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DRUG:

Zadaxin (thymalfasin)

i
Other names: thymosin alfa 1, thymosin-α-1, Tα 1, thymosin alpha 1, Ta1
Associations
Company:
SciClone
Drug class:
Immunomodulator
Related drugs:
Associations
9d
Thymosin α1 Elevates Lymphocyte Counts and Improves Immunoradiotherapy Outcomes in Patients with Advanced Cancer. (PubMed, Cancer Manag Res)
It should be noted that the median follow-up of 13.7 months may be insufficient to fully assess long-term survival outcomes and the potential for late-onset toxicities. As this was an exploratory analysis across multiple tumor types, these findings warrant validation in larger, randomized studies with more homogenous cohorts.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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Zadaxin (thymalfasin)
16d
Drug Repurposing in Oncology: A Strategic Pathway to Unlocking New Therapeutic Potential. (PubMed, Ther Innov Regul Sci)
Notable medications include RANKL inhibitors, which boost immune cell responses; TGF-β inhibitors, which improve T cell infiltration; and metformin, which activates cytotoxic T lymphocytes...On the other hand, aspirin may enhance immune checkpoint inhibitors by blocking the immunological milieu that tumors produce...Future developments in personalized medicine and artificial intelligence may increase the efficacy of drug repurposing in cancer treatment. To fully realize the potential of repurposed medications in enhancing the results for cancer patients, interdisciplinary cooperation between the academic community, business leaders, and regulatory bodies will be required.
Review • Journal
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CSF2 (Colony stimulating factor 2) • TGFB1 (Transforming Growth Factor Beta 1)
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metformin • Zadaxin (thymalfasin) • aspirin
17d
GASTO-1098: The Impact of Thymosin α-1 on the Efficacy of Concurrent Chemoradiotherapy Followed by Immunotherpay Consolidation for Locally Advanced NSCLC (clinicaltrials.gov)
P2, N=114, Active, not recruiting, Sun Yat-sen University | Recruiting --> Active, not recruiting | Trial primary completion date: Aug 2025 --> Aug 2026
Enrollment closed • Trial primary completion date • IO biomarker
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HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • IL4 (Interleukin 4)
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cisplatin • Tevimbra (tislelizumab-jsgr) • albumin-bound paclitaxel • Zadaxin (thymalfasin)
1m
New trial
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Zadaxin (thymalfasin)
2ms
Thymosin α1 Combined With 2HRZE/4HR Regimen as a Potential Treatment of Pulmonary Tuberculosis: An Analysis of Immune Function, Pulmonary Function and Inflammatory Response. (PubMed, Br J Hosp Med (Lond))
There was no significant difference in the incidence of adverse reactions between the two groups (p > 0.05). Conclusion Thymosin α1 combined with the 2HRZE/4HR regimen holds promise as an effective treatment of pulmonary tuberculosis by improving immune function and pulmonary function of patients while attenuating the inflammatory response.
Retrospective data • Journal • IO biomarker
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IFNG (Interferon, gamma) • MUC1 (Mucin 1) • TNFA (Tumor Necrosis Factor-Alpha) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • KIM1 (Kidney injury molecule 1) • IL4 (Interleukin 4)
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Zadaxin (thymalfasin)
3ms
The Immunomodulatory Activity of Thymosin Alpha 1 on Tumor Cell Lines and Distinct Immune Cell Subsets. (PubMed, Onco Targets Ther)
Our findings question the tumor immunomodulatory properties of Tα1, simultaneously underscoring the importance of further investigating Tα1 influence on specific immune cell subsets in the periphery or within the tumor microenvironment of cancer patients. This would contribute to understand Tα1 potential in immunotherapy-based combination strategies, within the anti-tumor setting.
Preclinical • Journal • IO biomarker
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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Zadaxin (thymalfasin)
4ms
A preliminary analysis of integrating thymosin α1 into concurrent chemoradiotherapy and consolidative immunotherapy in unresectable locally advanced non-small cell lung cancer. (PubMed, Transl Lung Cancer Res)
All patients received CCRT (60-64 Gy total irradiation dose, weekly concurrent docetaxel and cisplatin) with or without consolidative nivolumab...This combination may enhance survival outcomes and reduce treatment-related toxicity. Further randomized trial is warranted for validation.
Journal • PD(L)-1 Biomarker • IO biomarker
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IL6 (Interleukin 6)
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Opdivo (nivolumab) • cisplatin • docetaxel • Zadaxin (thymalfasin)
4ms
PraG therapy with QL1706 in combination with Thymalfasin as second-line therapy for patients with unresectable hepatocellular carcinoma:A single-arm, open-label, prospective phase II clinical study (ChiCTR2500106880)
P2, N=30, Not yet recruiting, The First Affiliated Hospital of Guangxi Medical University; The First Affiliated Hospital of Guangxi Medical University
New P2 trial
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Qibeian (iparomlimab/tuvonralimab) • Zadaxin (thymalfasin)
4ms
New trial
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gemcitabine • Tyvyt (sintilimab) • albumin-bound paclitaxel • Zadaxin (thymalfasin)
4ms
Thymalfasin (Thymosin Alpha 1; Ta1) as an Enhancer of Vaccine Response Among Older Adults Receiving Booster Doses of COVID-19 Vaccine (clinicaltrials.gov)
P1, N=75, Recruiting, The Methodist Hospital Research Institute | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2025 --> Dec 2026
Trial completion date • Trial primary completion date
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Zadaxin (thymalfasin)
4ms
Interferon-α and thymosin-α1 plus tislelizumab enhance CD8+ T cell cytotoxicity toward pancreatic ductal adenocarcinoma. (PubMed, iScience)
Moreover, the growth of PDAC tumors was inhibited by CD8+ T cells with high efficacy under the combination treatment. Thus, IFN-α and Tα1 plus tislelizumab enhance the anticancer activity of CD8+ T cells toward PDAC, representing an alternative strategy for improving cancer immunotherapy.
Journal
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CD8 (cluster of differentiation 8) • IFNA1 (Interferon Alpha 1)
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Tevimbra (tislelizumab-jsgr) • Zadaxin (thymalfasin)
5ms
Unveiling lymphocyte dynamics: Navigating postoperative immune landscapes in gastric cancer patients undergoing laparoscopic D2 gastrectomy. (PubMed, Int J Immunopathol Pharmacol)
By postoperative day 7, we observed median decreases in T cells, B cells, NK cells, and memory T cells of -26.1%, -30.8%, -44.8%, and -2.3%, respectively. In contrast, naive T cells and regulatory T cells increased by 6.0% and 15.0%. Thymosin alpha 1 (Tα1) treatment proved to be a protective factor, significantly reducing the decline in T and B cell counts (p = 0.05). Multivariate analysis identified higher Interleukin-1β levels (HR = 3.66, p = 0.01), longer operation times (HR = 2.98, p = 0.02), and Tα1 therapy (HR = 0.15, p = 0.01) as independent predictors of T cell reduction. These findings highlight Tα1's potential as a therapeutic intervention to mitigate lymphocyte depletion, suggesting its incorporation into postoperative care could enhance immune recovery and patient outcomes. This study illuminates key immunological changes following gastric cancer surgery, offering pathways to improve postoperative management and patient health.
Retrospective data • Journal
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IL1B (Interleukin 1, beta)
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Zadaxin (thymalfasin)