Gathering the record
Relay is organizing the evidence and source boundaries.
Synthetic 28-amino-acid thymic immunomodulatory peptide
A peptide studied for how the immune system responds during specific illnesses. It is also called thymalfasin.
Evidence is explained by question. Dosing references show their own check dates.
60-second overview
Why people look into it, what studies found, and what is still unknown.
Educational information only. Evidence reviewed through July 25, 2026. Published studies, sponsor announcements, and trials without results are labeled separately. Evidence gaps apply to the specific finding beside them.
Research questions
Each label shows how much evidence supports that question.
What studies show
The 1,106-participant, double-blind, placebo-controlled Phase 3 TESTS sepsis trial—which found no reduction in 28-day mortality.
TA1 is better described as an immune modulator than as a simple immune 'booster.'
In the 1,106-person Phase 3 TESTS trial, mortality was nearly the same with TA1 and placebo.
A 97-person Phase 3 trial showed a numerical difference that was not statistically significant.
The signal is worth recording but is not evidence for routine prevention or self-treatment.
A melanoma study had numerical but not conventionally significant signals; a large colorectal trial has no results yet.
Dendritic-cell research links TA1 to TLR9, type-I-interferon, and IDO pathways.
Human trials studied defined illnesses and combination treatments, not healthy-user wellness outcomes.
International use, an NCI dictionary entry, or a clinical-trial listing does not equal FDA approval.
FDA cites possible immunogenicity, peptide-related impurities, API-characterization complexity, and inadequate safety information.
Examples include every-12-hour dosing in sepsis, twice-weekly dosing in hepatitis B, and body-surface-area dosing in a PK study.
A nine-person crossover study found formulation-dependent exposure differences.
Research products and routes do not validate seller-supplied powders or mixed solutions.
Risks & unknowns
FDA identifies significant unresolved safety concerns for compounded TA1.
Other human evidenceThe FDA entry describes unresolved risk and information gaps, not an event-frequency estimate.
Open sourceFDA identifies significant unresolved safety concerns for compounded TA1.
Other human evidenceThe FDA entry describes unresolved risk and information gaps, not an event-frequency estimate.
Open sourceThe available information does not reliably show how often particular side effects occur.
Evidence boundaryUnder-detected or under-reported events must not be described as rare.
Relay has not verified which side effects led people to stop treatment in studies.
Evidence boundaryThis is an evidence gap, not proof that discontinuations did not occur.
This profile does not contain verified, product-specific emergency instructions.
Evidence boundaryRelay does not infer emergency guidance from study discontinuations, mechanism, or incomplete adverse-event reporting.
Dosing references
Each table labels its source and applies only to the named route, product, or study. An online example or community report is not an approved dose.
Amounts reported in a human study. A studied amount is not automatically an approved dose or a recommendation for an individual.
The TESTS trial studied adults with sepsis in an intensive-care setting alongside usual care.
| Stage / period | Amount in source | Frequency |
|---|---|---|
| 7 days, unless treatment stopped earlier | 1.6 mg | Every 12 hours |
Treatment could end with ICU discharge, death, or withdrawal. The trial did not improve its primary mortality outcome. This is not a general immune-support schedule.
Thymosin alpha-1 · TESTS randomized sepsis trial Full text · Trial proceduresThis reference checked Oct 20, 2026. The full-profile review date is shown at the top.This source does not establish a mixing volume or storage period for independently sourced powder. Use formulation-specific instructions; the study amount alone is not a reconstitution recipe.
Concentration = total mass ÷ final volume. The calculator performs user-entered math; it does not choose a dose or diluent.
Open concentration calculatorStarting dose: the amount used at the beginning of the named label schedule or trial.
Maintenance: the ongoing amount described by that product label.
Trial target: the amount assigned to a study group. Different groups may stop increasing at different targets.
A large multicenter trial investigated thymosin alpha-1 as an added treatment in adults with sepsis, comparing it with placebo under blinded conditions.
Population: Adults aged 18–85 years with sepsis according to Sepsis-3 criteria
Design: Multicenter, double-blind, randomized, placebo-controlled trial at 22 centers
Mechanisms
Thymosin alpha-1, also called thymalfasin, is a synthetic analogue of a 28-amino-acid thymic peptide. Laboratory studies link it to dendritic-cell maturation, antigen presentation, T-cell differentiation, Toll-like-receptor signaling, type-I-interferon signaling, and IDO-mediated immune regulation. Clinical evidence is condition-specific and mixed. The 1,106-participant Phase 3 TESTS trial found no reduction in 28-day sepsis mortality or secondary outcomes. Older hepatitis-B trials produced mixed or statistically inconclusive results, a small early-pandemic COVID-19 trial reported a severe-subgroup signal, and oncology studies mainly evaluate TA1 as an adjunct. No FDA-approved TA1 drug or consumer handling standard was identified.
A plausible mechanism can explain why a study was attempted. It does not prove that the compound improves a human outcome.
Research reference
A reference for the studies, populations, and routes behind this profile.
Controlled Phase 2 and Phase 3 studies span sepsis, hepatitis B, COVID-19, and oncology, alongside human pharmacokinetic research.
Research depth describes how large and mature the overall record is. It does not tell you whether the results were positive.
Large and disease-specific trials have produced neutral, borderline, or subgroup-dependent findings rather than a consistent general immune benefit.
Confidence describes how reliable and consistent the conclusions are. It can be high for one outcome and low for another.
The strongest evidence type shows what the best-supported conclusions are actually based on.
Human findings are more directly relevant than animal or laboratory results, but they still apply only to the populations and outcomes studied.
Route-specific record
These are exposures used in cited research for a specific route and population—not an instruction for an individual.
Half-life describes how long it takes the measured amount in the body to fall by half. It is not a dosing recommendation.
Evidence can change by administration method. Findings from one route should not automatically be applied to another.
Evidence boundary: The primary mortality result was neutral, and subgroup signals require independent confirmation. The sepsis setting does not establish effects for viral illness, cancer, routine immune support, or wellness use. Amounts shown describe cited research exposure—not a dosage recommendation.
Studies
Study arms are reported for transparency. They describe what researchers did in a defined record and do not transfer across identities, routes, formulations, or populations.
A later trial phase can ask a more mature question, but it does not guarantee a positive result, regulatory approval, or relevance outside the studied population.
Multicenter, double-blind, randomized, placebo-controlled trial at 22 centers
Adults aged 18–85 years with sepsis according to Sepsis-3 criteria
Among 1,089 participants in the modified intention-to-treat analysis, 28-day mortality was 23.4% with TA1 and 24.1% with placebo. No secondary or safety outcome differed significantly.
Study administration: Protocol-defined 1.6 mg subcutaneous thymosin alpha-1 or placebo every 12 hours for seven days, unless stopped earlier
Limitations: Conducted in China from 2016–2020. Prespecified subgroup signals require independent confirmation and do not replace the neutral primary result.
Double-blind, multicenter, randomized, placebo-controlled add-on trial
One hundred five hospitalized patients with moderate or severe COVID-19
The study reported lower mortality in the severe subgroup with TA1 than placebo. Sixty-seven adverse events occurred in 42 participants, including eight serious events that were deaths.
Study administration: Protocol-defined TA1 or placebo added to the local standard of care used during the early pandemic
Limitations: Small early-pandemic trial; the highlighted result was subgroup-based and background care has changed.
Randomized five-arm adjunct study using dacarbazine, interferon, and two TA1 schedules
Adults with metastatic melanoma
TA1-containing groups showed numerically longer survival and progression-free survival, but reported comparisons did not reach conventional statistical significance. TA1 did not add measurable toxicity.
Study administration: TA1 in protocol-defined combinations with dacarbazine, with or without interferon, versus dacarbazine plus interferon
Limitations: Complex multi-arm study from an older melanoma-treatment era; combination therapy and borderline P values prevent a simple efficacy claim.
Multicenter, randomized, double-blind, placebo-controlled parallel trial
Ninety-seven adults with HBeAg-positive, HBV-DNA-positive chronic hepatitis B
Complete response occurred in 14% of TA1 participants and 4% of placebo participants, but the comparison did not reach conventional statistical significance (P=0.084).
Study administration: Protocol-defined 1.6 mg subcutaneous TA1 or placebo twice weekly for six months
Limitations: This older trial predates modern hepatitis-B treatment standards, was modest in size, and did not confirm earlier efficacy reports.
Randomized three-way crossover comparison of three formulations
Nine healthy adult volunteers
TA1 reached peak serum concentration in roughly one to two hours, had a reported half-life under three hours, and did not meaningfully accumulate over five days. Exposure differed among formulations.
Study administration: Protocol-defined 900 micrograms per square meter subcutaneous TA1 using three research formulations
Limitations: Nine healthy volunteers cannot establish benefit, broad safety, a treatment regimen, or equivalence to compounded products.
Human and murine dendritic-cell experiments with animal transfer models
Cultured immune cells and mouse models; not a clinical population
TA1 influenced dendritic-cell signaling through TLR9 and type-I-interferon pathways and produced both inflammatory-resistance and regulatory-tolerance signals.
Study administration: TA1 exposure in dendritic-cell and animal models
Limitations: Biological plausibility is not a proven human indication and does not support a universal immune-boosting claim.
Sponsor-submitted randomized adjuvant trial after radical colorectal-cancer resection
Planned adults with high-risk stage II or stage III colorectal cancer after surgery
No results were posted by the July 25, 2026 evidence cutoff.
Study administration: Planned TA1 twice weekly for six months plus standard oncology care versus standard care alone
Limitations: A registry entry shows active research, not efficacy, completion, peer review, or regulatory endorsement.
Community
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2026-07-31
2025-01-15 · PMID 39814420 · NCT02867267 · DOI 10.1136/bmj-2024-082583
2022-08-01 · PMID 36042753 · DOI 10.5005/jp-journals-10071-24298
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2006-10-01 · PMID 16741252 · DOI 10.1182/blood-2006-02-004762
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