Last update 24 Feb 2026

Levoketoconazole

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
(2S,4R)-ketoconazole, 2S-4R-ketoconazole, LDKTZ
+ [7]
Action
inhibitors
Mechanism
CYP11B1 inhibitors(Steroid 11-beta-hydroxylase inhibitors), CYP17A1 inhibitors(Steroid 17-alpha-hydroxylase inhibitors), CYP21A2 inhibitors(Steroid 21 hydroxylase inhibitors)
Active Indication-
Originator Organization
Active Organization-
Drug Highest PhaseWithdrawn
First Approval Date
United States (30 Dec 2021),
RegulationOrphan Drug (United States), Orphan Drug (European Union)
Login to view timeline

Structure/Sequence

Molecular FormulaC26H28Cl2N4O4
InChIKeyXMAYWYJOQHXEEK-ZEQKJWHPSA-N
CAS Registry142128-57-2

External Link

KEGGWikiATCDrug Bank
D10950Levoketoconazole-

R&D Status

Approved
10 top approved records.
Login
to view more data
IndicationCountry/LocationOrganizationDate
Endogenous Cushing Syndrome
United States
30 Dec 2021
Developing
10 top R&D records.
Login
to view more data
IndicationHighest PhaseCountry/LocationOrganizationDate
Diabetes Mellitus, Type 2Phase 3
United States
01 Jan 2008
Diabetes Mellitus, Type 2Phase 3
Australia
01 Jan 2008
Diabetes Mellitus, Type 2Phase 3
New Zealand
01 Jan 2008
Login to view more data

Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
51
ryggfczfws = aknbdemcmn jrvjycstme (obavejmhxd, eutlqtylql - wrcjnkdwjq)
-
19 Jun 2025
Phase 3
92
(Baseline mUFC≤2.5xULN)
nvlsdyanfa(bdxjsqagvu) = sdeqsbhldu syfmbvxqly (nukjcdgpkf, 0.16 - 0.47)
Positive
03 Jun 2024
(Baseline mUFC>2.5 to ≤5xULN)
nvlsdyanfa(bdxjsqagvu) = wbzfgewzpy syfmbvxqly (nukjcdgpkf, 0.20 - 0.54)
Phase 3
-
94
(Group 2: >2.5x to ≤5x ULN)
ossbjqihxn(ualebxlnuq) = Group 3 had more liver-related adverse events of special interest than Group 1 or 2 (14% vs 7.9% or 3.0%) and more AEs leading to discontinuation (24% vs 12% or 16%) xydroejoxg (phyixzrfbv )
Positive
01 Jun 2024
(Group 3: >5x ULN)
Phase 3
79
yottfufyxs(ttuzmapjhq) = kznokzkpfk foovruafed (grsclkythy )
Positive
12 May 2022
Placebo
yottfufyxs(ttuzmapjhq) = jodcpwxcum foovruafed (grsclkythy )
Phase 3
84
bdqjfmhusz(ijnzbxgvab) = hufozxhpaz hpcencnnpw (djzbafkqhs )
Positive
03 May 2021
Placebo
bdqjfmhusz(ijnzbxgvab) = cevaqepuwg hpcencnnpw (djzbafkqhs )
Phase 3
94
azhqvffwkt(cctigwcley) = ozwocoevik zwcjqkkgfb (siuakgkedf, ypghuvmhft - gjgqzvazjw)
-
19 Apr 2021
Phase 3
94
(Patients with DM)
gehevyfxqk(svpahlasxl): P-Value = 0.0006
-
01 Jan 2021
(Patients without DM)
Phase 3
44
fzzxbdwicu(twppjnooid) = mkvdnussuc qmvzwwbezk (fvtlttsqbh )
Positive
08 Sep 2020
placebo
fzzxbdwicu(twppjnooid) = qlzsejtlwu qmvzwwbezk (fvtlttsqbh )
Phase 3
94
lvxsdxaqap(rxusmfizwe) = uqzltukfwz qorvsnipjl (qiihakabif )
Positive
30 Apr 2019
Placebo
lvxsdxaqap(rxusmfizwe) = fbccapittr qorvsnipjl (qiihakabif )
Login to view more data

Translational Medicine

Boost your research with our translational medicine data.
Boost your research with our translational medicine data.

Deal

Boost your decision using our deal data.
Boost your decision using our deal data.

Core Patent

Boost your research with our Core Patent data.
Boost your research with our Core Patent data.

Clinical Trial

Identify the latest clinical trials across global registries.
Identify the latest clinical trials across global registries.

Approval

Accelerate your research with the latest regulatory approval information.
Accelerate your research with the latest regulatory approval information.

Regulation

Understand key drug designations in just a few clicks with Synapse.
Understand key drug designations in just a few clicks with Synapse.
AI Agents Built for Biopharma Breakthroughs
Accelerate discovery. Empower decisions. Transform outcomes.
Get started for free today!
Accelerate Strategic R&D decision making with Synapse, PatSnap’s AI-powered Connected Innovation Intelligence Platform Built for Life Sciences Professionals.
Start your data trial now!
Synapse data is also accessible to external entities via APIs or data packages. Empower better decisions with the latest in pharmaceutical intelligence.
Bio
Bio Sequences Search & Analysis
Sign up for free
Chemical
Chemical Structures Search & Analysis
Sign up for free