Peptide Record

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

Glycemic control

This grade describes how much evidence exists for Thymosin beta-4 against glycemic control — 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.
+2Human RCT 5 · Human observational 4 · Animal 2 · Preclinical 1 · None 0
Largest human sample
Largest single human study, not a pooled total across studies.
0n ≥ 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.
+3≥ 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 7 stated directions across 10 studies 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.
+2≥ 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.
0−1 per flag, floor −3: industry funding · no preregistration · no blinding
Total7Sum 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.
0015100%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
0015100%
blinded
not blinded deducts a point; blinded does not; silence does neither.
0015100%

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

15 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-TRIAL2
  • ANIMAL10
  • PRECLINICAL3
SourceStudyDesignnBias flagsDate
HUMAN-TRIALIntraocular expression of thymosin beta4 in proliferative diabetic retinopathy.
PMID 21332672 · DOI 10.1111/j.1755-3768.2011.02114.x · matched on "Thymosin beta 4"
human-observational86none stated2011-08-01
HUMAN-TRIALRole of Thymosin Beta 4 in the diagnosis of Nonalcoholic Fatty Liver and its relation to Metabolic Syndrome in Egyptian patients.
PMID 35436057 · matched on "Tbeta4"
human-observational80none stated2022-04-01
ANIMALThymosin beta-4 improves endothelial function and reparative potency of diabetic endothelial cells differentiated from patient induced pluripotent stem cells.
PMID 35012642 · DOI 10.1186/s13287-021-02687-x · matched on "TB4"
animalnone stated2022-01-10
ANIMALCD-1(db/db) mice: A novel type 2 diabetic mouse model with progressive kidney fibrosis.
PMID 32472621 · DOI 10.1111/jdi.13311 · matched on "Thymosin β4"
animalnone stated2020-11-01
ANIMALAngiopoietin-1/Tie2 signaling pathway contributes to the therapeutic effect of thymosin beta4 on diabetic peripheral neuropathy.
PMID 30326249 · DOI 10.1016/j.neures.2018.10.005 · matched on "Tbeta4"
animalnone stated2019-10-01
ANIMALmiR-146a mediates thymosin beta4 induced neurovascular remodeling of diabetic peripheral neuropathy in type-II diabetic mice.
PMID 30500399 · DOI 10.1016/j.brainres.2018.11.039 · matched on "Tbeta4"
animalnone stated2019-03-15
ANIMALAn Investigation on the Therapeutic Effect of Thymosin beta4 and Its Expression Levels in Streptozotocin-Induced Diabetic Mice.
PMID 30225249 · DOI 10.1155/2018/3421568 · matched on "Tbeta4"
animalnone stated2018-01-01
ANIMALThymosin beta4 attenuates early diabetic nephropathy in a mouse model of type 2 diabetes mellitus.
PMID 23846524 · DOI 10.1097/mjt.0b013e3182785ecc · matched on "Tbeta4"
animalnone stated2015-03-01
ANIMALTherapeutic Benefit of Extended Thymosin beta4 Treatment Is Independent of Blood Glucose Level in Mice with Diabetic Peripheral Neuropathy.
PMID 25945352 · DOI 10.1155/2015/173656 · matched on "Tbeta4"
animalnone stated2015-01-01
ANIMALExpressional changes in growth and inflammatory mediators during Achilles tendon repair in diabetic rats: new insights into a possible basis for compromised healing.
PMID 24797839 · DOI 10.1007/s00441-014-1871-3 · matched on "Tbeta4"
animalnone stated2014-07-01
ANIMALThymosin beta4 promotes the recovery of peripheral neuropathy in type II diabetic mice.
PMID 22922221 · DOI 10.1016/j.nbd.2012.08.002 · matched on "Tbeta4"
animalnone stated2012-12-01
ANIMALThymosin beta 4 ameliorates hyperglycemia and improves insulin resistance of KK Cg-Ay/J mouse.
PMID 22217673 · DOI 10.1016/j.diabres.2011.12.009 · matched on "Tbeta4"
animalnone stated2012-04-01
PRECLINICALA Novel Combination Therapy Tbeta4/VIP Protects against Hyperglycemia-Induced Changes in Human Corneal Epithelial Cells.
PMID 37998149 · DOI 10.3390/bios13110974 · matched on "Tbeta4"
preclinicalnone stated2023-11-07
PRECLINICALDiscovery of thymosin beta4 as a human exerkine and growth factor.
PMID 34495765 · DOI 10.1152/ajpcell.00263.2021 · matched on "Thymosin beta 4"
not determinednone stated2021-11-01
PRECLINICALTreatment of chronic nonhealing neurotrophic corneal epithelial defects with thymosin beta 4.
PMID 20457990 · DOI 10.1001/archophthalmol.2010.53 · matched on "Thymosin beta 4"
not determinednone stated2010-05-01

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

1 record · contributed nothing
SourceStudyDesignnBias flagsDate
HUMAN-TRIALA Phase 2 Study of the Safety and Efficacy of Thymosin Beta 4 for Treating Corneal Wounds
NCT00598871 · matched on "RGN-259"
human-rct12industry-funded