Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Evidence synthesis · §3

Thymosin alpha-1 in immune modulation and adjunctive immunotherapy: durability of effect — included and excluded studies

The included-studies table with extracted data, the exclusions with reasons, and the risk-of-bias judgements.

Document identifier
CEI-ES-130/3
Series
Evidence synthesis
Version
1.1
Published
26 Aug 2026
Last reviewed
26 Aug 2026
Next review
26 Feb 2028
Identifier
10.71829/cei.syn.130
Certainty
Moderate
Cycle
2026 Q3
Review type
Intervention review
Search executed
24 May 2026

Templated review frame. This review question was generated by crossing an indication with a compound for which contributing trials exist. Its prose frame is templated and is shared with other questions of the same shape. Its included studies, its summary of findings and its certainty rating are computed from the underlying records and are not templated. The Institute publishes these questions because the alternative is to leave a question the document set can answer unanswered, and it labels them because the alternative is to present a templated frame as an authored one.

§3Included and excluded studies

Every study contributing to this review is listed below with the data extracted from it. The extraction table is published at the level of the individual outcome and study so that the synthesis can be checked without the reader having to retrieve each source.

§3.1Included studies

Table 4. Included studies with the characteristics extracted from each.

StudyDesignRandomisedDurationAnchor outcome as reportedYear
TA1-SEPSIS-CNThymosin alpha-1Randomised, double-blind, placebo-controlled36128 daysA mortality difference reported in a single-country trial that has not been replicated internationally2013
TA1-HCV-1Thymosin alpha-1Randomised, double-blind, active-controlled48 weeksAn adjunctive effect in combination regimens now superseded by direct-acting antivirals2004
TA1-HBV-1Thymosin alpha-1Randomised, double-blind, active-controlled52 weeksA modest effect relative to interferon comparators; approved for this indication in several jurisdictions2001
TA1-VACCINE-ELDERLYThymosin alpha-1Randomised, double-blind, placebo-controlled8 weeksHigher antibody titres reported; clinical outcomes were not assessed1998
4 included studies. Each links to its structured abstract, which carries a field-by-field provenance table distinguishing extracted figures from Institute reconstructions.

Contributing participants across studies reporting a randomised total: 361. Studies for which the Institute does not hold a randomised total contribute to the qualitative synthesis and not to any pooled figure.

§3.2Excluded at full text, with reasons

Table 5. Reports excluded at full text, by reason. A review that reports an exclusion count without reasons cannot be checked against its own protocol.

Reason for exclusionReports
Not a randomised comparison5
Population outside the review question6
Intervention outside the review question7
Comparator not eligible3
No eligible outcome reported2
Duplicate report of an included study9
Conference abstract without extractable data7
Retracted or subject to an expression of concern6
32 reports excluded at full text in total.

§3.3Risk of bias across included studies

Table 6. Risk-of-bias judgement recorded for each included study on the review's anchor outcome.

StudyRisk of biasInconsistencyIndirectnessImprecisionPublication bias
TA1-SEPSIS-CNLowSomeLowLowLow
TA1-HCV-1LowLowLowLowSome
TA1-HBV-1LowLowSomeLowLow
TA1-VACCINE-ELDERLYLowLowLowLowSome
Judgements are the Institute's own and are recorded per outcome. A study may carry a different judgement in a different review that assesses a different outcome from it.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Garaci E, Pica F, Serafino A, Balestrieri E, Matteucci C, Moroni G, Sorrentino R, Zonfrillo M, Pierimarchi P, Sinibaldi-Vallebona P. Thymosin α1 and cancer: action on immune effector and tumor target cells. Annals of the New York Academy of Sciences 2007;1112:225–234. doi:10.1196/annals.1415.025 · PMID 17567944

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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