#25Healing, Repair & Immune
Thymosin alpha-1
28-amino-acid thymic peptide
Evidence: human RCTReviewed 2026-07-25
Investigated uses
- Sepsis, viral infection, cancer adjunctive therapy and immune modulation.
Mechanism and hypotheses
- Thymosin alpha-1 is a 28-amino-acid thymic peptide with immunomodulatory activity studied in randomized human trials.
- Hypothesized: Benefits vary by disease context and do not establish equivalence of an unapproved vendor vial.
Human evidence
- Thymosin alpha-1 has been studied in randomized trials for severe infection and other immune-related conditions. Limitations: Results are indication-specific and heterogeneous; no FDA-approved product was identified.
Safety highlights
- Unknown or insufficiently characterized for the exact catalog product.
- Identity, purity, sterility, endotoxin, aggregation, immunogenicity, concentration and route-specific risks are not adequately characterized.
Regulatory context
No FDA-approved thymosin alpha-1/thymalfasin product was identified; FDA lists it among substances presenting significant compounding safety concerns.
Sources used for this entry
- Thymosin alpha-1 systematic review search — PubMed
- PubMed search: Thymosin alpha-1 — PubMed
- Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks — U.S. Food and Drug Administration
- Drugs@FDA database — U.S. Food and Drug Administration
- EMA medicines search — European Medicines Agency
- NCT02867267: Thymosin alpha-1 for severe sepsis — ClinicalTrials.gov
- NCT04487444: Thymalfasin for COVID-19 — ClinicalTrials.gov