Page last updated: 2024-11-07

hydroxyitraconazole

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Description

hydroxyitraconazole: a hydroxylated metabolite of itraconazole; likely contributes importantly to the in vivo activity attributed to itraconazole [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID108222
SCHEMBL ID8507377
MeSH IDM0225215

Synonyms (24)

Synonym
hydroxyitraconazole
4-[4-[4-[4-[[2-(2,4-dichlorophenyl)-2-(1h-1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]-1-piperazinyl]phenyl]-2,4-dihydro-2-(2-hydroxy-1-methylpropyl)-3h-1,2,4-triazol-3-one
FT-0669698
4-[4-[4-[4-[[2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-2-(3-hydroxybutan-2-yl)-1,2,4-triazol-3-one
3h-1,2,4-triazol-3-one, 4-(4-(4-(4-((2-(2,4-dichlorophenyl)-2-(1h-1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl)methoxy)phenyl)-1-piperazinyl)phenyl)-2,4-dihydro-2-(1-methylpropyl)-, monohydroxy deriv.
112559-91-8
r 63373
hydroxy itraconazole
SCHEMBL8507377
HY-12772
AKOS025394152
itraconazole metabolite hydroxy itraconazole
NCGC00485971-01
4-(4-{4-[4-({2-(2,4-dichlorophenyl)-2-[(1h-1,2,4-triazol-1-yl)methyl]-1,3-dioxolan-4-yl}methoxy)phenyl]piperazin-1-yl}phenyl)-2-(3-hydroxybutan-2-yl)-2,4-dihydro-3h-1,2,4-triazol-3-one
DTXSID00920835
4-(4-(4-(4-((2-((1h-1,2,4-triazol-1-yl)methyl)-2-(2,4-dichlorophenyl)-1,3-dioxolan-4-yl)methoxy)phenyl)piperazin-1-yl)phenyl)-2-(3-hydroxybutan-2-yl)-2,4-dihydro-3h-1,2,4-triazol-3-one
hydroxy itraconazole;r-63373
148626-66-8
BCP08597
hydroxyitraconazole; r 63373; r-63373; r63373;itraconazole metabolite hydroxy itraconazole
4-[4-[4-[4-[[(2r,4s)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-2-[(2r,3r)-3-hydroxybutan-2-yl]-1,2,4-triazol-3-one
F85153
A894570
3h-1,2,4-triazol-3-one,4-[4-[4-[4-[[2-(2,4-dichlorophenyl)-2-(1h-1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]-1-piperazinyl]phenyl]-2,4-dihydro-2-(2-hydroxy-1-methylpropyl)-

Research Excerpts

Pharmacokinetics

The authors describe the development of a population pharmacokinetic model using NONMEM for itraconazole and its active metabolite hydroxyitraconAZole in a Thai cohort of HIV-infected patients.

ExcerptReferenceRelevance
" The coadministration of rifampin resulted in a 18 fold decrease of the Cmax of itraconazole [from 113."( [Pharmacokinetic interaction between itraconazole and rifampin in Yucatan miniature pigs].
Cavalier, A; Elkhaili, H; Jehl, F; Kaltenbach, G; Levêque, D; Monteil, H; Peter, JD; Salmon, J; Salmon, Y, 1996
)
0.29
" Pharmacokinetic parameters determined at days 1 and 14 (the area under the concentration-time curve from 0 to 10 h, the maximum concentration of drug in plasma [Cmax], and the time to Cmax) were comparable in both groups."( Pharmacokinetics of itraconazole (oral solution) in two groups of human immunodeficiency virus-infected adults with oral candidiasis.
Ajana, F; Bazin, C; Chwetzoff, E; Datry, A; Le Moing, JP; Levron, JC; Reynes, J, 1997
)
0.3
" At steady state, mean bioavailabilities were 29% and 17% higher, respectively, in the fasted state; terminal half-life was similar under fasted and fed conditions (mean 39."( Food interaction and steady-state pharmacokinetics of itraconazole oral solution in healthy volunteers.
Barone, JA; Bierman, RH; Colaizzi, JL; Guarnieri, J; Hassell, AE; Jessen, L; Moskovitz, BL,
)
0.13
" Plasma cortisol concentrations were determined as a pharmacodynamic index."( Effect of itraconazole on the pharmacokinetics of prednisolone and methylprednisolone and cortisol secretion in healthy subjects.
Archer, VC; Chosidow, O; Diquet, B; Lebrun-Vignes, B; Levron, JC; Puech, AJ; Warot, D, 2001
)
0.31
" The pharmacokinetic interaction between methylprednisolone and itraconazole is probably related to inhibition of hepatic CYP3A4 activity by itraconazole."( Effect of itraconazole on the pharmacokinetics of prednisolone and methylprednisolone and cortisol secretion in healthy subjects.
Archer, VC; Chosidow, O; Diquet, B; Lebrun-Vignes, B; Levron, JC; Puech, AJ; Warot, D, 2001
)
0.31
"The authors describe the development of a population pharmacokinetic model using NONMEM for itraconazole and its active metabolite hydroxyitraconazole in a Thai cohort of HIV-infected patients who were using itraconazole as an addition to their antiretroviral therapy."( Population pharmacokinetics of itraconazole in Thai HIV-1-infected persons.
Beijnen, JH; Chuenyam, T; Huitema, AD; Koks, CH; Kroon, ED; Lange, JM; Sparidans, RW, 2003
)
0.52
"We determined the steady-state intrapulmonary pharmacokinetic and pharmacodynamic parameters of orally administered itraconazole (ITRA), 200 mg every 12 h (twice a day [b."( Intrapulmonary pharmacokinetics and pharmacodynamics of itraconazole and 14-hydroxyitraconazole at steady state.
Conte, JE; Golden, JA; Kipps, J; McIver, M; Zurlinden, E, 2004
)
0.55
"The objective of the study was to characterise the population pharmacokinetic properties of itraconazole and its active metabolite hydroxy-itraconazole in a representative paediatric population of cystic fibrosis and bone marrow transplant (BMT) patients and to identify patient characteristics influencing the pharmacokinetics of itraconazole."( Population pharmacokinetics of itraconazole and its active metabolite hydroxy-itraconazole in paediatric cystic fibrosis and bone marrow transplant patients.
Bell, SC; Charles, BG; Friberg, LE; Hennig, S; Miller, H; Wainwright, CE, 2006
)
0.33
"The developed population pharmacokinetic model adequately described the pharmacokinetics of itraconazole and its active metabolite, hydroxy-itraconazole, in paediatric patients with either cystic fibrosis or undergoing BMT."( Population pharmacokinetics of itraconazole and its active metabolite hydroxy-itraconazole in paediatric cystic fibrosis and bone marrow transplant patients.
Bell, SC; Charles, BG; Friberg, LE; Hennig, S; Miller, H; Wainwright, CE, 2006
)
0.33
"Itraconazole is a potent inhibitor of cytochrome P450 (CYP) 3A with an elimination half-life of more than 30 hours."( Pharmacokinetic modeling of the dosing interval dependency for the interaction between itraconazole and triazolam.
Ohtani, H; Sawada, Y; Toi, A; Tsujimoto, M, 2010
)
0.36
"We developed a pharmacokinetic model based on the assumption that both itraconazole and hydroxyitraconazole competitively and reversibly inhibit the first-pass metabolism and systemic elimination of triazolam."( Pharmacokinetic modeling of the dosing interval dependency for the interaction between itraconazole and triazolam.
Ohtani, H; Sawada, Y; Toi, A; Tsujimoto, M, 2010
)
0.58
" This study aimed to develop a population pharmacokinetic model for itraconazole and the active metabolite hydroxyitraconazole, in particular, quantifying the effects of food and formulation on oral absorption."( Population pharmacokinetic modeling of itraconazole and hydroxyitraconazole for oral SUBA-itraconazole and sporanox capsule formulations in healthy subjects in fed and fasted states.
Abuhelwa, AY; Foster, DJ; Hayes, D; Mudge, S; Upton, RN, 2015
)
0.88

Compound-Compound Interactions

ExcerptReferenceRelevance
"We describe a drug-drug interaction between coformulated lopinavir/ritonavir and itraconazole in a patient infected with human immunodeficiency virus type 1 who had disseminated histoplasmosis."( Drug-drug interaction between itraconazole and the antiretroviral drug lopinavir/ritonavir in an HIV-1-infected patient with disseminated histoplasmosis.
Beijnen, JH; Crommentuyn, KM; Huitema, AD; Mulder, JW; Schellens, JH; Sparidans, RW, 2004
)
0.32

Bioavailability

ExcerptReferenceRelevance
" Variable interpatient bioavailability and detrimental drug interactions with p450 enzyme-inducing agents are well documented."( Bioassay for serum itraconazole concentrations using hydroxyitraconazole standards.
Denning, DW; Law, D; Moore, CB, 1994
)
0.54
" In conclusion, the oral solution of itraconazole generates effective levels in plasma and saliva in HIV-infected patients; its relative bioavailability is not modified by the stage of HIV infection."( Pharmacokinetics of itraconazole (oral solution) in two groups of human immunodeficiency virus-infected adults with oral candidiasis.
Ajana, F; Bazin, C; Chwetzoff, E; Datry, A; Le Moing, JP; Levron, JC; Reynes, J, 1997
)
0.3
" The oral bioavailability of the solubilizer hydroxypropyl-beta-cyclodextrin was less than 1% in the majority of the patients."( Repeated-dose pharmacokinetics of an oral solution of itraconazole in infants and children.
Cornu, G; De Beule, K; de Repentigny, L; Jacqmin, P; Leclerc, JM; Ratelle, J; Sokal, EM, 1998
)
0.3
"To evaluate the effect of food on the bioavailability of itraconazole (ITR) hydroxypropyl-beta-cyclodextrin (HP-beta-CD) solution under multiple-dose to steady-state conditions, and to determine the pharmacokinetics of ITR solution at steady state."( Food interaction and steady-state pharmacokinetics of itraconazole oral solution in healthy volunteers.
Barone, JA; Bierman, RH; Colaizzi, JL; Guarnieri, J; Hassell, AE; Jessen, L; Moskovitz, BL,
)
0.13
"The bioavailability of ITR and OH-ITR is enhanced when ITR oral solution is given in the fasted state; this was true for both single and multiple dosing to steady state."( Food interaction and steady-state pharmacokinetics of itraconazole oral solution in healthy volunteers.
Barone, JA; Bierman, RH; Colaizzi, JL; Guarnieri, J; Hassell, AE; Jessen, L; Moskovitz, BL,
)
0.13
"The extensive interindividual variability in oral bioavailability of itraconazole prompted an assessment of the bioequivalence of two formulations marketed in Brazil, namely, Sporanox (reference) and Traconal (test)."( Limited-sampling strategy models for itraconazole and hydroxy-itraconazole based on data from a bioequivalence study.
Bozza, FA; Ponte, CG; Struchiner, CJ; Suarez-Kurtz, G; Vicente, FL, 1999
)
0.3
" The ultimate goals were to determine the relative bioavailability between the two oral formulations (capsules vs oral solution) and to optimise dosing regimens in these patients."( Population pharmacokinetics of itraconazole and its active metabolite hydroxy-itraconazole in paediatric cystic fibrosis and bone marrow transplant patients.
Bell, SC; Charles, BG; Friberg, LE; Hennig, S; Miller, H; Wainwright, CE, 2006
)
0.33
" However, the oral bioavailability of both compounds varies widely, and dose-serum concentration relationships are poorly defined for these analytes."( Measurement of posaconazole, itraconazole, and hydroxyitraconazole in plasma/serum by high-performance liquid chromatography with fluorescence detection.
Buckner, SL; Ceesay, MM; Flanagan, RJ; Morgan, PE; Pagliuca, A, 2011
)
0.63
" The relative bioavailability of SUBA-itraconazole compared to that of Sporanox was 173% and was 21% less variable between subjects."( Population pharmacokinetic modeling of itraconazole and hydroxyitraconazole for oral SUBA-itraconazole and sporanox capsule formulations in healthy subjects in fed and fasted states.
Abuhelwa, AY; Foster, DJ; Hayes, D; Mudge, S; Upton, RN, 2015
)
0.66
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51

Dosage Studied

ExcerptRelevanceReference
" Consequently an individual itraconazole adjusting dosage is necessary to ensure adequate clinical antifungal activity."( Determination of itraconazole and its active metabolite in plasma by column liquid chromatography.
Cheymol, G; Descamps, P; Lebot, M; Levy, M; Poirier, JM, 1994
)
0.29
" The pits received daily during three weeks oral itraconazole at a dosage of 200 mg at the beginning of the meal, then during the next two weeks oral itraconazole combined with an intravenous administration of rifampin at a dosage of 10 mg/kg/day."( [Pharmacokinetic interaction between itraconazole and rifampin in Yucatan miniature pigs].
Cavalier, A; Elkhaili, H; Jehl, F; Kaltenbach, G; Levêque, D; Monteil, H; Peter, JD; Salmon, J; Salmon, Y, 1996
)
0.29
") treatment was directly followed by repeated administrations of an oral solution of itraconazole at a dosage of either 200 mg once daily or 200 mg twice daily (b."( Concentrations in plasma and safety of 7 days of intravenous itraconazole followed by 2 weeks of oral itraconazole solution in patients in intensive care units.
Colardyn, F; De Beule, K; Decruyenaere, J; Groen, K; Jaqmin, P; Van Peer, A; Vandewoude, K; Vogelaers, D; Woestenborghs, R, 1997
)
0.3
" The patients were treated with itraconazole at a dosage of 5 mg/kg of body weight once daily for 2 weeks."( Repeated-dose pharmacokinetics of an oral solution of itraconazole in infants and children.
Cornu, G; De Beule, K; de Repentigny, L; Jacqmin, P; Leclerc, JM; Ratelle, J; Sokal, EM, 1998
)
0.3
"The bioavailability of ITR and OH-ITR is enhanced when ITR oral solution is given in the fasted state; this was true for both single and multiple dosing to steady state."( Food interaction and steady-state pharmacokinetics of itraconazole oral solution in healthy volunteers.
Barone, JA; Bierman, RH; Colaizzi, JL; Guarnieri, J; Hassell, AE; Jessen, L; Moskovitz, BL,
)
0.13
" The dosage of itraconazole was reduced when it was used in combination with lopinavir/ritonavir."( Drug-drug interaction between itraconazole and the antiretroviral drug lopinavir/ritonavir in an HIV-1-infected patient with disseminated histoplasmosis.
Beijnen, JH; Crommentuyn, KM; Huitema, AD; Mulder, JW; Schellens, JH; Sparidans, RW, 2004
)
0.32
" Two hours after dosing they received another 240 ml of the beverage."( Influence of grapefruit juice on the systemic availability of itraconazole oral solution in healthy adult volunteers.
Fincher, TK; Franks, AM; Gubbins, PO; Gurley, BJ; McConnell, SA; Penzak, SR; Saccente, M; Williams, DK, 2004
)
0.32
" The ultimate goals were to determine the relative bioavailability between the two oral formulations (capsules vs oral solution) and to optimise dosing regimens in these patients."( Population pharmacokinetics of itraconazole and its active metabolite hydroxy-itraconazole in paediatric cystic fibrosis and bone marrow transplant patients.
Bell, SC; Charles, BG; Friberg, LE; Hennig, S; Miller, H; Wainwright, CE, 2006
)
0.33
" Building on this data, a final steady-state trial was performed with the use of a 7 mg/kg oral dosage twice a day of commercial capsules given in fish to a group of 15 penguins."( Evaluation of oral itraconazole administration in captive Humboldt penguins (Spheniscus humboldti).
Abou-Madi, N; Bunting, EM; Cox, S; Fox, H; Kollias, GV; Martin-Jimenez, T, 2009
)
0.35
" Although separating their dosages by 24 hours has been shown to reduce the interaction, an appropriate dosage interval remains to be determined."( Pharmacokinetic modeling of the dosing interval dependency for the interaction between itraconazole and triazolam.
Ohtani, H; Sawada, Y; Toi, A; Tsujimoto, M, 2010
)
0.36
" Subsequently, we simulated the plasma concentration profiles of triazolam administered after itraconazole therapy with various dosing intervals."( Pharmacokinetic modeling of the dosing interval dependency for the interaction between itraconazole and triazolam.
Ohtani, H; Sawada, Y; Toi, A; Tsujimoto, M, 2010
)
0.36
"The model could explain and simulate the interaction between itraconazole-triazolam using a variety of dosage intervals between the administrations."( Pharmacokinetic modeling of the dosing interval dependency for the interaction between itraconazole and triazolam.
Ohtani, H; Sawada, Y; Toi, A; Tsujimoto, M, 2010
)
0.36
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Bioassays (5)

Assay IDTitleYearJournalArticle
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (84)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's22 (26.19)18.2507
2000's35 (41.67)29.6817
2010's20 (23.81)24.3611
2020's7 (8.33)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 21.39

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index21.39 (24.57)
Research Supply Index4.76 (2.92)
Research Growth Index4.51 (4.65)
Search Engine Demand Index23.28 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (21.39)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials29 (33.33%)5.53%
Reviews1 (1.15%)6.00%
Case Studies2 (2.30%)4.05%
Observational1 (1.15%)0.25%
Other54 (62.07%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (26)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase III Randomized, Evaluator-Blind, Parallel Group Study of the Safety and Efficacy of Itraconazole Tablets, Itraconazole Capsules and Placebo in the Treatment of Onychomycosis of the Toenail. [NCT00356915]Phase 31,381 participants (Actual)Interventional2006-07-31Completed
A Phase I, Open-label, Single-center Study to Assess the Effect of the CYP3A4 Inhibitor Itraconazole and the CYP2C19 Inhibitor Fluconazole on the Pharmacokinetics of a 25 mg Single Oral Dose of Selumetinib (AZD6244; ARRY-142866) ( Hyd-Sulfate) in Healthy [NCT02093728]Phase 126 participants (Actual)Interventional2014-04-30Completed
A Phase 1, Open-Label, Fixed-Sequence 2-Period Study To Investigate The Effect Of Multiple Doses Of Itraconazole On The Single Dose Pharmacokinetics of Palbociclib (PD-0332991) In Healthy Volunteers [NCT02131298]Phase 112 participants (Actual)Interventional2014-05-31Completed
An Open Labe Study to Evaluate the Drug-Drug Interaction of Itraconazole, Rifampicin and Midazolam With SIM0417/Ritonavir in Healthy Adult Chinese Participants [NCT05665647]Phase 136 participants (Actual)Interventional2022-12-29Completed
Risk of QT-prolongation and Torsade de Pointes in Patients Treated With Acute Medication in a University Hospital [NCT02068170]178 participants (Actual)Observational2014-02-28Completed
Interventional, Open-label, One-sequence Crossover Study to Evaluate the Effect of Multiple Doses of Itraconazole (Inhibitor of CYP3A4/5) on the Multiple Dose Pharmacokinetics of Lu AE58054 in Healthy Subjects [NCT02122692]Phase 120 participants (Actual)Interventional2014-03-31Completed
A Phase I Study to Assess the Effect of Itraconazole and Rifampicin on Pharmacokinetics Profile of BPI-7711 in Chinese Healthy Volunteers [NCT04135833]Phase 131 participants (Actual)Interventional2019-12-12Completed
Interventional, Open-label, One-sequence Crossover Study Evaluating the Effect of Multiple Doses of Itraconazole (Inhibitor of CYP3A4/5) on the Pharmacokinetics, Safety and Tolerability of Lu AF35700 in Healthy Young Men and Women [NCT03103646]Phase 122 participants (Actual)Interventional2017-03-28Completed
A Phase 1, Open Label, Two Period, Fixed Sequence, Parallel Group Study To Estimate The Effects Of Multiple Dose Administration Of Itraconazole On The Single Dose Pharmacokinetics Of Conjugated Estrogens/Bazedoxifene In Non Obese (Bmi <30 Kg/m2) And Obese [NCT02100553]Phase 124 participants (Actual)Interventional2014-04-30Completed
SUBA-itraconazole Versus Conventional Itraconazole in the Treatment of Endemic Mycoses: a Multi-center, Open-label Comparative Trial [NCT03572049]Phase 2/Phase 388 participants (Actual)Interventional2018-09-17Completed
Efficacy and Safety of Terbinafine and Itraconazole Monotherapy in Conventional and Increased Doses and in Combination in Dermatophytosis [NCT05881980]Phase 2/Phase 3150 participants (Anticipated)Interventional2023-05-31Not yet recruiting
Clinical Evaluation of a Formulated Nanoemulsion for Topical Application [NCT04110834]Phase 230 participants (Actual)Interventional2018-02-15Completed
Evaluation of the Response of Itraconazole and Terbinafine Therapy in Subjects With Crohn's Disease Not Responding Adequately to Current Therapy [NCT05049525]Phase 268 participants (Anticipated)Interventional2022-02-22Recruiting
Pharmacokinetics of Itraconazole in Pediatric Cancer Patients [NCT01409018]Phase 16 participants (Actual)Interventional2009-06-30Completed
A Phase 1 Study of the Effects of Itraconazole on the Pharmacokinetics of ALKS 5461 in Healthy Volunteers [NCT02272764]Phase 124 participants (Actual)Interventional2014-10-31Completed
Steady-State Comparative Bioavailability Study in Patients Requiring Anti-Fungal Prophylaxis Comparing Twice a Day Dosing of Lozanoc® (Mayne) Regardless of Food With Sporanox® (Janssen) Under Fed Conditions [NCT02621905]Phase 440 participants (Actual)Interventional2015-11-30Completed
A Randomized Controlled Trial to Compare Oral Itraconazole Versus Combination of Systemic Glucorticoids and Oral Itraconazole in Chronic Pulmonary and Allergic Bronchopulmonary Aspergillosis Overlap Syndrome [NCT05444946]104 participants (Anticipated)Interventional2022-06-15Recruiting
Effect of Itraconazole on the Pharmacokinetics of Apatinib in Chinese Healthy Volunteers [NCT02836171]Phase 120 participants (Actual)Interventional2016-07-31Completed
Prediction of Itraconazole Oral Absorption From In Vitro Dissolution [NCT04035187]Phase 417 participants (Actual)Interventional2020-02-10Completed
A Randomized, Double Blind, Multiple-site, Placebo-Controlled Study, Comparing the Efficacy and Safety of SUBA™-Itraconazole Capsules Compared to SPORANOX® (Itraconazole) Capsules in the Treatment of Onychomycosis of the Toenail [NCT00791219]Phase 2175 participants (Actual)Interventional2008-11-30Completed
A Single-center, Open, Self-controlled Design Clinical Study to Evaluate the Pharmacokinetic Effects of Rifampicin or Itraconazole on Single-dose Laolotinib Mesylate Capsules in Healthy Subjects [NCT05057949]Phase 132 participants (Anticipated)Interventional2021-11-24Active, not recruiting
A 4-Part Phase 1 Study to Evaluate the Effect of GDC-0853 on the Pharmacokinetics of Midazolam, Rosuvastatin, and Simvastatin and the Effect of Itraconazole on the Pharmacokinetics of GDC-0853 [NCT03174041]Phase 163 participants (Actual)Interventional2017-04-18Completed
A Randomized Phase II Clinical Trial of Two Dose-levels of Itraconazole in Patients With Metastatic Castration-resistant Prostate Cancer [NCT00887458]Phase 246 participants (Actual)Interventional2009-07-31Completed
Itraconazole Repurposing to Reduce Residual Cancer Risk in Patients With High-risk Barrett's Esophagus After Ablation [NCT05609253]Phase 110 participants (Anticipated)Interventional2022-09-14Recruiting
A Randomized Phase II Study of SUBATM-itraconazole With Cisplatin/Gemcitabine in Patients With Previously Untreated Metastatic Squamous Non-Small Cell Lung Cancer. [NCT01752023]Phase 23 participants (Actual)Interventional2013-03-31Terminated(stopped due to Low Accrual)
Phase 1, 3-Part, Open-Label Study to Assess Safety, Tolerability and PK of Single and Multiple Doses of PUR1900 in Healthy Subjects and Crossover Study of Single Doses of PUR1900 and Sporanox in Adult Subjects With Mild to Moderate Asthma [NCT03479411]Phase 158 participants (Actual)Interventional2018-02-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00356915 (4) [back to overview]Clinical and Mycological Cure of Target Toenail
NCT00356915 (4) [back to overview]Clinical Improvement Compared to Placebo
NCT00356915 (4) [back to overview]Clinical Improvement of the Target Toenail
NCT00356915 (4) [back to overview]Complete Cure - Itraconazole Tablets Compared to Itraconazole Capsules
NCT00791219 (7) [back to overview]"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Clinical Cure at the End of Study Visit (Week 12)"
NCT00791219 (7) [back to overview]"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Clinical Cure at the End of Study Visit (Week 24)"
NCT00791219 (7) [back to overview]"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Mycological Cure at the End of Study Visit (Week 12)"
NCT00791219 (7) [back to overview]"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Mycological Cure at the End of Study Visit (Week 24)"
NCT00791219 (7) [back to overview]"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Therapeutic Cure at the End of Study Visit (Week 24)"
NCT00791219 (7) [back to overview]"The Proportion of Patients in Each Treatment Group Who Are Considered a Therapeutic Cure at the End of Treatment Visit (Week 12) 12)."
NCT00791219 (7) [back to overview]Superiority of Test Treatment Over Placebo for Mycological Cure
NCT00887458 (2) [back to overview]To Determine the Proportion of Men With ≥ 50% PSA Reduction From Baseline.
NCT00887458 (2) [back to overview]To Determine the Proportion of Patients With Metastatic CRPC Who do Not Have Prostate Specific Antigen (PSA) Progression After 24 Weeks of Therapy With One of Two Dose-levels of Itraconazole: 200 mg or 600 mg Daily.
NCT03572049 (5) [back to overview]Comparison of Plasma Itraconazole Levels and Hydroxyitraconazole Levels at Day 14
NCT03572049 (5) [back to overview]Comparison of Plasma Itraconazole Levels and Hydroxyitraconazole Levels at Day 42
NCT03572049 (5) [back to overview]Frequency of Treatment Related Adverse Events Days 1-42
NCT03572049 (5) [back to overview]Resolution of Signs and Symptoms of Invasive Fungal Infection on Day 42
NCT03572049 (5) [back to overview]The Number of Days of Hospitalization at Day 180
NCT04035187 (2) [back to overview]AUC
NCT04035187 (2) [back to overview]Cmax

Clinical and Mycological Cure of Target Toenail

"This study was designed to evaluate the superiority of itraconazole tablets to placebo tablets.~Clinical Cure was defined as an IGA score of 0 for the target toenail; Mycological Cure was defined as a negative potassium hydroxide (KOH) exam and a negative culture for dermatophytes of the target toenail." (NCT00356915)
Timeframe: 1 year

InterventionPercentage of participants (Number)
Itraconazole Tablets22.3
Placebo Tablets1

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Clinical Improvement Compared to Placebo

"Clinical Improvement consisted of a mycological cure and an Investigator's Global Assessment (IGA) score less than or equal to 1 at week 52.~The Investigator's Global Assessment(IGA)assesses the overall severity of onychomycosis on the target toenail and takes into consideration, onycholysis, hyperkeratosis and percent nail involvement.~0 = Clinical Cure: No evidence of onychomycosis.~1 = Clinical Improvement: Minimal evidence of onychomycosis. 2 = Mild: ≤25% dystrophy and/or onycholysis. 3 = Moderate: ≤50% dystrophy with onycholysis. 4 = Severe: >50% dystrophy with onycholysis." (NCT00356915)
Timeframe: 12 months

Interventionpercentage of participants (Number)
Itraconazole Tablets33.7
Placebo Tablets2

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Clinical Improvement of the Target Toenail

"Clinical Improvement consisted of a mycological cure and an Investigator's Global Assessment (IGA) score less than or equal to 1 at week 52.~The Investigator's Global Assessment (IGA) assesses the overall severity of onychomycosis on the target toenail and takes into consideration, onycholysis, hyperkeratosis and percent nail involvement.~0 = Clinical Cure: No evidence of onychomycosis.~1 = Clinical Improvement: Minimal evidence of onychomycosis. 2 = Mild: ≤25% dystrophy and/or onycholysis. 3 = Moderate: ≤50% dystrophy with onycholysis. 4 = Severe: >50% dystrophy with onycholysis." (NCT00356915)
Timeframe: 12 months

Interventionpercentage of participants (Number)
Itraconazole Tablets33.7
Itraconazole Capsules29.3

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Complete Cure - Itraconazole Tablets Compared to Itraconazole Capsules

The primary efficacy endpoint was Compete Cure (consisting of a Clinical Cure and a Mycological Cure) at week 52. In this study, Clinical Cure was defined as an Investigator's Global Assessment (IGA) score of 0 for the target toenail; Mycological Cure was defined as a negative potassium hydroxide (KOH) examination and a negative culture outcome for dermatophytes of the target toenail. The efficacy analyses were conducted to demonstrate the non-inferiority of 1 itraconazole 200-mg tablet to 2 itraconazole 100-mg capsule. (NCT00356915)
Timeframe: 12 months

InterventionPercentage of participants (Number)
Itraconazole Tablets22.3
Itraconazole Capsules21.7
Placebo Tablets1.0

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"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Clinical Cure at the End of Study Visit (Week 12)"

If the lower bound 95% confidence interval of the difference between the proportion of patients in the test group compared to the reference group considered a cure at the visit being analyzed was greater than -20 then non-inferiority was considered to have been demonstrated (NCT00791219)
Timeframe: week 12

InterventionParticipants (Count of Participants)
Placebo0
Test1
Reference0

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"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Clinical Cure at the End of Study Visit (Week 24)"

If the lower bound 95% confidence interval of the difference between the proportion of patients in the Test group compared to the Reference group considered a Clinical Cure at Visit 7 was greater than 20 then non-inferiority was considered to have been demonstrated (NCT00791219)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Placebo0
Test12
Reference4

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"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Mycological Cure at the End of Study Visit (Week 12)"

If the lower bound 95% confidence interval of the difference between the proportion of patients in the test group compared to the reference group considered a cure at the visit being analyzed was greater than -20 then non-inferiority was considered to have been demonstrated (NCT00791219)
Timeframe: week 12

InterventionParticipants (Count of Participants)
Placebo3
Test16
Reference16

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"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Mycological Cure at the End of Study Visit (Week 24)"

If the lower bound 95% confidence interval of the difference between the proportion of patients in the Test group compared to the Reference group considered a Mycological Cure at Visit 7 was greater than 20 then non-inferiority was considered to have been demonstrated (NCT00791219)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Placebo1
Test25
Reference22

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"Non-inferiority Will be Determined by Evaluating the Difference Between the Proportion of Patients in the Test and Reference Treatment Groups Who Are Considered a Therapeutic Cure at the End of Study Visit (Week 24)"

If the lower bound 95% confidence interval of the difference between the proportion of patients in the Test group compared to the Reference group considered a Therapeutic Cure at Visit 7 was greater than 20 then non-inferiority was considered to have been demonstrated (NCT00791219)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Placebo0
Test8
Reference3

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"The Proportion of Patients in Each Treatment Group Who Are Considered a Therapeutic Cure at the End of Treatment Visit (Week 12) 12)."

If the lower bound 95% confidence interval of the difference between the proportion of patients in the test group compared to the reference group considered a cure at the visit being analyzed was greater than -20 then non-inferiority was considered to have been demonstrated (NCT00791219)
Timeframe: Week 12

InterventionParticipants (Count of Participants)
Placebo0
Test0
Reference0

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Superiority of Test Treatment Over Placebo for Mycological Cure

All primary and secondary endpoints were tested for superiority against Placebo. The intent to treat (ITT) was used for all superiority testing. For the three primary endpoints and all four dichotomous secondary endpoints, if the difference between the proportion of patients considered a cure in the Test or Reference group was statistically greater (p < 0.05) than the proportion of patients considered a cure in the Placebo group, then superiority of that treatment over placebo was considered to have been demonstrated. A one-sided continuity corrected Z-test was used for superiority testing. (NCT00791219)
Timeframe: week 6

InterventionParticipants (Count of Participants)
Placebo0
Test11
Reference5

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To Determine the Proportion of Men With ≥ 50% PSA Reduction From Baseline.

Will be reported as the percentage of men with ≥ 50% PSA reduction from baseline. (NCT00887458)
Timeframe: Baseline and approximately 2 years from open enrollment

Interventionpercentage (Number)
Low Dose0
High Dose14.3

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To Determine the Proportion of Patients With Metastatic CRPC Who do Not Have Prostate Specific Antigen (PSA) Progression After 24 Weeks of Therapy With One of Two Dose-levels of Itraconazole: 200 mg or 600 mg Daily.

"To Determine the Proportion of Patients With Metastatic CRPC Who do Not Have Prostate Specific Antigen (PSA) Progression After 24 Weeks of Therapy. PSA progression is defined as a 25% increase in PSA over baseline [or nadir (lowest)] and an increase in absolute PSA level by at least 2 ng/mL, both confirmed by a second value at least 4 weeks later." (NCT00887458)
Timeframe: Up to 24 weeks

Interventionpercent of patients (Number)
Low Dose Itraconazole11.8
High Dose Itraconazole48

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Comparison of Plasma Itraconazole Levels and Hydroxyitraconazole Levels at Day 14

Percentage of participants to achieve therapeutic itraconazole and hydroxyitraconazole levels by evaluating Inter-patient variability as calculated by co-efficient of variation on plasma specimens collected on Day 14 (NCT03572049)
Timeframe: Day 14

Interventionpercentage of participants (Number)
SUBA Itraconazole60.5
Conventional Itraconazole71.0

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Comparison of Plasma Itraconazole Levels and Hydroxyitraconazole Levels at Day 42

Percentage of patients with therapeutic itraconazole and hydroxyitraconazole levels as measured in plasma trough levels Day 42 (NCT03572049)
Timeframe: Day 42

Interventionpercentage of participants (Number)
SUBA Itraconazole69.3
Conventional Itraconazole58.0

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Resolution of Signs and Symptoms of Invasive Fungal Infection on Day 42

We will measure specific signs and symptoms related to endemic fungal infection, comparing baseline findings to Day 42 findings using physical examination and patient history. (NCT03572049)
Timeframe: Day 42

InterventionParticipants (Count of Participants)
SUBA Itraconazole29
Conventional Itraconazole30

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The Number of Days of Hospitalization at Day 180

The number of days of Hospitalization occurring between Day 1-180 (NCT03572049)
Timeframe: Day 180

InterventionDays (Mean)
SUBA Itraconazole5
Conventional Itraconazole7

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AUC

area under the curve from 0-72hr (NCT04035187)
Timeframe: 0-72hr

Interventionng*hr/mL (Mean)
Fast Tablet1624.8
Medium Tablet1365.5
Slow Tablet1282.2
Oral Solution1848.7

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Cmax

maximum concentration during the time interval (NCT04035187)
Timeframe: 0-72hr

Interventionng/mL (Mean)
Fast Tablet174.3
Medium Tablet108.5
Slow Tablet121.3
Oral Solution266.7

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