Page last updated: 2024-10-29

ketoconazole and Disease Exacerbation

ketoconazole has been researched along with Disease Exacerbation in 19 studies

1-acetyl-4-(4-{[2-(2,4-dichlorophenyl)-2-(1H-imidazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy}phenyl)piperazine : A dioxolane that is 1,3-dioxolane which is substituted at positions 2, 2, and 4 by imidazol-1-ylmethyl, 2,4-dichlorophenyl, and [para-(4-acetylpiperazin-1-yl)phenoxy]methyl groups, respectively.

Research Excerpts

ExcerptRelevanceReference
"In contrast, in four patients with polycystic kidney disease, progression accelerated by 99% +/- 63%."2.68Effect of ketoconazole plus low-dose prednisone on progression of chronic renal failure. ( Hill, S; Walser, M, 1997)
"In a large proportion of advanced prostate cancer patients treated with androgen deprivation therapy, progression of the disease occurs despite low levels of testosterone, termed castration-resistant prostate cancer."2.45Novel secondary hormonal therapy in advanced prostate cancer: an update. ( Ryan, CJ; Van Allen, EM, 2009)
"Ketoconazole is a well-known CYP17-targeted systemic treatment for castration-resistant prostate cancer (CRPC)."1.42Prospective evaluation of low-dose ketoconazole plus hydrocortisone in docetaxel pre-treated castration-resistant prostate cancer patients. ( Beckett, LA; Lara, PN; Lo, EN; Pan, CX; Robles, D; Sands, JM; Suga, JM, 2015)
"Ketoconazole has moderate activity as secondary hormonal therapy in patients with CRPC previously treated with taxane-based chemotherapy, although the TTP was short."1.36Activity of ketoconazole after taxane-based chemotherapy in castration-resistant prostate cancer. ( Jacobus, S; Kantoff, PW; Nakabayashi, M; Oh, WK; Regan, MM; Rosenberg, JE; Taplin, ME, 2010)
"In castration-resistant prostate cancer (CRPC) many androgen-regulated genes become re-expressed and tissue androgen levels increase despite low serum levels."1.35Steroidogenesis inhibitors alter but do not eliminate androgen synthesis mechanisms during progression to castration-resistance in LNCaP prostate xenografts. ( Adomat, HH; Gleave, ME; Guns, ES; Hendy, SC; Locke, JA; Nelson, CC, 2009)
"Ketoconazole is a commonly used secondary hormonal therapy in castration-refractory prostate cancer (CRPC), but disease progression inevitably occurs."1.35Activity of dutasteride plus ketoconazole in castration-refractory prostate cancer after progression on ketoconazole alone. ( Balk, SP; Kantoff, PW; Nakabayashi, M; Oh, WK; Ross, RW; Sartor, O; Taplin, ME, 2009)
"The median time to disease progression or dose escalation on LDK was 3."1.33Response to low-dose ketoconazole and subsequent dose escalation to high-dose ketoconazole in patients with androgen-independent prostate cancer. ( Jackman, DM; Kantoff, PW; Nakabayashi, M; Oh, WK; Regan, MM; Xie, W, 2006)
"at bedtime)."1.31Low dose ketoconazole with replacement doses of hydrocortisone in patients with progressive androgen independent prostate cancer. ( Bok, RA; Harris, KA; Kakefuda, M; Small, EJ; Weinberg, V, 2002)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (10.53)18.2507
2000's8 (42.11)29.6817
2010's9 (47.37)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Biagetti, B1
Simó-Servat, O1
Ortiz-Z, A1
Iglesias, C1
Mesa, J1
Aggarwal, R1
Halabi, S1
Kelly, WK1
George, D1
Mahoney, JF1
Millard, F1
Stadler, WM1
Morris, MJ1
Kantoff, P1
Monk, JP1
Carducci, M1
Small, EJ3
Peer, A1
Gottfried, M1
Sinibaldi, V1
Carducci, MA2
Eisenberger, MA2
Sella, A1
Leibowitz-Amit, R1
Berger, R1
Keizman, D2
Lo, EN1
Beckett, LA1
Pan, CX1
Robles, D1
Suga, JM1
Sands, JM1
Lara, PN1
Paun, DL1
Vija, L1
Stan, E1
Banica, A1
Bobeica, E1
Terzea, D1
Poiana, C1
Badiu, C1
Paun, S1
Davis, JP1
Salmon, M1
Pope, NH1
Lu, G1
Su, G1
Meher, A1
Ailawadi, G1
Upchurch, GR1
Sedhom, R1
Hu, S1
Ohri, A1
Infantino, D1
Lubitz, S1
Van Allen, EM1
Ryan, CJ1
Locke, JA1
Nelson, CC1
Adomat, HH1
Hendy, SC1
Gleave, ME1
Guns, ES1
Sartor, O1
Nakabayashi, M3
Taplin, ME2
Ross, RW1
Kantoff, PW3
Balk, SP1
Oh, WK3
Jacobus, S1
Regan, MM2
Rosenberg, JE1
Huang, P1
Harris, KA1
Weinberg, V1
Bok, RA1
Kakefuda, M1
Argirovic, Dj1
Xie, W1
Jackman, DM1
Oosterhuis, JK1
van den Berg, G1
Monteban-Kooistra, WE1
Ligtenberg, JJ1
Tulleken, JE1
Meertens, JH1
Zijlstra, JG1
Walser, M1
Hill, S1
Baron, AD1
Fippin, L1
Apodaca, D1
Nijhawan, M1
Nijhawan, S1
Vijayvergiya, R1
Agarwal, S1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Assessing PSA Response in Low Dose Ketoconazole in Hormone Refractory Prostate Cancer Patients Who Have Failed at Least One Prior Systemic Chemotherapy Regimen[NCT00895310]Phase 230 participants (Actual)Interventional2009-05-31Completed
Mechanisms of Control of the Intratesticular Hormonal Milieu in Man[NCT01215292]Phase 1/Phase 246 participants (Actual)Interventional2011-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Stable Disease

(NCT00895310)
Timeframe: From date of enrollment, every Cycle (4 weeks), until disease progression, unacceptable toxicities, study withdrawal, or death from any cause, whichever came first, assessed up to 2 years

InterventionDays (Median)
Ketoconazole123

Progression Free Survival

Response Evaluation Criteria In Solid Tumors (RECIST) radiographic criteria for progression (NCT00895310)
Timeframe: From date of enrollment, every Cycle (4 weeks), until disease progression, unacceptable toxicities, study withdrawal, or death from any cause, whichever came first, assessed up to 2 years

InterventionDays (Median)
Ketoconazole138

Prostate Specific Antigen (PSA) Response (>50% Reduction From Baseline)

Percentage of patients who achieved a clinically significant decline in Prostate Specific Antigen (PSA) after initiation of ketoconazole therapy, defined as a >=50% decrease in PSA. (NCT00895310)
Timeframe: From date of enrollment, every Cycle (4 weeks), until disease progression, unacceptable toxicities, study withdrawal, or death from any cause, whichever came first, assessed up to 2 years

InterventionParticipants (Count of Participants)
Ketoconazole14

PSA Response (>30% From Baseline)

(NCT00895310)
Timeframe: From date of enrollment, every Cycle (4 weeks), until disease progression, unacceptable toxicities, study withdrawal, or death from any cause, whichever came first, assessed up to 2 years

InterventionParticipants (Count of Participants)
Ketoconazole17

Intratesticular Androstenedione (ADD) Level

(NCT01215292)
Timeframe: 10 days

Interventionng/mL (Median)
Acyline + Testosterone Gel (Tgel)+ Placebo.87
Acyline + Tgel + Ketoconazole 400mg0.5
Acyline + Tgel + Ketoconazole 800mg0.12
Acyline & TGel & Dutasteride 2.5mg1.7
Acyline & TGel & Anastrazole 1mg3.6

Intratesticular Dihydrotestosterone (DHT) Level

(NCT01215292)
Timeframe: 10 days

Interventionng/mL (Median)
Acyline + Testosterone Gel (Tgel)+ Placebo3.17
Acyline & TGel & Ketoconazole 400 mg2.08
Acyline & TGel & Ketoconazole 800 mg1.46
Acyline & TGel & Dutasteride0.12
Acyline & TGel & Anastrazole3.63

Intratesticular Testosterone (IT-T) Level

(NCT01215292)
Timeframe: 10 days

Interventionng/mL (Median)
Acyline + Testosterone Gel + Placebo14
Acyline + Tgel + Ketoconazole 400mg3.7
Acyline + Tgel + Ketoconazole 800mg1.7
Acyline & TGel & Dutasteride 2.5mg18.4
Acyline & TGel & Anastrazole 1mg24.0

Reviews

1 review available for ketoconazole and Disease Exacerbation

ArticleYear
Novel secondary hormonal therapy in advanced prostate cancer: an update.
    Current opinion in urology, 2009, Volume: 19, Issue:3

    Topics: Androgen Antagonists; Androstenes; Androstenols; Disease Progression; Humans; Ketoconazole; Male; Pr

2009

Trials

3 trials available for ketoconazole and Disease Exacerbation

ArticleYear
The effect of prior androgen synthesis inhibition on outcomes of subsequent therapy with docetaxel in patients with metastatic castrate-resistant prostate cancer: results from a retrospective analysis of a randomized phase 3 clinical trial (CALGB 90401) (
    Cancer, 2013, Oct-15, Volume: 119, Issue:20

    Topics: Aged; Androgen Antagonists; Antibodies, Monoclonal, Humanized; Antifungal Agents; Antineoplastic Com

2013
Effect of ketoconazole plus low-dose prednisone on progression of chronic renal failure.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1997, Volume: 29, Issue:4

    Topics: Adrenocorticotropic Hormone; Adult; Aged; Aged, 80 and over; Cross-Over Studies; Diabetic Nephropath

1997
Ketoconazole retains activity in advanced prostate cancer patients with progression despite flutamide withdrawal.
    The Journal of urology, 1997, Volume: 157, Issue:4

    Topics: Aged; Aged, 80 and over; Antineoplastic Agents, Hormonal; Disease Progression; Flutamide; Humans; Hy

1997

Other Studies

15 other studies available for ketoconazole and Disease Exacerbation

ArticleYear
Ectopic Cushing's syndrome: Paradoxical effect of somatostatin analogs.
    Endocrinologia, diabetes y nutricion, 2017, Volume: 64, Issue:5

    Topics: ACTH Syndrome, Ectopic; Adrenal Gland Neoplasms; Adrenal Medulla; Adrenalectomy; Adrenocorticotropic

2017
Comparison of abiraterone acetate versus ketoconazole in patients with metastatic castration resistant prostate cancer refractory to docetaxel.
    The Prostate, 2014, Volume: 74, Issue:4

    Topics: Abiraterone Acetate; Aged; Aged, 80 and over; Androstadienes; Antineoplastic Agents; Combined Modali

2014
Prospective evaluation of low-dose ketoconazole plus hydrocortisone in docetaxel pre-treated castration-resistant prostate cancer patients.
    Prostate cancer and prostatic diseases, 2015, Volume: 18, Issue:2

    Topics: Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Disease Progression; Diseas

2015
Cushing syndrome secondary to ectopic adrenocorticotropic hormone secretion from a Meckel diverticulum neuroendocrine tumor: case report.
    BMC endocrine disorders, 2015, Nov-26, Volume: 15

    Topics: ACTH Syndrome, Ectopic; Adrenocorticotropic Hormone; Adult; Corticotropin-Releasing Hormone; Cushing

2015
Pharmacologic blockade and genetic deletion of androgen receptor attenuates aortic aneurysm formation.
    Journal of vascular surgery, 2016, Volume: 63, Issue:6

    Topics: Androgen Antagonists; Animals; Aorta, Abdominal; Aortic Aneurysm, Abdominal; Cytokines; Disease Mode

2016
Symptomatic Cushing's syndrome and hyperandrogenemia in a steroid cell ovarian neoplasm: a case report.
    Journal of medical case reports, 2016, Oct-12, Volume: 10, Issue:1

    Topics: Aged; Antineoplastic Agents, Hormonal; Cushing Syndrome; Disease Progression; Fatal Outcome; Female;

2016
Steroidogenesis inhibitors alter but do not eliminate androgen synthesis mechanisms during progression to castration-resistance in LNCaP prostate xenografts.
    The Journal of steroid biochemistry and molecular biology, 2009, Volume: 115, Issue:3-5

    Topics: Androgen Antagonists; Androgens; Anilides; Animals; Castration; Cell Line, Tumor; Cinnamates; Diseas

2009
Activity of dutasteride plus ketoconazole in castration-refractory prostate cancer after progression on ketoconazole alone.
    Clinical genitourinary cancer, 2009, Volume: 7, Issue:3

    Topics: Aged; Antineoplastic Agents, Hormonal; Antineoplastic Combined Chemotherapy Protocols; Azasteroids;

2009
Activity of ketoconazole after taxane-based chemotherapy in castration-resistant prostate cancer.
    BJU international, 2010, Volume: 105, Issue:10

    Topics: Aged; Androgen Antagonists; Antineoplastic Agents, Hormonal; Bridged-Ring Compounds; Castration; Dis

2010
Contemporary experience with ketoconazole in patients with metastatic castration-resistant prostate cancer: clinical factors associated with PSA response and disease progression.
    The Prostate, 2012, Volume: 72, Issue:4

    Topics: Adrenal Glands; Aged; Aged, 80 and over; Androgens; Cohort Studies; Disease Progression; Dose-Respon

2012
Low dose ketoconazole with replacement doses of hydrocortisone in patients with progressive androgen independent prostate cancer.
    The Journal of urology, 2002, Volume: 168, Issue:2

    Topics: Adenocarcinoma; Aged; Aged, 80 and over; Androgen Antagonists; Androgens; Biomarkers, Tumor; Disease

2002
An evaluation of high-doses ketoconazole with hydrocortisone substitution in hormone-refractory prostate cancer.
    Acta chirurgica Iugoslavica, 2005, Volume: 52, Issue:4

    Topics: Aged; Aged, 80 and over; Androgen Antagonists; Antineoplastic Agents; Bone Neoplasms; Carcinoma; Dis

2005
Response to low-dose ketoconazole and subsequent dose escalation to high-dose ketoconazole in patients with androgen-independent prostate cancer.
    Cancer, 2006, Sep-01, Volume: 107, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Agents, Hormonal; Biomarkers, Tumor; Disease Progress

2006
Life-threatening Pneumocystis jiroveci pneumonia following treatment of severe Cushing's syndrome.
    The Netherlands journal of medicine, 2007, Volume: 65, Issue:6

    Topics: Cushing Syndrome; Disease Progression; Fatal Outcome; Female; Humans; Ketoconazole; Middle Aged; Mif

2007
Oral histoplasmosis.
    The Journal of the Association of Physicians of India, 2001, Volume: 49

    Topics: Aged; Biopsy, Needle; Disease Progression; Fatal Outcome; Fungemia; Histoplasmosis; Humans; India; K

2001