TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

RECORLEV

LEVOKETOCONAZOLE Cytochrome P450 11B1 Inhibitors
Infectious Disease Approved 2021-12-30
1
Indication
--
Phase 3 Trials
4
Years on Market

Details

Status
Prescription
First Approved
2021-12-30
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: LEVOKETOCONAZOLE

RECORLEV Approval History

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What RECORLEV Treats

3 indications

RECORLEV is approved for 3 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hypercortisolemia
  • Cushing's Syndrome
  • Fungal Infections
Source: FDA Label

RECORLEV Boxed Warning

HEPATOTOXICITY AND QT PROLONGATION Hepatotoxicity • Cases of hepatotoxicity with a fatal outcome or requiring liver transplantation have been reported with use of oral ketoconazole. Some patients had no obvious risk factors for liver disease. Serious hepatotoxicity has been reported in patients receiving RECORLEV [see Warnings and Precautions ( 5.1 )]. • RECORLEV is contraindicated in patients with cirrhosis, acute liver disease or poorly controlled chronic liver disease, recurrent symptomatic c...

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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.

RECORLEV FDA Label Details

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Indications & Usage

FDA Label (PDF)

RECORLEV is indicated for the treatment of endogenous hypercortisolemia in adult patients with Cushing’s syndrome for whom surgery is not an option or has not been curative. Limitations of Use RECORLEV is not approved for the treatment of fungal infections. The safety and effectiveness of RECORLEV for the treatment of fungal infections have not been established. RECORLEV is a cortisol synthesis inhibitor indicated for the treatment of endogenous hypercortisolemia in adult patients with Cushing’s syndrome for whom surgery is not an option or has not been curative Limitations of Use RECORLEV is ...

⚠️ BOXED WARNING

WARNING: HEPATOTOXICITY AND QT PROLONGATION Hepatotoxicity • Cases of hepatotoxicity with a fatal outcome or requiring liver transplantation have been reported with use of oral ketoconazole. Some patients had no obvious risk factors for liver disease. Serious hepatotoxicity has been reported in pati...

RECORLEV Patents & Exclusivity

Latest Patent: Mar 2040
Exclusivity: Dec 2028

Patents (9 active)

US12377096 Expires Mar 2, 2040
US11278547 Expires Mar 2, 2040
US11903940 Expires Mar 2, 2040
US11020393 Expires Mar 2, 2040
US9918984 Expires May 3, 2028
US11478471 Expires Jan 10, 2026
US10835530 Expires Jan 10, 2026
US10517868 Expires Jan 10, 2026
US10098877 Expires Jan 10, 2026

Exclusivity

NCE* Until Dec 2026
ODE-385 Until Dec 2028
Source: FDA Orange Book

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Data Sources

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