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Last Updated: April 28, 2025

CLINICAL TRIALS PROFILE FOR LEVOCARNITINE SF


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All Clinical Trials for LEVOCARNITINE SF

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00000885 ↗ Treatment Success and Failure in HIV-Infected Subjects Receiving Indinavir in Combination With Nucleoside Analogs: A Rollover Study for ACTG 320 Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 Group A: To compare the time to confirmed virologic failure (2 consecutive plasma HIV-RNA concentrations of 500 copies/ml or more) between the treatment arms: abacavir (ABC) or placebo in combination with zidovudine (ZDV), lamivudine (3TC), and indinavir (IDV). To evaluate the safety and tolerability of these treatment arms. [AS PER AMENDMENT 06/16/99: To compare the time to confirmed treatment failure, permanent discontinuation of treatment, or death between the treatment arms.] [AS PER AMENDMENT 12/27/01: Groups B, C, and D completed follow-up on March 4, 1999. Therefore, only information pertinent to Group A is applicable.] Group B: To compare the proportion of patients who achieve plasma HIV-1 RNA concentrations below 500 copies/ml, as assessed by the standard Roche Amplicor assay at Week 16, or to compare the absolute changes in plasma HIV-1 RNA concentrations at Week 16 across the treatment arms: ABC or approved nucleoside analogs and nelfinavir (NFV) or placebo in combination with efavirenz (EFV) and adefovir dipivoxil. To compare the safety and tolerability of these treatment arms. Group C: To monitor plasma HIV-1 RNA trajectory over time and determine the time to a confirmed plasma HIV-1 RNA concentration above 2,000 copies/ml on 2 consecutive determinations for patients treated with ZDV or stavudine (d4T) plus 3TC and IDV. Group D: To evaluate plasma HIV-1 RNA responses at Weeks 16 and 48. To evaluate the safety and tolerability of the treatment arms: ABC, EFV, adefovir dipivoxil, and NFV. This study explores new treatment options for ACTG 320 enrollees (and, if needed, a limited number of non-ACTG 320 volunteers) who have been receiving ZDV (or d4T) plus 3TC and IDV and are currently exhibiting a range of virologic responses. By dividing the study into the corresponding, nonsequential cohorts (Groups A, B, C, D), different approaches to evaluating virologic success, i.e., undetectable plasma HIV-1 RNA levels, and virologic failure, i.e., plasma HIV-1 RNA levels of 500 copies/ml or more [AS PER AMENDMENT 12/27/01: 200 copies/ml or more], are explored while maintaining long-term follow-up of ACTG 320 patients. [AS PER AMENDMENT 12/27/01: Groups B, C, and D completed follow-up on March 4, 1999. Therefore, only information pertinent to Group A is applicable. This study will examine the question of whether intensification of therapy can prolong the virologic benefit in individuals whose plasma HIV-1 RNA concentrations have been below the limits of assay detection on ZDV (or d4T) plus 3TC plus IDV.]
NCT00000892 ↗ A Study of Several Anti-HIV Drug Combinations in HIV-Infected Patients Who Have Used Indinavir Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 To compare the proportion of patients whose plasma HIV-1 RNA is below 500 copies/ml after 16 weeks of treatment. To assess the safety, toxicity, and tolerance of each treatment arm. While indinavir is currently the most commonly prescribed protease inhibitor, the optimal therapy for a person on an indinavir-containing regimen who experiences a rebound in viral load or never experiences a decrease in viral load below 500 copies per milliliter is unknown. Current clinical practice for such patients typically involves empiric use of a combination of other protease inhibitors (saquinavir/nelfinavir or saquinavir/ritonavir) and at least 1 other antiretroviral agent to which the patient has had little or no prior exposure. This may involve the use of 1 or more reverse transcriptase inhibitors (RTIs) or nonnucleoside reverse transcriptase inhibitors (NNRTIs). This study attempts to formally evaluate some of these options in indinavir-experienced patients.
NCT00000912 ↗ A Study on Amprenavir in Combination With Other Anti-HIV Drugs in HIV-Positive Patients Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 The purpose of this study is to compare 4 different combinations of anti-HIV drugs and to determine the number of people whose HIV blood levels decrease to 200 copies/ml or less while on the treatment. This study evaluates the safety of these drug combinations, which include an experimental protease inhibitor (PI), amprenavir. Despite the success that many patients have had with PI treatment regimens, there is still a possibility that patients receiving PIs may continue to have high HIV blood levels. Because of this possibility, alternative drug combinations containing PIs are being studied. It appears that amprenavir, when taken with 3 or 4 other anti-HIV drugs, may be effective in patients with prior PI treatment experience.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

Clinical Trial Conditions for LEVOCARNITINE SF

Condition Name

11220-10123456789101112HIV InfectionsPatient ComplianceAcute Lymphoblastic Leukemia[disabled in preview]
Condition Name for LEVOCARNITINE SF
Intervention Trials
HIV Infections 11
Patient Compliance 2
Acute Lymphoblastic Leukemia 2
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Condition MeSH

11330-10123456789101112HIV InfectionsPrecursor Cell Lymphoblastic Leukemia-LymphomaLeukemia, Lymphoid[disabled in preview]
Condition MeSH for LEVOCARNITINE SF
Intervention Trials
HIV Infections 11
Precursor Cell Lymphoblastic Leukemia-Lymphoma 3
Leukemia, Lymphoid 3
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Clinical Trial Locations for LEVOCARNITINE SF

Trials by Country

+
Trials by Country for LEVOCARNITINE SF
Location Trials
United States 135
Puerto Rico 5
Egypt 2
Bangladesh 2
India 1
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Trials by US State

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Trials by US State for LEVOCARNITINE SF
Location Trials
New York 12
California 10
Texas 8
Maryland 8
Massachusetts 7
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Clinical Trial Progress for LEVOCARNITINE SF

Clinical Trial Phase

28.6%57.1%14.3%000.511.522.533.54Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for LEVOCARNITINE SF
Clinical Trial Phase Trials
Phase 4 2
Phase 3 4
Phase 2/Phase 3 1
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Clinical Trial Status

52.4%28.6%19.0%0-10123456789101112CompletedUnknown statusNot yet recruiting[disabled in preview]
Clinical Trial Status for LEVOCARNITINE SF
Clinical Trial Phase Trials
Completed 11
Unknown status 6
Not yet recruiting 4
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Clinical Trial Sponsors for LEVOCARNITINE SF

Sponsor Name

trials011223344556National Institute of Allergy and Infectious Diseases (NIAID)Gilead SciencesBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh[disabled in preview]
Sponsor Name for LEVOCARNITINE SF
Sponsor Trials
National Institute of Allergy and Infectious Diseases (NIAID) 5
Gilead Sciences 4
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh 2
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Sponsor Type

53.6%25.0%21.4%00246810121416OtherNIHIndustry[disabled in preview]
Sponsor Type for LEVOCARNITINE SF
Sponsor Trials
Other 15
NIH 7
Industry 6
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Levocarnitine: Clinical Trials, Market Analysis, and Projections

Introduction to Levocarnitine

Levocarnitine, also known as L-carnitine, is a naturally occurring amino acid derivative that plays a crucial role in energy production and metabolism. It is widely used in various medical and nutritional applications, including supplements, pharmaceuticals, and animal feed.

Clinical Trials Update

Current Trials and Objectives

One of the significant ongoing clinical trials involving levocarnitine is the phase III trial aimed at protecting the liver from chemotherapy-induced damage in patients with leukemia or lymphoma. Here are the key details:

  • Objective: To determine whether adding levocarnitine to standard chemotherapy regimens can reduce the incidence of severe liver damage, particularly conjugated hyperbilirubinemia, in adolescents and young adults (AYAs) undergoing asparaginase-containing chemotherapy[4].

  • Methodology: Patients are randomized into two arms: one receiving standard chemotherapy with levocarnitine prophylaxis and the other receiving standard chemotherapy alone. The trial also examines the impact of levocarnitine on liver toxicity markers such as ALT, AST, and bilirubin levels, as well as its effects on patient-reported chemotherapy-induced peripheral neuropathy and overall survival rates.

  • Secondary Objectives: The trial aims to compare rates of minimal residual disease (MRD) positivity, toxicity, and associated dose reductions for chemotherapy administered with and without levocarnitine. It also explores the association of age, body-mass-index (BMI), and genetic variations with asparaginase activity and hepatotoxicity[4].

Previous Trials and Findings

Previous studies have shown promising results for levocarnitine in various contexts:

  • A randomized clinical trial evaluating the efficacy of L-carnitine L-tartrate (LCLT) in adults at risk of SARS-CoV-2 infection or disease progression found that LCLT was well-tolerated and may modulate coagulation pathways, reducing fibrinogen levels and improving lung lesion outcomes in COVID-19 patients[1].

  • Research from the MRC Integrative Epidemiology Unit suggested that increasing carnitine concentrations in the blood could reduce the risk of severe COVID-19 by 40%, highlighting the protective effects of levocarnitine against severe COVID-19[2].

Market Analysis

Market Size and Growth

The global L-carnitine market is experiencing significant growth driven by several factors:

  • Market Size: The global L-carnitine market was valued at USD 203.4 million in 2022 and is expected to expand at a compound annual growth rate (CAGR) of 4.9% from 2023 to 2030, reaching USD 298.7 million by 2030[2][5].

  • Growth Drivers: The market is driven by a rising health-conscious consumer base, increasing product launches, and growing demand from the animal feed industry. L-carnitine's benefits in muscle repair, reduction in muscle soreness, and weight management are key factors contributing to its market growth[2][5].

Application Segments

L-carnitine is utilized across various application segments:

  • Healthcare Products: This segment dominates the market, with L-carnitine being used for post-exercise recovery, weight management, and healthy aging. It is also used in the treatment and prevention of various ailments such as diabetes, thyroid issues, blood pressure, and coronary heart diseases[2][5].

  • Animal Feed: L-carnitine is used to improve lactation and metabolism in cows and for muscle recovery and performance enhancement in dogs and horses[2].

  • Functional Food & Beverages: The increasing inclination towards functional foods and beverages inclusive of L-carnitine is driving market growth, particularly in regions like North America[2].

Regional Outlook

  • North America: This region dominates the L-carnitine market, driven by a health-conscious consumer base and the expansion of the biomedicines industry. The U.S. and Canada are key markets within this region[2][5].

  • Europe and Asia Pacific: These regions also show significant growth potential, with countries like Germany, the U.K., China, and India contributing to the market expansion[5].

Projections and Future Outlook

Market Projections

  • The L-carnitine market is expected to continue its growth trajectory, driven by increasing consumer awareness and demand from various end-use industries. By 2030, the market is projected to reach USD 298.7 million[5].

Emerging Trends

  • Increased Use in Pharmaceuticals: The use of L-carnitine in pharmaceuticals, particularly for treating conditions like liver toxicity from chemotherapy, is expected to increase, driven by ongoing clinical trials and their positive outcomes[4].

  • Growing Demand in Animal Feed: The animal feed segment is anticipated to grow, driven by the need for improved animal health and performance, especially in regions with large livestock industries[2].

  • Expansion in Functional Foods: The trend towards functional foods and beverages is expected to continue, with L-carnitine being a key ingredient due to its health benefits[2].

Key Takeaways

  • Clinical Trials: Ongoing trials are focusing on the protective effects of levocarnitine against liver damage from chemotherapy and its potential in managing COVID-19.
  • Market Growth: The global L-carnitine market is growing at a CAGR of 4.9%, driven by health-conscious consumers and increasing demand from various industries.
  • Application Diversity: L-carnitine is used in healthcare products, animal feed, and functional foods, catering to a wide range of health and performance needs.
  • Regional Dominance: North America leads the market, with significant contributions from Europe and the Asia Pacific region.

FAQs

Q: What is the primary objective of the ongoing phase III trial involving levocarnitine?

A: The primary objective is to determine whether adding levocarnitine to standard chemotherapy regimens can reduce the incidence of severe liver damage in patients undergoing asparaginase-containing chemotherapy[4].

Q: How is L-carnitine used in the context of COVID-19?

A: Research suggests that L-carnitine may modulate coagulation pathways and reduce the risk of severe COVID-19 by improving lung lesion outcomes and reducing fibrinogen levels[1][2].

Q: What are the key drivers of the global L-carnitine market growth?

A: The market is driven by a rising health-conscious consumer base, increasing product launches, and growing demand from the animal feed industry[2][5].

Q: Which regions dominate the L-carnitine market?

A: North America is the leading region, followed by Europe and the Asia Pacific. The U.S. and Canada are significant markets within North America[2][5].

Q: What are the various applications of L-carnitine?

A: L-carnitine is used in healthcare products for post-exercise recovery, weight management, and healthy aging, as well as in animal feed and functional foods and beverages[2][5].

Sources

  1. Frontiers in Nutrition: "A randomized clinical trial to evaluate the efficacy of L-carnitine L-tartrate supplementation in adults at risk of SARS-CoV-2 infection or disease progression"[1].
  2. Grand View Research: "L-carnitine Market Size, Share & Trends Analysis Report, 2030"[2].
  3. Cognitive Market Research: "Levocarnitine Market Report 2024 (Global Edition)"[3].
  4. ClinicalTrials.gov: "Levocarnitine in Protecting the Liver From Chemotherapy for Patients With Leukemia or Lymphoma"[4].
  5. Grand View Research: "L-Carnitine Market Worth $298.7 Billion By 2030 | CAGR: 4.9%"[5].

More… ↓

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