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Thymosin Alpha-1 Chemical

The unredacted file on Thymosin Alpha-1 — what the immunology literature actually logged, and the brand names we're not allowed to print.

Part 07: the studies behind each claim

Where do the Thymosin Alpha-1 facts come from?

A DOI is a study's permanent code. PubMed is a free study library. Type either code into a web search.

How can you find and judge a study?

Match a claim's number to the study below. The sources run from 1977 through 2025. That phase 3 study was a late drug test. It covered people whose response to infection harmed their organs.

A source can't make a weak result strong. Small groups can mislead. If chance could explain a result, don't call it proof.

Most studies cover liver disease, sepsis, COVID-19, cancer, or weak defenses. Here the drug is called thymalfasin. A DOI is one paper's permanent code. PubMed is a free medical-study library. Paste either into a web search.

If a claim affects your choice, read past the title. Check the patient count and the care given to the other group. You don't need medical training to ask those questions.

  1. Goldstein AL, Low TL, McAdoo M, et al. Thymosin alpha1: isolation and sequence analysis of an immunologically active thymic polypeptide. Proc Natl Acad Sci U S A. 1977;74(2):725-729. ↗
  2. Wu J, Zhou L, Liu J, et al. The efficacy of thymosin alpha 1 for severe sepsis (ETASS): a multicenter, single-blind, randomized and controlled trial. Crit Care. 2013;17(1):R8. ↗
  3. Wu J, Pei F, Zhou L, et al. The efficacy and safety of thymosin alpha1 for sepsis (TESTS): multicentre, double blinded, randomised, placebo controlled, phase 3 trial. BMJ. 2025;388:e082583. ↗
  4. Billich A. Thymosin alpha-1. Am J Health Syst Pharm. 2001;58(10):886-889. ↗
  5. Romani L, Bistoni F, Montagnoli C, et al. Thymosin alpha1 activates dendritic cell tryptophan catabolism and establishes a regulatory environment for balance of inflammation and tolerance. Blood. 2006;108(7):2265-2274. ↗
  6. Dominari A, Hathaway III D, Pandav K, et al. Thymosin alpha 1: A comprehensive review of the literature. World J Virol. 2020;9(5):67-78. ↗
  7. Costantini C, Bellet MM, Pariano M, et al. A Reappraisal of Thymosin Alpha1 in Cancer Therapy. Front Oncol. 2019;9:873. ↗
  8. Ciancio A, Andreone P, Kaiser S, et al. Thymosin alpha-1 with peginterferon alfa-2a/ribavirin for chronic hepatitis C not responsive to IFN/ribavirin: an adjuvant role? J Viral Hepat. 2012;19 Suppl 1:52-59. ↗
  9. Dinetz E, Lee E. Comprehensive Review of the Safety and Efficacy of Thymosin Alpha 1 in Human Clinical Trials. Altern Ther Health Med. 2024;30(2):8-15. ↗
  10. Pica F, Chimenti MS, Gaziano R, et al. Serum thymosin α1 levels in patients with chronic inflammatory autoimmune diseases. Clin Exp Immunol. 2016;186(1):39-45. ↗
  11. Kim BH, Lee YJ, Kim W, et al. Efficacy of thymosin alpha-1 plus peginterferon alfa-2a combination therapy compared with peginterferon alfa-2a monotherapy in HBeAg-positive chronic hepatitis B: a prospective, multicenter, randomized, open-label study. Scand J Gastroenterol. 2012;47(8-9):1048-1055. ↗
  12. Gao D, Zhang X, Zhang J, et al. Expression of thymosin alpha1-thymopentin fusion peptide in Pichia pastoris and its characterization. Arch Pharm Res. 2008;31(11):1471-1476. ↗
  13. Zhu Y, Lu Y, Zhong YQ. [Preparation and properties of Talpha1 loaded injectable sustained release microspheres]. Yao Xue Xue Bao. 2007;42(2):211-215. ↗
  14. Li Y, Chen H, Li X, et al. A new immunomodulatory therapy for severe sepsis: Ulinastatin Plus Thymosin alpha 1. J Intensive Care Med. 2009;24(1):47-53. ↗