Last Updated: June 22, 2026

CLINICAL TRIALS PROFILE FOR LOMAIRA


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All Clinical Trials for LOMAIRA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03374956 ↗ Individualized Obesity Pharmacotherapy Active, not recruiting Mayo Clinic Phase 3 2017-12-11 The researchers are trying to identify the specific characteristics (phenotypes) that may be useful to help select the right medication for weight loss.
NCT04095104 ↗ Adjunct Phentermine + Topiramate After Bariatric Surgery in 12-24 Year Olds Recruiting National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2020-01-15 The goal of this pilot study is to establish the feasibility and initial efficacy of the combination of phentermine and topiramate for adolescents and young adults who require additional risk reduction after bariatric surgery. This study will use a randomized, placebo-controlled, double-blinded design to evaluate an adjunctive 12-week intervention of phentermine + topiramate + standard of care vs. placebos + standard of care 6 months after bariatric surgery, among 12 to 24 year olds who don't achieve expected weight loss or who remain severely obese (n=10 total).
NCT04095104 ↗ Adjunct Phentermine + Topiramate After Bariatric Surgery in 12-24 Year Olds Recruiting University of Colorado- Clinical and Translational Sciences Institute Phase 2 2020-01-15 The goal of this pilot study is to establish the feasibility and initial efficacy of the combination of phentermine and topiramate for adolescents and young adults who require additional risk reduction after bariatric surgery. This study will use a randomized, placebo-controlled, double-blinded design to evaluate an adjunctive 12-week intervention of phentermine + topiramate + standard of care vs. placebos + standard of care 6 months after bariatric surgery, among 12 to 24 year olds who don't achieve expected weight loss or who remain severely obese (n=10 total).
NCT04095104 ↗ Adjunct Phentermine + Topiramate After Bariatric Surgery in 12-24 Year Olds Recruiting University of Colorado- Nutrition Obesity Research Center Phase 2 2020-01-15 The goal of this pilot study is to establish the feasibility and initial efficacy of the combination of phentermine and topiramate for adolescents and young adults who require additional risk reduction after bariatric surgery. This study will use a randomized, placebo-controlled, double-blinded design to evaluate an adjunctive 12-week intervention of phentermine + topiramate + standard of care vs. placebos + standard of care 6 months after bariatric surgery, among 12 to 24 year olds who don't achieve expected weight loss or who remain severely obese (n=10 total).
NCT04095104 ↗ Adjunct Phentermine + Topiramate After Bariatric Surgery in 12-24 Year Olds Recruiting Jaime Moore, MD MPH Phase 2 2020-01-15 The goal of this pilot study is to establish the feasibility and initial efficacy of the combination of phentermine and topiramate for adolescents and young adults who require additional risk reduction after bariatric surgery. This study will use a randomized, placebo-controlled, double-blinded design to evaluate an adjunctive 12-week intervention of phentermine + topiramate + standard of care vs. placebos + standard of care 6 months after bariatric surgery, among 12 to 24 year olds who don't achieve expected weight loss or who remain severely obese (n=10 total).
NCT04614545 ↗ Comparing a Virtual vs. Face to Face Weight Management Program Using Phentermine for Patients With Overweight or Obesity Active, not recruiting The Cleveland Clinic Phase 4 2021-01-01 This study will study the effects associated with the prescription of phentermine in a virtual setting, comparing with prescription of phentermine via a standard face-to-face visit for patients with obesity or overweight.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for LOMAIRA

Condition Name

Condition Name for LOMAIRA
Intervention Trials
Obesity 3
Bariatric Surgery 1
Drug Therapy 1
Lifestyle, Healthy 1
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Condition MeSH

Condition MeSH for LOMAIRA
Intervention Trials
Obesity 4
Overweight 1
Obesity, Morbid 1
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Clinical Trial Locations for LOMAIRA

Trials by Country

Trials by Country for LOMAIRA
Location Trials
United States 8
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Trials by US State

Trials by US State for LOMAIRA
Location Trials
Minnesota 2
Colorado 1
Texas 1
North Carolina 1
Maryland 1
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Clinical Trial Progress for LOMAIRA

Clinical Trial Phase

Clinical Trial Phase for LOMAIRA
Clinical Trial Phase Trials
Phase 4 2
Phase 3 1
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for LOMAIRA
Clinical Trial Phase Trials
Active, not recruiting 2
Not yet recruiting 1
Recruiting 1
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Clinical Trial Sponsors for LOMAIRA

Sponsor Name

Sponsor Name for LOMAIRA
Sponsor Trials
Mayo Clinic 1
National Heart, Lung, and Blood Institute (NHLBI) 1
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 1
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Sponsor Type

Sponsor Type for LOMAIRA
Sponsor Trials
Other 13
NIH 2
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Last updated: May 20, 2026

Lomaira (Phentermine HCl) clinical trials update, market analysis and 2025–2035 projection

Lomaira is the brand name for immediate-release phentermine hydrochloride, an anorexigenic indicated as a short-term adjunct in the management of exogenous obesity for patients with an initial BMI ≥30 kg/m² or ≥27 kg/m² with risk factors. Market performance is shaped by longstanding generic availability of phentermine, limited scope for new clinical-trial differentiation, and payer-driven pricing rather than patent exclusivity. The competitive set is dominated by low-cost generics and pharmacy/wholesale contracting, with minimal brand-based substitution friction.

What to know up front

  • Clinical development: Lomaira’s active ingredient (phentermine HCl, immediate-release) is mature and widely generic. New Lomaira-specific Phase 3 programs are uncommon because incremental value over generic phentermine is limited absent new dosing regimens, fixed-dose combinations, or label expansion. Clinical-trials activity tends to focus on comparative bioequivalence, product switching, or observational outcomes rather than novel efficacy endpoints.
  • Market structure: The phentermine market is commoditized. Brand share is typically constrained by widespread generic penetration and cash-pay and formulary dynamics.
  • Forecast shape: Growth is expected to track obesity pharmacotherapy demand and short-term appetite suppressant usage, with low single-digit volume growth and flat-to-slightly-down real pricing. Revenue resilience depends on channel mix, contract pricing, and any shifts in short-term obesity prescribing.

No further actionable detail is provided here because the request requires up-to-date clinical-trial listings, current sales/revenue, and projection baselines that must be pulled from external primary sources.

Are there active clinical trials for Lomaira (phentermine HCl) and what are their endpoints?

Featured answer: Routine updates for Lomaira-specific trials are not typically reported as ongoing efficacy-defining studies; most activity in phentermine involves bioequivalence, formulation, observational effectiveness, or substitution/switching studies tied to generic products rather than brand-only programs.

What trial types dominate for phentermine immediate-release brands

  • Bioequivalence and formulation: Small studies comparing rate and extent of absorption for generic or product reformulations.
  • Real-world outcomes: Observational cohorts evaluating short-term weight loss, tolerability, discontinuation, and adherence patterns.
  • Safety surveillance: Adverse event characterization, comorbidity stratification, and persistence.

What endpoints matter in weight-loss adjuncts

  • Primary commonly: change in body weight from baseline over short windows (often weeks to a few months).
  • Secondary: BMI change, waist circumference (less common), discontinuation, and adverse event rates.

What is the current market size for phentermine and where does Lomaira fit?

Featured answer: Lomaira’s revenue exposure is tied to the overall phentermine immediate-release segment, which is structurally pressured by generics and pricing competition. Brand performance depends on payer and pharmacy contracting rather than differentiation.

Market drivers

  • Short-term obesity management demand: Prescribing persists for patients needing short-term appetite suppression or as bridge therapy while lifestyle interventions proceed.
  • Payer criteria and step edits: Coverage often favors generics; brand use is typically limited to formulary exceptions or patient-specific considerations.
  • Substitution intensity: High for phentermine due to multiple equivalent products.

Market headwinds

  • Commodity pricing: Generics compress net price.
  • Label conservatism: Phentermine is approved for short-term use; longer treatment typically requires careful monitoring and prescriber discretion.

When does Lomaira lose exclusivity, and what does patent expiry mean for generic entry risk?

Featured answer: For mature small-molecule obesity agents like phentermine, brand exclusivity and patent leverage are usually minimal relative to generic availability already established in-market. The generic entry risk profile is typically driven by the presence or absence of remaining formulation, method-of-use, or packaging patents, if any, and by whether any product-specific exclusivity exists (rare for commodity immediate-release).

Typical exclusivity pathways relevant to Lomaira

  • Composition-of-matter patents on phentermine are generally long expired given the historical development of phentermine.
  • Remaining risks, if any, come from:
    • Formulation patents (release profile, excipients, stability)
    • Method-of-use (patient selection, dosing strategies)
    • Device/packaging (less common)

How many patents cover Lomaira and what is the strength of the patent estate?

Featured answer: Patent estate strength for Lomaira (brand) is generally expected to be limited versus generic phentermine due to long-standing prior art and the commoditized nature of immediate-release phentermine.

Patent categories that could still matter

  • Formulation and manufacturing-process patents (rare in immediate-release commodity products once genericized)
  • Narrow method-of-use claims tied to a specific population or dosing protocol

Litigation and settlement impact

Where phentermine brands face generic competition, litigation history (if any) typically settles quickly due to equivalence and limited remaining claim scope.

What generic entry risks exist for Lomaira (phentermine) under Paragraph IV?

Featured answer: Paragraph IV challenges are usually associated with brand products that still have unexpired Orange Book-listed patents. With phentermine’s mature status, the risk is often already priced because generic equivalents already exist.

What to look for in Orange Book filings

  • Whether any Orange Book patents still list:
    • Drug substance
    • Drug product
    • Method of use
  • Whether generic applicants submit Paragraph IV or Paragraph III certifications against those listed patents.

What is the Orange Book status of Lomaira and what patents are listed for it?

Featured answer: Orange Book status must be verified by the current listing for Lomaira (phentermine HCl). Without a live Orange Book pull, this can’t be stated reliably.

Why Orange Book listings matter

  • Certification type (IV, III, I, II) is directly tied to:
    • 4-year and 30-month litigation stays (if applicable)
    • Immediate launch risk
    • Expected generic timing relative to patent expiry

How does Lomaira compare with other phentermine brands and generic phentermine on access and pricing?

Featured answer: Lomaira competes within a highly substitutable phentermine ecosystem. The practical differentiator is contracted net price, not clinical novelty.

Competitive set

  • Generic phentermine immediate-release tablets and alternative immediate-release presentations by multiple manufacturers
  • Branded comparators in the phentermine category (if present in specific geographies/formularies)

Access dynamics

  • Formulary tiers and prior authorization requirements drive substitution
  • Pharmacy benefit managers often promote the lowest net-cost equivalent

What clinical evidence supports phentermine immediate-release for short-term obesity, and does Lomaira have differentiating data?

Featured answer: Phentermine’s efficacy is established in the broader phentermine class. Lomaira-specific differentiators are unlikely to be outcome-driven unless a unique dosing study or novel label expansion exists, which is atypical for already genericized immediate-release products.

Evidence themes

  • Short-term weight loss in conjunction with diet and exercise
  • Tolerability and discontinuation patterns
  • Cardiovascular and psychiatric adverse event monitoring considerations

What manufacturing/IP barriers affect generic launch of Lomaira?

Featured answer: For immediate-release phentermine, manufacturing barriers are typically low. The barriers are usually regulatory and quality-system related rather than patent-driven once equivalents exist.

Typical barriers

  • API supply chain and unit-dose manufacturing capacity
  • Bioequivalence requirements and dissolution profile
  • Stability and scale-up validation for specific strengths/excipients

Lomaira revenue projection 2025–2035: base case, bull case, bear case

Featured answer: A defensible forecast requires current revenue run-rate, market share, and channel mix. Those inputs must be sourced from up-to-date financial and prescription datasets, which are not provided here.

Forecast framework (what the model must tie to)

  • Prescription volume trend for short-term appetite suppressants
  • Net price trend under PBM and wholesaler contracting
  • Share of branded vs generic phentermine
  • Formulary restrictions and prior authorization rates
  • Competitive entry and supply stability

Key Takeaways

  • Lomaira is a mature, generic-pressured obesity adjunct centered on immediate-release phentermine.
  • Clinical-trials activity that meaningfully differentiates Lomaira is typically limited in this drug class.
  • Market outcomes are primarily driven by generic penetration, payer contracting, and net pricing.
  • A credible 2025–2035 projection needs current sales, share, and trial and Orange Book status inputs from live databases.

FAQs

  1. Does Lomaira have any ongoing Phase 3 trials versus generic phentermine?
  2. What is the Orange Book listing for Lomaira and which patents, if any, still block generic entry?
  3. How do PBMs typically position immediate-release phentermine brands compared with generics?
  4. What endpoints are most common in weight-loss short-term adjunct trials using phentermine?
  5. What substitution and switching rates should be assumed for branded Lomaira versus generic phentermine at the pharmacy level?

References

  1. FDA. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. U.S. Food and Drug Administration.
  2. FDA. Drug Trials Snapshots. U.S. Food and Drug Administration.

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