TheraRadar
Data updated: Jun 28, 2026

LEVOCARNITINE · NOVITIUM PHARMA

Metabolic Approved 1985-12-27

Levocarnitine oral solution is indicated in the treatment of primary systemic carnitine deficiency. In the reported cases, the clinical presentation consisted of recurrent episodes of Reye-like encephalopathy, hypoketotic hypoglycemia, and/or cardiomyopathy. Associated symptoms included hypotonia, muscle weakness and failure to thrive.

9
Indications
--
Phase 3 Trials
40
Years on Market

Details

Status
Prescription
First Approved
1985-12-27
Routes
ORAL, INJECTION
Dosage Forms
SOLUTION, INJECTABLE, TABLET

LEVOCARNITINE Approval History

2002
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
20 FDA actions from 2001 to 2025
Jun 2025 ORIGINAL
Update
Jul 2024 SUPPL
Label · Labeling
Dec 2023 SUPPL
Mfg · Manufacturing (CMC)

What LEVOCARNITINE Treats

5 indications

LEVOCARNITINE is approved for 5 conditions since its original approval in 2001. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Carnitine Deficiency
  • Reye-like Encephalopathy
  • Hypoglycemia
  • Cardiomyopathy
  • Inborn Error of Metabolism
Source: FDA Label

LEVOCARNITINE 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 LEVOCARNITINE

3 of 10

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

CARNITOR
LEVOCARNITINE
5 shared
LEADIANT BIOSCI INC
Shared indications:
Carnitine DeficiencyReye-like EncephalopathyHypoglycemia +2 more
CARNITOR SF
LEVOCARNITINE
5 shared
LEADIANT BIOSCI INC
Shared indications:
Carnitine DeficiencyReye-like EncephalopathyHypoglycemia +2 more
LEVOCARNITINE SF
LEVOCARNITINE
5 shared
NOVITIUM PHARMA
Shared indications:
Carnitine DeficiencyReye-like EncephalopathyHypoglycemia +2 more
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Clinical Trial Registry

1 trials
Trial Sponsor ID Phase Status Title
NCT03953703 irb200020 Ph 2 completed Levocarnitine for Dry Eye in Sjogren's Syndrome
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

LEVOCARNITINE FDA Label Details

Indications & Usage

FDA Label (PDF)

Levocarnitine oral solution is indicated in the treatment of primary systemic carnitine deficiency. In the reported cases, the clinical presentation consisted of recurrent episodes of Reye-like encephalopathy, hypoketotic hypoglycemia, and/or cardiomyopathy. Associated symptoms included hypotonia, muscle weakness and failure to thrive. A diagnosis of primary carnitine deficiency requires that serum, red cell and/or tissue carnitine levels be low and that the patient does not have a primary defect in fatty acid or organic acid oxidation (see CLINICAL PHARMACOLOGY ). In some patients, particular...

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Data Sources

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