#19Healing, Repair & Immune
TB-500
identity-ambiguous thymosin-beta-4-related research product
Evidence: anecdotalReviewed 2026-08-09
July 2026 PCAC recommendation
Recommended for possible 503A list inclusion
TB-500-related bulk drug substances for wound healing
Nonbinding advisory recommendation; not FDA drug approval and not a final addition to the 503A Bulks List as of 2026-08-09.Investigated uses
- Wound healing and tissue repair in preclinical/FDA review contexts.
Mechanism and hypotheses
- The exact chemical identity of catalog “TB-500” is unresolved; FDA materials evaluated an LKKTETQ thymosin-beta-4 fragment, while vendors may use TB4 terminology.
- Hypothesized: Wound-healing and recovery claims are preclinical and cannot be generalized across identity-ambiguous products.
Human evidence
- FDA found no human administration studies of the evaluated TB-500 fragment for disease or wound healing. Limitations: Catalog identity is ambiguous, and full thymosin-beta-4 literature cannot be assumed to apply.
Safety highlights
- No controlled human adverse-event incidence exists for the FDA-evaluated TB-500 fragment.
- Identity ambiguity, immunogenicity, impurities and uncharacterized effects on angiogenesis/tissue remodeling are major uncertainties.
Regulatory context
No FDA-approved TB-500 drug was identified. In July 2026, PCAC recommended TB-500-related bulk drug substances for possible inclusion on the 503A Bulks List for wound healing. The recommendation is nonbinding and was not a final FDA listing as of August 9, 2026.
Sources used for this entry
- TB-500 / thymosin beta-4 identity and human evidence search — PubMed
- PubMed search: TB-500 — PubMed
- Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks — U.S. Food and Drug Administration
- July 23–24, 2026 Pharmacy Compounding Advisory Committee meeting — U.S. Food and Drug Administration
- Drugs@FDA database — U.S. Food and Drug Administration
- EMA medicines search — European Medicines Agency
- FDA advisory committee backs two more peptides, rejects one for compounding list — Regulatory Affairs Professionals Society
- 21 CFR 216.23 — Bulk drug substances that can be used to compound drug products in accordance with section 503A — Electronic Code of Federal Regulations