TheraRadar
Data updated: May 26, 2026

LEVOTHYROXINE SODIUM

Oncology Approved 2002-06-05

LEVOTHYROXINE SODIUM is indicated for the treatment of Hypothyroidism; Thyroid Cancer.

Source: FDA Label • WATSON LABS TEVA

How LEVOTHYROXINE SODIUM Works

Levothyroxine (T4) exerts its physiological effects via the control of DNA transcription and protein synthesis. T4 and its active metabolite, T3, diffuse into the cell nucleus and bind to thyroid receptor proteins attached to DNA, activating the synthesis of messenger RNA and cytoplasmic proteins. While the medication provides T4, the majority of its physiological actions are produced by T3, approximately 80% of which is derived from T4 through deiodination in peripheral tissues.

22
Indications
--
Phase 3 Trials
23
Years on Market

Details

Status
Prescription
First Approved
2002-06-05
Patent Cliff
2036

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Patent cliff and revenue data

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Routes
ORAL, INTRAVENOUS
Dosage Forms
TABLET, POWDER, SOLUTION, CAPSULE

LEVOTHYROXINE SODIUM Approval History

2003
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
493 FDA actions from 2002 to 2025
May 2025 SUPPL
Label · Labeling
Mar 2025 ORIGINAL
Update
Nov 2024 ORIGINAL
Update

What LEVOTHYROXINE SODIUM Treats

2 indications

LEVOTHYROXINE SODIUM is approved for 2 conditions since its original approval in 2002. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hypothyroidism
  • Thyroid Cancer
Source: FDA Label

LEVOTHYROXINE SODIUM 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 ...

LEVOTHYROXINE SODIUM Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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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 LEVOTHYROXINE SODIUM

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Viatris
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EMD SERONO INC
Shared indications:
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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.

LEVOTHYROXINE SODIUM FDA Label Details

Indications & Usage

FDA Label (PDF)

LEVOTHYROXINE SODIUM 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 →
7 OB patents · 3 families · 24 international docs across 4 countries

LEVOTHYROXINE SODIUM Patents & Exclusivity

Latest Patent: Dec 2036

Patents (7 active)

US9782376 Expires Dec 1, 2036
US11135190 Expires Dec 1, 2036
US10398669 Expires Dec 1, 2036
US11154498 Expires Jul 20, 2036
US9006289 Expires Oct 3, 2032
US9168238 Expires Aug 29, 2032
US9168239 Expires Aug 29, 2032
Source: FDA Orange Book

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Revenue Insights

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Patent Timeline

  • Cliff: 2036
  • 55 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.