Metabolism & weight Not a peptide

L-Carnitine (levocarnitine)

Also known as: Carnitor

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 15 applications
Randomized controlled trials 500 of 7,011 publications on PubMed
Registered clinical trials 314 37 active
Adverse event reports 5,427 3,999 classified as serious
  • L-Carnitine (levocarnitine) is an FDA-approved drug, marketed as Carnitor, Levocarnitine (first approval: December 27, 1985).
  • PubMed lists 7,011 publications mentioning it, including 500 randomized controlled trials and 2,432 animal-only studies.
  • ClinicalTrials.gov lists 314 registered studies testing it (37 active).
  • FDA's adverse event system (FAERS) holds 5,427 reports mentioning it; 3,999 classified as serious. Reports do not prove causation.

Research topics

  • Metabolomics 15
  • Oxidative Stress 15
  • Mitochondria 12
  • Antioxidants 9
  • Dietary Supplements 9
  • Metabolome 9
  • Acetylcarnitine 8
  • Liver 8
  • Apoptosis 7
  • Reactive Oxygen Species 6

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA018948 CARNITOR Approved, marketed December 27, 1985 LEADIANT BIOSCI INC
NDA019257 CARNITOR, CARNITOR SF Approved, marketed April 10, 1986 LEADIANT BIOSCI INC
NDA020182 CARNITOR Approved, marketed December 16, 1992 LEADIANT BIOSCI INC
ANDA075567 LEVOCARNITINE Approved, marketed March 29, 2001 HIKMA
ANDA075881 LEVOCARNITINE Approved, discontinued March 29, 2001 TEVA PHARMS USA
ANDA075861 LEVOCARNITINE Approved, marketed June 22, 2001 AM REGENT
ANDA076851 LEVOCARNITINE Approved, marketed August 10, 2004 RISING
ANDA076858 LEVOCARNITINE Approved, marketed September 20, 2004 RISING
ANDA077399 LEVOCARNITINE Approved, discontinued October 25, 2007 HIKMA
ANDA211676 LEVOCARNITINE, LEVOCARNITINE SF Approved, marketed August 14, 2019 NOVITIUM PHARMA
ANDA212533 LEVOCARNITINE Approved, marketed November 10, 2021 SCIEGEN PHARMS
ANDA216384 LEVOCARNITINE Approved, marketed December 9, 2022 NOVITIUM PHARMA
ANDA217430 LEVOCARNITINE Approved, marketed June 30, 2025 DEVA HOLDING AS
ANDA217896 LEVOCARNITINE Approved, marketed July 2, 2026 BAXTER HLTHCARE CORP
ANDA220181 LEVOCARNITINE Approved, marketed September 30, 2026 GLAND

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 7,011
  • Human (MeSH) 3,307
  • Animal only 2,432
  • Clinical trials 692
  • Randomized controlled trials 500
  • Systematic reviews & meta-analyses 176
  • Case reports 436
  • Retracted 15

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
314
Active
37
With posted results
28

Conditions studied

  • HIV Infections 16
  • Fatigue 10
  • Male Infertility 8
  • Malnutrition 6
  • Healthy 5
  • End Stage Renal Disease 5
  • Breast Cancer 5
  • End-Stage Renal Disease 4
  • Dietary Modification 4
  • PCOS 4
  • Insulin Resistance 4
  • Cancer 4
Study Status Phase Start
Role of Omega-DEK in Childhood Apraxia of Speech
NCT07216001 Claudia R. Morris
Not yet recruiting Phase 2 Nov 2026
Comparative Efficacy of Antioxidants Alone Versus Combined Therapy With SERMs or FSH in Normogonadotropic Idiopathic OAT Patients: A Randomized Controlled Trial
NCT07862725 Hamad Medical Corporation
Not yet recruiting Phase 4 October 15, 2026
Combined Metabolic Activator Supplementation in Subjects Diagnosed With Gout
NCT07889284 ScandiBio Therapeutics AB
Not yet recruiting Phase 3 Oct 2026
The Effect of L-Carnitine on Wound Healing in Patients With Diabetic Foot Ulcer.
NCT07768228 Ain Shams University
Recruiting Phase 2 September 1, 2026
Evaluation of the Clinical Impact of Adjunctive L-carnitine Therapy in Critically Ill Hepatic Patients Admitted to Intensive Care Unit
NCT07642076 Beni-Suef University
Recruiting Phase 4 June 15, 2026
DMSO Dual-Route Therapy for Refractory Tinnitus in Long-COVID and Post-COVID-19 Vaccine Injury
NCT07567274 Leading Edge Clinic
Enrolling by invitation Phase 2 May 15, 2026
The Effects of Carnitine Supplementation on Oocytes in Women Undergoing IVF Process
NCT07783399 The Obstetrics and Gynaecology Clinic Narodni Front
Recruiting N/A May 15, 2026
Optimizing Early Nutrition Management of Extremely and/or Very Preterm Infants
NCT07538999 Children's Hospital of Fudan University
Recruiting N/A April 1, 2026
Effect of Magnesium and Levocarnitine on Metabolic and Clinical Outcomes in Women With Polycystic Ovarian Syndrome (PCOS)
NCT07298564 Behnood Abbasi
Recruiting N/A January 30, 2026
Development of Microbial Metabolism Gene Tests for Facilitating Precision Health and Preventive Medicine-Evaluation of TMAO Production in Human Body From High-carnitine Diet by Fecal Gbu Gene Testing
NCT07322575 National Taiwan University Hospital
Not yet recruiting N/A January 15, 2026
Show 40 more studies
Study Status Phase Start
Impact of tdrd9 Gene Mutations in the Therapeutic Response to L-carnitine in Oligoasthenozoospermic Men
NCT07402759 South Valley University
Active, not recruiting Phase 3 January 1, 2026
Effect of L-Carnitine Supplementation in Preterm Neonates
NCT07437391 Muhammad Aamir Latif
Recruiting N/A January 1, 2026
Effect of a Food for Special Medical Purposes on Muscle Mass Preservation During GLP-1 RAs Weight Loss Treatment
NCT07393360 Pharmanutra S.p.a.
Recruiting N/A December 11, 2025
Oral Carnitine in Heart Failure Patients
NCT07201714 London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Recruiting Early phase 1 November 12, 2025
Effect of Levocarnitine Plus Myoinositol Versus Myoinositol Alone on Hormonal and Insulin Resistance in PCOS Women
NCT07266259 Mst.Sumyara Khatun
Recruiting N/A September 19, 2025
Levocarnitine for Reducing ESA Requirements in Hemodialysis Patients With Renal Anemia
NCT07160452 Shaikh Zayed Hospital, Lahore
Not yet recruiting Phase 4 September 15, 2025
L-Carnitine Protective Effect in Nephrotoxicity
NCT07108777 Tanta University
Recruiting Phase 2 August 10, 2025
A Study to Improve Skeletal Muscle in Veterans With HIV
NCT06845046 VA Office of Research and Development
Recruiting N/A July 15, 2025
Enteral Nutrition With L-Carnitine for Cachexia in Non-Small Cell Lung Cancer
NCT07035444 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
Not yet recruiting N/A June 30, 2025
Effect of L-Carnitine on Biomarkers of Myocardial Reperfusion Injury in Patients With STEMI
NCT06564909 Ain Shams University
Active, not recruiting Phase 2 June 1, 2025
Peritoneal Ultrafiltration in Cardio Renal Syndrome.
NCT03994874 Iperboreal Pharma Srl
Recruiting Phase 1, Phase 2 April 16, 2025
Trial on the Biological and Clinical Effects of Acetyl-L-carnitine in ALS
NCT06126315 Mario Negri Institute for Pharmacological Research
Recruiting Phase 2, Phase 3 March 26, 2025
Effect of L-carnitine Supplementation on Phenylalanine and Brain-derived Neurotrophic Factor Levels in Infants and Children With Phenylketonuria
NCT06901323 Mansoura University
Active, not recruiting Phase 4 February 1, 2025
L-carnitine Supplementation in Rheumatoid Arthritis Patients
NCT06753565 German University in Cairo
Recruiting Phase 2 December 31, 2024
Evaluation of Fertitonex Effects on Semen Parameters in Clinical Varicocele Patient.
NCT06718426 Menoufia University
Recruiting N/A December 1, 2024
Trimethylamine N-oxide Effects of a Pomegranate Supplement Simultaneously With Carnitine (TESSA)
NCT06518343 Quadram Institute Bioscience
Active, not recruiting N/A August 12, 2024
Clinical Trial Assessing Godex Carnitine Orotate Complex in Nonalcoholic Fatty Liver Disease Patients for Efficacy
NCT06152991 Yoon Jun Kim
Enrolling by invitation Phase 3 September 25, 2023
Studying the Effect of Levocarnitine in Protecting the Liver From Chemotherapy for Leukemia or Lymphoma
NCT05602194 Children's Oncology Group
Active, not recruiting Phase 3 August 24, 2023
Using Gut Microbial Gbu Gene Testing to Estimate Host TMAO Production Capacity
NCT05980884 National Taiwan University Hospital
Active, not recruiting N/A July 24, 2023
A Study to Determine the Effect of Triheptanoin Compared With Even-Chain MCT on MCEs in Pediatric Patients With LC-FAOD
NCT05933200 Ultragenyx Pharmaceutical Inc
Active, not recruiting Phase 3 February 28, 2023
Efficacy and Safety of XyloCore Peritoneal Dialysis Solution.
NCT03994471 Iperboreal Pharma Srl
Recruiting Phase 3 December 14, 2022
Long-Chain Fatty Acid Oxidation Disorders In-Clinic Disease Monitoring Program
NCT04632953 Ultragenyx Pharmaceutical Inc
Active, not recruiting — November 30, 2021
Matching Perfusion and Metabolic Activity in HFpEF
NCT04913805 University of Pennsylvania
Recruiting Phase 2 October 11, 2021
Systemic Biomarkers of Brain Injury From Hyperammonemia
NCT04602325 Children's National Research Institute
Recruiting — July 9, 2020
Causal Mechanisms in Adolescent Arterial Stiffness
NCT04128969 Baylor College of Medicine
Active, not recruiting Phase 2 February 1, 2020
Gut Flora Metabolite Reduction After Dietary Intervention (GRADY)
NCT02016430 The Cleveland Clinic
Recruiting N/A April 4, 2014
CARNIVAL Study: Gut Flora Dependent Metabolism of Dietary CARNItine and Phosphatidylcholine and cardioVAscuLar Disease
NCT01731236 The Cleveland Clinic
Active, not recruiting Early phase 1 February 11, 2011
Pre-workout Supplement, Arrhythmias and Exercise Stress Test
NCT07853066 University of Sao Paulo
Completed N/A March 3, 2026
Effects of Acetyl L-Carnitine Supplementation on Clinical, Metabolic and Inflammatory Symptoms in Obese, Diabetic, Postmenopausal Women With Osteoarthritis
NCT07660081 Khyber Medical University Peshawar
Completed N/A December 1, 2025
Effect of L-carnitine on Disease Activity in Patients With Mild to Moderate Knee Osteoarthritis
NCT06960694 Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Completed Phase 2 June 28, 2025
Effects of Carnitine Supplementation on Exercise-Induced Muscle Damage: A Randomized Controlled Trial
NCT07492446 Istanbul Sabahattin Zaim University
Completed N/A May 9, 2025
A Clinical Trial to Evaluate the Effects of a Supplement on Symptoms Associated With Hormone Imbalance
NCT07765381 Love Wellness
Completed N/A February 24, 2025
Safety and Efficacy of the Combination Therapy of Fucoidan / Fucoxanthin / L-carnitine in Patients With Diabetic Nephropathy.
NCT07804641 Taipei Medical University WanFang Hospital
Completed Phase 2 November 6, 2024
12-Week Trial Investigating L-carnitine Tartrate, Dihydrocapsiate and Protein Yeast Hydrolysate on Energy Intake and Expenditure in Overweight Adults
NCT06689501 Société des Produits Nestlé (SPN)
Completed N/A October 30, 2024
Enhancing the Effects of Alcohol Treatment With L-Carnitine
NCT05355311 Brown University
Completed Phase 1 September 27, 2024
Medical Treatment Alone Versus Varicocelectomy Versus Varicocelectomy and Medical Treatment
NCT07016867 South Valley University
Unknown status N/A September 1, 2024
LIver FRAilty Management IN Cirrhosis (LIFRAMIN)
NCT06573229 Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Completed N/A August 2, 2024
Effects of L-Carnitine in Amyotrophic Lateral Sclerosis Patients With CHCHD10 Mutations
NCT06849115 ChaodongWang
Completed Phase 4 July 18, 2024
Effects of L-carnitine and Coenzyme Q10 Supplementation on Oxidative Stress in Tunisian Hemodialysis Patients.
NCT07303088 University of Sfax
Completed N/A June 17, 2024
Pilot Study: Impact of Biomarker-Guided Dietary Supplementation on Quality-of-Life Measures in Subjects With Chronic Pain
NCT06247813 Ethos Research & Development
Unknown status Phase 2 February 8, 2024

All 314 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
5,427
Serious
3,999
With death outcome
529

Most reported reactions

  • Seizure 422
  • Off label use 364
  • Diarrhoea 311
  • Vomiting 309
  • Fatigue 308
  • Drug ineffective 277
  • Nausea 231
  • Pneumonia 228
  • Pyrexia 225
  • Dyspnoea 176
  • Headache 176
  • Somnolence 173

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

  • Electrolyte Plus HUMAN OTC DRUG Deseret Biologicals, Inc. August 25, 2026
  • Metabatone HUMAN OTC DRUG Energique, Inc. July 31, 2026
  • LEVOCARNITINE HUMAN PRESCRIPTION DRUG Baxter Healthcare Corporation July 2, 2026
  • A-L-O Liquid Drops 2082 HUMAN OTC DRUG Professional Complementary Health Formulas January 8, 2026
  • Muscle/Ligament/Cartilage Drops 5015 HUMAN OTC DRUG Professional Complementary Health Formulas January 8, 2026
  • Levocarnitine HUMAN PRESCRIPTION DRUG ANI Pharmaceuticals, Inc. December 30, 2025
  • Levocarnitine HUMAN PRESCRIPTION DRUG ANI Pharmaceuticals, Inc. December 30, 2025
  • levocarnitine HUMAN PRESCRIPTION DRUG Devatis Inc. September 16, 2025
  • Levocarnitine HUMAN PRESCRIPTION DRUG Rising Pharma Holdings, Inc. July 17, 2025
  • Levocarnitine HUMAN PRESCRIPTION DRUG Saptalis Pharmaceuticals, LLC March 18, 2025
  • Recovatone HUMAN OTC DRUG Energique, Inc. January 28, 2025
  • Strength F HUMAN OTC DRUG BioActive Nutritional, Inc. January 3, 2025
  • Levocarnitine HUMAN PRESCRIPTION DRUG TRUPHARMA, LLC December 27, 2024
  • Carnitor SF HUMAN PRESCRIPTION DRUG Leadiant Biosciences, Inc. November 4, 2024
  • CARNITOR HUMAN PRESCRIPTION DRUG Leadiant Biosciences, Inc. October 30, 2024
  • Recovatone HUMAN OTC DRUG Energique, Inc. October 29, 2024
  • Cardio Tonic HUMAN OTC DRUG Energique, Inc. October 24, 2024
  • Levocarnitine HUMAN PRESCRIPTION DRUG Rising Pharma Holdings, Inc. August 19, 2024
  • Carnitor HUMAN PRESCRIPTION DRUG Leadiant Biosciences, Inc. January 23, 2024
  • Carnitor HUMAN PRESCRIPTION DRUG Leadiant Biosciences, Inc. November 20, 2023
  • A L O Formula HUMAN OTC DRUG Nutritional Specialties, Inc. July 7, 2023
  • Levocarnitine HUMAN PRESCRIPTION DRUG American Regent, Inc. June 23, 2023
  • Vital Skin Hair Nails HUMAN OTC DRUG Liddell Laboratories, Inc. June 15, 2023
  • Levocarnitine HUMAN PRESCRIPTION DRUG Hikma Pharmaceuticals USA Inc. January 6, 2023
  • Cardio Tonic HUMAN OTC DRUG BioActive Nutritional, Inc. August 14, 2017

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.