Thymosin alpha-1
Also called Thymalfasin, Zadaxin, Tα1, Thymosin α1
Educational only, not medical advice. Dosaly reports what has been studied; it isn't a recommendation to use Thymosin alpha-1 or any amount of it. Talk to a clinician.
Approved as a prescription medicine (thymalfasin, Zadaxin) in a number of countries outside the US and EU; not approved by the FDA or EMA (as of October 2026).
Research applications
- Chronic hepatitis B and C (clinical trials)
- Vaccine response, as an adjuvant (clinical trials)
- Alongside cancer treatment (some clinical trials)
- Severe infections, including sepsis and COVID-19 (clinical trials)
- T-cell and toll-like receptor signalling (lab studies)
What studies have looked at, not proven uses.
What it is
Thymosin alpha-1 is a peptide first found in the thymus, an organ of the immune system. It's been tested in many human trials for infections and immune support, though many were small.
More detail
Thymosin alpha-1 is a 28-amino-acid peptide first isolated from thymus tissue; its synthetic form is called thymalfasin. It is described as an immune modulator that acts on T cells and on toll-like receptors on immune cells. It has been studied in clinical trials for chronic hepatitis B and C, as a vaccine adjuvant, alongside other treatments in some cancers, and in severe infections including sepsis and COVID-19. Meta-analyses have reported some positive results, but many of the underlying trials were small or open-label, and the authors call for larger randomized trials. It has more human research behind it than most peptides in this library.
Evidence listed here
- 3 reviews
Results from cells and animals often don't carry over to people. How to read peptide research
Molecular info
- Class
- Thymic peptide
- Length
- 28 amino acids
- Sequence
- Ac-Ser-Asp-Ala-Ala-Val-Asp-Thr-Ser-Ser-Glu-Ile-Thr-Thr-Lys-Asp-Leu-Lys-Glu-Lys-Lys-Glu-Val-Val-Glu-Glu-Ala-Glu-Asn-OH
- Research areas
- Immune
Starts with an acetyl group. Synthetic form: thymalfasin.
Research
- ReviewInflammopharmacology · 2023The efficacy of thymosin alpha-1 therapy in moderate to critical COVID-19 patients: a systematic review, meta-analysis, and meta-regression.
Systematic review and meta-analysis in moderate to critical COVID-19.
- ReviewExpert Opin Biol Ther · 2009From lab to bedside: emerging clinical applications of thymosin alpha 1.
Review of clinical uses, including its approval status in other countries.
- ReviewVirol J · 2009Treatment with lamivudine versus lamivudine and thymosin alpha-1 for e antigen-positive chronic hepatitis B patients: a meta-analysis.
Meta-analysis of trials adding it to lamivudine in chronic hepatitis B.