{"id":753,"date":"2026-09-01T16:45:45","date_gmt":"2026-09-01T16:45:45","guid":{"rendered":"https:\/\/nhdbio.com\/resources\/thymosin-alpha-1-tests-phase-3-sepsis-trial-2025\/"},"modified":"2026-09-01T16:45:45","modified_gmt":"2026-09-01T16:45:45","slug":"thymosin-alpha-1-tests-phase-3-sepsis-trial-2025","status":"publish","type":"post","link":"https:\/\/nhdbio.com\/de\/thymosin-alpha-1-tests-phase-3-sepsis-trial-2025\/","title":{"rendered":"Thymosin Alpha-1 bei Sepsis: Das Ergebnis der 2025 TESTS Phase 3"},"content":{"rendered":"<p class=\"pim-standfirst wp-block-paragraph\">Die 2025 TESTS-Studie ist aussagekr\u00e4ftiger als fr\u00fchere Berichte \u00fcber kleine Sepsis: 1,106-Erwachsene wurden randomisiert auf verschiedene 22-Zentren verteilt, und Thymosin alpha-1 reduzierte die 28-Tages-Gesamtmortalit\u00e4t nicht.<\/p><div class=\"wp-block-group pim-key-takeaways\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\"><h2 class=\"wp-block-heading\">Beweise auf einen Blick<\/h2><ul class=\"wp-block-list\"><li>Die Studie umfasste randomisiert 1,106-Erwachsene; 1,089 wurden in die modifizierte Intention-to-Treat-Analyse einbezogen.<\/li><li>Die 28-Tage-Mortalit\u00e4t betrug 23.4% unter Thymosin alpha-1 und 24.1% unter Placebo.<\/li><li>Das Gef\u00e4hrdungsverh\u00e4ltnis betrug 0.99 (95% CI 0.77\u20131.27; P=0.93), und kein sekund\u00e4rer oder sicherheitsrelevanter Endpunkt unterschied sich signifikant.<\/li><\/ul><\/div><\/div><figure class=\"wp-block-image size-full pim-article-figure\"><img loading=\"lazy\" decoding=\"async\" width=\"1672\" height=\"941\" src=\"http:\/\/nhdbio.com\/wp-content\/uploads\/2026\/09\/thymosin-alpha1-sepsis-evidence.webp\" alt=\"Datenvisualisierung multizentrischer zweiarmiger Sepsis-Studien mit nahezu \u00fcberlappenden Ergebnissen\" class=\"wp-image-737\" srcset=\"https:\/\/nhdbio.com\/wp-content\/uploads\/2026\/09\/thymosin-alpha1-sepsis-evidence.webp 1672w, https:\/\/nhdbio.com\/wp-content\/uploads\/2026\/09\/thymosin-alpha1-sepsis-evidence-300x169.webp 300w, https:\/\/nhdbio.com\/wp-content\/uploads\/2026\/09\/thymosin-alpha1-sepsis-evidence-1024x576.webp 1024w, https:\/\/nhdbio.com\/wp-content\/uploads\/2026\/09\/thymosin-alpha1-sepsis-evidence-768x432.webp 768w, https:\/\/nhdbio.com\/wp-content\/uploads\/2026\/09\/thymosin-alpha1-sepsis-evidence-1536x864.webp 1536w\" sizes=\"auto, (max-width: 1672px) 100vw, 1672px\" \/><figcaption class=\"wp-element-caption\">Originale redaktionelle Forschungsillustration. Es handelt sich nicht um eine Studienfigur, ein Patientenbild, ein Produktfoto, ein geliefertes Testergebnis oder eine Darstellung einer Katalogcharge.<\/figcaption><\/figure><h2 class=\"wp-block-heading\">Studienprotokoll<\/h2><p class=\"wp-block-paragraph\">Der prim\u00e4re Endpunkt war der Tod jeglicher Ursache innerhalb von 28 Tagen. Die Hazard Ratio von nahezu eins und das Konfidenzintervall, das eins \u00fcberschreitet, liefern keinen eindeutigen Beweis f\u00fcr eine Verringerung der Mortalit\u00e4t in der gesamten Versuchspopulation.<\/p><div class=\"wp-block-group pim-evidence-table\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\"><div class=\"pim-evidence-row\"><strong>Design<\/strong><span>Multizentrische, doppelblinde, randomisierte, placebokontrollierte Phase 3<\/span><\/div><div class=\"pim-evidence-row\"><strong>Websites<\/strong><span>22-Zentren in China<\/span><\/div><div class=\"pim-evidence-row\"><strong>Ge\u00e4ndert ITT<\/strong><span>542 Thymosin alpha-1; 547 Placebo<\/span><\/div><div class=\"pim-evidence-row\"><strong>28-Tagesmortalit\u00e4t<\/strong><span>23.4% versus 24.1%<\/span><\/div><div class=\"pim-evidence-row\"><strong>Effektsch\u00e4tzung<\/strong><span>HR 0.99; 95% CI 0.77\u20131.27; P=0.93<\/span><\/div><\/div><\/div><h2 class=\"wp-block-heading\">Ergebnisse im Kontext<\/h2><p class=\"wp-block-paragraph\">Vorab festgelegte Untergruppeninteraktionen nach Alter und Diabetes f\u00fchrten zu m\u00f6glichen Differenzsignalen. Untergruppen sind f\u00fcr die Gestaltung zuk\u00fcnftiger Studien n\u00fctzlich, sie machen jedoch kein neutrales Prim\u00e4rergebnis r\u00fcckg\u00e4ngig und sollten nicht als etablierte Indikationen beworben werden.<\/p><p class=\"wp-block-paragraph\">In einer 2025-Metaanalyse wurden randomisierte 11-Studien mit 1,927-Teilnehmern zusammengefasst und ein Gesamt-Odds-Ratio von 0.73 ermittelt. Die hochwertigen und multizentrischen Teilmengen waren jedoch statistisch nicht signifikant, und die versuchssequenzielle Analyse beurteilte die verf\u00fcgbare Stichprobe als unzureichend. Das gro\u00dfe TESTS-Ergebnis geh\u00f6rt daher in den Mittelpunkt jeder aktuellen Zusammenfassung.<\/p><h2 class=\"wp-block-heading\">Was die Beweise nicht belegen k\u00f6nnen<\/h2><p class=\"wp-block-paragraph\">Eine einzelne nationale Studie repr\u00e4sentiert m\u00f6glicherweise nicht jedes Gesundheitssystem oder jeden Sepsis-Ph\u00e4notyp.<\/p><p class=\"wp-block-paragraph\">Subgruppeneffekte bed\u00fcrfen einer Best\u00e4tigung und sollten hypothesengenerierend bleiben.<\/p><p class=\"wp-block-paragraph\">Eine klinische Studie einer abgeschlossenen Intervention validiert nicht ein unabh\u00e4ngiges Forschungslos.<\/p>","protected":false},"excerpt":{"rendered":"<p>Die 2025 TESTS-Studie ist aussagekr\u00e4ftiger als fr\u00fchere Berichte \u00fcber kleine Sepsis: 1,106-Erwachsene wurden randomisiert auf verschiedene 22-Zentren verteilt, und Thymosin alpha-1 reduzierte die 28-Tages-Gesamtmortalit\u00e4t nicht.<\/p>","protected":false},"author":1,"featured_media":737,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"pim_family_ids":"369","pim_article_type":"Published evidence review","pim_evidence_level":"Large multicenter randomized phase 3 human trial with a neutral primary outcome","pim_reviewer":"Site evidence editorial team","pim_reviewed_date":"2026-09-02","pim_editorial_note":"Source-checked on 2026-09-02. Null results, study size, model\/population limits and relevant conflicts are retained. This is not medical advice, a customer case or validation of a catalog lot.","pim_review_status":"reviewed","pim_review_reason":"Primary\/regulatory sources, factual claims, numerical results, limitations and product-evidence boundary checked for batch 3.","pim_creation_method":"The editorial workflow began with linked PubMed primary papers, systematic reviews, PubChem identity records and FDA\/DailyMed regulatory records. Population or model, denominators, endpoints, numerical results, null findings, limitations and conflicts were extracted before drafting. AI-assisted drafting and original image generation were used; the final facts and evidence boundaries were checked against the linked records on 2026-09-02. This is not independent peer review.","pim_sources":"[{\"title\":\"TESTS phase 3 thymosin alpha-1 sepsis trial\",\"url\":\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39814420\/\",\"note\":\"Primary 2025 multicenter trial; PMID 39814420.\"},{\"title\":\"2025 thymosin alpha-1 sepsis meta-analysis\",\"url\":\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40969554\/\",\"note\":\"Eleven RCTs with quality and trial-sequential analyses; PMID 40969554.\"},{\"title\":\"PubChem Thymalfasin record\",\"url\":\"https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Thymalfasin\",\"note\":\"Sequence, formula, mass and synonym record; CID 16130571.\"}]","footnotes":""},"categories":[19],"tags":[],"class_list":["post-753","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-published-study-cases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Thymosin Alpha-1 in 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