Evidence review: Open Peptide Project (verified against primary PubMed, ClinicalTrials.gov & FDA records) · Last checked 2026-10-27. ← Back to Evidence Library
Thymopentin (TP-5, Timunox): what the evidence says
At a glance
What it is: a synthetic pentapeptide (Arg-Lys-Asp-Val-Tyr) matching residues 32–36 of the thymic hormone thymopoietin. R1
What the evidence says: two small placebo-controlled trials in atopic dermatitis reported modest benefit. R2, R3 A meta-analysis found no significant overall boost to hepatitis B vaccine response in dialysis patients. R4 It did not help chronic hepatitis B R5 or significantly cut postoperative infections. R6
Biggest risks: no thymopentin-related adverse events were reported in a 12-week dermatitis trial. R3
Rating
| Human Human evidence | Limited: small RCTs, mixed results R2, R3, R5, R6, R4 |
| Animal Animal / lab evidence | Mouse thymocyte differentiation R1 |
| Regulatory | Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page R7, R8, R9 · not named by WADA R10 |
| Established human dose | No (see Study details for trial amounts) |
Evidence verdict: Atopic dermatitis: Limited (two small positive RCTs) · Hepatitis B vaccine boost in dialysis: Limited (meta-analysis not significant overall) · Chronic hepatitis B: no benefit in one RCT · Postoperative infection: no significant benefit
This page reports what studies used. It is not dosing advice.
Legend: HUMAN data · ANIMAL / LAB data · UNKNOWN · UNVERIFIED: not yet confirmed against a primary source
About the evidence: the trials are small and old, and several were negative. HIV trials run by its US sponsor are listed as completed without posted results. R11, R12
What is it?
Related pages: Thymosin alpha-1, Thymalin, Thymulin, Thymogen.
Does it work?
- Human Atopic dermatitis: 100-patient RCT, severity fell more than placebo after 6 weeks (P = 0.04) R2; 39-patient RCT, greater improvement at 12 weeks. R3
- Human Hepatitis B vaccine in dialysis: 11 studies, 272 patients, pooled odds ratio 0.68 (not significant); benefit only in higher-dose subgroup. R4
- Human Chronic hepatitis B: no benefit over controls (n = 30). R5
- Human Surgery: infection rate 17.5% vs 24.3%, not significant (n = 206). R6
- Unknown Anti-aging or general immune boosting in healthy people: no data.
Is it safe?
- Human No drug-related adverse events reported in the 12-week dermatitis RCT. R3
Gray-market vials: extra risks
A gray-market vial has no quality control and no guarantee of identity, strength or sterility. We test retail vials blind under the Open Peptide Standard; see /tests/. A passing test covers one batch on one date and does not mean the compound is safe.
Is it legal?
- US: not FDA-approved; no Drugs@FDA application found (openFDA searched Oct 26, 2026).
- Compounding: not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page. R7, R8, R9
- Sport: not named on WADA's 2026 Prohibited List. R10
Study details
Study details
These are amounts researchers used, not recommendations.
| Study | People / model | Route | Amount used | Follow-up | Reported | Citation |
|---|---|---|---|---|---|---|
| Leung 1990 | 100 atopic dermatitis | SC daily | Per study | 6 weeks | Severity score P = 0.04 vs placebo | PMID 2185294 |
| Stiller 1994 | 39 severe atopic dermatitis | SC 3×/week | 50 mg | 12 weeks | Greater improvement vs placebo | PMID 8157786 |
| Fattovich 1994 | 30 chronic hepatitis B | Injection | Per study | 6 months + follow-up | No benefit | PMID 7836705 |
| Braga 1994 | 206 cancer surgery | Perioperative | Per study | Postoperative | Infection 17.5% vs 24.3%, NS | PMID 8156337 |
| Fabrizi 2006 | 11 studies, 272 dialysis | Adjuvant | Varied | Meta-analysis | OR 0.68, NS | PMID 16696803 |
Full reference list (PubMed, CT.gov, FDA and WADA checked Oct 26, 2026)
- R1 Goldstein G, et al. Science. 1979. PMID 451537
- R2 Leung DY, et al. J Allergy Clin Immunol. 1990. PMID 2185294
- R3 Stiller MJ, et al. J Am Acad Dermatol. 1994. PMID 8157786
- R4 Fabrizi F, et al. Aliment Pharmacol Ther. 2006. PMID 16696803
- R5 Fattovich G, et al. J Hepatol. 1994. PMID 7836705
- R6 Braga M, et al. Br J Surg. 1994. PMID 8156337
- R7 FDA, 503A bulk drug substances categories list (updated May 14, 2026). https://www.fda.gov/media/94155/download
- R8 FDA, 503B bulk drug substances categories list (updated Mar 21, 2025). https://www.fda.gov/media/94164/download
- R9 FDA, Certain bulk drug substances for use in compounding that may present significant safety risks (content current Apr 22, 2026). https://www.fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks
- R10 WADA. The 2026 Prohibited List, full list checked; compound not named. https://www.wada-ama.org/sites/default/files/2025-09/2026list_en_final_clean_september_2025.pdf
- R11 ClinicalTrials.gov NCT00002109, Immunobiology Research Institute phase 3 Timunox HIV trial, completed, no results posted (CT.gov API v2, checked Oct 26, 2026). https://clinicaltrials.gov/study/NCT00002109
- R12 ClinicalTrials.gov NCT00002066, Immunobiology Research Institute double-blind HIV trial, completed, no results posted (CT.gov API v2, checked Oct 26, 2026). https://clinicaltrials.gov/study/NCT00002066
Disclaimer
This page is for education and harm reduction, not medical advice or a recommendation to use Thymopentin (TP-5, Timunox). This compound is not FDA-approved. Any product sold under this name in the US is unregulated. Report problems to FDA MedWatch (https://www.fda.gov/safety/medwatch).