Peptide Record

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

Kidney function

This grade describes how much evidence exists for Thymosin beta-4 against kidney function — 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.
+4Human 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.
+2≥ 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 2 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.
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.
0−1 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.
009100%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
009100%
blinded
not blinded deducts a point; blinded does not; silence does neither.
009100%

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

9 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
  • ANIMAL2
  • PRECLINICAL5
SourceStudyDesignnBias flagsDate
HUMAN-TRIALAssociation between Thymosin beta-4, acute kidney injury, and mortality in patients with sepsis: An observational cohort study.
PMID 34607232 · DOI 10.1016/j.intimp.2021.108167 · matched on "Tbeta4"
human-observationalnone stated2021-12-01
HUMAN-TRIALSignificant decrease in plasma N-acetyl-seryl-aspartyl-lysyl-proline level in patients with end stage renal disease after kidney transplantation.
PMID 24882420 · DOI 10.1248/bpb.b13-00992 · matched on "Thymosin β4"
human-observationalnone stated2014-01-01
ANIMALZuogui Wan alleviated maternal kidney-yin deficiency-induced thymic epithelial cell dysfunction in newborn rats through Wnt/beta-catenin signaling pathway.
PMID 34146629 · DOI 10.1016/j.jep.2021.114337 · matched on "Thymosin β4"
animalnone stated2021-10-28
ANIMALMonitoring changes in gene expression in renal ischemia-reperfusion in the rat.
PMID 11967014 · DOI 10.1046/j.1523-1755.2002.00341.x · matched on "Thymosin β4"
animalnone stated2002-05-01
PRECLINICALThymosin beta4 alleviates sepsis-associated acute kidney injury by suppressing MAPK signaling pathway.
PMID 42417058 · DOI 10.1042/cs20261084 · matched on "Tbeta4"
not determinednone stated2026-08-12
PRECLINICALThe Pathophysiological Role of Thymosin beta4 in the Kidney Glomerulus.
PMID 37175390 · DOI 10.3390/ijms24097684 · matched on "Tbeta4"
not determinednone stated2023-04-22
PRECLINICALSystemic gene therapy with thymosin beta4 alleviates glomerular injury in mice.
PMID 35842494 · DOI 10.1038/s41598-022-16287-z · matched on "TB4"
not determinednone stated2022-07-16
PRECLINICALAmniotic fluid peptides predict postnatal kidney survival in developmental kidney disease.
PMID 32750455 · DOI 10.1016/j.kint.2020.06.043 · matched on "Thymosin β4"
not determinednone stated2021-03-01
PRECLINICALMechanisms of GLP-1 receptor-independent renoprotective effects of the dipeptidyl peptidase type 4 inhibitor linagliptin in GLP-1 receptor knockout mice with 5/6 nephrectomy.
PMID 30979564 · DOI 10.1016/j.kint.2019.01.010 · matched on "Thymosin beta 4"
not determinednone stated2019-06-01

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