TheraRadar
Data updated: May 26, 2026

LEVOLET (levothyroxine sodium)

Oncology Approved 2003-06-06

Levolet is indicated as replacement therapy in adult and pediatric patients, including neonates, for primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. It is also used as an adjunct to surgery and radioiodine therapy for the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of use: Levolet is not indicated for the suppression of benign thyroid nodules or nontoxic diffuse goiter in iodine-sufficient patients, nor is it indicated for hypothyroidism during the recovery phase of subacute thyroiditis.

Source: FDA Label • GENUS LIFESCIENCES

How LEVOLET Works

Levothyroxine (T4) exerts its physiological effects primarily through its conversion to triiodothyronine (T3). Both T4 and T3 diffuse into the cell nucleus and bind to thyroid receptor proteins attached to DNA. This hormone-nuclear receptor complex activates gene transcription and the synthesis of messenger RNA and cytoplasmic proteins, thereby regulating metabolic processes. While the medication provides exogenous T4, the majority of its physiological activity is derived from T3, which is produced via the peripheral deiodination of T4.

3
Indications
--
Phase 3 Trials
22
Years on Market

Details

Status
Prescription
First Approved
2003-06-06
Patent Cliff
2038

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: LEVOTHYROXINE SODIUM

LEVOLET Approval History

2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
60 FDA actions from 2003 to 2022 · 2 indication expansions
Aug 2022 SUPPL
Efficacy
Dec 2021 SUPPL
Efficacy
Jun 2003 ORIGINAL
Update · Type 5 - New Formulation or New Manufacturer

What LEVOLET Treats

2 indications

LEVOLET is approved for 2 conditions since its original approval in 2003. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hypothyroidism
  • Thyroid Cancer
Source: FDA Label

LEVOLET Boxed Warning

NOT FOR TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including levothyroxine sodium, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used ...

LEVOLET Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to LEVOLET

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Clinical Trial Registry

6 trials
Trial Sponsor ID Phase Status Title
NCT06073665 DOT4 1R01AG081698-01, #853300 R01AG081698 Ph 4 recruiting Dosing of LT4 in Older Individuals
NCT05228184 20US-T414 Ph 4 terminated Use of Tirosint®-SOL or Tablet Formulations of Levothyroxine in Pediatric Patients With Congenital Hypothyroidism (CH)
NCT05823012 results posted XP-8121-120 Ph 2 completed Study of XP-8121 For the Treatment of Adult Subjects With Hypothyroidism
NCT04878614 IRB#20-002097 Ph 4 terminated Comparison of Levothyroxine Formulation in Hypothyroid Patients With Enteral Feeding
NCT03281083 MRN-01-NAFLD-01 Ph 2 terminated Levothyroxine for Non-Alcoholic Fatty Liver Disease (NAFLD)
NCT00921050 EN_LC_P136 Ph 2, Ph 3 completed Subclinical Hypothyroidism and Mind in the Elderly
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

LEVOLET FDA Label Details

Indications & Usage

FDA Label (PDF)

LEVOLET is indicated for the treatment of Hypothyroidism; Thyroid Cancer.

⚠️ BOXED WARNING

WARNING: NOT FOR TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including levothyroxine sodium, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements a...

View full patent landscape →
2 OB patents · 1 families · 5 international docs across 1 countries

LEVOLET Patents & Exclusivity

Latest Patent: Mar 2038

Patents (2 active)

US10231931 Expires Mar 23, 2038
US10406108 Expires Mar 23, 2038
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2038
  • 240 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 14 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.