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Research monograph

TB-500[Thymosin beta-4 fragment]

Compound snapshot

Class

Synthetic fragment of thymosin beta-4

FDA approved

No — recommended 8–6 by the FDA advisory committee in July 2026, but not compoundable until rulemaking finishes

Clinical development

Preclinical

Last reviewed

September 2026

Research areas

Tissue repair / Gastrointestinal lining / Musculoskeletal recovery

Regulatory status

Research use only — not approved

Internet attention

High

Registry query

TB-500

A synthetic fragment of thymosin beta-4, a naturally occurring actin-binding protein present in nearly every human cell and in wound fluid.

Reality check — what we actually know

Supported by human evidence

  • No adequately powered randomised human trials establish the outcomes this compound is marketed for.

Animal research only

  • Faster cell migration into wound beds — the step that closes a wound
  • Reduced scar tissue and fibrosis in animal models of skin, cornea and heart injury
  • Improved flexibility and reduced adhesion around healing tendon in rodent work

Mechanistically plausible

  • Binds G-actin and promotes actin polymerisation, which lets cells migrate into a wound. Also upregulates VEGF-driven angiogenesis and downregulates inflammatory cytokines, and has been studied for cardiac progenitor cell activation.

Common internet claims

  • Online discussion frequently presents TB-500 as a proven treatment rather than a research compound.

Not established

  • Human efficacy for the outcomes commonly claimed
  • Optimal route, quantity and duration in humans
  • Long-term human safety

Evidence distribution

Each band is a live PubMed search for TB-500, filtered to that kind of study. Top is the strongest evidence; the base is reasoning, not proof. A band with no records means that kind of study has not been published for this compound yet.

Mechanism and reported findings

Binds G-actin and promotes actin polymerisation, which lets cells migrate into a wound. Also upregulates VEGF-driven angiogenesis and downregulates inflammatory cytokines, and has been studied for cardiac progenitor cell activation.

  • Faster cell migration into wound beds — the step that closes a wound
  • Reduced scar tissue and fibrosis in animal models of skin, cornea and heart injury
  • Improved flexibility and reduced adhesion around healing tendon in rodent work
  • Anti-inflammatory effect on damaged tissue independent of steroids
  • Corneal and dry-eye repair — the closest thing to human trial data, via the full thymosin beta-4 molecule (RGN-259)

Strength of the evidence: Strong mechanistic and animal data; human trials exist for the parent protein in eye and wound indications, not for the TB-500 fragment sold to consumers. WADA-prohibited.

Safety and known cautions

Same angiogenesis caution as BPC-157. Consumer TB-500 is not the molecule used in clinical trials.

Evidence at a glance

No single score, on purpose. The line beside each bar shows how much reported outcomes vary between studies.

Human studiesLimited
Animal studiesMultiple studies
Lab / in-vitroMultiple studies
Clinical efficacyNot established
Long-term safetyNot established

Development stage

  1. Discovery
  2. PreclinicalCurrent
  3. Phase 1
  4. Phase 2
  5. Phase 3
  6. Regulatory review
  7. Approved
Registered trials on ClinicalTrials.gov →

Primary sources

Education only — research summary, not dosing advice. Approved medicines are prescription-only; investigational compounds are not approved for human use.
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