Drugs / Thymalfasin
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Thymalfasin

Peptide targets TLR9

Developed for
non-small cell lung carcinoma · chronic hepatitis C virus infection · COVID-19 · infectious disease with sepsis · aortic disorder · chronic hepatitis B virus infection · cirrhosis of liver · colorectal cancer
+23 more · hematopoietic and lymphoid cell neoplasm · hepatocellular carcinoma · HIV infectious disease · lung cancer · melanoma · small cell lung carcinoma · acute necrotizing pancreatitis · aortic aneurysm · colorectal carcinoma · end stage renal failure · esophageal cancer · gastric cancer · gastroesophageal junction adenocarcinoma · hepatitis · infertility disorder · liver failure · lung adenocarcinoma · lymphopenia · neoplasm · osteoporosis · pancreatic ductal adenocarcinoma · rheumatic heart disease · myalgic encephalomeyelitis/chronic fatigue syndrome
Investigated by
SciClone Pharmaceuticals · Sun Yat-sen University · Beijing Friendship Hospital · Nanjing Medical University · Peking Union Medical College Hospital · Zhejiang Provincial People's Hospital
+75 more · Beijing Anzhen Hospital · Peking University People's Hospital · RenJi Hospital · Shanghai Public Health Clinical Center · West China Hospital · sigma-tau i.f.r. S.p.A. · Beijing 302 Hospital · Beijing Ditan Hospital · Beijing Tiantan Hospital · Beijing YouAn Hospital · Fifth Hospital of Shijiazhuang City · Fudan University · Huashan Hospital · Logistics University of Chinese People's Armed Police Forces · Nanfang Hospital, Southern Medical University · Peking University · Peking University First Hospital · Qilu Hospital of Shandong University · Second Affiliated Hospital of Nanchang University · Shanghai East Hospital of Tongji University · Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · Shanghai Zhongshan Hospital · Sir Run Run Shaw Hospital · Tang-Du Hospital · The Affiliated Hospital of Yanbian University · The First Affiliated Hospital of Guangzhou Medical University · The First Affiliated Hospital of Shanxi Medical University · The First Affiliated Hospital of Xiamen University · Tongji Hospital · 908th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force · Chinese Academy of Sciences · Clinical Medical College of Yangzhou University · Davita Clinical Research · Fakih IVF Fertility Center · First Affiliated Hospital of Kunming Medical University · First People's Hospital of Hangzhou · Fujian Medical University Union Hospital · Guangdong Provincial People's Hospital · Hangzhou Cancer Hospital · Jia Fan · Jiangsu Province Hospital of Traditional Chinese Medicine · Jun Wang · Luoyang Central Hospital · Nanjing First Hospital, Nanjing Medical University · National Institute of Allergy and Infectious Diseases (NIAID) · Northern Jiangsu People's Hospital · Replicor Inc. · Rhode Island Hospital · Ruijin Hospital · Second Affiliated Hospital of Nantong University · Second Affiliated Hospital of Soochow University · Shanghai East Hospital · Shanghai Jiao Tong University School of Medicine · TEDA International Cardiovascular Hospital · The Affiliated Hospital of Qingdao University · The First Affiliated Hospital of Anhui Medical University · The First Affiliated Hospital of Bengbu Medical University · The First Affiliated Hospital of Henan University of Science and Technology · The First Affiliated Hospital of Nanchang University · The First Affiliated Hospital with Nanjing Medical University · The First Hospital of Jilin University · The First People's Hospital of Shangqiu · The Methodist Hospital Research Institute · The Seventh Affiliated Hospital of Xinjiang Medical University · The Third Affiliated Hospital of Soochow University · University Of Perugia · Wannan Medical College Yijishan Hospital · Weiqin Li · Wen-hong Zhang · William B. Ershler, MD · Xuanwu Hospital, Beijing · Yousheng Mao · Zekuan Xu · Zunyi Medical College · all 81 on the full record

Trials 53 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT04963712 Sep 2021 → Jul 2022 HIV infectious disease Shanghai Public Health Clinical Center Completed No outcome recorded
Phase 12 trials
Phase 1 NCT06821100 Dec 2024 → Dec 2026 expected The Methodist Hospital Research Institute Recruiting No outcome recorded
Phase 1 NCT00001036 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1/23 trials
Phase 1/2 NCT02906163 Oct 2016 → Dec 2019 lung cancer SciClone Pharmaceuticals Unknown No outcome recorded
Phase 1/2 NCT02646189 Aug 2011 → Aug 2013 chronic hepatitis B virus infection Replicor Inc. Completed No outcome recorded
Phase 1/2 NCT00580450 Dec 2007 hematopoietic and lymphoid cell neoplasm University Of Perugia Unknown No outcome recorded
Phase 223 trials
Phase 2 NCT07103395 Jan 2026 → Dec 2029 expected non-small cell lung carcinoma Sun Yat-sen University Recruiting No outcome recorded
Phase 2 NCT07103408 Oct 2025 → Sep 2029 expected small cell lung carcinoma Sun Yat-sen University Not yet recruiting No outcome recorded
Phase 2 NCT06829355 Feb → Dec 2025 overdue colorectal cancer Beijing Friendship Hospital Recruiting No outcome recorded
Phase 2 NCT06573398 Sep 2024 → Sep 2025 overdue pancreatic ductal adenocarcinoma Ruijin Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06584006 Sep 2024 → Nov 2027 expected hematopoietic and lymphoid cell neoplasm, lymphopenia The First Affiliated Hospital of Xiamen University Recruiting No outcome recorded
Phase 2 NCT06461910 Jun 2024 → Jan 2026 overdue gastric cancer, gastroesophageal junction adenocarcinoma Zekuan Xu Recruiting No outcome recorded
Phase 2 NCT06056804 Jan → Dec 2024 overdue Beijing Friendship Hospital Active not recruiting No outcome recorded
Phase 2 NCT06139419 Jul 2023 → Aug 2026 overdue non-small cell lung carcinoma Sun Yat-sen University Active not recruiting No outcome recorded
Phase 2 NCT07644897 May 2023 → May 2027 expected melanoma Sun Yat-sen University Recruiting No outcome recorded
Phase 2 NCT05790447 Apr 2023 → May 2025 neoplasm Second Affiliated Hospital of Soochow University Unknown No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT07675980 Feb 2026 → Feb 2027 expected infertility disorder Fakih IVF Fertility Center Recruiting No outcome recorded
Phase 36 trials
Phase 3 NCT05086614 Apr 2021 → Mar 2027 expected colorectal carcinoma Fudan University Recruiting No outcome recorded
Phase 3 NCT04320238 Jan → May 2020 COVID-19 Shanghai Jiao Tong University School of Medicine Unknown No outcome recorded
Phase 3 NCT02867267 Sep 2016 → Jan 2021 infectious disease with sepsis Sun Yat-sen University Completed No outcome recorded
Phase 3 NCT01178996 Dec 2004 → May 2008 chronic hepatitis C virus infection sigma-tau i.f.r. S.p.A. Completed No outcome recorded
Phase 3 NCT00039962 May 2002 → ? chronic hepatitis C virus infection SciClone Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00040027 Apr 2002 → ? chronic hepatitis C virus infection SciClone Pharmaceuticals Completed No outcome recorded
Phase 48 trials
Phase 4 NCT06178146 Sep 2023 → Nov 2024 Jun Wang Unknown No outcome recorded
Phase 4 NCT04524169 Nov 2020 → Dec 2021 osteoporosis RenJi Hospital Unknown No outcome recorded
Phase 4 NCT02473406 Mar 2018 → Dec 2020 acute necrotizing pancreatitis Weiqin Li Completed No outcome recorded
Phase 4 NCT03448744 Oct 2017 → Dec 2018 chronic hepatitis B virus infection Wen-hong Zhang Unknown No outcome recorded
Phase 4 NCT02883595 Mar → Sep 2016 infectious disease with sepsis Sun Yat-sen University Completed No outcome recorded
Phase 4 NCT02281266 Jan 2015 → Jun 2018 hepatocellular carcinoma Jia Fan Unknown No outcome recorded
Phase 4 NCT01943617 Jun 2013 → Dec 2016 cirrhosis of liver Beijing Friendship Hospital Completed No outcome recorded
Phase 4 NCT01938820 Jun 2013 → Dec 2016 cirrhosis of liver Beijing Friendship Hospital Completed No outcome recorded
Phase not applicable9 trials
NCT07382375 Dec 2027 expected aortic disorder Nanjing Medical University Not yet recruiting No outcome recorded
NCT06966687 Apr 2025 → Dec 2026 expected aortic aneurysm Nanjing Medical University Enrolling by invitation No outcome recorded
NCT06607926 Oct 2024 → Jun 2025 overdue non-small cell lung carcinoma Xuanwu Hospital, Beijing Not yet recruiting No outcome recorded
NCT06598839 Jun 2024 → Sep 2025 overdue non-small cell lung carcinoma Yousheng Mao Recruiting No outcome recorded
NCT05339529 Jul 2022 → Dec 2025 overdue aortic disorder Nanjing Medical University Recruiting No outcome recorded
NCT05487469 Jul 2022 → Dec 2023 rheumatic heart disease Nanjing Medical University Unknown No outcome recorded
NCT03082885 Apr 2017 → Jun 2019 liver failure Sun Yat-sen University Completed No outcome recorded
NCT03509688 Nov 2014 → Dec 2017 hepatitis The First Hospital of Jilin University Completed No outcome recorded
NCT00711620 May 2008 → Dec 2010 infectious disease with sepsis Sun Yat-sen University Completed No outcome recorded
Also used as a comparator or background therapy in 4 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT06552598 Background Apr 2024 → Apr 2028 expected cervical cancer, endometrial cancer Tongji Hospital Recruiting No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT00197860 Background Sep 2004 → Dec 2009 renal cell carcinoma Inge Marie Svane Completed No outcome recorded
Phase 31 trial
Phase 3 NCT02127268 Comparator Apr 2014 → Apr 2020 myalgic encephalomeyelitis/chronic fatigue syndrome Zhigang Zhang Unknown No outcome recorded
Phase 41 trial
Phase 4 NCT00291616 Comparator Dec 2005 → Aug 2008 chronic hepatitis B virus infection Seoul National University Hospital Completed No outcome recorded

Evidence & citations 17 cited values

Every value below carries the sentence it was read from. 69 sources stand behind the page.

FieldValueCited text
Known as Thymalfasin “Concurrent administration of thymalfasin and rhGM-CSF.” NCT06552598
21

NCT06573398

NCT06821100

NCT06584006

NCT02906163

NCT02545751

NCT04428008

NCT06056804

NCT00039962

NCT02281266

NCT00040027

NCT02542930

NCT00001036

NCT06829355

NCT02542137

NCT06461910

NCT05790447

NCT00082082

NCT07382375

NCT02906150

NCT04487444

NCT02535988

Known as Ta1 “Thymalfasin (Thymosin alpha 1, Ta1)” NCT02906150
3

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT02906163

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT06821100

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT06829355

Known as Talpha1 “Thymosin alpha1 (Talpha1), first described and characterized by Allan Goldstein in 1972, is used worldwide for the treatment of some immunodeficiencies, malignancies, and infections.” PMID 17495242 May 2007
2

Talpha1, a naturally occurring thymic peptide, primes dendritic cells (DCs) for antifungal T-helper type 1 resistance through Toll-like receptor 9 (TLR9) signaling.” PMID 16741252 Jun 2006

“In this study we examined the effect of the synthetic peptide thymosin-alpha1 (T(alpha)1) on MHC class I expression in FRTL-5 cells.” PMID 10741392 Mar 2000

Known as Thy-α1 “Patients were treated with entecavir (ETV) or ETV + thymosin-alpha1 (Thy-α1) or lamivudine (LAM) + adefovir (ADV).” PMID 33460002 Jan 2021
Known as Thymalfasine ChEMBL registry synonym — accepted as the source's own label CHEMBL2103979
Known as Thymosin a1 “A Phase II, Multicentre, Open, Randomised, Dose Ranging Study to Investigate the Efficacy of Combination Therapy Containing Dacarbazine (DTIC) Plus Low Dose Interferon Alpha...” NCT00911443
Known as Thymosin alpha 1 “This is a randomized, double-blinded, multicenter trial to determine the effectiveness of thymosin alpha 1 (thymalfasin) 1.6 mg twice weekly plus PEGinterferon alfa-2a 180...” NCT00040027
40

“In this post hoc analysis, we aimed to evaluate whether metabolic abnormalities impact the effect of immune-enhancing thymosin alpha-1 (Tα1) therapy in acute necrotizing...” PMID 38356344 Feb 2024

“The neoadjuvant regimen prior to radiotherapy consists of albumin-bound paclitaxel/pemetrexed, cisplatin, Bevacizumab, iparomlimab and tuvonralimab, and thymosin alpha 1.” NCT07103395

Thymosin alpha 1 (Tα1) is widely used to treat patients with COVID-19 in China; however, its efficacy remains unclear.” PMID 34408744 Aug 2021

“whether sequential combination therapy with Thymosin alpha 1 and entecavir is superior to continuous ETV monotherapy” NCT03448744

“Patients were treated with entecavir (ETV) or ETV + thymosin-alpha1 (Thy-α1) or lamivudine (LAM) + adefovir (ADV).” PMID 33460002 Jan 2021

Thymosin alpha 1, 1.6mg injection hypodermic (I.H), every 12 hours for 5 days at least during the ICU admission.” NCT05487469

Thymosin alpha 1, 1.6mg injection hypodermic (I.H), every 12 hours for 5 days at least during the ICU admission.” NCT05339529

Thymosin Alpha 1, Interferon Alpha, or Both, in Combination With Dacarbazine in Patients With Malignant Melanoma” NCT00911443

“Immuno-chemotherapy regimen included etoposide, cisplatin, iparomlimab and tuvonralimab, and thymosin alpha 1.” NCT07103408

Thymosin Alpha 1(1.6mg Biw)will be Subcutaneous injection from the fist week to the 12th weeks.” NCT02976740

“Thymosin-alpha1 regulates MHC class I expression in FRTL-5 cells at transcriptional level.” PMID 10741392 Mar 2000

“1,6 mg Thymosin alpha 1 (Zadaxin®, SciClone) is administered s.c. twice a week” NCT00197860

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT06829355

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT02906163

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT02906150

“Thymalfasin (Thymosin alpha 1, Ta1)” NCT06821100

“Thymalfasin (thymosin alpha-1)” NCT00082082

“thymalfasin (thymosin alpha 1)” NCT00039962

“Drug: thymosin alpha 1NCT03659578

NCT05487469

NCT00580450

NCT07644897

NCT00291616

NCT04320238

NCT01178996

NCT02867267

NCT06607926

NCT06178146

NCT04524169

NCT07675980

NCT05086614

NCT02883595

NCT01031966

NCT02473406

NCT03448744

NCT00911443

NCT06598839

NCT00711620

NCT02787447

NCT05339529

Known as Thymosin α1 “This Phase II study is to determine the efficacy of Thymosin α1 on the frequency of acute pneumonia in non-small cell lung cancer with bulky tumor.” NCT03659578
7

“The Impact of Thymosin α-1 on the Efficacy of Concurrent Chemoradiotherapy Followed by Immunotherpay Consolidation for Locally Advanced NSCLC” NCT06139419

Thymosin α1 (Tα1) immunomodulatory activity on effector cells of the innate immunity has been extensively described” PMID 23050812 Oct 2012

“Thymosin-α1 (Tα1) is a naturally occurring thymic peptide with immune-modulatory properties.” NCT07675980

NCT06966687

NCT02127268

NCT03509688

NCT03082885

Known as Thymosin-α ClinicalTrials.gov intervention name — accepted as the source's own label NCT01943617
1

NCT01938820

Known as Thymosins thymalfasin ChEMBL registry synonym — accepted as the source's own label CHEMBL2103979
Known as Timalfasina ChEMBL registry synonym — accepted as the source's own label CHEMBL2103979
Known as Tα1 “In this post hoc analysis, we aimed to evaluate whether metabolic abnormalities impact the effect of immune-enhancing thymosin alpha-1 (Tα1) therapy in acute necrotizing...” PMID 38356344 Feb 2024
8

“Thymosin α1 (Tα1), a thymosin-related 28-mer synthetic amino-terminal acetylated peptide, has gained increasing interest in recent years, due to its pleiotropy.” PMID 23045964 Oct 2012

“Since it was first identified, thymosin alpha 1 (Tα1) has been characterized to have pleiotropic effects on several pathological conditions” PMID 23045967 Oct 2012

“Thymosin alpha-1 (Tα-1) has shown clinical benefits in patients whose immune functions are severely compromised or ineffective.” NCT06178146

“Thymosin alpha 1 (Tα1) is widely used to treat patients with COVID-19 in China; however, its efficacy remains unclear.” PMID 34408744 Aug 2021

“Thymosin-α1 (Tα1) is a naturally occurring thymic peptide with immune-modulatory properties.” NCT07675980

“thymosin alpha 1 (Tα1) is considered as a promising beneficial immunomodulatory drug.” PMID 23327199 Jan 2013

“Thymosin-α1 (T-α1), a synthetic 28-amino acid peptide” NCT02127268

“thymosin alpha 1 (Tα1) supplementation” PMID 40367062 May 2025

Known as Zadaxin “1,6 mg Thymosin alpha 1 (Zadaxin®, SciClone) is administered s.c. twice a week” NCT00197860
3

ZADAXIN® (trade name; thymalfasin generic; Ta1 for short)” NCT06821100

NCT02646189

NCT04963712

Action Activate “beneficial clinical effects of Ta1 result from activation of toll-like receptor (TLR) 9” NCT04428008
Modality Peptide “a synthetic 28-amino acid peptideNCT02127268
Route Subcutaneous “1,6 mg Thymosin alpha 1 (Zadaxin®, SciClone) is administered s.c. twice a week” NCT00197860
Target TLR9 “through Toll-like receptor 9 (TLR9) signaling” PMID 16741252 Jun 2006