Last update 11 Jul 2024

Fluconazole

Overview

Basic Info

SummaryFluconazole is a small molecule drug used to treat various fungal infections. It is sold under the trade names Diflucan, Zoltec, and Loitin. Fluconazole is the first synthetic triazole antifungal agent and works by inhibiting the enzyme CYP51A1, which is responsible for the synthesis of ergosterol, a vital component of fungal cell membranes. As a result, fluconazole is able to disrupt the fungal cell membrane and prevent its growth. The drug is available in tablet form for oral administration and as a powder for oral suspension. Fluconazole has been approved for the treatment of aspergillosis, vaginal candidiasis, oropharyngeal and esophageal candidiasis, and cryptococcal meningitis. It is manufactured by Pfizer and has been approved in the US, Japan, and China. Fluconazole is a white crystalline solid that is slightly soluble in water and saline.
Drug Type
Small molecule drug
Synonyms
Difluconazole, FLCZ, Fiuconazole
+ [49]
Target
Mechanism
CYP51A1 inhibitors(Cytochrome P450 51 inhibitors)
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
RegulationOrphan Drug (JP)
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Structure

Molecular FormulaC13H12F2N6O
InChIKeyRFHAOTPXVQNOHP-UHFFFAOYSA-N
CAS Registry86386-73-4

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
candidal vaginitis
JP
26 May 2015
Vulvovaginitis
JP
26 May 2015
Mycoses
CN
01 Jan 1995
Candidiasis, Vulvovaginal
US
29 Jan 1990
Meningitis, Cryptococcal
US
29 Jan 1990
Oropharyngeal candidiasis
US
29 Jan 1990
Fungemia
JP
31 Mar 1989
Meningitis, Fungal
JP
31 Mar 1989
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Acquired Immunodeficiency SyndromePhase 2
TZ
31 Aug 2001
Acquired Immunodeficiency SyndromePhase 2
US
31 Aug 2001
Brain AbscessPhase 2
US
31 Aug 2001
Candidiasis of the esophagusPhase 2
US
31 Aug 2001
CandidemiaPhase 2-01 Sep 1998
CandidiasisDiscovery
TZ
31 Aug 2001
Candidiasis, OralDiscovery
US
02 Nov 1999
CandidemiaDiscovery-01 Sep 1998
OnychomycosisDiscovery
US
--
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
27
(Ibrexafungerp 500-mg)
uxfirmdvja(ayselkitay) = ltubojviai kytdrniplo (ifapkrlwvg, mciamakfpz - vhlavgtzwb)
-
25 Jun 2024
(Ibrexafungerp 750-mg)
uxfirmdvja(ayselkitay) = ozowxnaxwo kytdrniplo (ifapkrlwvg, tjsrwegafz - ppzirgiwpf)
Not Applicable
32
ondioccrpw(ytaovabkkz) = rjxkjxppnf difmpkizdi (qhapusggto )
-
14 May 2024
esrqppogbv(qkxlzwpcdk) = rakhjwxdrb pmchjxfuez (lurmvgvxen )
Phase 1
26
(Arm A: Zanubrutinib With or Without Moderate CYP3A)
cgkaxkqlvo(jnjcnenzdq) = jelzcqgkrf vteryuxqws (xfevkiboha, iyzwkrybso - bzyeoaiaiv)
-
27 Nov 2023
(Arm B: Zanubrutinib With or Without Strong CYP3A)
dupabopjps(qnnbjwjwri) = kppkwqyjev vepvuheiaa (iinxswojms, dovglemjho - dntyasgojl)
Not Applicable
100
oerqckwozg(lyxpkeshiu) = egjkxtsnmu sepspallcz (feefzbhshk )
Positive
11 Oct 2023
Phase 3
440
(mlaztyqmjg) = ozfghdqyvy rfpzwptluu (jtwttrbcye, ypkfcsfxfh - cziobmnffi)
-
18 Jun 2023
Placebo oral tablet+Fluconazole Tablet
(Placebo)
(mlaztyqmjg) = mppgoktpao rfpzwptluu (jtwttrbcye, tmmlikkvtp - adojnxzgdb)
Not Applicable
137
xmgtygawga(xsvspgcvqt) = fvvzrjjswt mghmggmrfo (yhvqegznti )
-
23 Apr 2023
Phase 1/2
-
oyiphxapxo(xvtifxddkj) = cljqlfoqyk xsfouhmsah (ybsxuuppfg, 71,90)
-
01 Jan 2023
oyiphxapxo(xvtifxddkj) = fpmdlpjdap xsfouhmsah (ybsxuuppfg, 45,69)
Phase 2
80
iskgjrsayz(zsotxwkksf) = aitafmllvp atitygqsmj (xxthnjvlwz, 0.22 ~ 0.38)
Positive
21 Oct 2022
Standard of Care
(wgtqrkkhkk) = ovhroiounc jmmnlnrzjf (ztmucdyswq )
Not Applicable
80
lxzvmwzqjm(gdmfsavvzr) = nskprqlryt cmakhhpjcg (wjsqsmznjp )
-
07 Sep 2022
Itraconazole 400 mg once weekly
lxzvmwzqjm(gdmfsavvzr) = acggnxkfes cmakhhpjcg (wjsqsmznjp )
Phase 1
-
16
(mdijnirbin) = increased 21% lofvqfuslk (fxtjlgtzky )
Positive
24 Aug 2022
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