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
Compound monograph · Repair and regeneration

TB-500 — compound monograph

Acetylated heptapeptide fragment of thymosin beta-4. Unapproved, research supply. The Institute assesses 3 outcomes for this compound and grades the strongest at very low certainty.

Document identifier
CEI-MN-031
Series
Compound monograph
Version
4.1
Published
13 Oct 2025
Last reviewed
13 Oct 2025
Next review
13 Oct 2027
Identifier
10.71829/cei.mono.31
Certainty
Very low
Cycle
2025 Q4

§1Identification and status

§1.1Nomenclature

Preferred name
TB-500
Compound class
Acetylated heptapeptide fragment of thymosin beta-4
Assessment series
Repair and regeneration
Synonyms and codes
Ac-LKKTETQ · thymosin beta-4 fragment 17-23 (acetylated) · TB4 active fragment
Route as evaluated
Subcutaneous or intramuscular in research contexts

§1.2Chemistry

Chemical identifiers are reproduced where they are public. Where a structure has not been published the monograph records not disclosed rather than constructing one.[1]

CAS registry number
885340-08-9
Molecular formula
C37H65N9O14
Average mass
860.0
Monoisotopic mass
859.46
ATC classification
not assigned

§1.3Sequence and structural notes

Ac-Leu-Lys-Lys-Thr-Glu-Thr-Gln-OH

An N-acetylated heptapeptide corresponding to the actin-binding motif at residues 17–23 of thymosin beta-4. It is not thymosin beta-4 and the two are routinely conflated. Thymosin beta-4 is a 43-residue, 4963 Da protein; TB-500 is a 7-residue, 860 Da fragment. The Institute treats supply of one under the name of the other as an identity failure, and has recorded both directions of substitution in submitted third-party data.

§1.4Assessment status

The Institute assesses TB-500 across 3 indications and grades the strongest of them at very low certainty. Supplied as a research chemical; no marketing authorisation for the uses under which it is supplied.

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.3assessed outcomes
HighModerateLowVery low
Figure 1. Distribution of certainty ratings across the 3 outcomes the Institute assesses for TB-500. A rating attaches to a specific population, comparator and outcome and does not transfer between them.

Table 1. Assessed outcomes for TB-500, ordered by certainty. Each row links to the per-indication evidence extract.

IndicationEffect as recordedCertaintyTrials
Atherosclerotic cardiovascular disease and cardiovascular risk reductionNo randomised controlled human trial identifiedVery low0
Cutaneous wound healing and tissue repairClinical trials of the full-length thymosin beta-4 protein were conducted in epidermolysis bullosa and in dry-eye disease; results did not support…Very low2
Tendon, ligament and musculoskeletal soft-tissue injuryNo randomised controlled human trial identifiedVery low0
Effects are reproduced as the contributing trials reported them. Where a confidence interval is held it appears on the per-indication extract rather than in this summary table.

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. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. ICH Q6B Specifications: Test Procedures and Acceptance Criteria for Biotechnological/Biological Products. ICH Harmonised Tripartite Guideline 1999;Step 4 version. identifier not held by the Institute

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.

Nothing published by the Institute is medical advice, a diagnosis, a prescription, a treatment recommendation or a purchasing recommendation. Compounds supplied for research use are not approved for human or veterinary use in any jurisdiction, and a favourable analytical assessment of a supplier is not a statement that any product is safe or effective. The Institute publishes certainty ratings and never recommendations. No telephone number, messaging handle or ordering channel appears anywhere on this site.