Thymosin beta-4 news and clinical trials
Also known as: Thymosin beta 4 · Tβ4 · TB4 · TB-4 · Full-length thymosin beta-4 · TMSB4X · RGN-259 · RGN-137 · NL005
Updated 26 sources
3 trial updates and 30 new studies in the last 12 months, newest first: trial registrations and results, PubMed papers, FDA actions and press coverage that name Thymosin beta-4. Each line links to the primary source.
October 2026
- StudyPubMedA spatiotemporal atlas of radiation-induced brain injury reveals dysfunction of the blood-CSF barrier (opens PubMed)
Researchers mapping radiation-induced brain injury in mice discovered that the blood-cerebrospinal fluid barrier is compromised during the early-delayed phase following irradiation. This disruption is caused by the depletion of a radiosensitive Tmsb4x-positive epithelial cell population.
Cell reports. MedicinePMID 42849444
September 2026
- StudyPubMedCraniofacial Involvement Is Associated With Poor Prognosis in Extranodal Diffuse Large B-Cell Lymphoma (opens PubMed)
Researchers identified that craniofacial involvement in extranodal diffuse large B-cell lymphoma is an independent adverse prognostic factor for survival. Patients with this involvement showed more frequent mutations in MYD88, TMSB4X, and PCLO.
Hematological oncologyPMID 42781756
August 2026
- Results postedClinicalTrials.govAssessment of the Safety and Efficacy of RGN-259 Ophthalmic Solutions for Dry Eye Syndrome: ARISE-3 (opens ClinicalTrials.gov)
ReGenTree, LLC completed a phase 3 clinical trial involving 700 participants to assess the safety and efficacy of RGN-259 ophthalmic solutions for dry eye syndrome. Results were posted on August 28, 2026.
NCT03937882Phase 3completed - StudyPubMedPeptides in Regenerative Medicine: A Comprehensive Review of Clinical Applications in Tissue Repair and Chronic Pain Management (opens PubMed)
A narrative review summarized the current evidence on regenerative peptides used for chronic pain management. The authors concluded that clinical evidence in humans remains limited and most of these therapies currently lack FDA approval.
Current pain and headache reportsReviewPMID 42635865 - StudyPubMedRecombinant human Thymosin β4 ameliorates experimental colitis and intestinal fibrosis through suppression of mineralocorticoid receptor signaling (opens PubMed)
Researchers demonstrated that recombinant human thymosin beta-4 improves survival and reduces intestinal fibrosis in mice with colitis by suppressing mineralocorticoid receptor signaling. The study notes that TMSB4X is typically downregulated in colonic tissues of IBD patients.
Molecular biomedicinePMID 42606759 - StudyPubMedPeptide Supplements and Their Therapeutic Applications in Sports Medicine (opens PubMed)
A scoping review concluded that claims regarding peptide supplements for musculoskeletal recovery remain unsubstantiated by current human trials. Authors warned of potential risks including cardiovascular complications.
The American journal of sports medicinePMID 42578445 - StudyPubMed[ TMSB4X Promotes Proliferation and Metastasis of T-cell Acute Lymphoblastic Leukemia Cells by Regulating the Wnt/β-catenin Signaling Pathway] (opens PubMed)
Researchers investigated TMSB4X in T-cell acute lymphoblastic leukemia cells. They found that TMSB4X promotes cell proliferation and metastasis by regulating the Wnt/beta-catenin signaling pathway.
Zhongguo shi yan xue ye xue za zhiPMID 42544648 - StudyPubMedEffects of BPC-157 and TB-500 on Achilles tendon healing in rats: A histopathological and biomechanical study (opens PubMed)
In a rat study, researchers evaluated the effects of BPC-157 and TB-500 on Achilles tendon healing. Both treatments were associated with improved histopathological parameters and extracellular matrix organization, though the combination of peptides did not provide additional benefits.
Joint diseases and related surgeryPMID 42542926
July 2026
- StudyPubMedUrinary proteomic signature of exercise intolerance in patients at risk of heart failure: evidence from the HOMAGE trial (opens PubMed)
The HOMAGE trial analyzed urinary peptides in 268 patients at risk of heart failure to understand exercise intolerance. Researchers identified 11 non-collagen proteins, including TMSB4X, and 4 collagen-derived proteins associated with reduced exercise capacity.
EBioMedicinePMID 42531722 - StudyPubMedSpatial transcriptomic analysis reveals spatial features in human Stanford type A aortic dissection (opens PubMed)
New paper in iScience: Spatial transcriptomic analysis reveals spatial features in human Stanford type A aortic dissection.
iSciencePMID 42519065 - StudyPubMedDysregulation of circulating damage-associated molecular patterns in diabetic foot syndrome (opens PubMed)
Proteomic analysis of plasma from patients with diabetic foot syndrome identified a coordinated alteration in circulating damage-associated molecular patterns. The study observed that thymosin beta-4 was among the stress-associated proteins with differential abundance in these patients.
Frontiers in immunologyPMID 42440461 - StudyPubMedUnderstanding the effects of ciprofloxacin on corneal epithelial cells: a study using electric cell-substrate impedance sensing (ECIS) technology (opens PubMed)
A study using electric cell-substrate impedance sensing technology analyzed the effects of ciprofloxacin on corneal epithelial cells. Researchers found that ciprofloxacin caused concentration-dependent cytotoxic effects and altered apoptotic signaling that thymosin beta-4 could not fully mitigate.
Experimental eye researchPMID 42431294 - StudyPubMedPEGylated thymosin β4 is a thiol-site-specific prodrug treating myocardial infarction in vivo (opens PubMed)
A study in Bioengineering & Translational Medicine developed a thiol-site-specific PEGylated thymosin beta-4 prodrug, PEG-rTβ4, to address druggability challenges. Testing indicated that this modified protein effectively relieves myocardial remodeling and improves cardiac function in vivo.
Bioengineering & translational medicinePMID 42394899 - StudyPubMedEffects of Supplementation in Masters Athletes and Older Adults: A Narrative Review (opens PubMed)
A narrative review explored the use of supplements, including collagen, BPC-157, and thymosin-beta 4 and 500, in Masters athletes and adults over 55. The review aims to examine their impact on performance and musculoskeletal health in this specific population.
Current sports medicine reportsReviewPMID 42385164
June 2026
- StudyPubMedA novel lactylation-related gene signature deciphers the immunosuppressive microenvironment and stratifies precision therapy in colorectal cancer (opens PubMed)
Researchers constructed a 9-gene prognostic signature for colorectal cancer, which includes TMSB4X, to stratify patient risk and therapy sensitivity. Patients with a high risk score showed significantly worse overall survival and an immunosuppressive tumor microenvironment.
Discover oncologyPMID 42342961 - StudyPubMedReparative Outcomes in Corneal Infection: Linking Adjunctive Tβ4 Treatment to Nerve Regeneration and Visual Function (opens PubMed)
Researchers tested adjunctive thymosin beta-4 (Tβ4) treatment in mice with bacterial keratitis. They found that combining Tβ4 with ciprofloxacin significantly enhanced corneal nerve regeneration and restored visual function compared to monotherapies.
Investigative ophthalmology & visual sciencePMID 42283548 - StudyPubMedSingle-cell analysis of skin and blood reveals systemic immune responses to ultraviolet B and their impairment in MS (opens PubMed)
Researchers conducted a clinical trial involving UVB irradiation on healthy donors and MS patients. The study revealed that MS patients have a dysfunctional immune regulation axis, evidenced by blunted immune cell translation from skin to blood compared to healthy donors.
Journal of neuroinflammationClinical trialPMID 42237169 - StudyPubMedSpatiotemporal patterns of gene expression changes in the mouse dentate gyrus following entorhinal denervation (opens PubMed)
Researchers mapped gene expression changes in the mouse dentate gyrus following perforant path transection. Results showed that Tmsb4x, alongside other vesicle and actin regulators, was upregulated as part of the postsynaptic and dendritic membrane remodeling response.
Frontiers in molecular neurosciencePMID 42239799 - StudyPubMedPeptide Therapies in Thyroid Health: Emerging Applications in Endocrine and Immune Modulation (opens PubMed)
An Integrative Medicine review evaluated the use of peptides for thyroid disorders, finding that current evidence for agents like BPC-157 and thymosin is largely limited to preclinical studies and exploratory reports rather than large randomized trials.
Integrative medicine (Encinitas, Calif.)ReviewPMID 42222211
May 2026
- StudyPubMedThe implications of TMSB4X in TIM3 hypermethylation and CD8 + T cell exhaustion in diffuse large B-cell lymphoma (opens PubMed)
Researchers analyzed the role of TMSB4X in TIM3-induced CD8+ T cell exhaustion in diffuse large B-cell lymphoma. They found that decreased TMSB4X expression correlates with epigenetic dysregulation, poor prognosis, and inferior chemotherapy response.
Scientific reportsPMID 42177276 - New trialClinicalTrials.govRecombinant Human Thymosin Beta 4 for Injection(NL005) for Acute Myocardial Infarction (opens ClinicalTrials.gov)
Beijing Northland Biotech Co., Ltd. registered a phase IIc trial to evaluate the safety and efficacy of recombinant human thymosin beta 4 injection in 189 patients who have experienced a serious heart attack. The study will measure permanent heart muscle damage 90 days after treatment.
NCT07586865Phase 2not yet recruiting - StudyPubMedCombining multi-omics analysis methods to identify biomarkers for mitophagy involved in immune checkpoint inhibitors-related myocarditis (opens PubMed)
Researchers identified four mitophagy key genes-AW112010, Igfbp7, Tmsb4x, and Ost4-as potential biomarkers for immune checkpoint inhibitor-related myocarditis. These genes showed significantly higher expression levels in a myocarditis mouse model compared to a normal group.
Frontiers in immunologyPMID 42093991
April 2026
- StudyPubMedSafety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance (opens PubMed)
Researchers published a review of approved and unapproved peptide therapies used in sports medicine. They found that while unapproved peptides often show potential for tissue repair in animal models, human safety data remain scarce and carry a risk of serious harm.
Sports medicine (Auckland, N.Z.)ReviewPMID 41966639
March 2026
- New trialClinicalTrials.govTB-500 (Thymosin Beta 4 17-23 Fragment) for Cardiovascular Biomarkers in Stable ASCVD (opens ClinicalTrials.gov)
Hudson Biotech registered a phase 1/2 trial to evaluate the safety and tolerability of TB-500 in 80 adults with stable atherosclerotic cardiovascular disease. The study aims to explore cardiovascular biomarkers and vascular function.
NCT07487363Phase 1/2recruiting
February 2026
- StudyPubMedComparative Proteomic Analysis of the Secretome of Control and BRAF/MEK Inhibitor-Resistant Melanoma Cells (opens PubMed)
Researchers compared the secretome of BRAF/MEK inhibitor-resistant melanoma cells to nonresistant cells. They found that resistant cells secrete higher levels of proteins, including thymosin beta-4, which may promote a pro-tumor microenvironment.
Journal of proteome researchPMID 41742019 - StudyPubMedClinically interpretable extracellular vesicle gene model for Non-Invasive liver cancer diagnosis (opens PubMed)
Researchers developed a machine learning model using extracellular vesicle-derived RNA to diagnose hepatocellular carcinoma. The study identified a panel of ten diagnostic mRNAs, including TMSB4X, which achieved an AUC of 0.8877 in testing.
Scientific reportsPMID 41691101
January 2026
- StudyPubMedThymosin beta 4: An emerging therapeutic candidate for kidney diseases (opens PubMed)
A review published in Peptides synthesizes current evidence on Thymosin beta 4 (Tβ4) and its metabolite Ac-SDKP as mediators of renal injury and repair. The authors evaluate Tβ4's renoprotective efficacy across kidney injury models and discuss future translational opportunities.
PeptidesReviewPMID 41570941 - StudyPubMedTranscriptome Sequencing and Differential Analysis of Testes of 1-Year-Old and 3-Year-Old Kazakh Horses (opens PubMed)
Researchers analyzed gene expression in Kazakh horse testes before and after sexual maturity using transcriptome sequencing. The study identified 3054 differentially expressed genes, including TMSB4X, which are involved in pathways such as PI3K-Akt signaling and testicular development.
BiologyPMID 41514941 - StudyPubMedComprehensive Multi-Omics Analysis Identifies Lactylation-Related Gene RAN as a Novel Prognostic Biomarker and Therapeutic Target in Glioma (opens PubMed)
A study analyzing glioma multi-omics data identified the gene TMSB4X, along with RAN and others, as a core lactylation-related gene. High expression of RAN was significantly correlated with poor patient prognosis, and knockdown of this gene inhibited glioma cell invasion and proliferation.
Frontiers in bioscience (Landmark edition)PMID 41504052 - StudyPubMedA revised model of nuclear actin import: Importin 9 competes with cofilin, profilin, and RanGTP for actin binding (opens PubMed)
Researchers demonstrated that the import factor importin 9 (IPO9) binds directly to monomeric actin, and that cofilin competitively inhibits this interaction. This finding contradicts the previous model where cofilin and IPO9 work together to transport actin into the nucleus.
The Journal of biological chemistryPMID 41478570
December 2025
- StudyPubMedSpatiotemporal dynamics of neuronal subtypes and their interactions with glia following intracortical electrode implantation (opens PubMed)
Researchers mapped neuronal adaptation to intracortical implants in rats and identified 22 neuronal subpopulations. The study found that three injury-responsive neuronal clusters upregulate Tmsb4x during the acute phase following electrode implantation.
Biology directPMID 41462297 - StudyPubMedFerroptosis-Mediated Hippocampal Neuronal Loss Post-mTBI: Chromatin Accessibility Profiling and Single-Nucleus Transcriptomics (opens PubMed)
A study profiling hippocampal neuronal loss in mice post-mild traumatic brain injury identified ferroptosis as a dominant cell-death program. Researchers found that the gene Tmsb4x protects hippocampal neurons and improves motor and cognitive performance after injury.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)PMID 41397940 - StudyPubMedMedical and surgical interventions for neurotrophic keratopathy (opens PubMed)
A Cochrane systematic review of seven randomized controlled trials involving 494 participants examined medical and surgical interventions for neurotrophic keratopathy. The review aims to assess the efficacy and safety of current treatments for corneal nerve alterations and epithelial healing.
The Cochrane database of systematic reviewsMeta-analysisPMID 41347649
Searched as: Thymosin beta-4, TMSB4X, RGN-259, RGN-137, NL005. Summaries are one or two sentences, published only when every number in them appears in the source record. A tracker, not medical advice.