Blue ruffled cell-like forms and gold particles; conceptual immunity editorial artwork.
AI-generated conceptual editorial illustration; not a verified molecular structure.

An inflammatory marker needs a clinical question

The main question concerned mortality in sepsis, not a general immunity score.

TESTS: read the trial with its correction.

The main question concerned mortality in sepsis, not a general immunity score.

The comparison

TESTS compared thymosin α1 with placebo in adults with sepsis in China. It did not provide conclusive evidence of reduced 28-day mortality. Funders included public/university programs and SciClone Pharmaceuticals. The clinical population must remain visible when communicating the finding.

Use the corrected result

The May 2025 correction updated the primary-outcome hazard ratio to 0.97, with a 95% confidence interval of 0.76–1.24. It includes values compatible with different effect sizes and directions; it does not establish equivalence. Changes to immune data are also described in that correction.

Professional context / Contexto profesional

Assess design, analyses and possible subgroups with the protocol and supplements; do not claim universal safety.

Evidence / Evidencia

Phase 3 trial with a subsequent correction.

Limitations / Limitaciones

Does not test prevention in healthy people or justify self-medication.

References

  1. Wu J, Pei F, Zhou L, et al.. The efficacy and safety of thymosin α1 for sepsis (TESTS): multicentre, double blinded, randomised, placebo controlled, phase 3 trial. The BMJ. 2025
  2. The BMJ. Correction: The efficacy and safety of thymosin α1 for sepsis (TESTS). The BMJ. 2025
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