Thymosin Alpha-1 / Thymalfasin (1.6 mg Vial) Dosage Protocol
Thymosin Alpha-1 (Tα1) is a 28-amino acid peptide originally isolated from thymosin fraction 5 of bovine thymus. FDA approved as Zadaxin in several countries for chronic hepatitis B/C. Studied for immune enhancement in immunocompromised states, chronic infections, and immune senescence.
ā” Quickstart Highlights
Dosing & Reconstitution Guide
Route: Subcutaneous | Frequency: Twice weekly (most protocols)
| Protocol | Dose | Frequency | U-100 Units | Duration |
|---|---|---|---|---|
| Standard | 1.6 mg (full vial) | Twice weekly | 100 units (1.0 mL) | 6ā12 months (chronic HBV/HCV) |
| Immune support | 0.8ā1.6 mg | Once or twice weekly | 50ā100 units | 8ā16 weeks |
Reconstitution Steps
- Draw 1.0 mL bacteriostatic water into a sterile syringe.
- Inject slowly down the inside glass wall of the vial; avoid foaming.
- Gently swirl until dissolved. Do not shake.
- Label with reconstitution date. Refrigerate at 2ā8°C; use within 28 days.
Supplies Planning
| Item | 8 Weeks (2Ć/week) | 6 Months (2Ć/week) |
|---|---|---|
| Thymosin Alpha-1 vials (1.6 mg) | 16 vials | 52 vials |
| Insulin syringes (U-100, 1 mL) | 16 | 52 |
| Bacteriostatic water (10 mL) | 2 Ć 10 mL | 6 Ć 10 mL |
| Alcohol swabs | 1 Ć 100-pack | 3 Ć 100-pack |
Mechanism of Action
Thymosin Alpha-1 is endogenously produced by thymic epithelial cells and plays a central role in T-cell maturation and differentiation. It promotes the development of T-helper cells (CD4+), enhances cytotoxic T-cell (CD8+) activity, and upregulates major histocompatibility complex (MHC) class I and II expression on immune cells ā improving antigen presentation.
Key immunological mechanisms include: activation of Toll-like receptors 2 and 9 on dendritic cells; upregulation of type I interferons and IL-12; enhanced NK cell activity; and restoration of IL-2 signaling pathways that are often suppressed in chronic viral infections and immunosenescence. In approved hepatitis protocols, Tα1 augments antiviral immune responses that the hepatitis virus has suppressed.
Research Findings & Safety Profile
- Approved as Zadaxin in multiple countries for chronic hepatitis B and C treatment.
- Enhances T-cell maturation, CD4+/CD8+ activity, and antigen presentation via MHC upregulation.
- Activates TLR2/9 and upregulates type I interferons and IL-12 ā antiviral and immune-enhancing.
- Studied in cancer adjuvant contexts, sepsis, and COVID-19 immune dysregulation.
- Excellent safety profile across multiple long-term clinical studies; adverse events similar to placebo.
- Well-established twice-weekly subcutaneous protocol from international approval experience.
Storage
| State | Temperature | Duration | Notes |
|---|---|---|---|
| Lyophilized | ā20°C (ā4°F) | Up to 24 months | Dry, dark conditions |
| Reconstituted | 2ā8°C (35ā46°F) | Up to 28 days | Avoid freeze-thaw; protect from light |