iOnco
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Immune ModulationStrong Evidence

Thymosin Alpha-1

Also known as: Tα1, Tα-1, Zadaxin, Thymalfasin

Origin

Naturally produced by the thymus gland

Half-life

~2 hours (biological effect persists days–weeks)

Admin

Subcutaneous

Studies

3 PubMed

Thymosin Alpha-1 (Tα1) is a 28-amino-acid peptide naturally secreted by the thymus. It is one of the most clinically researched peptides in oncology — licensed in over 35 countries as Zadaxin® for use alongside cancer chemotherapy and as an antiviral. It restores immune competence in immunosuppressed patients, particularly those undergoing cytotoxic treatment.

Properties

Immune modulationT-cell restorationNK cell activationAnti-infectiveChemotherapy adjuvantDendritic cell activation

Amino Acid Sequence

Ac-Ser-Asp-Ala-Ala-Val-Asp-Thr-Ser-Ser-Glu-Ile-Thr-Thr-Lys-Asp-Leu-Lys-Glu-Lys-Lys-Glu-Val-Val-Glu-Glu-Ala-Glu-Asn-OH

Origin: Naturally produced by the thymus gland; synthetic analogue

Mechanism of Action

Tα1 binds to Toll-Like Receptors (TLR2 and TLR9) on dendritic cells and T-lymphocytes, triggering a cascade that increases IL-2, interferon-α, and NK cell cytotoxicity. It shifts immune response from an exhausted Th2 phenotype toward an active Th1 anti-tumour phenotype. Also activates dendritic cell maturation and suppresses immunological tolerance that tumours exploit.

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Cancer Relevance

Used clinically in Italy, China, and Southeast Asia alongside chemotherapy and radiation to reduce immunosuppression, restore T-cell counts after treatment, reduce treatment-related infections, and improve quality of life. Studies in hepatocellular carcinoma, lung, melanoma, and non-Hodgkin lymphoma show improved response rates and survival when added to standard care. Reduces chemotherapy-related mortality from infection.

Dosage & Administration

Dose

1.6 mg subcutaneously, twice per week. Some protocols use 3.2 mg twice weekly in the first month.

Routes of Administration

Subcutaneous injection

Cycle Protocol

Typically used continuously during chemotherapy or for 6-month cycles. Some protocols: 6 weeks on, 2 weeks off.

Cautions & Considerations

  • Requires subcutaneous injection — sterile technique essential
  • May be contraindicated with organ transplant immunosuppression
  • Not a standalone cancer treatment — adjunctive only
  • Not approved by FDA (available as research peptide in US); licensed as Zadaxin in 35+ countries
  • Refrigerate at 2–8°C; do not freeze reconstituted solution

Related Peptides

Informational only. Not medical advice. Consult your oncologist before using any peptide.