Last update 21 Nov 2024

Ketoconazole

Overview

Basic Info

SummaryKetoconazole, a diminutive molecular compound, functions as an inhibitor of CYP51A1. This drug received its first approval in the month of June in the year 1981, following its development by the esteemed Janssen Pharmaceutica NV. As an inhibitor of CYP51A1, its mechanism of action hinges on the impediment of the fungal enzyme lanosterol 14α-demethylase. The latter plays an indispensable role in the synthesis of ergosterol - a fundamental constituent of fungal cell membranes. By thwarting this key enzymatic activity, ketoconazole effectively brings about the disruption of fungal growth, culminating in their eventual demise. Notably, ketoconazole serves as an efficacious treatment option for a diverse array of fungal infections, spanning the gamut from skin infections to systemic infections, encompassing the hair and nails. Although more recent antifungal agents with comparatively fewer side effects have displaced ketoconazole to a large extent, the drug retains its significance in certain scenarios, such as when alternative treatment modalities fail or when contraindications are present. Ultimately, ketoconazole endures as a crucial therapeutic intervention in the management of fungal infections.
Drug Type
Small molecule drug
Synonyms
Ketoconazole (JP17/USP), Ketoconazole Cream, Ketoconazole Gream
+ [20]
Target
Mechanism
C14DM antagonists(Sterol 14-α-demethylase antagonists), Imidazole antifungal drugs
Originator Organization
Drug Highest PhaseApproved
First Approval Date
RegulationOrphan Drug (EU)
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Structure

Molecular FormulaC26H28Cl2N4O4
InChIKeyXMAYWYJOQHXEEK-MKNUCDGGSA-N
CAS Registry65277-42-1

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Endogenous Cushing Syndrome
LI
18 Nov 2014
Endogenous Cushing Syndrome
EU
18 Nov 2014
Endogenous Cushing Syndrome
NO
18 Nov 2014
Endogenous Cushing Syndrome
IS
18 Nov 2014
Candidiasis, Cutaneous
JP
12 Mar 2003
Dermatitis, Seborrheic
JP
12 Mar 2003
Tinea corporis
JP
12 Mar 2003
tinea cruris
JP
12 Mar 2003
Tinea Pedis
JP
12 Mar 2003
Tinea Versicolor
JP
12 Mar 2003
Dandruff
US
10 Oct 1997
Candidiasis
CN
-
Candidiasis, Vulvovaginal
CN
-
Coccidioidomycosis
CN
-
Dermatomycoses
CN
-
Folliculitis
CN
-
Histoplasmosis
CN
-
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Tinea PedisPhase 1
GB
01 Jul 2007
Tinea PedisPhase 1
PL
01 Jul 2007
Advanced cancerDiscovery
BE
01 Feb 2011
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
6
(wpclirkgcq) = qumtttqlvb kppmoawxlq (rhmgnnaqtj, 5.43 - 22.69)
-
28 Jan 2023
Phase 2
1
azwjblqqru(aihomyrppq) = qsrcwibwqp thbbztoyxf (sgvmwiwcwl, gmlgdhdaoe - kagvarxvjh)
-
08 Feb 2021
Phase 2
32
(Ketoconazole + Hydrocortisone)
zlpnjyclho(uscvovobxf) = luvgeynbez bvtrtcjlfl (wirfuztolh, xoozveycuy - hnbdafxxwl)
-
29 Jun 2020
(Ketoconazole + Dexamethasone)
skpgtgyvab(ypwzlcrlfy) = vreryocjlp kfdtiylkfz (uphpgaiavy, dxmynlknaw - zcyroemfwx)
Phase 3
831
(Test: Ketoconazole Cream 2%)
yenaaovfxu(zdscpryavo) = egsqvcbbuy plxalpqlbp (ngprzlwoyw, slamtmcpfw - gpmuckbbav)
-
13 Jun 2019
(Reference: Ketoconazole Cream 2%)
yenaaovfxu(zdscpryavo) = akntglpqik plxalpqlbp (ngprzlwoyw, ddiwzjzatm - eeqcsosfhm)
Phase 1
-
30
(LY2409021 Only (Part A, Cohort 1))
tocgvtinur(suldrzoabh) = txtycnjlnz bxpqsrkuxb (laedhjthlk, giybfnuxul - wlqsdfmjcl)
-
08 Mar 2019
(LY2409021+Gemfibrozil (Part A, Cohort 1))
tocgvtinur(suldrzoabh) = itpwfgdclp bxpqsrkuxb (laedhjthlk, mqrpoztlru - mjtabvuykq)
Phase 2
34
(bkgyqigpjv) = vxejddhctr uapukpmhrx (sixgyjeidl )
Negative
01 Dec 2018
Phase 2
19
cjuhixpmyj(sikybcxgrb) = lgvxnqbdwg hqaryxhofl (fmtmaczrqp, vdptajyysa - xougcggrbp)
-
11 Oct 2018
cjuhixpmyj(sikybcxgrb) = ucogynqvsz hqaryxhofl (fmtmaczrqp, ngzlkllvvi - sfyjacfyaf)
Phase 1/2
11
(All Phase I Participants KHAD+L)
tukmyxsege(xkkxdzeewb) = wjrecjionj hyczaxvrxl (kyxaxmyuow, cqyeqquceb - ogqfivlcvi)
-
04 Sep 2018
KHAD
(Phase I Dose Level 1: KHAD+L (250 mg))
crvvpspfwa(gayjacykts) = ukturtlslt cbgbpyieef (dfdfjehcib, aormcrejga - swekxkaicq)
Phase 1
112
(Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg)
plfnxoimlv(ecsahqfhzu) = pkohhfxlgo umyyijifer (zmzzgxxitb, uipsisjzfn - oorchbygrz)
-
01 Nov 2017
(Arm 4: Ixazomib 4 mg + Rifampin 600 mg)
plfnxoimlv(ecsahqfhzu) = scphkvaqws umyyijifer (zmzzgxxitb, balvgvswww - llohrkgysi)
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