TheraRadar
Data updated: May 26, 2026

TIROSINT-SOL (levothyroxine sodium)

Oncology Approved 2016-12-15

Tirosint-Sol (levothyroxine sodium) is a synthetic T4 replacement therapy indicated for adult and pediatric patients, including neonates, with primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. It is also indicated as an adjunct to surgery and radioiodine therapy for the management of thyrotropin-dependent well-differentiated thyroid cancer. **Limitations of Use:** It is not indicated for the suppression of benign thyroid nodules or nontoxic diffuse goiter in iodine-sufficient patients, nor for the treatment of hypothyroidism during the recovery phase of subacute thyroiditis.

How TIROSINT-SOL Works

Levothyroxine (T4) exerts its physiological effects by mimicking endogenous thyroid hormones. T4 and its active metabolite, 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. While Tirosint-Sol provides exogenous T4, the majority of its physiological activity (approximately 80%) is derived from the peripheral deiodination of T4 into T3 in the body's tissues.

1
Indication
--
Phase 3 Trials
9
Years on Market

Details

Status
Prescription
First Approved
2016-12-15
Patent Cliff
2044

Pro Metrics

Patent cliff and revenue data

Unlock with Pro
Routes
ORAL
Dosage Forms
SOLUTION

Companies

Active Ingredient: LEVOTHYROXINE SODIUM

TIROSINT-SOL Approval History

2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
75 FDA actions from 2016 to 2023
Nov 2023 SUPPL
Label · Labeling
Jan 2021 SUPPL
Mfg · Manufacturing (CMC)
Feb 2017 SUPPL
Label · Labeling

What TIROSINT-SOL Treats

2 indications

TIROSINT-SOL is approved for 2 conditions since its original approval in 2016. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hypothyroidism
  • Thyroid Cancer
Source: FDA Label

TIROSINT-SOL 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 ...

TIROSINT-SOL Competitive Set

Pro

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

Unlock 8 more competitors across all three rings.
Upgrade to Pro

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 TIROSINT-SOL

3 of 14

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

CYTOMEL
LIOTHYRONINE SODIUM
2 shared
KING PHARMS
Shared indications:
ERMEZA
LEVOTHYROXINE SODIUM
2 shared
Viatris
Shared indications:
EUTHYROX
LEVOTHYROXINE SODIUM
2 shared
EMD SERONO INC
Shared indications:
📋

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
🔬

Active Pipeline

Pro

Ongoing clinical trials by development phase

Loading...

Key Completed Trials

Pro

Completed studies with published results, ranked by significance

Loading...
📊

Trial Timeline

Full development history with FDA approval milestones

|
Loading...
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.

TIROSINT-SOL FDA Label Details

Indications & Usage

FDA Label (PDF)

TIROSINT-SOL 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 →
3 OB patents · 2 families · 25 international docs across 12 countries

TIROSINT-SOL Patents & Exclusivity

Latest Patent: Sep 2044

Patents (4 active)

US12564565 Expires Sep 26, 2044
US11241382 Expires Sep 17, 2039
US11096913 Expires Feb 28, 2037
US10537538 Expires Feb 28, 2037
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for TIROSINT-SOL

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2044
  • 1125 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 14 similar drugs
  • Same target/indication analysis
Unlock Full Intelligence

Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

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