Thymalin: research
A calf thymus extract studied for immune problems, with uncertain safety and product identity.
Also called: Timalin, Thymalinum, Thymaline, Тималин.
Khavinson bioregulator peptides · Calf-thymus polypeptide extract.
The 156 possible clinical reports include older records without summaries and reports that may reuse participants. They are not 156 independent trials; dose and safety details are often missing.
Studies
- COVID-19: 10-day injections. rct, n=80, Hospitalised adults with severe COVID-19; mean age about 62 years. A small trial reported fewer hospital deaths; replication is needed. (source)
- COVID-19: five-day injections. rct, n=92, Adults with moderate or severe COVID-19 and low lymphocyte counts. Immune and inflammation markers improved in an open-label trial. (source)
- COVID-19 antibodies at 104 days. rct, n=75, Hospitalised adults with moderate or severe COVID-19; mean age 64.70±7.20 years. Antibody levels fell less after Thymalin; protection from reinfection was not tested. (source)
- COVID-19 antibodies at 200 days. cohort, n=88, Older adults after hospitalised COVID-19. A follow-up report described higher antibody levels after Thymalin. (source)
- COVID-19 immune markers at six days. cohort, n=87, Adults admitted in Chita in June to August 2020 with severe COVID-19. Retrospective analysis of immune-marker changes, not a new survival trial. (source)
- COVID-19: clotting and mortality. cohort, Middle-aged and older adults with severe COVID-19. A comparative report found lower mortality with Thymalin; causal certainty is low. (source)
- COVID-19: first case report. case-report, n=1, One adult with severe COVID-19 pneumonia. One recovery after treatment cannot establish a drug effect. (source)
- COVID-19: two case reports. case-series, n=2, A 72-year-old man and a 69-year-old woman with severe COVID-19. Two reported recoveries provide very weak evidence. (source)
- COVID-19: treatment case series. case-series, Severe COVID-19 cases in Chita. A case-based comparison does not establish relative efficacy. (source)
- Older adults: two annual courses. rct, n=94, Women aged 66–94 living in a veterans home. A small older trial reported lower mortality; this is not proof of longer life. (source)
- Older adults: spaced injections. rct, n=152, Older adults, including people with coronary disease or accelerated ageing. A second historical cohort reported fewer deaths after repeated courses. (source)
- Older adults: annual extract pair. cohort, n=20, 10 older women and 10 older men in a separate group. The annual combination group was not a separately randomized comparison. (source)
- Timing for pelvic inflammation. cohort, Women with chronic salpingitis or oophoritis. Chronotherapy findings need replication. (source)
- Acute lung abscess. cohort, Patients receiving usual care for acute lung abscess. A small comparative report with incomplete details. (source)
- Acute necrotic pancreatitis. case-series, n=18, Patients with acute necrotic pancreatitis. An uncontrolled series cannot establish benefit. (source)
- Parkinson symptoms. case-series, n=15, Adults aged 45–72 with idiopathic parkinsonism. A 15-person before-and-after series. (source)
- Severe burns. cohort, n=32, People with grade III–IV burns. Findings are confounded by burn care. (source)
- Diabetic foot wounds. cohort, n=46, Patients with diabetic foot wounds. Laser, several drugs and Thymalin were combined. (source)
- Autoimmune thyroiditis. cohort, n=104, Patients with autoimmune thyroiditis. Multiple treatments prevent a drug-specific estimate. (source)
- Ulcerative colitis comparison. cohort, n=50, Patients with different severities of ulcerative colitis. No numerical outcome or adverse-event rates provided. (source)
- Lung mycobacterial disease. cohort, n=43, Adults with fibro-cavernous lung mycobacterial disease. The regimen also changed several antibiotics. (source)
- Resistant schizophrenia. case-series, n=36, Patients with resistant schizophrenia and immune abnormalities. No controlled symptom or safety estimate. (source)
- Endometrial cancer adjunct. cohort, n=111, Primary endometrial cancer patients. No survival estimate attributable to Thymalin. (source)
- Cervical cancer adjunct. cohort, n=96, Women with advanced cervical cancer. Old combined-treatment report; safety data incomplete. (source)
- Childhood hepatitis B. cohort, n=102, Children with chronic hepatitis B. No controlled rate; pediatric findings do not establish adult dosing. (source)
- Psoriasis immune imbalance. cohort, n=57, People with psoriasis; 8 received combined immune correction. Combination therapy; no isolated drug effect. (source)
- Skin sarcoidosis: no benefit. cohort, n=28, Patients with skin sarcoidosis. Not all 28 necessarily received Thymalin; drug-arm counts absent. (source)
- Childhood concussion: no effect. cohort, Children with acute concussion. Sample size and dose absent from the abstract. (source)
- Dysentery immune-marker comparison. cohort, Patients with dysentery. Surrogate outcome; no clinical endpoint estimate. (source)
- Nonspecific lung disease. cohort, n=35, Patients with nonspecific lung disease. Abstract says 5 mL for 4–6 injections; concentration and route unclear. (source)
- Peritonitis: route comparison. cohort, n=46, Patients with widespread peritonitis. Unusual surgical route; dose absent. (source)
- Peritonitis with heparin. cohort, n=63, Patients with acute peritonitis. No quantified drug-interaction assessment. (source)
- Pulmonary tuberculosis adjunct. cohort, n=116, Patients with infiltrative destructive tuberculosis. Dose, allocation and harm rates unavailable. (source)
- Tuberculosis immune-drug comparison. cohort, n=553, Patients with destructive pulmonary tuberculosis. 553 is the total across all drugs, not the Thymalin arm. (source)
- Abdominal gunshot wounds. cohort, n=112, Patients with abdominal gunshot injuries. Ultrasound, antibiotics, enzymes and other drugs also changed. (source)
- Frostbite adjunct. case-series, n=19, Patients with frostbite. Small combined-treatment series. (source)
- Major trauma adjunct. case-series, n=23, Patients with major injuries. Small series; exact dosing absent. (source)
- Periodontal disease. case-series, n=30, Patients with periodontal disease. No modern dental or bleeding outcome measures. (source)
- Childhood herpes stomatitis. cohort, n=44, Children with acute or recurring herpes stomatitis. Pediatric series; no adult regimen established. (source)
- Childhood secretory otitis. cohort, n=68, Children studied in 2017–2019. Mixed regimens and unclear allocation. (source)
- Postoperative infection. cohort, Patients with septic complications after surgery. Combination effects; no numerical endpoint or dosing. (source)
- Kidney inflammation adjunct. cohort, Patients with chronic glomerulonephritis. Regimen paper; no controlled Thymalin efficacy estimate. (source)
- Cholestatic liver disease. cohort, n=102, Patients with chronic cholestatic hepatitis or primary biliary cirrhosis. Total across drugs; no Thymalin arm size or event rates. (source)
- Burns: early comparative series. cohort, n=32, Adults aged 18–60 with deep burns. Historical findings are vulnerable to treatment-selection bias. (source)
- Postoperative endometritis. cohort, Women with endometritis after surgery. Thymalin and thymogen were assessed as separate drugs. (source)
- Pneumonia with thymus enlargement. cohort, Young children with pneumonia and enlarged thymus. Historical pediatric immune and hormone responses were studied. (source)
- COVID-19: conference abstract. cohort, Severe COVID-19 patients. Conference report from the same COVID-19 research programme. (source)
- Human stem cells in a dish. in-vitro, Cultured human blood-forming stem cells. Cell-marker changes suggest altered differentiation; no patient benefit tested. (source)
- Immune cells and peptide components. in-vitro, Human blood cells from 4 donors, plus computer modelling. Proposed gene effects come from cell and computer models. (source)
- Inflammation in cultured cells. in-vitro, THP-1 monocyte/macrophage cell line. The extract changed inflammatory signals in cultured cells. (source)
- Tumour and thymus in rats. animal, Male rats with transplanted sarcoma. Rat tumour findings do not establish anticancer benefit or safety in people. (source)
- Jaw-bone repair in rats. animal, n=48, 48 rats in four groups with jaw-bone defects. A PubMed human tag is misleading here: the experiment used rats. (source)
Thymalin dosage
Typical reported dose: 5–20 mg once a day, 30–100 mg per course
- COVID-19: 10 mg for 10 days: 10 mg once daily for 10 days once daily, into muscle. Studied in a trial. Studied in: Hospitalised adults with severe COVID-19. (source)
- COVID-19: 10 mg for five days: 10 mg once daily for 5 days once daily, into muscle. Studied in a trial. Studied in: Adults hospitalised with moderate or severe COVID-19. (source)
- Older adults: two annual courses: 10 mg daily for 10 days in 1996, repeated in 1997 once daily during each course, into muscle. Studied in a trial. Studied in: Women aged 66–94 in a veterans home. (source)
- Two annual courses of both extracts: 10 mg Thymalin plus 10 mg Epithalamin daily for 10 days once daily during each course, into muscle. Studied in a trial. Studied in: Women aged 66–94 in the randomized veterans-home study. (source)
- Older adults: five spaced doses: 10 mg per injection; 5 injections every 2–3 days one injection every 2–3 days, into muscle. Studied in a trial. Studied in: Older adults with accelerated ageing or coronary disease. (source)
- Annual Thymalin and Epithalamin: 10 mg Thymalin plus 10 mg Epithalamin daily for 10 days once daily during each course, into muscle. Studied in a trial. Studied in: Separate group of 20 older adults. (source)
These are doses reported in labels, trials or user reports, not a personal plan. Check the source behind each one.
Thymalin side effects and risks
Reported side effects
- Allergic reactions: Russian instructions list allergy without a rate., serious. Stop the product; breathing trouble, swelling or fainting needs emergency care. (source)
- Headache reported online: One commenter asked about a migraine like headache; causation was not established., mild. A new severe or persistent headache needs assessment. (source)
- Irritability while stacked: One user reported mood swings while also taking Epitalon; later attribution was uncertain., moderate. Review all drugs and pause the suspected product if symptoms appear. (source)
Stop and get help if
- Trouble breathing, throat or face swelling, or collapse after injection: Stop and call emergency services now.
- Fever with shaking chills, confusion, or spreading redness after injection: Seek urgent care for possible serious infection or contaminated product.
- New chest pain, severe breathlessness, fainting or heavy bleeding: Seek emergency care now.
Who should avoid it
- pregnant: Russian instructions contraindicate use during pregnancy.
- breastfeeding: Russian instructions contraindicate use during breastfeeding.
- tryingToConceive: Precaution: reproductive safety is unestablished; pregnancy is contraindicated in the Russian instructions.
- under18: Historical pediatric reports do not establish safety for unsupervised use.
- other: Individual intolerance is a stated contraindication. The product is derived from cattle and contains glycine.
- autoimmuneDisease: It changes immune activity. Old autoimmune-disease reports do not establish safety across conditions.
- immunosuppressed: Immune effects may conflict with transplant or immune-suppressing care. Direct interaction studies are missing.
- activeCancer: Historical cancer adjunct reports do not establish safety with modern cancer therapy. Oncology review is needed.
- kidneyDisease: No validated dose adjustment; renal failure was excluded from the retrospective COVID-19 study.
- liverDisease: No validated dose adjustment; raised liver enzymes were excluded from that COVID-19 study.
- bleedingDisorder: Historical studies report changes in clotting and fibrinolysis; bleeding risk is not quantified.
- testedAthlete: Thymalin is not named on the 2026 list; the exact product needs an anti-doping ruling.
Interactions
- Immune-suppressing drugs: Possible opposing immune effects are theoretical. Historical co-use does not establish safety, especially after transplant.
- Anticoagulants and antiplatelet drugs: Clotting changes were observed; interaction and bleeding rates are unknown. Hospital heparin co-use is not proof of general safety.
- Other thymus immune peptides: Overlapping immune effects; no validated combined regimen. Similar names do not mean the same drug.
Product quality risks
- A vial containing a single synthetic peptide is not proven equivalent to the studied thymus extract.
- No independent peer-reviewed survey of online Thymalin identity, dose, sterility or endotoxin was located.
- Regulators report contamination, uncertain doses and serious reactions with unapproved peptides generally.
- General online semaglutide testing found quality failures; those results do not measure Thymalin failure rates.
How Thymalin works
Thymalin contains several peptides that can change how immune cells develop and signal. Cell studies suggest effects on T cells and inflammatory signals. A precise receptor and a proven mechanism for longer human life have not been established.
- T-cell differentiation: Changes immune-cell markers in cell studies; the effect in each disease remains uncertain.
- Inflammatory cytokine pathways: The extract and isolated components reduce some inflammatory signals in laboratory models.
Half-life: No validated human half-life for the whole extract was located.
Gaps: The 156 is a clinical-report candidate count, not a count of independent trials; cohort overlap remains unresolved. 64 indexed candidates have no abstract. Full dosing and safety data could not be recovered for most historical reports. No registered Thymalin-extract study was found on ClinicalTrials.gov; similarly named thymosin alpha-1 studies were excluded. No reliable human half-life, dose-finding programme or route-comparison study was located. No reliable adverse-event rates, reproductive-safety programme or modern long-term cancer-safety assessment was located. No independent large trial has confirmed the historical mortality findings. Modern COVID-19 treatment differs from the care in these studies. Under-skin dosing, chronic microdosing and mixed-peptide wellness stacks lack verified trial support. No validated shelf life after mixing, bacteriostatic-water stability or cross-product dose equivalence was found. EU national approvals, UK and Canadian registrations, Australian scheduling and a product-specific WADA ruling remain unverified.
Related to Thymalin
- Epitalon: A peptide with telomerase effects in cells, but no proof that people live longer.
- Pinealon: A peptide with unproven brain benefits and no established injection dose.
- Thymogen: A Russian peptide used for immune problems, with negative cancer trials.
- Vesugen: An experimental blood-vessel peptide with unclear benefits and poorly defined safety.
- Cortagen: A four-amino-acid brain peptide backed mainly by animal work and unverified patent claims.
- GHK-Cu: A copper-binding skin peptide with small topical studies and untested systemic injections.
Sources
- 503B Bulk Drug Substances List, FDA · FDA · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2026
- Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act, FDA · FDA · 2026
- Concerns regarding the public health risks associated with unapproved peptide products, Therapeutic Goods Administration and Chief Medical Officer · Therapeutic Goods Administration · 2026
- July 23-24, 2026: Meeting of the Pharmacy Compounding Advisory Committee - 07/23/2026, FDA · FDA · 2026
- The Prohibited List, World Anti-Doping Agency · World Anti-Doping Agency · 2026
- Think twice before injecting peptides bought online: unauthorized products can seriously harm you, Health Canada · Health Canada · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503B of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2025
- Supply unlicensed medicinal products (specials), MHRA · 2025
- US Chem Labs - 669074 - 02/07/2024, FDA · 2024
- National registers of authorised medicines, EMA
- ИНСТРУКЦИЯ ПО МЕДИЦИНСКОМУ ПРИМЕНЕНИЮ ЛЕКАРСТВЕННОГО ПРЕПАРАТА ТИМАЛИН®
- Safety and Risk Assessment of No-Prescription Online Semaglutide Purchases., Ashraf AR et al. · JAMA network open · 2024
- [Morphological compound and indicators of the blood clotting system in severe COVID-19 patients of middle aged and elderly during treatment of Tocilizumab and Thymalin.]., Kuznik BI et al. · Advances in gerontology = Uspekhi gerontologii · 2022
- Prognosis of immune state following basic therapy and thymalin treatment in patients with severe COVID-19 infection, Kuznik et al. · Russian Journal of Immunology · 2022
Sources checked: 2026-10-18.
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