levodopa
Trade name: larodopa
Approved
Jun 1, 1970
Levodopa (L-DOPA) was first isolated from seedlings of Vicia faba by Marcus Guggenheim in 1913. Levodopa, a dopamine precursor, is an effective and well-tolerated dopamine replacement agent used to treat Parkinson's disease. Oral levodopa has been widely used for over 40 years, often in combination with a dopa-decarboxylase inhibitor carbidopa, which reduces many treatment complications, extending its half-life and increasing levodopa availability to the brain. Entacapone, a catechol-O-methyltransferase inhibitor, can also be used to improve the bioavailability of levodopa, especially when used in conjunction with a carbidopa. — NCATS
Clinical trial activity
261 trials · 183 clinical orgs · 37 marketing orgs
Earliest trial started Jan 1, 1998 (NCT00004733)
Timeline
1970s
1990s
- Aug 28, 1992
Mayne Pharma — Marketing Organization
- Aug 28, 1992
Dr. Reddy's Laboratories — Marketing Organization
- Sep 3, 1993
Actavis — Marketing Organization
- Mar 25, 1994
Boston Scientific Corporation — Marketing Organization
- Jun 29, 1995
Ani Pharmaceuticals — Marketing Organization
- Jun 29, 1995
IDT Australia Ltd. — Marketing Organization
- Jan 1, 1998
Earliest Phase 3 Sponsor(trial)
- Sep 30, 1999
Mylan — Marketing Organization
2000s
- Jan 1, 2000
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2001
Earliest Phase 1 Sponsor(trial)
- Jun 11, 2003
Orion Corporation — Marketing Organization
- Jun 11, 2003
Orion Corporation — NDA Secondary Org
- May 14, 2004
Impax Laboratories — Marketing Organization
- Jun 16, 2004
Apotex — Marketing Organization
- Jun 24, 2004
Lumara Health — Marketing Organization
- Aug 27, 2004
UCB — Marketing Organization
- Jun 10, 2005
Ranbaxy — Marketing Organization
- Sep 18, 2008
Rising Pharmaceuticals — Marketing Organization
- Jul 31, 2009
Sun Pharmaceuticals — Marketing Organization
- Sep 28, 2009
PHARMOBEDIENT — Marketing Organization
2010s
- Nov 20, 2012
Wockhardt — Marketing Organization
- Feb 8, 2013
Accord Research — Marketing Organization
- Jan 7, 2015
Impax Laboratories — NDA Secondary Org
- Jan 9, 2015
AbbVie — Marketing Organization
- Jan 9, 2015
AbbVie — NDA Secondary Org
- Dec 21, 2018
Acorda Therapeutics — NDA Secondary Org
- Dec 21, 2018
Merz — Marketing Organization
- Jun 5, 2019
Alembic — Marketing Organization
2020s
- May 7, 2021
Sciegen Pharmaceticals — Marketing Organization
- Nov 12, 2021
Avion Pharmaceuticals — NDA Secondary Org
- Sep 21, 2022
Rubicon Research — Marketing Organization
- Nov 28, 2022
Aurobindo Pharma — Marketing Organization
- Mar 31, 2023
Sandoz — Marketing Organization
- Mar 31, 2023
Novartis — Marketing Organization
- Apr 4, 2023
Zydus Discovery DMCC — Marketing Organization
- Jan 14, 2025
Ascent Pharmahealth — Marketing Organization
- Apr 15, 2025
Macleods Pharmaceuticals, Ltd — Marketing Organization
Indications
Approved for
Studied for
- Acute Pain · Phase 4
- Albinism · Phase 2
- Albinism, Oculocutaneous · Phase 2
- Alcohol Drinking · Phase 4
- Alzheimer Disease · Phase 4
- Amblyopia · Phase 3
- Amyotrophic Lateral Sclerosis · Phase 1
- Analgesics, Opioid · Phase 2
- Angelman Syndrome · Phase 2/Phase 3
- Anhedonia · Phase 4
- Aphasia · Phase 4
- Aphasia, Broca · Phase 2/Phase 3
- Asthma · Phase 1
- Autonomic Nervous System Diseases · Phase 3
- Back Injuries · Phase 2
- Back Pain · Phase 2
- Brain Diseases · Phase 2
- Brain Injuries, Traumatic · Early Phase 1
- Bunion · Phase 2
- Central Nervous System Diseases · Phase 2
- Cerebral Palsy · Phase 4
- Chronic Pain · Phase 2
- Cocaine-Related Disorders · Phase 2/Phase 3
- Cognitive Dysfunction · Phase 4
- Consciousness Disorders · Early Phase 1
- Depression · Phase 4
- Depressive Disorder · Phase 4
- Depressive Disorder, Treatment-Resistant · Phase 2
- Dermatology · Phase 1
- Diabetic Retinopathy · Early Phase 1
- Disruptive, Impulse Control, and Conduct Disorders · Phase 4
- Dopamine · Phase 4
- Dopamine beta-Hydroxylase · Phase 3
- Dyskinesias · Phase 4
- Dyslexia · Phase 4
- Dysthymic Disorder · Phase 4
- Fasting · Phase 1
- Gait · Phase 4
- Haloperidol · Phase 1
- Healthy Volunteers · Phase 4
- Hypotension, Orthostatic · Phase 3
- Ischemic Stroke · Phase 3
- Joint Diseases · Phase 4
- Levodopa · Phase 2
- Lymphoma, Non-Hodgkin · Phase 1
- Macula Lutea · Phase 2
- Macular Degeneration · Phase 2
- Major Depressive Disorder · Phase 4
- Motor Activity · Phase 3
- Motor Neuron Disease · Phase 1
- Movement Disorders · Phase 2
- Narcotics · Phase 2
- Neurodegenerative Diseases · Phase 2
- Opioid-Related Disorders · Phase 2
- Optic Neuropathy, Ischemic · Phase 4
- Orthostatic Intolerance · Phase 3
- Pain · Phase 2
- Parkinsonian Disorders · Phase 2
- Pharmacokinetics · Phase 1
- Placebos · Phase 1
- Pure Autonomic Failure · Phase 1
- Restless Legs Syndrome · Phase 3
- Retina · Phase 2
- Retinal Diseases · Phase 4
- Retinitis Pigmentosa · Phase 2
- Schizophrenia · Phase 2
- Shy-Drager Syndrome · Phase 1/Phase 2
- Signs and Symptoms · Phase 4
- Smoking · Phase 1
- Spinal Cord Injuries · Phase 2/Phase 3
- Stress Disorders, Post-Traumatic · Phase 4
- Stroke · Phase 4
- Stroke Rehabilitation · Phase 3
- Therapeutic Equivalency · Phase 1
- Toes · Phase 2
- Treatment Adherence and Compliance · Phase 4
Mechanism of action
- Dopamine D3 receptorAGONIST
DRD3 agonist
Ethyl ester prodrug of of levodopa (PMID:16476809).
Combination products
sinemet
with carbidopa
Also known as abbv-291, carbidopa and levodopa, carbilev, duodopa, duopa, hrg2010, parcopa, rytary, sinemet cr, wd-1603 carbidopa-levodopa extended-release tablets
stalevo
with entacapone, carbidopa
Approval history
- approvedJun 1, 1970
Chemistry & pharmacology
SMILES
N[C@@H](CC1=CC(O)=C(O)C=C1)C(O)=O- Mol. weight
- 197.1879 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Topical
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
Yes
Sources
- WikipediaL-DOPA ↗
- NCATS46627O600J ↗
- ChEMBLCHEMBL1823681 ↗
- ChEMBLCHEMBL1009 ↗
Also known as
- (−)-3-(3,4-dihydroxyphenyl)-l-alanine
- (−)-3-(3,4-dihydroxyphenyl)-l-alanine
- 3,4-dihydroxy-l-phenylalanine
- 3,4-dihydroxy-l-phenylalanine
- 3-hydroxy-l-tyrosine
- 3-hydroxy-l-tyrosine
- 3-hydroxy-l-tyrosine
- bendopa
- bendopa
- brocadopa
- brocadopa
- carbidopa-levodopa
- dihydroxy-l-phenylalanine
- dihydroxy-l-phenylalanine
- dihydroxyphenylalanine
- dopa
- (−)-dopa
- (−)-dopa
- dopar
- dopar
- etilevodopa
- etilevodopa
- etilevodopa
- etilevodopa
- etilevodopa
- l-3,4-dihydroxyphenylalanine
- l-3,4-dihydroxyphenylalanine
- larodopa
- larodopa
- larodopa
- l-beta-(3,4-dihydroxyphenyl)alanine
- l-beta-(3,4-dihydroxyphenyl)alanine
- l-dopa
- l-dopa
- l-dopa
- ledopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa
- levodopa / carbidopa
- levodopa / carbidopa / entacapone
- levodopa ethyl ester
- levodopum
- levodopum
- tv-1203
- tv-1203
- β-(3,4-dihydroxyphenyl)alanine
- β-(3,4-dihydroxyphenyl)alanine
- β-(3,4-dihydroxyphenyl)-l-alanine
- β-(3,4-dihydroxyphenyl)-l-alanine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07246278 | Phase 1/Phase 2 (Phase 2) | Nov 20, 2025 | Tanta University |
| NCT07229651 | Phase 2/Phase 3 (Phase 3) | Nov 10, 2025 | Tanta University |
| NCT07151378 | Phase 3 | Sep 16, 2025 | University of Tuebingen |
| NCT06831500 | Phase 1/Phase 2 (Phase 2) | May 31, 2025 | University of Lausanne |
| NCT07001150 | Phase 2 | May 10, 2025 | Tanta University |
| NCT06667687 | Phase 1 | Jan 29, 2025 | AbbVie |
| NCT06785298 | Phase 2/Phase 3 (Phase 3) | Dec 10, 2024 | Tanta University |
| NCT06587217 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2024 | National Institute on Aging (NIA), University of Michigan |
| NCT06596876 | Phase 3 | Sep 20, 2024 | Hengrui Therapeutics, Inc. |
| NCT06626152 | Phase 2 | Aug 15, 2024 | Providence Health & Services, University of British Columbia |
| NCT06365515 | N/A | May 31, 2024 | German Research Foundation, University of Tuebingen, Uppsala University |
| NCT06219915 | Phase 1/Phase 2 (Phase 2) | Mar 15, 2024 | National Institute on Aging (NIA), University of Michigan |
| NCT06180720 | Phase 1 | Dec 20, 2023 | Qingdao University |
| NCT06075771 | Phase 4 | Nov 30, 2023 | Emory University, National Institute of Mental Health (NIMH) |
| NCT06236230 | Phase 4 | Nov 15, 2023 | Soochow University |
| NCT06113640 | Phase 2/Phase 3 (Phase 3) | Nov 5, 2023 | Tanta University |
| NCT06115538 | Phase 4 | Oct 1, 2023 | Ankara Yildirim Beyazıt University |
| NCT06037590 | Phase 1 | Sep 25, 2023 | Cooperative Clinical Drug Research and Development AG (CCDRD AG), PureIMS B.V. |
| NCT06013956 | Phase 4 | Aug 29, 2023 | The Cleveland Clinic |
| NCT05976737 | Phase 1 | Aug 17, 2023 | Qingdao University |
Organizations
Research & Development (183)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Bial | For profit | 18 | 18 | 4 | 2001 |
| Orion Corporation | For profit | 13 | 12 | 4 | 2004 |
| National Institute of Neurological Disorders and Stroke (NINDS) | Government | 12 | 10 | 3 | 1998 |
| Novartis | For profit | 12 | 12 | 4 | 2004 |
| AbbVie | For profit | 11 | 11 | 4 | 2006 |
| NeuroDerm Ltd. | For profit | 11 | 11 | 3 | 2012 |
| Acorda Therapeutics | For profit | 10 | 10 | 3 | 2012 |
| Columbia University | Academic/Hospital | 8 | 6 | 5 | 1998 |
| Emory University | Academic/Hospital | 7 | 4 | 3 | 2015 |
| Impax Laboratories | For profit | 7 | 7 | 2 | 2005 |
| National Institute of Mental Health (NIMH) | Government | 7 | 0 | 3 | 2006 |
| Tanta University | Academic/Hospital | 7 | 7 | 2 | 2023 |
| IQVIA | For profit | 6 | 0 | 2 | 2008 |
| Northwestern University | Academic/Hospital | 6 | 5 | 4 | 2007 |
| Hoosier Cancer Research Network | Academic/Hospital | 5 | 4 | 2 | 2004 |
| Intec Pharma Ltd. | For profit | 5 | 5 | 2 | 2009 |
| National Institute on Drug Abuse (NIDA) | Government | 5 | 0 | 2 | 2000 |
| Snyder, Robert W., M.D., Ph.D., P.C. | Academic/Hospital | 5 | 5 | 1 | 2017 |
| University of Munster | Academic/Hospital | 5 | 5 | 1 | 2003 |
| University of Toulouse | Academic/Hospital | 5 | 4 | 2 | 2002 |
Marketing (50)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | MKTG | Jan 9, 2015 |
| AbbVie | For profit | NDA2 | Jan 9, 2015 |
| Accord Research | For profit | MKTG | Feb 8, 2013 |
| Acorda Therapeutics | For profit | NDA2 | Dec 21, 2018 |
| Actavis | For profit | MKTG | Sep 3, 1993 |
| Alembic | For profit | MKTG | Jun 5, 2019 |
| Alembic | For profit | SYN | Jun 5, 2019 |
| Ani Pharmaceuticals | For profit | MKTG | Jun 29, 1995 |
| Ani Pharmaceuticals | For profit | SYN | Jun 29, 1995 |
| Apotex | For profit | MKTG | Jun 16, 2004 |
| Apotex | For profit | SYN | Jun 2, 2008 |
| Ascent Pharmahealth | For profit | MKTG | Jan 14, 2025 |
| Aurobindo Pharma | For profit | MKTG | Nov 28, 2022 |
| Avion Pharmaceuticals | For profit | NDA2 | Nov 12, 2021 |
| Bausch Health Companies | For profit | NDA2 | — |
| Boston Scientific Corporation | For profit | MKTG | Mar 25, 1994 |
| Dr. Reddy's Laboratories | For profit | MKTG | Aug 28, 1992 |
| IDT Australia Ltd. | For profit | MKTG | Jun 29, 1995 |
| Impax Laboratories | For profit | MKTG | May 14, 2004 |
| Impax Laboratories | For profit | SYN | Jan 7, 2015 |
| Impax Laboratories | For profit | NDA2 | Jan 7, 2015 |
| Impax Laboratories | For profit | SYN | Jan 7, 2015 |
| Lumara Health | For profit | MKTG | Jun 24, 2004 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Apr 15, 2025 |
| Mayne Pharma | For profit | MKTG | Aug 28, 1992 |
| Merck | For profit | MKTG | May 2, 1975 |
| Merz | For profit | MKTG | Dec 21, 2018 |
| Mylan | For profit | MKTG | Sep 30, 1999 |
| Novartis | For profit | MKTG | Mar 31, 2023 |
| Organon | For profit | NDA2 | May 2, 1975 |
| Organon | For profit | SYN | May 30, 1991 |
| Orion Corporation | For profit | MKTG | Jun 11, 2003 |
| Orion Corporation | For profit | NDA2 | Jun 11, 2003 |
| PHARMOBEDIENT | For profit | MKTG | Sep 28, 2009 |
| Ranbaxy | For profit | MKTG | Jun 10, 2005 |
| Rising Pharmaceuticals | For profit | MKTG | Sep 18, 2008 |
| Rising Pharmaceuticals | For profit | SYN | Sep 18, 2008 |
| Roche | For profit | NDA | Jun 4, 1970 |
| Rubicon Research | For profit | MKTG | Sep 21, 2022 |
| Rubicon Research | For profit | SYN | Sep 21, 2022 |
| Sandoz | For profit | MKTG | Mar 31, 2023 |
| Sciegen Pharmaceticals | For profit | MKTG | May 7, 2021 |
| Shire | For profit | NDA2 | Jun 4, 1970 |
| Sun Pharmaceuticals | For profit | MKTG | Jul 31, 2009 |
| Sun Pharmaceuticals | For profit | SYN | Aug 23, 2007 |
| Sun Pharmaceuticals | For profit | SYN | Jul 31, 2009 |
| UCB | For profit | MKTG | Aug 27, 2004 |
| Watson Pharmaceuticals | For profit | MKTG | — |
| Wockhardt | For profit | MKTG | Nov 20, 2012 |
| Zydus Discovery DMCC | For profit | MKTG | Apr 4, 2023 |