Thymosin Alpha-1
Immune Modulating Peptide
aka Ta1 · Thymalfasin · Zadaxin · thymosin alpha 1
A naturally occurring peptide research describes as a potent modulator of T-cell maturation and adaptive immunity.
Sequence
SDAAVDTSSEITTKDLKEKKEVVEEAEN
Ac-Ser-Asp-Ala-Ala-Val-Asp-Thr-Ser-Ser-Glu-Ile-Thr-Thr-Lys-Asp-Leu-Lys-Glu-Lys-Lys-Glu-Val-Val-Glu-Glu-Ala-Glu-Asn-OH
Mechanism of action
Thymosin Alpha-1 enhances the immune response by promoting the maturation of T-cells, which are crucial for adaptive immunity. It increases the production of cytokines, which help in coordinating the immune response. Additionally, it modulates the activity of dendritic cells, enhancing their ability to present antigens and activate T-cells.
What the evidence actually shows
There are several human clinical trials demonstrating Thymosin Alpha-1's efficacy in enhancing immune function, particularly in viral infections like hepatitis B and C. However, more large-scale, randomized controlled trials are needed to confirm these findings and explore other potential applications. | REGULATORY: FDA Category 2 reclassification to Category 1 expected (announced Feb 2026).
Regulatory status
In the UK, Thymosin Alpha-1 is available by prescription for specific conditions like hepatitis B and C, under the supervision of a healthcare provider.
Source ↗Pharmacokinetics
Dosing — what backs each figure
Thymosin alpha-1 (thymalfasin, ZADAXIN) has well-documented human dosing: 1.6 mg subcutaneously twice weekly for 6 months in chronic hepatitis B, and 1.6 mg SC once or twice daily for about 7 days in sepsis. It is not FDA- or EMA-approved (it holds an EMA orphan designation, EU/3/02/110, only) but is registered in a number of other countries, so 'approved dosing' claims should be attributed to those registrations, not to the FDA.
1.6 mg twice weekly for 6 months
97 adults with HBeAg-positive, HBV DNA-positive chronic hepatitis B; phase III multicentre randomised double-blind placebo-controlled trial · subcutaneous
1.6 mg subcutaneously once daily for 7 days (some trials 1.6 mg twice daily)
Adults with severe sepsis / septic shock, Chinese randomised trials · subcutaneous
Talpha1 dose levels of 1.6 mg, 3.2 mg or 6.4 mg alongside dacarbazine +/- interferon alfa
488 patients with metastatic melanoma, randomised phase II · subcutaneous
Handling and storage
Storage taken from the ZADAXIN (thymalfasin) 1.6 mg package insert as filed with the Indonesian regulator BPOM. The label gives no light-protection statement and no freeze-thaw data, so those remain unknown. This directly contradicts the ported '-20 C / 4 weeks reconstituted' boilerplate.
Source ↗Safety
- ·Injection site reactions
- ·Fatigue
- ·Severe allergic reactions
- ·Known hypersensitivity to Thymosin Alpha-1
- ·Immunosuppressants: May reduce the efficacy of Thymosin Alpha-1 by counteracting its immune-enhancing effects.
Injection-site reactions; generally well tolerated
Reported combinations
- ·Interferon-alpha: May enhance antiviral effects when used together.
- ·Corticosteroids: May reduce the immune-enhancing effects of Thymosin Alpha-1.
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (3)
- King R, Tuthill C (2016) Immune Modulation with Thymosin Alpha 1 Treatment ↗Vitamins and HormonesPMID 27450734DOI
Review of thymosin alpha 1's mechanism as a TLR-mediated modulator of dendritic-cell and T-cell function across infectious disease, sepsis and oncology settings.
- Chen JF, Chen SR, Lei ZY, et al. (2022) Safety and efficacy of Thymosin alpha1 in the treatment of hepatitis B virus-related acute-on-chronic liver failure: a randomized controlled trial ↗Hepatology InternationalPMID 35616850DOI
Randomised controlled trial of thymosin alpha-1 in HBV-related acute-on-chronic liver failure.
- Liu D, Yu Z, Yin J, et al. (2017) Effect of ulinastatin combined with thymosin alpha1 on sepsis: A systematic review and meta-analysis of Chinese and Indian patients ↗Journal of Critical CarePMID 28069319DOI
Meta-analysis of sepsis trials combining ulinastatin with thymosin alpha-1; reports reduced mortality but notes the trials are largely single-region and of limited quality.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
storage.lightSensitive