TB-500
Synthetic fragment related to thymosin beta-4. Investigated in animal studies for cellular migration and tissue remodeling.
Educational only — not medical advice. SmartPeptide does not prescribe, diagnose, or treat. Always consult a licensed healthcare provider before using any peptide, supplement, medication, or protocol.
What the research shows
Animal studies suggest cellular migration and tissue remodeling effects, especially in cardiac and dermal wound models.
What's still experimental
Human efficacy is essentially unproven. Safety profile in humans is undocumented in peer-reviewed RCTs.
Anecdotal / community reports
Athletic recovery claims are common in community forums but not supported by published human trials.
Anecdotal reports are NOT scientific evidence. They reflect personal experience and may not generalize.
FDA approval status
Source: openFDA + DailyMed (NIH/NLM)Doses studied in research
No established dose rangeWhat published trials tested or FDA-approved labels specify. Reporting research facts — not a SmartPeptide recommendation.
This is the honest answer for peptides like BPC-157, IGF-1 LR3, MOTS-c, Epitalon and similar research compounds — robust human dose- ranging studies have not been published. Always work with a licensed clinician familiar with experimental peptides if you are considering any use.
FDA enforcement & recalls
Live · openFDA Drug Enforcement APIMechanism & targets
ChEMBL · UniProt · Open TargetsMolecule (ChEMBL)
View on ChEMBL- CHEMBL3143inhibitorCoagulation factor VIII inhibitor
Protein targets (UniProt)
- Large ribosomal subunit protein bL12mP52815gene: MRPL12Homo sapiens· 198 aaReviewed
As a component of the mitochondrial large ribosomal subunit, plays a role in mitochondrial translation (PubMed:23603806). When present in mitochondria as a free protein not associated with the ribosome, associates with mitochondrial RNA polymerase POLRMT to activate transcription (PubMed:22003127). Required for POLRMT stability (PubMed:26586915)
- Large ribosomal subunit protein uL30Q5SHQ6gene: rpmDThermus thermophilus (strain ATCC 27634 / DSM 579 / HB8)· 60 aaReviewed
Live research
PubMed · ClinicalTrials.gov · Europe PMC · OpenAlexRecent PubMed studies
- Understanding the effects of ciprofloxacin on corneal epithelial cells: a study using electric cell-substrate impedance sensing (ECIS) technology.Banga L, Shawky M, Ebrahim F, et al. · Experimental eye research · 2026 Jul 10
- PEGylated thymosin β4 is a thiol-site-specific prodrug treating myocardial infarction in vivo.Peng H, Chai Y, Gong C, et al. · Bioengineering & translational medicine · 2026 Jul
- ReviewEffects of Supplementation in Masters Athletes and Older Adults: A Narrative Review.Nguyen C, Allen MR, Hornburg K, et al. · Current sports medicine reports · 2026 Jul 1
- Dysregulation of circulating damage-associated molecular patterns in diabetic foot syndrome.Uyy E, Suica VI, Ivan L, et al. · Frontiers in immunology · 2026
- Reparative Outcomes in Corneal Infection: Linking Adjunctive Tβ4 Treatment to Nerve Regeneration and Visual Function.Ebrahim AS, Liu L, Carion TW, et al. · Investigative ophthalmology & visual science · 2026 Jun 1
- Recombinant Human Thymosin β4 Attenuates Endotoxemia-Induced ALI and EAE by Suppressing Inflammatory and Oxidative Responses.Ye Y, Yang X, Liu Y, et al. · Biomolecules · 2026 May 22
Clinical trials (ClinicalTrials.gov)
- A Phase 1 Safety Study of the Intravenous Administration of Thymosin Beta in Healthy VolunteersWITHDRAWNNCT00743769 · PHASE1 · 2008-04
- Safety and Efficacy of Thymosin Beta 4 Ophthalmic Solution in Patients With Dry EyeCOMPLETEDNCT01387347 · PHASE2 · n=72 · 2011-08
- Study of Thymosin Beta 4 in Patients With Venous Stasis UlcersCOMPLETEDNCT00832091 · PHASE2 · n=72 · 2006-07
- TB-500 (Thymosin Beta 4 17-23 Fragment) for Cardiovascular Biomarkers in Stable ASCVDRECRUITINGNCT07487363 · PHASE1, PHASE2 · n=80 · 2026-02-05
- Study of Thymosin Beta 4 in Patients With Pressure UlcersCOMPLETEDNCT00382174 · PHASE2 · n=72 · 2006-05
Europe PMC — 5,068 additional records
Includes EU/UK studies and PubMed Central full-text articles. Often surfaces research weeks before PubMed indexes it.
- Understanding the effects of ciprofloxacin on corneal epithelial cells: a study using electric cell-substrate impedance sensing (ECIS) technologyBanga L, Shawky M, Ebrahim F, et al. · 2026
- PEGylated thymosin β4 is a thiol-site-specific prodrug treating myocardial infarction in vivoPeng H, Chai Y, Gong C, et al. · 2026
- Effects of Supplementation in Masters Athletes and Older Adults: A Narrative ReviewNguyen C, Allen MR, Hornburg K, et al. · 2026
- Injuries, Injections, and Internet Forums: A Qualitative Study of Reddit User Perspectives on Peptide Therapy After Orthopaedic SurgeryRosenberg AE, Taylor B, Rasquinha RD, et al. · 2026
Research volume (OpenAlex topic graph)
Human clinical evidence
Semantic Scholar · AI TLDRs · influence-rankedMost influential human studies
- Thymosin beta 4 alleviates non-alcoholic fatty liver by inhibiting ferroptosis via up-regulation of GPX4.Journal article3 influential / 66 citedZixin Zhu, Y. Zhang, Xinhao Huang · European Journal of Pharmacology · 2021
TLDR It is revealed that Tβ4 protects hepatocytes by inhibiting the GPX4-mediated ferroptosis pathway, which provides a new strategy and target for the treatment of NAFLD.
- The combined impact of thymosin beta 4 and selenium on diabetic ulcers: a comprehensive reviewReviewOpen accessKarthik Srinivasan, R. Sureshkumar, Jayshree Nellore · Discover Biotechnology · 2025
TLDR The combined effects of Tβ4 and selenium are explored, emphasizing their roles in promoting wound healing, reducing inflammation, and improving insulin sensitivity, and their synergistic combination may offer a comprehensive approach to managing diabetic ulcers and associated complications.
- In Vitro Study of Thymosin Beta 4 Promoting Transplanted Fat Survival by Regulating Adipose-Derived Stem CellsReviewWandi Li, Yan Yang, Yan Lin · Aesthetic Plastic Surgery · 2024
TLDR ADSCs derived from human adipose tissue at passages three to five were utilized to determine their proliferative, apoptotic, anti-apoptotic, and angiogenic abilities with and without Tβ4 treatment.
- Thymosin beta-4 denotes new directions towards developing prosperous anti-aging regenerative therapies.ReviewOpen accessI. Bock-Marquette, Klaudia Maar, Szabolcs Maar · International Immunopharmacology · 2023
TLDR This review introduces and summarizes the results regarding Thymosin beta-4 (TB4) and discovered TB4 is capable of epicardial progenitor activation, and revealed the effect is independent of hypoxic injury.
- Thymosin beta-4 participate in antibacterial immunity and wound healing in black tiger shrimp,Penaeus monodon.Journal article1 influential / 5 citedChanghong Lin, L. Qiu, Pengfei Wang · Fish and Shellfish Immunology · 2023
TLDR In vivo, PmTβ4 could facilitate external bacterial clearance in shrimp, and have beneficial to shrimp survival post V. parahaemolyticus infection and exerted positive effects to promote wound healing.
Research funding & verification
NIH RePORTER · CrossRef DOI registryNIH-funded research
U.S. National Institutes of Health- 1RC3HL103357-01$3.0MNonclinical Studies to Advance Novel Drug for Post-STEMI Cardiac RegenerationHynda Karen Kleinman · REGENERX BIOPHARMACEUTICALS, INC. · FY2010
- 2P50DK044757-16$956KFibrotic Sequelae of Childhood Renal DiseasaeAGNES B. FOGO · VANDERBILT UNIVERSITY · FY2007
- 5P50DK044757-18$935KFibrotic Sequelae of Childhood Renal DiseasaeAGNES B. FOGO · VANDERBILT UNIVERSITY · FY2009
- 5P50DK044757-20$935KFibrotic Sequelae of Childhood Renal DiseasaeAGNES B. FOGO · VANDERBILT UNIVERSITY · FY2011
Publication landscape
CrossRef · DOI registry- National Natural Science Foundation of China2,323 works
- National Institutes of Health1,075 works
- Deutsche Forschungsgemeinschaft411 works
- National Science Foundation360 works
- National Research Foundation of Korea344 works
- Conselho Nacional de Desenvolvimento Científico e Tecnológico277 works
Funder diversity is a credibility signal. Research concentrated in a single drug company's funding warrants more scrutiny than research funded across NIH, charities, and academic grants.
Preprints — cutting edge
bioRxiv · medRxiv · via Europe PMCPreprints have NOT been peer-reviewed. They are early research shared by authors before formal validation. Treat findings as preliminary.
- PreprintThymosin Beta-4 and TB-500 in Tissue Healing, Regeneration, and Musculoskeletal Repair: A Scoping ReviewMcGuire F, Hughes E, Maak T, et al. · 2026-05-18
- PreprintEvaluation of Research Grade Peptides Marketed Directly to Consumers Reveals Extensive Variability in Purity and Measured AbundanceMendias CL, Awan TM. · 2026-04-24
- PreprintSafety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic PerformanceMendias CL, Awan TM. · 2026-04-07
- PreprintSafety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic PerformanceMendias CL, Awan TM. · 2025-12-12
- PreprintVincristine treatment reverses podocyte damage in focal segmental glomerulosclerosisMason WJ, Chandler JC, Pomeranz G, et al. · 2024-11-15
- PreprintLocal inflammation at the salmon louse (Lepeophtheirus salmonis) attachment site drives copepodid rejection in Coho Salmon (Oncorhynchus kisutch)Sveen L, Fast MD, Tengs T, et al. · 2024-09-23
Known risks
Almost no human clinical data. Banned in competitive sport (WADA).
Reported side effects
Limited human safety reporting; theoretical immunomodulation concerns.
FDA adverse event reports (FAERS)
Updated quarterly by FDAWhat requires medical supervision
Banned in competitive sport (WADA). Not approved for human use in most countries. Clinical supervision required if used at all.
Questions for your clinician
- Is there any human safety data we can review?
- Could this interact with my current medications?
- What objective markers would we follow if we tried this?