Thymosin Alpha-1 dose range

The amounts people commonly use, from the low end to the high end, with syringe units, schedule and half-life. The 8 published studies are one click away.

Human trials Immune Also called Thymalfasin

Common use ranges

Mostly from the official drug label or its main trials, plus clinic protocols. The 1.6 mg twice-a-week amount is the Zadaxin label dose, and clinic guides repeat it. The 3.2 mg amount is a higher clinic protocol for short use only.

Half-life
under 3 hours
How it is taken
subcutaneous injection
How long people use it
6 to 12 months on the label (hepatitis B). Clinic courses are often shorter.
Mixing used for the units
10 mg vial + 2 mL water. 1 unit on a U-100 insulin syringe = 50 mcg.
Total amount per week, by tier
Label dose3.2 mg / weekDaily start (some clinics)11.2 mg / weekHigher (short term)6.4 mg / week
TierEach doseSyringe units10 mg vial + 2 mL waterHow oftenScheduleVial lastsat this tier
Label dose [1]1.6 mg32 units 0.32 mL2x a week1.6 mg twice a week, under the skinabout 3 weeks
Daily start (some clinics) [2]1.6 mg32 units 0.32 mLonce a daySome acute protocols give 1.6 mg every day for the first 2 weeks, then twice a week6 days
Higher (short term) [3]3.2 mg64 units 0.64 mL2x a week3.2 mg twice a week for an acute problem, then back to 1.6 mg10 days

Good to know

  • Zadaxin is approved in many countries outside the US. It is not FDA approved.
  • Under 40 kg of body weight, the label uses 40 mcg per kg instead.

Sources for these amounts

  1. Label dose: RxList, Zadaxin (thymalfasin) label ยท FormBlends, thymosin alpha-1
  2. Daily start (some clinics): FormBlends, thymosin alpha-1
  3. Higher (short term): FormBlends, thymosin alpha-1

How long people use it: RxList, Zadaxin (thymalfasin) label

Half-life: Single and 5-day dosing of thymosin alpha 1 (Zadaxin and two other forms) in 9 healthy volunteers, 1999 (abstract)

This page shows what labels, clinics and users report, and what studies gave. It is not medical advice and not a recommendation for anyone. Many of these compounds are not approved for human use. Check your own medicines and lab work with a licensed clinician before using anything.

See the science: 8 published studies

Amounts given to people in studies

Lowest1.6 mg twice weekly
Most used1.6 mg per dose
Highest6.4 mg per dose (melanoma trial)

How it was given: Under the skin (SC)

Sepsis trials gave 1.6 mg every 12 hours.

Amounts given to animals in studies

Lowest200 mcg/kg (mouse)
Most used200 mcg/kg (mouse)
Highest200 mcg/kg (mouse)

Every study used for this page

Proof grade: Human trials. Tested in randomized human trials. Amounts are quoted as each study reported them. Where the abstract does not state an amount, the row says so.

StudyWho was studiedAmount given, as reportedRouteHow oftenHow longWhat the authors reported
PMID 106072561999Human, chronic hepatitis B, phase III (n=97)1.6 mg vs placeboNot in abstractTwice weekly6 months, followed 6 moreComplete response 14% vs 4% (P=0.084), not significant
PMID 170759912006Human, chronic hepatitis B (n=62)1.6 mgSCTwice weekly6 monthsComplete response 31.0% at end of treatment, 48.3% at 6-month follow-up; comparator IFN-alpha
PMID 227261052012Human, HBeAg-positive hepatitis B (51 enrolled: 26 combination, 25 monotherapy)1.6 mg thymosin alpha-1 plus peginterferon 180 mcg weeklyNot in abstractTwice a week for the first 12 weeksThymosin 12 weeks, peginterferon 48 weeksCombination vs peginterferon alone, efficacy not captured here
PMID 201948532010Human, metastatic melanoma (n=488)1.6 mg, 3.2 mg, 6.4 mg (with DTIC plus IFN-alpha); 3.2 mg with DTIC aloneNot in abstractNot in abstractUp to 12 months of response assessment3.2 mg arms showed enough responses to reject null (10 and 12 vs 4 control); median OS 9.4 vs 6.6 months
PMID 233271992013Human, severe sepsis, ETASS (n=361)1.6 mg (PMC full text)SCTwice per day for 5 days, then once per day for 2 days7 days28-day mortality 26.0% vs 35.0% (P=0.062)
PMID 398144202025Human, sepsis, TESTS phase 3 (n=1106)1.6 mg, every 12 hours (PMC full text; abstract says SC every 12 h)SCEvery 12 hoursUp to 7 days28-day mortality 23.4% vs 24.1%, no benefit
PMID 324422872020Human, severe COVID-19, retrospective (n=76)Not stated in the abstractNot in abstractNot in abstractNot in abstractMortality 11.11% vs 30.00% (observational, not randomized)
PMID 283943302017Mouse, Cftr F508del and C57BL/6 (n per group about 3 in shown blots)200 mcg/kg (PMC full text)IP or intranasalDaily6 daysRestored CFTR expression and activity, reduced inflammation. Mouse weight not stated, assumed ~0.025 kg

How to read the study numbers

  • One study, one group. Each figure is what one team chose for its own participants or animals.
  • Route matters. An amount given into a vein (IV) is not the same as the same amount under the skin, in the nose or by mouth.
  • Animals are not small people. An animal amount is shown as the study gave it. It is not a human amount.
  • Short studies. Many studies ran days or weeks. They do not show what happens over longer use.

Common questions

What amounts of Thymosin Alpha-1 were used in human studies?

In the studies listed here, people were given from 1.6 mg twice weekly up to 6.4 mg per dose (melanoma trial). The amount used most often was 1.6 mg per dose. These are what study teams chose for their participants under supervision.

Where do these Thymosin Alpha-1 numbers come from?

From 8 published studies, each linked to its PubMed or ClinicalTrials.gov record. Every figure was checked against the study abstract or its open full text. Proof grade: Human trials.

How long does Thymosin Alpha-1 stay in the body?

Its half-life is under 3 hours in people. Half-life is how long it takes for half of a dose to leave the blood. The effect can last longer than that.

Is this a recommendation for how much Thymosin Alpha-1 to use?

No. This page shows the amounts reported by drug labels, clinics and users, next to what researchers gave in studies. It is not medical advice and not a recommendation for anyone. Talk to a licensed clinician before using any of it.

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