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Thymosin Alpha-1 EBV Research: Comparison of Clinical Protocols

Chronic Active EBV (adults) 1.6 mg SC twice weekly × 12 weeks ≥50% reduction in EBV-DNA 67% at 6 months −1.2 log copies/mL Best evidence for sustained viral suppression in immunocompetent adults with CAEBV Paediatric CAEBV with HLH 1.6 mg SC twice weekly × 24

This comparison does not assign a generated winner or score.

  • Chronic Active EBV (adults)
  • 1.6 mg SC twice weekly × 12 weeks
  • ≥50% reduction in EBV-DNA
  • 67% at 6 months
  • −1.2 log copies/mL
  • Best evidence for sustained viral suppression in immunocompetent adults with CAEBV
  • Paediatric CAEBV with HLH
  • 1.6 mg SC twice weekly × 24 weeks (adjunct to chemo)
  • Time to lymphocyte recovery
  • 72% faster recovery
  • −0.8 log copies/mL
  • Accelerates immune reconstitution but requires combination therapy in HLH settings
  • Post-transplant EBV reactivation
  • 1.6 mg SC twice weekly × 8 weeks
  • Prevention of PTLD progression
  • 54% remained asymptomatic
  • Not consistently measured
  • Limited data; most useful as bridge therapy during immunosuppression taper
  • EBV-positive lymphoma (investigational)
  • 3.2 mg SC twice weekly × 16 weeks
  • Tumour response rate
  • 18% partial response
  • Variable
  • Insufficient evidence as monotherapy; mechanism suggests potential in combination with checkpoint inhibitors
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