Thymosin Alpha-1
Immune Modulationaka Tα1 · Thymalfasin · Zadaxin
Overview
Thymosin alpha-1 (thymalfasin / Zadaxin) is a synthetic 28-amino-acid peptide identical to the endogenous form. International monographs describe use in chronic hepatitis B and as an immunomodulator. It is NOT FDA-approved — the FDA's 2024 compounding briefing explicitly states no Tα1 drug products are approved in the U.S.
Mechanism
Reviews describe Thymosin Alpha-1 as an immunomodulator that enhances T-cell, dendritic-cell, and antibody responses, modulates cytokines and chemokines, and can block steroid-induced apoptosis in thymocytes. The clearest label-backed indication is chronic hepatitis B; broader literature discusses viral and oncologic adjunctive uses with regulatory acceptance varying by country.