Thymosin alpha-1 finally got the large trial its advocates asked for — and the result is a lesson in why big trials matter.
Jan 2025Phase III readout — negative
TESTS trial: thymosin alpha-1 does not reduce sepsis mortality in a 1,106-patient study
The TESTS trial, a multicentre, double-blinded, placebo-controlled Phase III study of 1,106 patients published in The BMJ, found that thymalfasin (thymosin alpha-1) did not significantly reduce 28-day mortality in sepsis (hazard ratio 0.97 after a mid-2025 data correction). Smaller earlier studies had suggested a benefit; the definitive trial did not confirm it. This is the pattern to internalize with immune peptides: promising small studies frequently shrink toward no effect when tested properly. Source: The BMJ, January 2025 (correction May 2025).
Related: Thymosin Alpha-1
2025Trial launched
Thymalfasin heads into a vaccine-response trial in older adults
A registered clinical trial (NCT06821100) is studying thymalfasin as an enhancer of vaccine response in older adults receiving COVID-19 booster doses — a use case that fits the peptide's actual biology as a T-cell modulator better than the broad "immune boosting" claims attached to it in wellness marketing. Results are not yet available; this is a study to watch, not evidence in hand. Source: ClinicalTrials.gov registration NCT06821100.
Related: Thymosin Alpha-1
2025Preclinical
LL-37-derived peptides show activity against multidrug-resistant bacteria
Engineered fragments of the human antimicrobial peptide LL-37 demonstrated activity against multidrug-resistant E. coli and ESKAPE pathogens in laboratory studies published in Scientific Reports, part of a broader 2025 wave of work on LL-37 derivatives as antibiotic-resistance candidates. This is drug-discovery science, not a therapy: the interesting future for LL-37 is as a scaffold for designed antimicrobials, not as an injectable wellness peptide. Source: Scientific Reports, 2025.
Related: LL-37