What Is Thymosin Alpha-1?
Thymosin Alpha-1 (Tα1) is a 28-amino-acid peptide naturally occurring in thymosin fraction 5 (TF5), first isolated from bovine thymus by Allan Goldstein in the 1970s. The synthetic version — Thymalfasin (Zadaxin) — is approved in over 35 countries for hepatitis B, hepatitis C (with interferon), and as an adjunct in cancer immunotherapy. It is one of the most extensively studied immunomodulatory peptides with clinical approval.
Quick Reference
Member reference tables summarize the compound's research parameters.
Mechanism of Action
Tα1 exerts its effects primarily on dendritic cells and T-cells. It promotes dendritic cell maturation and their production of IL-12, IFN-γ, and Type I interferons — cytokines critical for antiviral and antitumor immunity. It increases CD8+ cytotoxic T-cell activity and natural killer cell function, while reducing immunosuppressive regulatory T-cell activity in tumor microenvironments. It activates Toll-like receptor signaling through TLR2 and TLR9, linking it to innate immune pattern recognition.
Clinical Evidence
Multiple RCTs have demonstrated sustained virological response rates significantly higher than placebo in chronic hepatitis B, particularly when combined with interferon. Similar data exist for hepatitis C combination therapy. Cancer immunotherapy studies have shown improved tumor responses in melanoma, lung, and hepatocellular carcinoma. COVID-19 pandemic data demonstrated Tα1's benefit in severe COVID-19, with clinical trials in China documenting significantly reduced mortality in critical patients.
Research Indications
Research Protocols
As reported in cited literature and research-community logs (see Research Citations below), not a personal dosing recommendation.
This member section describes parameters reported in the research literature.
Peptide Interactions
This member section summarizes reported compound interactions and evidence limitations.
Reported Research Time Points
This member section summarizes reported research time points.
Safety Notes
Included for harm-reduction awareness only, in the event this compound is encountered outside its labeled research use. Inclusion here does not imply RUO Codes endorses, recommends, or instructs human use.
This member section discusses research safety considerations and uncertainties.
Quality Indicators
Research Citations
- Comprehensive Review of the Safety and Efficacy of Thymosin Alpha 1 in Human Clinical Trials
Dinetz, E., Lee, E., 2024, Alternative Therapies in Health and Medicine - The Efficacy and Safety of Thymosin α1 for Sepsis (TESTS): Multicentre, Double Blinded, Randomised, Placebo Controlled, Phase 3 Trial
Zhang, L., et al., 2025, BMJ - Thymosin Alpha 1 Alleviates Inflammation and Prevents Infection in Patients with Severe Acute Pancreatitis Through Immune Regulation: A Systematic Review and Meta-Analysis
Tian, M., et al., 2025, Frontiers in Immunology - A Pilot Trial of Thymalfasin (Thymosin-α-1) to Treat Hospitalized Patients With Hypoxemia and Lymphocytopenia Due to Coronavirus Disease 2019 Infection
Shehadeh, F., et al., 2023, Journal of Infectious Diseases - Thymosin Alpha 1 (Tα1) Reduces the Mortality of Severe COVID-19 by Restoration of Lymphocytopenia and Reversion of Exhausted T Cells
Liu, Y., et al., 2020, Clinical Infectious Diseases - Thymosin Alpha 1 Restores the Immune Homeostasis in Lymphocytes During Post-Acute Sequelae of SARS-CoV-2 Infection
Romano, M., et al., 2023, Frontiers in Immunology - Thymosin Alpha 1 Mitigates Cytokine Storm in Blood Cells From Coronavirus Disease 2019 Patients
Garaci, E., et al., 2021, Frontiers in Immunology - Thymosin Alpha 1: A Comprehensive Review of the Literature
Dominari, A., et al., 2020, World Journal of Virology - The Efficacy of Thymosin Alpha 1 for Severe Sepsis (ETASS): A Multicenter, Single-Blind, Randomized and Controlled Trial
Wu, J., et al., 2013, Critical Care - Immune Modulation with Thymosin Alpha 1 Treatment
King, R., Tuthill, C., 2016, Vitamins and Hormones - Aging and Thymosin Alpha-1
Simonova MA, Ivanov I, Shoshina NS, 2025, Int J Mol Sci - beta-Thymosins
Hannappel E, 2007, Ann N Y Acad Sci - Thymosin alpha 1: A comprehensive review of the literature
Dominari A, Hathaway Iii D, Pandav K, 2020, World J Virol - Thymosin alpha 1 and HIV-1: recent advances and future perspectives
Matteucci C, Grelli S, Balestrieri E, 2017, Future Microbiol - Thymosin alpha-1; a natural peptide inhibits cellular proliferation, cell migration, the level of reactive oxygen species and promotes the activity of antioxidant enzymes in human lung epithelial adenocarcinoma cell line (A549)
Kharazmi-Khorassani J, Asoodeh A, 2019, Environ Toxicol