TB-500 Dosage: What Thymosin β4 Trials Used vs the Marketed Fragment
A research-use reference on TB-500 dosing: the doses and routes actually reported for thymosin β4 in animal and human trials, and why the injectable "TB-500" fragment (Ac-LKKTETQ) is not the molecule those human trials used. Third-person, in-vitro framing — no personal-dosing instructions.
Update History ▾
Research-use-only framing applied throughout in line with Remy editorial standards.
There is no validated human "TB-500 dosage." The critical distinction is that the injectable research chemical sold as "TB-500" is the acetylated synthetic fragment Ac-LKKTETQ — a short piece of thymosin β4 — not the full 43-amino-acid thymosin β4 (Tβ4) protein that the human trials actually studied. Analytical and doping-control work identifies the marketed TB-500 as this Ac-LKKTETQ fragment.[1][10] Nearly all human dosing data on the record are for full-length Tβ4 delivered as eye drops, intravenously, or topically[4][5][7] — not for the injectable TB-500 fragment marketed for musculoskeletal use. The fragment has no validated human musculoskeletal dose, is not an approved medicine, and is a prohibited, detectable substance in sport.[10] This page reports what was dosed in the published animal and human record; it gives no personal-dosing instructions.
TB-500 vs Thymosin β4 — What Was Actually Dosed
Any honest reading of "TB-500 dosage" has to start with which molecule the number refers to, because the answer changes what dosing data even applies. The injectable research chemical sold as TB-500 is, on analytical characterisation, the acetylated synthetic fragment Ac-LKKTETQ — a short peptide corresponding to the central actin-binding motif of thymosin β4, not the full protein.[1] Full-length thymosin β4 (Tβ4), by contrast, is a 43-amino-acid actin-sequestering peptide, and it is the entity used in the human clinical trials on the record.[2]
This fragment-versus-full-peptide split is the single most important thing on this page. Short actin-binding fragments of Tβ4 do retain measurable activity in preclinical models, which is why a fragment was marketable as a research tool in the first place.[3] But biological activity in a cell assay is not a dose. Because the marketed TB-500 fragment and full-length Tβ4 are chemically different molecules with different sizes and routes of study, the mg or µg figures reported in Tβ4 human and animal trials cannot be transferred onto a "TB-500" vial as if they were the same drug.
The practical consequence for a research reader: when a source quotes a "TB-500 dose," it is almost always either (a) borrowing a full-length Tβ4 trial number that used a different molecule and route, or (b) repeating an unsourced community protocol with no trial behind it. Neither is a validated human dose for the injectable fragment. The sections below separate what the published trials actually administered — by molecule, route, and phase — from the marketing shorthand.
Doses & Routes in Thymosin β4 Human Trials
The human clinical record belongs to full-length thymosin β4, delivered by three routes across ophthalmology, systemic infusion, and topical wound care — not to the injectable TB-500 fragment. The table records the route and phase for each programme. Exact per-dose mg/µg values were not uniformly reported across the accessible abstracts; the dose column gives the figures where a trial stated them and otherwise records the reported dosing structure ("ascending", "escalating", or a fixed concentration) rather than inventing a number.
| Trial / model | Route | Phase | Reported dosing note | PMID / PMCID |
|---|---|---|---|---|
| RGN-352 — healthy volunteers | Intravenous (IV) | Phase 1 | Single and multiple ascending doses of 42–1260 mg full-length thymosin β4; safety / pharmacokinetics endpoint. | 20536472 |
| RGN-259 — dry-eye disease | Ophthalmic (0.1% eye drops) | Phase 2 | Fixed-concentration 0.1% preservative-free drops dosed topically to the eye; sign/symptom endpoints. | 25826322 |
| RGN-259 — neurotrophic keratopathy | Ophthalmic (0.1% eye drops) | Phase 3 | 0.1% preservative-free ophthalmic drops; corneal healing endpoint. | PMC9820614 |
| Chronic venous stasis ulcers | Topical (to wound bed) | RCT (dose-escalation) | Placebo-controlled topical dose-escalation; healing-rate endpoint. Escalating dose levels reported without a single fixed figure in the abstract. | 17495250 |
Two things stand out. First, every one of these programmes used full-length Tβ4, and the two most detailed (IV RGN-352 and ophthalmic RGN-259) are dose-defined by route and formulation — an IV ascending-dose safety study and a fixed 0.1% eye-drop concentration carried through to a Phase 3 neurotrophic keratopathy trial[6] — rather than by a musculoskeletal injection dose. Second, none of them evaluated the injectable Ac-LKKTETQ fragment marketed as TB-500. There is, at the time of writing, no registered human trial and no published human pharmacokinetic profile for that fragment, which is why it has no validated human dose to cite.
Animal Wound-Healing Doses
The bulk of the tissue-repair dosing data for thymosin β4 comes from rodent wound-healing models, delivered either as a topical application to the wound or by intraperitoneal (IP) injection. These are animal doses reported in the primary literature; they are recorded here as what those studies administered, and they do not translate to a human dose.
- Topical, full-thickness skin wounds (rodent). Malinda and colleagues reported that topical thymosin β4 applied per wound accelerated wound closure and re-epithelialisation in a rat full-thickness dermal model, with the dose expressed on a microgram-per-wound basis rather than a systemic mg/kg figure.[8]
- Topical and systemic, diabetic (db/db) wounds. Philp and colleagues studied full-length Tβ4 alongside a synthetic peptide containing its actin-binding domain in db/db diabetic mice, reporting improved dermal wound repair; dosing in this work was applied at the wound level and, in the actin-binding-fragment arm, tests the same short-motif chemistry that underlies the marketed TB-500 fragment.[9]
The qualitative pattern across these rodent studies is a reproducible wound-healing signal for Tβ4 and Tβ4 actin-binding fragments. What the animal record does not provide is a validated bridge to a human dose: published animal doses do not map cleanly onto a human exposure, and this page makes no attempt to convert them. Anyone presenting a specific human "TB-500 protocol" derived from these figures is extrapolating beyond the data.
Reconstitution & Handling (Research Use)
Because there is no validated human dose, the only "dosing" relevant to a research setting is the working concentration a laboratory sets for an in-vitro assay — a function of reconstitution volume, not of any human protocol. Standard handling for the lyophilized research fragment mirrors other short research peptides:
- Storage of the lyophilisate. 2-8°C protected from light for routine use; -20°C for long-term storage. In warm climates, documented cold-chain handling from arrival to bench-side matters — short ambient excursions during last-mile delivery are the most common stability risk.
- Reconstitution. Bacteriostatic water (0.9% benzyl alcohol as preservative) is the standard reagent. The reconstitution volume for a 10mg research vial is chosen from the downstream assay concentration the research protocol requires — it is a bench parameter, not a human dose. See the Remy bacteriostatic water guide and peptide stability and storage guide for handling depth, and the reconstitution calculator for the per-volume working concentration.
- Post-reconstitution storage. 2-8°C with use inside the research-protocol working window; reconstituted research-grade solutions are typically used within a few weeks, though stability programmes vary by laboratory.
This page provides no human-use dosing or veterinary instructions and is not a clinical-protocol document. The catalog format is documented on the TB-500 10mg research vial page, and each vial is supplied at >99% HPLC purity.
Anti-Doping Status
TB-500 is treated as a prohibited substance in sport and is detectable. Analytical chemists have published a validated liquid chromatography–mass spectrometry (LC-MS) doping-control method that identifies the TB-500 fragment (Ac-LKKTETQ) in biological samples, which is what allows anti-doping laboratories to screen for it.[10] The same analytical work underpins the identification of the marketed compound as the acetylated Ac-LKKTETQ fragment rather than full-length Tβ4.[1]
This is a factual statement about the substance's regulatory and analytical status, not advice. TB-500 sits in the growth-factor / peptide category that anti-doping programmes prohibit, and its detectability means presence in a sample can be established by validated method. Remy Peptides supplies TB-500 strictly for in-vitro laboratory research use only; it is not framed for human use, dosing, or veterinary use, and nothing here should be read as guidance on use in humans or animals.
For the underlying mechanism and preclinical background behind the fragment, see the TB-500 thymosin β4 research overview; for a side-by-side with the other healing-research peptide most often compared to it, see the BPC-157 vs TB-500 comparison.
Our Research Standards
This article prioritizes primary preclinical literature, the published RegeneRx ophthalmic Phase 3 record, and peer-reviewed reviews. Where the human clinical record is thin or absent, we say so directly. No therapeutic, human-use, or veterinary-use claim is made here. Read our editorial policy →
TB-500 Dosage Research FAQ
Is there an established TB-500 dosage?
No. The injectable research chemical marketed as TB-500 — the acetylated synthetic thymosin β4 fragment Ac-LKKTETQ — has no validated human dose for musculoskeletal or any other indication. There is no registered human trial and no published human pharmacokinetic profile for the marketed fragment, so there is no dose-finding data to reference. The dosing figures that appear in human thymosin β4 literature come from full-length Tβ4 trials (intravenous, ophthalmic, topical), not from the injectable fragment. TB-500 is supplied strictly for in-vitro laboratory research use only and is not framed for human use or dosing.[1]
Is TB-500 the same as thymosin β4?
No. Full-length thymosin β4 (Tβ4) is a 43-amino-acid actin-sequestering protein, and it is the molecule used in the human clinical trials on record. "TB-500" is the market name for a shorter acetylated synthetic fragment, Ac-LKKTETQ, centred on the actin-binding motif of Tβ4. Because they are different molecules, dosing and pharmacokinetic data reported for Tβ4 in human trials do not transfer to the marketed TB-500 fragment.[1][2]
What doses did thymosin β4 human trials use?
Human trials of full-length thymosin β4 span three routes: intravenous (the RGN-352 Phase 1 single- and multiple-ascending-dose safety study in healthy volunteers), ophthalmic (RGN-259 0.1% preservative-free eye drops in Phase 2 dry-eye and Phase 3 neurotrophic keratopathy trials), and topical (a dose-escalation trial in chronic venous stasis ulcers). Exact per-dose mg/µg figures were not uniformly reported in the accessible abstracts; the records describe ascending or escalating doses by route and phase. None of these used the injectable TB-500 fragment sold in the research-peptide market.[4][5][7]
Is TB-500 banned in sport?
Yes. TB-500 is treated as a prohibited growth-factor / peptide substance in sport and is detectable: a validated liquid chromatography–mass spectrometry doping-control method identifies the TB-500 fragment (Ac-LKKTETQ) in biological samples. This is a factual statement about anti-doping status, not advice.[10]
Is TB-500 approved?
No. Neither the injectable TB-500 fragment nor full-length thymosin β4 is an approved human medicine. The most advanced human programme (thymosin β4 ophthalmic, RGN-259) remains investigational with no marketing approval. TB-500 supplied by Remy Peptides is for in-vitro laboratory research use only and is not an approved therapeutic.
How is TB-500 handled for research use?
TB-500 is supplied as a 10mg lyophilized research vial under 2-8°C cold-chain handling and is reconstituted with bacteriostatic water for in-vitro work; the reconstitution volume is set by the downstream assay concentration, not by any human dosing protocol. The framing stays research-use-only: TB-500 is supplied strictly for in-vitro research use only, is not an approved therapeutic, and is not framed for human use, dosing, or veterinary use.
Sources
- Analytical characterisation establishing that the peptide marketed as "TB-500" is the acetylated synthetic thymosin β4 fragment Ac-LKKTETQ, distinct from the full 43-amino-acid Tβ4 protein. PMID: 38382158 ↩
- Goldstein AL, Hannappel E, Sosne G, Kleinman HK. Thymosin β4: a multi-functional regenerative peptide. Basic properties and clinical applications. Expert Opin Biol Ther. 2012;12(1):37-51. PMID: 22074294 ↩
- Study reporting that short actin-binding fragments of thymosin β4 retain biological activity in preclinical models. PMID: 20179146 ↩
- RGN-352: Phase 1 randomised, placebo-controlled single- and multiple-ascending-dose study of intravenous thymosin β4 in healthy volunteers. PMID: 20536472 ↩
- Sosne G, Dunn SP, Kim C. Thymosin β4 (RGN-259) 0.1% ophthalmic solution improves signs and symptoms of dry eye in a Phase 2 randomised trial. Cornea. 2015;34(5):491-496. PMID: 25826322 ↩
- Phase 3 randomised trial of thymosin β4 (RGN-259) 0.1% ophthalmic solution for neurotrophic keratopathy. PMCID: PMC9820614 ↩
- Randomised, placebo-controlled topical dose-escalation trial of thymosin β4 in chronic venous stasis ulcers. PMID: 17495250 ↩
- Malinda KM, Sidhu GS, Mani H, et al. Thymosin β4 accelerates wound healing. J Invest Dermatol. 1999;113(3):364-368. PMID: 10469335 ↩
- Philp D, Badamchian M, Scheremeta B, et al. Thymosin β4 and a synthetic peptide containing its actin-binding domain promote dermal wound repair in db/db diabetic mice. PMID: 12581423 ↩
- Liquid chromatography–mass spectrometry doping-control method for the detection of the thymosin β4 fragment TB-500 (Ac-LKKTETQ). PMID: 23084823 ↩
For the full mechanism background, read the TB-500 thymosin β4 research overview; for the dosing counterpart on the peptide most often stacked with it, see BPC-157 dosage and the BPC-157 vs TB-500 comparison. Product-format details are on the TB-500 10mg research vial page, and each vial is supplied at >99% HPLC purity.