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Armour Thyroid

Phase 2

Hypothyroidism | Small molecule | Endocrine |AbbVie Inc.|Last Updated: Jan 5, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment3,084
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06345339A Study to Assess the Safety and Efficacy of Oral Armour Thyroid Compared to Synthetic T4 for the Treatment of Primary Hypothyroidism in Adult ParticipantsPHASE2 RECRUITING 2,800Apr 26, 2024Jun 1, 2028Jan 5, 2026139 United States, Puerto Rico
NCT04124705A Study of Armour® Thyroid Compared to Synthetic T4 (Levothyroxine) in Previously Hypothyroid ParticipantsPHASE2 COMPLETED 284Oct 11, 2019Jun 22, 2021Jun 5, 202428 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants who Achieve Thyroid-Stimulating Hormone (TSH) Response
Week 55

TSH response is defined as TSH values falling within 0.45 to 4.12 mIU/L (inclusive). TSH response will be determined at Week 55 and at a prior visit with no out-of-range TSH values in between (response rate is tested against a specified non-inferiority margin).

Number of Participants with Adverse Events (AEs)
Up to approximately 90 weeks

An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Percentage of Participants With a Sustained TSH Response
End of the titration period (Week 18, 24, 30, or 36) and end of the stabilization period (Week 30, 36, 42, or 48, depending on the length of the titration period).

Sustained TSH response is defined as TSH values that are within the normal reference range of 0.45 to 4.12 mIU/L, inclusive, at both the end of Titration Period and the end of the Stabilization Period.

Secondary Endpoints
Percentage of Participants who Achieve TSH Response
Week 55
Number of Participants Needing Altered Dose Conversion from Synthetic T4 to Armour Thyroid
Up to approximately 29 weeks
Frequency of Dose Titrations During the Double-Blind (DB) Period Among Participants who Achieved TSH Response at the End of the DB Period
Week 55
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group 1EXPERIMENTALParticipants will receive Armour Thyroid for up to 81 weeks.
Group 2EXPERIMENTALParticipants will alternate between Armour Thyroid and synthetic T4 for up to 81 weeks.
Armour® ThyroidEXPERIMENTALParticipants were randomized to receive Armour Thyroid at a dose corresponding to their pre-randomized dose of synthetic T4. During the first 18 to 36 weeks (titration period) the dose of Armour Thyroid could be titrated based on levels of thyroid stimulating hormone (TSH), in order to achieve TSH levels within the normal reference range (0.45 - 4.12 mIU/L, inclusive). Once TSH levels were within the normal reference range, participants continued to receive a stable dose of Armour Thyroid for an additional 12 weeks (stabilization period).
LevothyroxineACTIVE_COMPARATORParticipants were randomized to receive levothyroxine at their pre-randomized dose. During the first 18 to 36 weeks (titration period) the dose of levothyroxine could be titrated based on levels of TSH in order to achieve TSH levels within the normal reference range (0.45-4.12 mIU/L, inclusive). Once TSH levels were within the normal reference range, participants continued to receive a stable dose of levothyroxine for an additional 12 weeks (stabilization period).
Interventions
NameTypeDescription
Armour ThyroidDRUGOral Capsule or Tablet
LevothyroxineDRUGOral Capsule
Armour® ThyroidDRUGAdministered orally once a day. the daily dose could range from 1/4 - 2 grains.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites139

Inclusion Criteria: * Have a diagnosis of primary hypothyroidism made \>= 12 months prior to Screening. * Be on continuous thyroid replacement therapy of synthetic T4 for primary hypothyroidism for at least 12 months immediately prior to the Screening Visit. * Be on a stable FDA-approved daily dose...

Countries:United StatesPuerto Rico
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06345339primaryCompletionDate: changed
LOWMay 24, 2026NCT06345339studyFirstPostDate: changed