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.
- PreclinicalTB-500
- Limited clinical
- Multiple human studies
- Phase 3
- FDA-approved
Preclinical: Animal / in vitro / mechanistic data only.
Regulatory timeline
Dated milestones in TB-500’s U.S. regulatory path.
Late 2023
Placed on FDA Category 2 (do-not-compound list), restricting compounding-pharmacy access.
April 23, 2026
Removed from FDA Category 2 compounding list. Removal is NOT the same as Category 1 status or FDA approval.
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
- 01What evidence is there for TB-500 in women specifically — and does that include perimenopausal or postmenopausal cohorts?
- 02What is the current FDA regulatory status, and which compounding pharmacy will my prescription go through?
- 03What baseline labs do you require before starting, and how often do you monitor?
- 04What are the realistic timelines and what does “not working for you” look like in practice?
Articles on TB-500
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Providers that offer TB-500
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