Peptide Record

Thymosin beta-4 · Sensory · graded 2026-07-30

Eye & vision health

This grade describes how much evidence exists for Thymosin beta-4 against eye & vision health — not whether it works, and not whether it is safe. It is computed from the inputs below by a fixed rule with no editorial adjustment.

Why this grade

Not hidden behind a control — showing the work is the point
Score decomposition — every input and its contribution
ComponentPointsScale
Best study type
The strongest design that produced evidence for this outcome, not the average design.
+5Human RCT 5 · Human observational 4 · Animal 2 · Preclinical 1 · None 0
Largest human sample
Largest single human study, not a pooled total across studies.
+1n ≥ 200 → 3 · 50–199 → 2 · < 50 → 1 · no human study → 0
Independent replication
Distinct research groups at the best study tier above, resolved through author and institution records.
+1≥ 3 groups → 3 · 2 → 2 · 1 → 1 · 0 → 0
Directional consistency
Share of studies at the best study tier reporting effect in the same direction — the same studies the replication row counts, not every record on the pair.
Measured over 0 stated directions across 1 study at the best tier. A ratio over three readings and the same ratio over ninety are the same number and are not the same evidence.
0≥ 90% concordant → 3 · ≥ 70% → 2 · ≥ 50% → 1 · below → 0 · fewer than 3 readings → 0
Bias risk
A deduction, never a bonus. A flag is counted only where a record states one; silence is not a pass and is not a flag.
-1−1 per flag, floor −3: industry funding · no preregistration · no blinding
Total6Sum of the rows above, floored at 0.
What the bias row had to work with — how many of this pair’s records disclosed each field at all
FieldFlag statedStated the oppositeNot statedSilent
industry_funded
industry-funded deducts a point; declared non-commercial does not; silence does neither.
011794%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
101794%
blinded
not blinded deducts a point; blinded does not; silence does neither.
011794%

Grade A additionally requires a total of at least 11 and replication of at least 2: a high score carried by one research group is not replicated evidence, however large the trial.

Doses administered in studies

Sourced figures, not a protocol

Studied doses — not yet collected

Dose, route and n are extracted from study full text, and full text is paywalled for most records in this corpus. No dose has been extracted for this pair yet. Read that as an extraction gap, not as evidence that the studies below administered nothing.

This is a gap in our collection, not a finding about studied doses. Read it as “we have not looked yet”, never as “there is nothing there”. How extraction works and where it fails

Cited sources

18 records · ordered by source hierarchy

These are the records the grade above was computed from — the same set, by the same rule, read from one definition shared with the grader. Records attributed to an alias for a materially different product are not among them; where this pair has any, they are listed separately below.

  • HUMAN-TRIAL1
  • ANIMAL5
  • PRECLINICAL12
SourceStudyDesignnBias flagsDate
HUMAN-TRIALComparative Study of Thymosin Beta 4 Eye Drops vs. Vehicle in the Treatment of Severe Dry Eye
NCT01393132 · matched on "Tβ4"
human-rct9not preregistered
ANIMALActivation of pro-resolving pathways mediate the therapeutic effects of thymosin beta-4 during Pseudomonas aeruginosa-induced keratitis.
PMID 39380984 · DOI 10.3389/fimmu.2024.1458684 · matched on "Tbeta4"
animalnone stated2024-01-01
ANIMALThymosin beta4 Alleviates Autoimmune Dacryoadenitis via Suppressing Th17 Cell Response.
PMID 37531112 · DOI 10.1167/iovs.64.11.3 · matched on "Thymosin beta 4"
animalnone stated2023-08-01
ANIMALProtection effect of thymosin beta4 on ethanol injury in corneal stromal keratocyte.
PMID 35062902 · DOI 10.1186/s12886-022-02255-8 · matched on "Tbeta4"
animalnone stated2022-01-21
ANIMALTopical treatment of corneal alkali burns with Gly-thymosin beta(4) solutions and in situ hydrogels via inhibiting corneal neovascularization and improving corneal epidermal recovery in experimental rabbits.
PMID 28602595 · DOI 10.1016/j.burns.2017.05.002 · matched on "Thymosin beta 4"
animalnone stated2017-12-01
ANIMALLocalization of thymosin beta 4 to the neural tissues during the development of Xenopus laevis, as studied by in situ hybridization and immunohistochemistry.
PMID 7955316 · DOI 10.1016/0165-3806(94)90122-8 · matched on "Thymosin beta 4"
animalnone stated1994-06-17
PRECLINICALIdentification of glutamine as a potential therapeutic target in dry eye disease.
PMID 39837870 · DOI 10.1038/s41392-024-02119-1 · matched on "Tbeta4"
not determinednone stated2025-01-22
PRECLINICALNeurotrophic keratopathy: current challenges and future prospects.
PMID 35243932 · DOI 10.1080/07853890.2022.2045035 · matched on "Thymosin β4"
not determinednone stated2022-12-01
PRECLINICALPurinergic Signaling Involvement in Thymosin beta4-mediated Corneal Epithelial Cell Migration.
PMID 32223337 · DOI 10.1080/02713683.2020.1748891 · matched on "Tbeta4"
preclinicalnone stated2020-11-01
PRECLINICALAntimicrobial Effects of Thymosin Beta-4 and Ciprofloxacin Adjunctive Therapy in Pseudomonas aeruginosa Induced Keratitis.
PMID 32961846 · DOI 10.3390/ijms21186840 · matched on "Tbeta4"
not determinednone stated2020-09-18
PRECLINICALHighly effective biosynthesis of N-acetylated human thymosin beta4 (Tbeta4) in Escherichia coli.
PMID 29989423 · DOI 10.1080/21691401.2018.1489268 · matched on "Tbeta4"
not determinednone stated2018-01-01
PRECLINICALOcular Effects of Sulfur Mustard and Therapeutic Approaches.
PMID 28106291 · DOI 10.1002/jcb.25892 · matched on "Thymosin β4"
not determinednone stated2017-11-01
PRECLINICAL[Biotechnological production of acetylated thymosin beta4].
PMID 21721255 · DOI 10.1134/s1068162011020026 · matched on "Thymosin beta 4"
not determinednone stated2011-03-01
PRECLINICALOverexpression of thymosin beta-10 inhibits VEGF mRNA expression, autocrine VEGF protein production, and tube formation in hypoxia-induced monkey choroid-retinal endothelial cells.
PMID 18854659 · DOI 10.1159/000163220 · matched on "TB4"
not determinednone stated2009-01-01
PRECLINICALMatrix metalloproteinase activity is necessary for thymosin beta 4 promotion of epithelial cell migration.
PMID 17348036 · DOI 10.1002/jcp.21012 · matched on "Tbeta4"
preclinicalnone stated2007-07-01
PRECLINICALInternalization is essential for the antiapoptotic effects of exogenous thymosin beta-4 on human corneal epithelial cells.
PMID 17197512 · DOI 10.1167/iovs.06-0826 · matched on "Tbeta4"
not determinednone stated2007-01-01
PRECLINICALProteinase and growth factor alterations revealed by gene microarray analysis of human diabetic corneas.
PMID 16186340 · DOI 10.1167/iovs.04-1507 · matched on "Thymosin beta 4"
preclinicalnone stated2005-10-01
PRECLINICALThymosin beta 4 stimulates laminin-5 production independent of TGF-beta.
PMID 14729067 · DOI 10.1016/j.yexcr.2003.09.022 · matched on "Tbeta4"
not determinednone stated2004-02-01

Rows are ordered by source hierarchy, so nothing below a regulatory filing appears above a human trial. A field marked uncertain is one where the extraction passes disagreed; it publishes as unknown rather than as a picked winner. A design reading “not determined” is a design nothing established, not a design of none. Explore the full corpus for Thymosin beta-4

Also collected, and not part of this grade

7 records · contributed nothing
SourceStudyDesignnBias flagsDate
HUMAN-TRIALAssessment of the Safety and Efficacy of RGN-259 Ophthalmic Solutions for Dry Eye Syndrome: ARISE-3
NCT03937882 · matched on "RGN-259"
human-rct700industry-funded
HUMAN-TRIALAssessment of the Safety and Efficacy of RGN-259 Ophthalmic Solutions for Dry Eye Syndrome : ARISE-2
NCT02974907 · matched on "RGN-259"
human-rct601industry-funded
HUMAN-TRIALAssessment of the Safety and Efficacy of RGN-259 Ophthalmic Solutions for Dry Eye Syndrome: ARISE-1
NCT02597803 · matched on "RGN-259"
human-rct317industry-funded, not preregistered
HUMAN-TRIALSafety and Efficacy of Thymosin Beta 4 Ophthalmic Solution in Patients With Dry Eye
NCT01387347 · matched on "RGN-259"
human-rct72industry-funded
HUMAN-TRIAL0.1% RGN-259 (Thymosin ss4) Ophthalmic Solution Promotes Healing and Improves Comfort in Neurotrophic Keratopathy Patients in a Randomized, Placebo-Controlled, Double-Masked Phase III Clinical Trial.
PMID 36613994 · DOI 10.3390/ijms24010554 · matched on "RGN-259"
human-rctnone stated2022-12-29
HUMAN-TRIALThymosin beta4 significantly improves signs and symptoms of severe dry eye in a phase 2 randomized trial.
PMID 25826322 · DOI 10.1097/ico.0000000000000379 · matched on "RGN-259"
human-rctnone stated2015-05-01
PRECLINICALMedical and surgical interventions for neurotrophic keratopathy.
PMID 41347649 · DOI 10.1002/14651858.cd015723.pub2 · matched on "RGN-259"
not determinednone stated2025-12-05