Thymosin alpha-1 dosage in clinical trials
What dose levels researchers actually tested, quoted from the trial registry and the published reports — so the numbers circulating online can be checked against their source.
Doses in published trials
| Trial | Population | Dose arms | Schedule | Ref. |
|---|---|---|---|---|
| Japanese chronic hepatitis B RCT | 316 adults with HBV-DNA and raised ALT | 0.8 mg or 1.6 mg | Monotherapy for 24 weeks, 72-week observation | 1 |
| TESTS phase 3 | 1,106 adults with sepsis | Not stated in the abstract | SC every 12 hours for 7 days | 2 |
1.6 mg10
3.2 mg1
4.8 mg2
10 mg2
20 mg1
30 mg1
60 mg1
200 mg1
500 mg1
Arms as registered
Verbatim arm text from ClinicalTrials.gov. Only arms naming Thymosin alpha-1 and a dose are shown.
-
Phase Ⅲ Trial for Combination Treatment of PEG-Tα1 and Adefovir for HBeAg-positive Chronic Hepatitis B
- PEG-Tα1 —
PEG-Tα1 (3.2 mg/ml, once a week, taken subcutaneously) and adefovir (10 mg, once daily, taken orally) for 48 weeks
- Placebo to match PEG-Tα1 —
PEG-Tα1 placebo (1ml, once a week, taken subcutaneously) and adefovir (10 mg, once daily, taken orally) for 48 weeks
- PEG-Tα1 —
-
Platform Adaptive Embedded Trial for Acute Respiratory Distress Syndrome
- Immunomodulatory therapy —
Thymosin Alpha(Thymalfasin for Injection) 1.6mg subcutaneously twice a week.
- Immunomodulatory therapy —
-
Thymalfasin Adjuvant Therapy in Hepatitis B Virus (HBV)-Related Hepatocellular Carcinoma (HCC) After Curative Resection
- treatment (T) —
The patients of treatment arm will be administered subcutaneously Thymalfasin at dose of 1.6mg twice a week for 12 months after curative resection, followed by 12 months observation. Nucleoside analog plan to give to HBV DNA positive patients.
- treatment (T) —
-
The Impact of Thymosin α-1 on the Efficacy of Concurrent Chemoradiotherapy Followed by Immunotherpay Consolidation for Locally Advanced NSCLC
- Concurrent Tα-1 group —
In this concurrent Tα-1 group, participants receive concurrent chemoradiotherapy followed by immunotherapy consolidation. During this treatment, thymosin alpha-1 was administered at 4.8mg each time.
- Concurrent Tα-1 group —
-
Thymosin Alpha 1 to Prevent COVID-19 Infection in Renal Dialysis Patients
- Active arm —
1.6 mg thymalfasin in 1 mL subcutaneous injection twice weekly after dialysis for 8 weeks
- Active arm —
-
Thymalfasin (Thymosin Alpha 1) to Treat COVID-19 Infection
- Ta1 treatment arm —
Ta1 at a dose of 1.6 mg will be administered SC in 1 mL of diluent daily for a total of 1 week, in addition to standard of care.
- Ta1 treatment arm —
-
SBRT Combination With rhGM-CSF and Tα1 for Stage IV NSCLC Patients Who Failed in Second-line Chemotherapy
- SBRT+GM-CSF+Tα1 —
Metastasis lesion will be treated with a SBRT of 50Gy/4-10F from day 1 to day 10 . Subcutaneous injection of Immunological Agent- human recombined granulocyte-macrophage colony stimulating factor (125ug/m² per day) will be executed from day 1 to day 14 in this cycle. Another metastasis lesion will be treated likewise concurrently with rhGM-CSF in a consecutive cycle. Subcutaneous injection of another Immunological Factors Thymosin Alpha 1(1.6mg Biw)will be executed from the fist WEEK to the 12th Weeks.
- SBRT+GM-CSF+Tα1 —
-
Phase II Trial for Combination Treatment of PEG-Tα1 and Adefovir for HBeAg Positive Chronic Hepatitis B
- PEG-Tα1 —
PEG-Tα1 (1.6 mg/ml, once a week, taken subcutaneously) for 24 weeks and adefovir (10 mg, once daily, taken orally) for 48 weeks
- Placebo to match PEG-Tα1 —
PEG-Tα1 placebo (1ml, once a week, taken subcutaneously) for 24 weeks and adefovir (10 mg, once daily, taken orally) for 48 weeks
- PEG-Tα1 —
-
Thymalfasin (Thymosin Alpha 1; Ta1) as an Enhancer of Vaccine Response Among Older Adults Receiving Booster Doses of COVID-19 Vaccine
- Treatment arm A —
A 4.8 mg dose of Ta1 (dose of 1.6 mg in 1 mL of diluent X3) on Day 0, followed by vaccination
- Treatment arm B —
A 4.8 mg dose of Ta1 (dose of 1.6 mg in 1 mL of diluent X3) on Day 0 and Day 3, followed by vaccination
- Treatment arm A —
-
Zadaxin and HIV-positive Patients With Immune Reconstitution Disorder
- Zadaxin-HIV(n=20) —
Study participants will be given Zadaxin (1.6 mg subcutaneous injection, once a day) in the first 2 weeks, and changed frequency (1.6 mg subcutaneous injection, twice a week) in the successive 22 weeks.
- Zadaxin-HIV(n=20) —
-
Thymalfasin for Immune Recovery in Adults With Sepsis
- Thymalfasin Plus Standard Care —
Participants will receive standard sepsis care plus thymalfasin 1.6 mg subcutaneously twice daily, approximately 12 hours apart, for 7 consecutive days (Days 1 to 7). Thirty participants are planned for this arm.
- Thymalfasin Plus Standard Care —
-
TPF Concurrent Chemo-radiotherapy Plus Immunotherapy for Local Advanced Esophageal Squamous Cell Carcinoma
- Treatment Arm —
1. Take one cycle of induction chemo-immunotherapy, two cycle of concurrent chemoradiotherapy 3 weeks later, one cycle of consolidation chemo-immunotherapy 1 month after radiotherapy, and then 1 year of immunotherapy. 2. Radiotherapy: intensity modulated radiotherapy or volume modulated therapy. Modified involving field irradiation. PTV-C of 50.4Gy/28F, and PTV-G of 61.6Gy/28F with simultaneous integrated boost if no deep ulcers. 3. Chemotherapy: paclitaxel 60mg/m2, ivgtt; cisplatin 30mg/m2, ivgtt; 5-FU 500mg/m2, ivgtt and 500mg/m2, civ 24h; calcium folinate 200mg; q3w. 4. Immunotherapy: Sintilimab, 200mg, q3w. 5. Probiotics: Clostridium Butyricum (MIYAIRI 588), 20mg, tid, for 1 year. 6. Thymosin alpha-1: 1.6mg, qd, d1-5 during radiotherapy.
- Treatment Arm —
References
Every source below was retrieved from its official API or page and cached on the data-edition date. Numbers match the margin notes.
- 1 PubMed Iino S, Toyota J, Kumada H, et al. The efficacy and safety of thymosin alpha-1 in Japanese patients with chronic hepatitis B; results from a randomized clinical trial. J Viral Hepat 2005. PMID 15850471; doi:10.1111/j.1365-2893.2005.00633.x.
- 2 PubMed Wu J, Pei F, Zhou L, et al. The efficacy and safety of thymosin α1 for sepsis (TESTS): multicentre, double blinded, randomised, placebo controlled, phase 3 trial. BMJ 2025. PMID 39814420; doi:10.1136/bmj-2024-082583.