Immune · Investigational
Thymopentin (TP-5)
No lawful US pathway
01 · Overview
A synthetic pentapeptide (Arg-Lys-Asp-Val-Tyr) corresponding to residues 32-36 of thymopoietin, a thymic hormone involved in T-cell differentiation (PMID 6365814). Thymopentin (TP-5) was developed as an immunomodulator intended to reproduce the T-cell differentiating activity of the parent hormone.
It is not FDA-approved, and most of its clinical studies date from the 1980s and 1990s.
02 · Research summary & key findings
In 26 patients with primary immunodeficiencies, TP-5 produced clinical and immunological improvement in some patients with DiGeorge syndrome or primary T-cell defects, but not in severe combined immunodeficiency, ataxia-telangiectasia, or hyper-IgE syndrome (PMID 6131256). In asymptomatic HIV infection, it helped maintain CD4 cell levels (PMID 1361746) and reduced disease progression in zidovudine-experienced patients, though not in those recently started on zidovudine (PMID 7859140). A randomized trial in 76 patients with rheumatoid arthritis found improved joint scores versus placebo (PMID 2650797), while a randomized trial in chronic hepatitis B found the regimen ineffective (PMID 7836705).
03 · Regulatory status
Thymopentin (TP-5) is in the investigational stage. While preclinical and early-phase data exist, it has not received regulatory approval for clinical use in the United States.
No lawful pathway today
Thymopentin (TP-5) is not FDA-approved and does not currently have a lawful prescription or compounding pathway in the United States, so we do not sell it and will not book a consultation for it. That can change: in 2026 FDA began reviewing several peptides for compounding.
See the 1 FDA-approved compound in Immune
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04 · Administration routes
- Subcutaneous injection
- Intramuscular injection
References
- [1]Maintenance of CD4+ cells by thymopentin in asymptomatic HIV-infected subjects: results of a double-blind, placebo-controlled study AIDS, 1992. PMID 1361746
- [2]Thymopentin (TP-5) in the treatment of rheumatoid arthritis Br J Rheumatol, 1989. PMID 2650797
- [3]Thymopoietin pentapeptide treatment of primary immunodeficiencies Lancet, 1983. PMID 6131256
- [4]Conformational properties of the pentapeptide fragment [32-36] of the thymic hormone thymopoietin Int J Pept Protein Res, 1984. PMID 6365814
- [5]A randomized controlled trial of thymopentin therapy in patients with chronic hepatitis B J Hepatol, 1994. PMID 7836705
- [6]Safety and efficacy of thymopentin in zidovudine (AZT)-treated asymptomatic HIV-infected subjects with 200-500 CD4 cells/mm3: a double-blind placebo-controlled trial J Acquir Immune Defic Syndr Hum Retrovirol, 1995. PMID 7859140
Primary literature
- PubMed: "Thymopentin"
Peer-reviewed literature indexed by the National Library of Medicine.
- ClinicalTrials.gov: "Thymopentin"
Registered interventional and observational studies, including status and phase.
- PubChem: "Thymopentin"
Chemical structure, molecular properties, and bioactivity data.
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