Thymosin Alpha-1 TA1 Vial

Thymosin Alpha-1 (also known as T 1, TA1, or thymalfasin; CAS 62304-98-7) is a synthetic 28-amino-acid peptide originally identified as the principal immunomodulatory component of thymosin fraction 5 isolated from bovine thymus.

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Description

Thymosin Alpha-1 (also known as Tα1, TA1, or thymalfasin; CAS 62304-98-7) is a synthetic 28-amino-acid peptide originally identified as the principal immunomodulatory component of thymosin fraction 5 isolated from bovine thymus. Thymosin Alpha-1 is approved as a prescription pharmaceutical in approximately 35 countries (under the brand names Zadaxin® and Thymalfasin®) for the treatment of chronic hepatitis B, hepatitis C, and as an adjuvant for influenza and pneumonia vaccines in immunocompromised populations. It carries U.S. FDA orphan drug designation for hepatocellular carcinoma but has not received full FDA approval. The compound has been the subject of multiple peer-reviewed randomized controlled trials in adult human participants, with results published in Hepatology International, the BMJ, the International Journal of Infectious Diseases, and others.

In a randomized controlled trial of 120 patients with hepatitis-B-virus-related acute-on-chronic liver failure (HBV-ACLF) published in Hepatology International, the 90-day cumulative liver-transplantation-free survival rate was 75.0% in the Thymosin Alpha-1 arm versus 53.4% in the standard-medical-therapy control arm (P = 0.030) [1].

Important Note on the Evidence Base

Important note on the evidence base: The Thymosin Alpha-1 clinical literature includes both positive and null findings across different indications. Earlier meta-analyses of smaller RCTs in sepsis suggested mortality benefit; however, the large 2025 TESTS Phase 3 trial (1,106 patients) did not demonstrate a mortality reduction with Thymosin Alpha-1 in unselected sepsis, with positive signals limited to specific subgroups (elderly, diabetic). The studies summarized below include both supportive and challenging findings to provide an accurate picture of the current evidence base.

Published Research on Thymosin Alpha-1

The following peer-reviewed studies are summarized below. Full citations and direct links to each publication appear in the References section. All studies described in this section were conducted in adult human participants.

HBV-ACLF Trial — Shen et al., Hepatology International (2022)

Shen and colleagues conducted an open-label, randomized, controlled clinical trial (NCT03082885) at Sun Yat-sen University evaluating Thymosin Alpha-1 in patients with hepatitis-B-virus-related acute-on-chronic liver failure — a severe condition with high short-term mortality in which severe infection is the principal complication. From 2017 to 2019, 120 patients were enrolled and randomized to either standard medical therapy (SMT) alone (n = 58) or SMT plus subcutaneous Tα1 (n = 56) at 1.6 mg once daily for the first week, then twice weekly through week 12. The primary endpoint was 90-day liver-transplantation-free survival.

The investigators reported a 90-day cumulative liver-transplantation-free survival rate of 75.0% (95% CI 63.2–86.8%) versus 53.4% (95% CI 39.7–67.1%) for the Tα1 group versus the SMT control group respectively (P = 0.030) [1]. The result was attributed to Tα1’s restoration of immune competence in the immunoparalyzed ACLF state.

Read the full study: Safety and Efficacy of Thymosin α1 in HBV-Related Acute-on-Chronic Liver Failure: A Randomized Controlled Trial (Hepatology International 2022).

TESTS Phase 3 Sepsis Trial — Wu et al., BMJ (2025)

Wu and colleagues conducted the TESTS trial (Thymosin alpha-1 for SEpsis Trial of Severe sepsis): a multicenter, double-blind, randomized, placebo-controlled phase 3 trial enrolling 1,106 adults with sepsis. Participants received subcutaneous Tα1 1.6 mg or placebo every 12 hours for 7 days. The primary endpoint was 28-day all-cause mortality. The trial is the largest and most rigorous Phase 3 evaluation of Tα1 in sepsis to date.

The investigators reported that Tα1 did not significantly reduce 28-day mortality in the overall sepsis population compared with placebo [2]. Pre-specified subgroup analyses identified potential benefit in elderly patients and in patients with diabetes. The TESTS result challenged earlier meta-analyses of smaller RCTs that had suggested broad mortality benefit, and the authors concluded that any future use of Tα1 in sepsis would need to be guided by patient-selection criteria rather than applied to unselected populations.

Read the full study: The Efficacy and Safety of Thymosin α1 for Sepsis (TESTS): Multicentre, Double-Blind, Randomised, Placebo-Controlled, Phase 3 Trial (BMJ 2025).

Sepsis Meta-Analysis — Li et al., International Journal of Infectious Diseases (2015)

Li and colleagues conducted a systematic review and meta-analysis of randomized controlled trials evaluating Thymosin Alpha-1 in sepsis. The analysis searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and Chinese-language medical databases through 2014, identifying 19 RCTs that met inclusion criteria. Mortality events from 10 of those trials (530 patients total) were analyzed in the primary meta-analysis.

The authors reported a significant decrease in mortality with Tα1 versus control in the pooled analysis (RR 0.59; 95% CI 0.45–0.77; P = 0.0001) [3]. The investigators noted that individual trials were limited by small sample sizes and methodological variability, supporting the need for larger and better-designed RCTs — a need subsequently addressed by the 2025 TESTS trial cited above, which produced a different result in unselected sepsis populations.

Read the full study: Thymosin Alpha-1 Based Immunomodulatory Therapy for Sepsis: A Systematic Review and Meta-Analysis (Int J Infect Dis 2015).

Pharmacokinetics in Healthy Volunteers — Rost et al., International Journal of Clinical Pharmacology and Therapeutics (1999)

Rost and colleagues conducted a pharmacokinetic comparison of three subcutaneous formulations of Thymosin Alpha-1 in healthy adult volunteers. The study characterized absorption, peak plasma concentration (Cmax), time to peak (Tmax), elimination half-life, and bioavailability across the formulations to inform clinical-development administration decisions.

The investigators reported good absorption following subcutaneous injection, with peak plasma concentrations achieved within approximately 1–2 hours and a relatively short elimination half-life consistent with a small peptide cleared rapidly from the systemic circulation [4]. The pharmacokinetic data inform the administration regimens used in subsequent clinical trials and approved-product labeling in jurisdictions where Tα1 is registered.

The full publication is indexed in PubMed/MEDLINE: Pharmacokinetics of Thymosin α1 After Subcutaneous Injection of Three Different Formulations in Healthy Volunteers (Int J Clin Pharm Th 1999).

About the Compound

Thymosin Alpha-1 is a synthetic 28-amino-acid acidic polypeptide whose sequence is identical to the corresponding fragment of native human prothymosin alpha — the larger precursor protein from which Tα1 is generated by post-translational cleavage in vivo. The molecule was originally isolated from bovine thymosin fraction 5 in 1977 and subsequently characterized, sequenced, and produced by solid-phase peptide synthesis for pharmaceutical use.

The published research literature describes Tα1 as exerting immunomodulatory effects through multiple coordinated mechanisms: stimulation of T-cell maturation and differentiation; enhancement of natural killer (NK) cell cytotoxicity; modulation of dendritic cell function and cytokine production; restoration of cell-mediated immunity in immunoparalyzed states (such as the late phase of sepsis or end-stage liver disease); and toll-like receptor (TLR) modulation. The compound has been most extensively studied as an adjuvant immunotherapy in chronic viral hepatitis (B and C), in vaccination of immunocompromised hosts, in sepsis, and as a combination partner with conventional cytotoxic and immune-checkpoint cancer therapies.

  • CAS Number: 62304-98-7
  • Molecular Formula: C129H215N33O55
  • Molecular Weight: 3108.32 g/mol
  • Synonyms: Tα1, TA1, Zadaxin®, Thymalfasin®, prothymosin α (1–28)
  • Mechanisms investigated in research literature: T-cell maturation/differentiation; NK cell cytotoxicity; dendritic cell modulation; TLR signaling; restoration of immune function in immunoparalysis
  • Regulatory status (as of publication): Approved as a prescription pharmaceutical in approximately 35 countries (Zadaxin®, Thymalfasin®) for chronic hepatitis B, hepatitis C, and as a vaccine adjuvant. U.S. FDA orphan drug designation for hepatocellular carcinoma. Not approved by the FDA for general use.

Product Specifications

Omnix Peptides supplies Thymosin Alpha-1 as a sterile, lyophilized (freeze-dried) powder in a sealed glass vial intended exclusively for in vitro laboratory research. Each production lot is independently characterized using high-performance liquid chromatography (HPLC) and liquid chromatography–mass spectrometry (LC–MS) protocols.

  • Format: Lyophilized powder
  • Available strengths: 5 mg per vial · 10 mg per vial
  • Verified Purity: >99% (HPLC, LC–MS)
  • Container: Sterile, sealed glass vial
  • Documentation: Batch-specific Certificate of Analysis (COA) available

Storage, handling, intended-use, and regulatory information are provided in the corresponding tabs on this product page.

References

  1. Shen C, Sun L, Liang Y, et al. Safety and efficacy of Thymosin α1 in the treatment of hepatitis B virus-related acute-on-chronic liver failure: a randomized controlled trial. Hepatol Int. 2022;16(4):775-788. doi:10.1007/s12072-022-10335-6
  2. Wu J, Pan T, Lin S, et al; TESTS trial group. The efficacy and safety of thymosin alpha-1 for sepsis (TESTS): multicentre, double blinded, randomised, placebo controlled, phase 3 trial. BMJ. 2025;388:e080561. doi:10.1136/bmj-2024-080561
  3. Li C, Bo L, Liu Q, Jin F. Thymosin alpha1 based immunomodulatory therapy for sepsis: a systematic review and meta-analysis. Int J Infect Dis. 2015;33:90-96. doi:10.1016/j.ijid.2014.12.032
  4. Rost KL, Wierich W, Masayuki F, Tuthill CW, Horwitz DL, Herrmann WM. Pharmacokinetics of thymosin α1 after subcutaneous injection of three different formulations in healthy volunteers. Int J Clin Pharm Th. 1999;37(1):51-57. PMID:9988163
For research use only. Not for human consumption.