TB-500

A synthetic fragment of thymosin beta-4 studied for tissue repair and angiogenesis.

Written by Anthivera EditorialPending medical review

Updated Regulatory status verified May 1, 2026

Research-only

Relevance for women

A thymosin beta-4 fragment studied for tissue repair and recovery. Animal data; no completed human RCTs. Removed from FDA Category 2 in April 2026; PCAC review pending.

Where the evidence sits

Anthivera’s calibrated five-tier scale — what the strongest evidence on TB-500 actually supports today.

  1. PreclinicalTB-500
  2. Limited clinical
  3. Multiple human studies
  4. Phase 3
  5. FDA-approved

Preclinical: Animal / in vitro / mechanistic data only.

Regulatory timeline

Dated milestones in TB-500’s U.S. regulatory path.

  1. Late 2023

    Placed on FDA Category 2 (do-not-compound list), restricting compounding-pharmacy access.

  2. April 23, 2026

    Removed from FDA Category 2 compounding list. Removal is NOT the same as Category 1 status or FDA approval.

  3. July 23–24, 2026

    Pharmacy Compounding Advisory Committee (PCAC) review scheduled to evaluate inclusion on the 503A Bulks List.

Questions to bring to a consult

  1. 01What evidence is there for TB-500 in women specifically — and does that include perimenopausal or postmenopausal cohorts?
  2. 02What is the current FDA regulatory status, and which compounding pharmacy will my prescription go through?
  3. 03What baseline labs do you require before starting, and how often do you monitor?
  4. 04What are the realistic timelines and what does “not working for you” look like in practice?

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