Drug

Levothyroxine

As of the edition of 20 October 2026, Levothyroxine is a small molecule: marketed, first approved in 1951 (CA); acts on THRA and THRB.

Sources: FDA Orange Book and Purple Book, other approval registers, ClinicalTrials.gov, ChEMBL.

The drug

Status
Marketed; latest approval 2020
Kind
Small molecule
Brand name
Unithroid
First approved
31 December 1951 (CA)
Approvals on record
130 in 5 regions
Holder of the most recent approval
IBSA Institut Biochimique; 15 holders in all
Registered trials
116, 15 stopped early
Disease areas
Hormones; Cancer; Nutrition and metabolism; Nervous system; Heart and blood vessels; Pregnancy and women's health

US protection

No US approval on record.

With no US approval on record there are no listed US patents or exclusivities.

This is the US only.

Companies that need a new molecule because of this drug

6 company-target rows on route B because of this drug.

Companies on route B for this drug

In the product

6 company-target rows are on route B because of Levothyroxine.

Targets

GeneProteinUniProt
THRAThyroid hormone receptor alphaP10827
THRBThyroid hormone receptor betaP10828

Registered trials

PhaseTrialsCompletedActiveStopped early
Phase not stated4320104
Phase 1181521
Phase 29531
Phase 316952
Phase 4301417
All trials116

Who has held its approvals

CompanyRoleYears
AbbottLater holder2002 to now
ViatrisLater holder and Lead sponsor of trials2003 to now
Jerome Stevens PharmaceuticalsAcquired holder2003 to now
IBSA Institut BiochimiqueApplicant and Lead sponsor of trials2006 to now
AbbVieAcquired holder and Lead sponsor of trials2012 to now
Fresenius KabiAcquired holder2013 to now
PfizerAcquired holder2017 to now
Genus Life SciencesAcquired holder2017 to now
CediprofAcquired holder2018 to now
ASKA PharmaceuticalApplicant2020 to now
AlvogenAcquired holder2021 to now
Hikma PharmaceuticalsAcquired holder2022 to now
Merck KGaAAcquired holder2025 to now