
 • 2026  • DOI: 10.1186/s12916-026-04740-z
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Persistent Control of Hepatitis B Virus and Hepatitis Delta Virus Infection Following REP 2139-Ca and Pegylated Interferon Therapy in Chronic Hepatitis B Virus/Hepatitis Delta Virus Coinfection
 • 2021  • DOI: 10.1002/hep4.1633
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Mucosal immune response in biology, disease prevention and treatment
 • 2025  • DOI: 10.1038/s41392-024-02043-4
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Review of trials currently testing treatment and prevention of COVID-19
 • 2020  • DOI: 10.1016/j.cmi.2020.05.019
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Pancreatic ductal adenocarcinoma: integrating molecular insights for targeted interventions
 • 2026  • DOI: 10.1038/s41392-026-02705-5
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Immunotherapy for microsatellite-stable colorectal cancer: overcoming resistance and exploring novel therapeutic strategies
 • 2026  • DOI: 10.3393/ac.2025.01354.0193
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The Inclusion of Dietary and Medicinal Mushrooms into Translational Oncology: Pros and Cons at the Molecular Level
 • 2026  • DOI: 10.3390/ijms27031312
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Thymic peptides in immune reconstitution and clinical outcome after allogeneic hematopoietic cell transplantation
 • 2025  • DOI: 10.1016/j.bneo.2025.100090
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The Efficacy of Combined Use of Huaier Granules in the Treatment of Primary Liver Cancer: An Updated Systematic Review and Meta-Analysis
 • 2025  • DOI: 10.3390/ph18060884
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Recent advances of precision immunotherapy in sepsis
 • 2025  • DOI: 10.1093/burnst/tkaf001
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Comprehending toll-like receptors: pivotal element in the pathogenesis of sepsis and its complications
 • 2025  • DOI: 10.3389/fimmu.2025.1591011
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Unraveling immunosenescence in sepsis: from cellular mechanisms to therapeutics
 • 2025  • DOI: 10.1038/s41419-025-07714-w
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Minimal Residual Disease in Breast Cancer: Tumour Microenvironment Interactions, Detection Methods and Therapeutic Approaches
 • 2025  • DOI: 10.3390/ijms262311346
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PD-1 inhibitor combined with SBRT, GM-CSF, and thymosin alpha-1 in metastatic breast cancer: A case report and literature review
 • 2024  • DOI: 10.1097/md.0000000000039271
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The role of trained immunity in sepsis
 • 2024  • DOI: 10.3389/fimmu.2024.1449986
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Plant-derived natural products and combination therapy in liver cancer
 • 2023  • DOI: 10.3389/fonc.2023.1116532
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Recent advances and applications of peptide-agent conjugates for targeting tumor cells
 • 2023  • DOI: 10.1007/s00432-023-05144-9
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Mechanism and clinical application of thymosin in the treatment of lung cancer
 • 2023  • DOI: 10.3389/fimmu.2023.1237978
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Thymus-derived hormonal and cellular control of cancer
 • 2023  • DOI: 10.3389/fendo.2023.1168186
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COVID-19 and beyond: Reassessing the role of thymosin alpha1 in lung infections
 • 2023  • DOI: 10.1016/j.intimp.2023.109949
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The Molecular Mechanisms of Liver Fibrosis and Its Potential Therapy in Application
 • 2022  • DOI: 10.3390/ijms232012572
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The mechanism underlying extrapulmonary complications of the coronavirus disease 2019 and its therapeutic implication
 • 2022  • DOI: 10.1038/s41392-022-00907-1
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Peptide-Based Vaccines and Therapeutics for COVID-19
 • 2022  • DOI: 10.1007/s10989-022-10397-y
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Antimicrobial peptides and their potential application in antiviral coating agents
 • 2022  • DOI: 10.1016/j.colsurfb.2022.112693
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Antiviral Peptides: Identification and Validation
 • 2021  • DOI: 10.1007/s10989-020-10072-0
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The right immune-modulation at the right time: thymosin α1 for prevention of severe COVID-19 in cancer patients
 • 2021  • DOI: 10.2217/fon-2020-0754
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Is there a role for immune-enhancing therapies for acutely ill patients with coronavirus disease 2019?
 • 2021  • DOI: 10.1097/mcc.0000000000000862
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Proteomics and its applications in breast cancer
 • 2021
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Immune Reconstitution After Allogeneic Haematopoietic Cell Transplantation: From Observational Studies to Targeted Interventions
 • 2021  • DOI: 10.3389/fped.2021.786017
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Research Education Only: This profile is for educational purposes only. All information is sourced from published scientific literature. This is not medical advice. Not for human consumption. Consult qualified medical professionals for any health decisions.