TB-500
Synthetic thymosin beta-4 fragment promoted for tissue repair and wound healing, with evidence limited to preclinical models.
Preclinical rat studies demonstrate improved Achilles tendon healing with significantly increased maximum load to failure and improved histopathological parameters at 60 µg/kg/day intraperitoneally over four weeks. In vitro studies suggest wound-healing activity may be attributable to the metabolite Ac-LKKTE rather than the parent compound. However, human orthopaedic data are entirely lacking, and TB-500 remains a banned substance in competitive sports. No clinical trials have established safety, efficacy, optimal dosing, or treatment duration in humans. The compound is distributed through unregulated gray market channels without regulatory oversight.