Thymosin α-1
also known as Tα-1, Zadaxin, Thymalfasin, thymosin alpha 1
Synthetic 28-amino-acid peptide identical to a peptide isolated from calf thymus. Approved as Zadaxin (thymalfasin) in 35+ countries for chronic hepatitis B + C, immune restoration after chemotherapy, and as an HIV/HBV vaccine adjuvant. Not FDA-approved in the US, but extensive Phase 3 data exists.
At a glance
SQ · 2× weekly · 6+ months for chronic indications
Mechanism
Primary target — Toll-like receptor 9 (TLR9) + T-cell maturation pathway [camerini-2001-talpha1].
Pathway — TLR9 activation → ↑ IFN-α + IL-2 + IFN-γ → enhanced T-cell function + dendritic cell maturation [iyer-2007-talpha1].
Downstream effect — Restored T-cell function, improved viral clearance, anti-tumour adjuvant effects [iyer-2007-talpha1].
Origin — Synthetic 28-AA peptide identical to natural Tα-1 isolated from thymus extract [camerini-2001-talpha1].
Dosage
Protocols described in the cited literature; not medical advice.
| Parameter | Value |
|---|---|
| Standard dose (HBV/HCV) | 1.6 mg SQ 2× weekly × 6–12 months [iyer-2007-talpha1] |
| Frequency | 2× weekly (Mon/Thu typical) |
| Lower / starter dose | 0.8 mg per injection |
| Evidence basis | Phase 3 + approved (35+ countries as Zadaxin) [iyer-2007-talpha1] |
| Duration | 6–12 months for chronic indications |
| Reconstitution | Sterile water for injection per vial label |
| Timing | No specific time |
| Half-life | ~2 hours plasma; tissue effect days |
Reconstitution
A pure mass-to-volume utility. Enter what you have in the vial; the atlas computes the volume per dose. No prescription information.
Adverse events
Severities follow the FDA / CTCAE convention.
- — Pregnancy / breastfeeding
- — Hypersensitivity to peptide
- — Concurrent immunosuppressant therapy (transplant patients)
- — Active autoimmune disease
- — Severe immunocompromised state without supervision
Administration
- 01Reconstitution
Add 1 mL sterile water per 1.6 mg vial → 1.6 mg/mL.
- 02Injection site
SQ — abdomen, thigh, or upper arm. Rotate sites.
- 03Timing
2× weekly, e.g. Monday + Thursday.
- 04Storage
Lyophilised: refrigerate. Reconstituted: refrigerate, use within 24 h.
- 05Needle
27–31G, 4–8 mm insulin syringe.
Sources
of 39 rendered claims carry a resolvable citation.
- [camerini-2001-talpha1]Camerini 2001 — Thymosin alpha-1: a clinical update
Curr Opin Investig Drugs, 2001 - [iyer-2007-talpha1]Iyer 2007 — Zadaxin (Thymalfasin) for chronic hepatitis B and C
Curr Pharm Des, 2007