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Cat 1 — 2026ImmuneLongevity

Thymosin Alpha-1

Tα1 / Thymalfasin / Zadaxin

28-amino acid immune-modulating peptide derived from the thymus gland. Approved in 70+ countries as Zadaxin. Among the most clinically validated peptides globally.

Evidence
Strong clinical data
Routes
injectable
Available since
FDA-approved version (Zadaxin) used in Asia and Europe since 1990s. US research compounding access from early 2000s onward.

Mechanism of action

Activates dendritic cells and T-helper cells, enhances NK cell activity, upregulates MHC class I and II expression, stimulates IL-2 and interferon production. Regulates rather than simply stimulates immune response — useful for both underactive and dysregulated immunity.

Effects in the body

Thymosin Alpha-1 calibrates immune response. This bidirectional modulation makes it useful for both underactive immunity (infections, cancer support) and overactive immune states. Among the most clinically validated peptides globally — just not specifically in the USA.

Pros & cons (from the literature)

Pros
  • Approved and used clinically in 70+ countries as Zadaxin
  • Strong published evidence for hepatitis B and C, sepsis, and cancer immunotherapy support
  • Vaccine response enhancement data from clinical trials
  • 30+ years of international safety data
  • Non-immunosuppressive autoimmune modulation
Cautions
  • Zadaxin not specifically FDA-approved in the USA
  • Expensive per dose compared to other peptides
  • Some caution needed in certain autoimmune conditions
  • Injection required — no oral form
  • Quality control varies significantly by source

Protocol summary (from published research)

1.6 mg subcutaneous twice weekly — this is the standard international clinical dosing used in published trials. Acute immune support protocols typically 6–8 weeks. Longer-term maintenance monthly dosing also studied.

Dosing ranges reproduced from published research literature. Not a prescription, not medical advice.

FDA & regulatory status

Category 1 as of February 2026. Compoundable with physician prescription from licensed US 503A pharmacy. Zadaxin is commercially approved in 70+ countries but not specifically approved by the FDA for the US market.

Evidence base

Multiple published randomized controlled trials globally for hepatitis, sepsis, and influenza. Phase II and III cancer immunotherapy data exists. Strong safety profile established over 30+ years of international clinical use.

Primary research sources

Peer-reviewed literature referenced throughout this profile is drawn from PubMed, Cell Metabolism, and clinical trial registries cited in the evidence base above.

Important. ThePeptide.expert summarizes published research. We are not a pharmacy, do not prescribe, and make no therapeutic claims. Regulatory status varies by jurisdiction.