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Table 1 Characteristics of included studies. SSC therapy: Surviving Sepisis Campaign therapy

From: The efficacy of thymosin α1 as immunomodulatory treatment for sepsis: a systematic review of randomized controlled trials

Study

Population

Case number, Tα1/control

Interventions in Tα1 group

Interventions in control group

Outcomes

Chen XL 2009 [25]

Sepsis patients in ICU, age over 18 years

40, 20/20

SSC therapy + Tα1, 1.6 mg,SC,QD

SSC therapy + NS

Levels of CD3,CD4,CD8, CD4/CD8, NK,CRP, APACHE II

Cheng AB 2010 [26]

Sepsis patients in ICU, age under 70 years and HLA-DR < 30 %

60,30/30

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment + NS

Levels of CD4,CD8 and HLA-DR

Gui CM 2012 [27]

Sepsis patients in ICU, age between 18 and 80 years

42,22/20

SSC therapy + Tα1, 1.6 mg,SC,QD

SSC therapy

Levels of CD4, CD4/CD8, igg, iga, igm, PCT, IL-6, IL-10 and APACHE II

Hu XL 2007 [28]

Abdominal sepsis patients in ICU

45,24/21

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment + NS

Levels of TNF-α, IL-6, IL-10, CD3,CD4,CD8, CD4/CD8, NK and 28-day mortality

Gong ZH 2011 [29]

Burn sepsis patients

56,28/28

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment

Levels of TNF-α, and WBC

Chen J 2007 [38]

Septic shock, APACHE II scores between 15 and 20

42,21/21

SSC therapy + Tα1, 1.6 mg,SC, BID

SSC therapy

Levels of T-lymphocyte subtype, natural killer cell and mechanical ventilation time, length of ICU stay, 28-day mortality

Fan JB 2014 [30]

Sepsis patients or septic shock

120,60/60

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment

Levels of CD4, CD8, CD4/CD8, APACHE II and 28-day mortality

Lei S 2005 [37]

Severe hospital acquired pneumonia patients in ICU, HLA-DR <30 %,

38,21/17

Conventional treatment + Tα1, 1.6 mg, SC, BID

Conventional treatment

Levels of CD4, CD8, CD4/CD8, NK, HLA-DR and 28-day mortality

Li YN 2009 [31]

Age over 18 years, suffering from severe sepsis with Marshall score over 5

47, 23/24

SSC therapy + Tα1, 1.6 mg,SC, QD

SSC therapy

Levels of HLA-DR, CD3, CD4, CD8, length of ICU stay, APACHE II, 28-day mortality and mechanical ventilation time

Wu JN 2004 [32]

Sepsis patients in ICU, HLA-DR <30 %

44,22/22

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment + NS

Levels of HLA-DR, CRP, APACHE II; and MOF

Wu JF 2013 [39]

Patients in ICU with severe sepsis

361,181/180

Conventional treatment + Tα1, 1.6 mg, SC, twice per day for 5 consecutive days, then once per day for 2 consecutive days

Conventional treatment + NS

Levels of HLA-DR, CD4/CD8, WBC, duration of ICU stay, mechanical ventilation time, APACHE II and 28-day mortality

Wu JF 2014 [40]

Sepsis patients, age over 18 years

54,26/28

Conventional treatment + Tα1, 1.6 mg, SC, twice per day for 5 consecutive days, then once per day for 2 consecutive days

Conventional treatment

28-day mortality

Zhang BJ 2014 [41]

Sepsis patients

60,30/30

Conventional treatment + Tα1, 1.6 mg, SC, twice per day

Conventional treatment

Level of IL-6 and APACHE II

Zhang Z 2006 [33]

Sepsis patients

38,19/19

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment

Levels of CRP, CD3, CD4, CD8, CD4/CD8, NK, and APACHE II

Zhou LX 2009 [35]

Severe sepsis aged > 18, Marshall score > 5

47, 23/24

Tα1 plus SSC therapy

SSC therapy

IL-6, IL-10, TNF-α, HLA-DR, T lymphocytes, 28-day mortality

Zhao MY 2007 [34]

Sepsis patients in ICU, HLA-DR <30 %, age <70

42,21/21

Conventional treatment + Tα1, 1.6 mg, SC,QD

Conventional treatment + NS

Levels of HLA-DR, CD4, CD8, TNF-α,IL-6 and IL-10

Zhou Q 2011 [36]

Severe sepsis, age > 18 years

82,42/40

SSC therapy + Tα1, 1.6 mg,SC,QD

SSC therapy

Levels of HLA-DR, CD3, CD4, CD8, CD4/CD8

Zhu 2015 [43]

Severe sepsis, age > 18 years

60,30/30

Conventional treatment + Tα1, 1.6 mg, SC, QD

Conventional treatment + NS

Levels of, CD3, CD4, CD8, CD4/CD8, duration of ICU stay and APACHE II

Lu 2015 [42]

Patients with siai, age > 18 years

76,38/38

Conventional treatment + Tα1, 1.6 mg, SC, twice a week

Conventional treatment + NS

Levels of, CD3, CD4, CD8, CD4/CD8