Evidence review / The source record

TB-500 References and Citations

The full source list behind every graded claim — peer-reviewed studies, analytical methods, and the FDA regulatory pages, with linked proof.

The TB-500 reference list

These are the TB-500 references and citations behind every graded claim on this site. The peer-reviewed studies span the structural biochemistry of actin sequestration, the preclinical wound, cardiac, neurological and hair findings, the human Phase 1 work on full-length thymosin beta-4, and the analytical anti-doping methods built for the TB-500 product class. The regulatory facts are cited to FDA's own pages.

Where a finding rests on full-length thymosin beta-4 rather than the Ac-LKKTETQ fragment, the body text says so; the citation list below preserves the original study so the distinction can be checked at the source. Every numbered marker across the research, dosage, detection, legal-status and FAQ pages resolves to an entry here.

  1. Irobi E, Aguda AH, Larsson M, et al. Structural basis of actin sequestration by thymosin-beta4: implications for WH2 proteins. EMBO J. 2004;23(18):3599-3608.
  2. Bock-Marquette I, Saxena A, White MD, Dimaio JM, Srivastava D. Thymosin beta4 activates integrin-linked kinase and promotes cardiac cell migration, survival and cardiac repair. Nature. 2004;432(7016):466-472.
  3. Malinda KM, Sidhu GS, Mani H, et al. Thymosin beta4 accelerates wound healing. J Invest Dermatol. 1999;113(3):364-368.
  4. Morris DC, Cui Y, Cheung WL, et al. A dose-response study of thymosin β4 for the treatment of acute stroke. J Neurol Sci. 2014;345(1-2):61-67.
  5. 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.
  6. Ruff D, Crockford D, Girardi G, Zhang Y. A randomized, placebo-controlled, single and multiple dose study of intravenous thymosin β4 in healthy volunteers. Ann N Y Acad Sci. 2010;1194:223-229.
  7. Cooper TM, Sniegowski MC, et al. Doping control analysis of TB-500, a synthetic version of an active region of thymosin β4, in equine urine and plasma by liquid chromatography-mass spectrometry. J Chromatogr A. 2012;1266:111-117.
  8. Esposito S, Deventer K, Geldof L, Van Eenoo P. Synthesis and characterization of the N-terminal acetylated 17-23 fragment of thymosin beta 4 identified in TB-500, a product suspected to possess doping potential. Drug Test Anal. 2012;4(9):733-738.
  9. Goldstein AL, Kleinman HK. Thymosin beta4: actin-sequestering protein moonlights to repair injured tissues. Trends Mol Med. 2005;11(9):421-429.
  10. Sosne G, Qiu P, Christopherson PL, Wheater MK. Thymosin β4 Promotes Dermal Healing. Vitam Horm. 2016;102:251-275.
  11. Gao X, Liang H, Hou F, et al. Thymosin Beta-4 Induces Mouse Hair Growth. PLoS One. 2015;10(6):e0130040.
  12. Thomas A, Walpurgis K, Tretzel L, et al. TB500/TB1000 and SGF1000: A scientific approach for a better understanding of doping-relevant peptide preparations. Drug Test Anal. 2023;15(4):440-449.
  13. Mendias CL, Awan TM. Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance. Sports Med. 2026.
  14. Rahaman KA, Muresan AR, Hwang H, et al. Simultaneous quantification of TB-500 and its metabolites in in-vitro experiments and rats by UHPLC-Q-Exactive orbitrap MS/MS and their screening by wound healing activities in-vitro. J Chromatogr B Analyt Technol Biomed Life Sci. 2024;1235:124033.
  15. World Anti-Doping Agency. The Prohibited List. TB-500 and thymosin beta-4 fall under prohibited peptide, growth-factor and tissue-repair categories; classified as a prescription medicine in some jurisdictions. (Status summarized from the WADA-prohibited classification and the anti-doping detection literature.)
  16. U.S. Food and Drug Administration. Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act; Interim Policy on Compounding Using Bulk Drug Substances Under Section 503A. (Definitions of Category 1 and Category 2; bulks-list and nomination framework; the role of the Pharmacy Compounding Advisory Committee.) Verified 2026-05-29.
  17. U.S. Food and Drug Administration. Certain Bulk Drug Substances for Use in Compounding That May Present Significant Safety Risks. Entry: 'Thymosin beta-4, fragment (LKKTETQ), also known as TB-500' placed in Category 2, effective with the September 29, 2023 update; safety rationale includes potential immunogenicity for certain routes and a lack of important safety information. Verified 2026-05-29.
  18. U.S. Food and Drug Administration. July 23-24, 2026: Meeting of the Pharmacy Compounding Advisory Committee. Public calendar listing 'TB-500 (free base)' / 'TB-500 acetate' (with BPC-157, KPV, and MOTs-C) as bulk drug substances being considered for inclusion on the 503A Bulks List — a scheduled discussion, not a decision. Verified 2026-05-29.