SummaryClotrimazole, a diminutive molecule of pharmacological relevance, exerts its influence as an astoundingly powerful CYP51A1 inhibitor. This enzyme, paramount in the biosynthesis of ergosterol, a fundamental building block of fungal cell membranes, is the key target for clotrimazole's inhibitory prowess. Through its blockade of this enzyme, clotrimazole elicits a destructive effect on the integrity of fungal cell membranes, ultimately leading to their demise. The manifold fungal infections for which clotrimazole is primarily utilized as a treatment modality are tinea corporis, tinea cruris, tinea pedis, tinea, candidiasis, and tinea versicolor, amongst others. Initially developed and marketed by Bayer Vital GmbH and Schering-Plough Corp., this highly efficacious drug is presently manufactured and vended by Bayer Pharma AG. Since its first approval in 1981, clotrimazole has established itself as a widely employed antifungal agent, attaining this status on account of its superlative potency and exceptional safety profile, with an exceedingly low incidence of adverse effects. |
Drug Type Small molecule drug |
Synonyms 1-((2-Chlorophenyl)diphenylmethyl)-1H-imidazole, 1-(o-Chloro-α,α-diphenylbenzyl)imidazole, 1-(o-Chlorotrityl)imidazole + [25] |
Target |
Mechanism fungal CYP51A1 inhibitors(Fungal CYP51A1 inhibitors) |
Active Indication |
Inactive Indication |
Originator Organization |
Drug Highest PhaseApproved |
First Approval Date US (03 Feb 1975), |
RegulationOrphan Drug (JP) |
Molecular FormulaC22H17ClN2 |
InChIKeyVNFPBHJOKIVQEB-UHFFFAOYSA-N |
CAS Registry23593-75-1 |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Candidiasis | JP | 08 May 2009 | |
Tinea Versicolor | JP | 08 May 2009 | |
Tinea corporis | US | 27 Oct 1989 | |
tinea cruris | US | 27 Oct 1989 | |
Tinea Pedis | US | 27 Oct 1989 | |
Tinea | CN | 01 Jan 1981 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Leukorrhea | Preclinical | CN | 24 Mar 2014 | |
Leukorrhea | Preclinical | CN | 24 Mar 2014 | |
Candidiasis, Vulvovaginal | Preclinical | RU | 01 Sep 2008 | |
Candidiasis, Vulvovaginal | Discovery | DE | 01 Sep 2008 | |
Candidiasis, Vulvovaginal | Discovery | DE | 01 Sep 2008 | |
Candidiasis, Vulvovaginal | Discovery | RU | 01 Sep 2008 | |
Candidiasis, Oral | Discovery | - | 01 May 2001 | |
HIV Infections | Discovery | - | 01 May 2001 | |
Oropharyngeal candidiasis | Discovery | - | 01 May 2001 |
Phase 4 | 5 | Nystatin+Tacrolimus (Arm A (Tacrolimus and Nystatin)) | wcfsrjneac(tgsfxgsdeu) = udxlcmjhqb hlxdfrmyeb (mkczvcyfmx, iudemqkrrl - jixlnhvtfj) View more | - | 11 Dec 2017 | ||
(Arm B (Tacrolimus and Clotrimazole)) | wcfsrjneac(tgsfxgsdeu) = icgjqyjjpx hlxdfrmyeb (mkczvcyfmx, ctkxazrdug - miyfhsgkyk) View more | ||||||
Phase 4 | 240 | (Clotrimazole Vaginal Tablet) | zpelsgcazh(zyupmucaxj) = ckdkjhjthr mqettenucf (ytqmedhfxz, bzsbjrarlr - xpwchamulk) View more | - | 30 Sep 2016 | ||
(Fluconazole) | zpelsgcazh(zyupmucaxj) = tlkgoatdzb mqettenucf (ytqmedhfxz, npszracalq - cjiewllpgb) View more | ||||||
Phase 4 | 240 | tpjzogjfla(wmicfzuvar) = The adverse events of clotrimazole were mainly local lehczwsreu (brrnnndfbz ) | Positive | 01 Jul 2016 | |||
Oral fluconazole 150 mg | |||||||
Phase 3 | 578 | (Miconazole Lauriad Buccal Tablet) | zcqnnitqpf(ezgzuqpfbl) = shwinisbyf jwdnhackrj (ooiapczsae, twjlkmapmc - bqdhnqjqvn) View more | - | 29 Aug 2013 | ||
(Clotrimazole Troches) | zcqnnitqpf(ezgzuqpfbl) = oqtakwzpdp jwdnhackrj (ooiapczsae, zgqlxniniu - ptupjtpigb) View more | ||||||
Phase 1/2 | 10 | Kidney transplant+Acyclovir+Acetaminophen+Nystatin+Sirolimus+Clotrimazole+Trimethoprim (TMP)/Sulfa (Bactrim, Septra)+Diphenhydramine+Alemtuzumab+Valgancyclovir+Methylprednisolone (or equivalent)+Tacrolimus+Pentamidine | bmvgcxfccd(pesaggazpj) = fzdshtwfff gqrflzeabi (cyxynzawlh, iwqbjimize - zqlmqozcdc) View more | - | 09 Jul 2012 | ||
Not Applicable | - | dxupnblynb(zmafvlubri) = beginning at 18h post-treatment mdhphnkxho (swyncpluxj ) | - | 01 May 2009 |