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Thymosin Alpha-1

Also known as: Ta1, Zadaxin, thymalfasin

At a glance

PeptiGuide dataset · reviewed Aug 2026

What it is

Immune-modulating thymic peptide with human trial evidence and non-US drug approvals.

Status

Clinical Trials

Typical dose

1.6mg

Researched for

Immune support, chronic infections, cancer adjunct

Trial progress

  1. PrePreclinical
  2. IPhase I
  3. IIPhase II
  4. IIIPhase III
  5. IVPhase IV
  6. FDAFDA approved

Phase III - Emerging human evidence with important limitations

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Thymosin Alpha-1 is a 28-amino-acid also known as Ta1, Zadaxin, or thymalfasin. The source describes non-US approval as Zadaxin, lack of FDA approval in the United States, and a human-trial evidence base. Reported research areas include immune support, chronic infections, and adjunctive cancer settings. Source-reported dosing centers on 1.6 mg twice weekly by injection, with a community range of 0.8-3.2 mg per dose.

Thymosin Alpha-1 is presented as an immune modulator. The supplied evidence describes activity at toll-like receptors, particularly TLR9 and TLR2, on dendritic cells. That pathway is linked in the source to Th1-oriented T-cell signaling, natural killer cell activity, antibody response effects, and regulatory T-cell activity through IDO-associated signaling.

Where the research stands

The source reports a substantial human research base for Thymosin Alpha-1, including use in chronic hepatitis B and safety observations across more than 30 trials with over 11,000 participants. Evidence in sepsis is described as mixed: an earlier ETASS study suggested lower 28-day mortality, while the larger double-blind TESTS phase 3 trial in 1,106 patients did not show a mortality benefit. The source also notes study as an adjunct in selected cancers and vaccine-response contexts, but characterizes that support as weaker.

What it shows

Human studies

Emerging human evidence with important limitations

Limitations

Study protocols describe research and are not dosing recommendations.

Bottom line: Approved in 30+ countries as Zadaxin; not FDA approved in the United States; source also reports FDA orphan drug designation and expected Category 1 compounding status return in 2026. Not FDA Approved

Typical dosing

Community

1.6 mg

twice weekly

0.8 mg3.2 mg

Community-reported dosing context for immune support and chronic infection research; not established here as a treatment recommendation.

Research dosing

Study-specific protocols

Doses observed in studies

1.6 mg twice weekly

Research Literature - Observed in studies

Study protocols describe research and are not dosing recommendations.

Duration
6-12 months for hepatitis
Administration
Subcutaneous injection

Best time to take

Morning

2-3 times per week

Food recommendation

With or without food

Why this timing?

The source associates morning timing with immune-modulating activity and a natural immune rhythm rationale.

Not everyone experiences these. Individual responses vary with dose, duration, and personal factors.

  • Injection site reactions
  • Mild fatigue
  • Headache
  • Rare allergic reactions
  • Contraindicated in immunosuppressed transplant patients
  • Favorable safety profile

Not everyone experiences side effects, and severity can vary by context, purity, route, and individual health factors.

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One open dataset

Every fact on this page - doses, side effects, references - comes from the same PeptiGuide dataset that powers the Tracker, Compare, and the Lab.

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Educational resource, not medical advice. Talk to your clinician before acting on anything here.

Community discussion

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