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ITCZ-IV

Janssen Pharmaceutical K.K. · Phase 3 active Small molecule

ITCZ-IV is an intravenous formulation of itraconazole, a triazole antifungal that inhibits fungal cytochrome P450-dependent lanosterol 14α-demethylase, disrupting ergosterol synthesis in the fungal cell membrane.

ITCZ-IV is an intravenous formulation of itraconazole, a triazole antifungal that inhibits fungal cytochrome P450-dependent lanosterol 14α-demethylase, disrupting ergosterol synthesis in the fungal cell membrane. Used for Invasive aspergillosis, Blastomycosis, Histoplasmosis.

At a glance

Generic nameITCZ-IV
SponsorJanssen Pharmaceutical K.K.
Drug classTriazole antifungal
TargetFungal cytochrome P450 14α-demethylase (CYP51)
ModalitySmall molecule
Therapeutic areaInfectious Disease
PhasePhase 3

Mechanism of action

Itraconazole works by blocking a key enzyme in the fungal sterol synthesis pathway, leading to depletion of ergosterol and accumulation of toxic sterol precursors. This destabilizes the fungal cell membrane, causing cell death. The IV formulation allows systemic delivery for serious invasive fungal infections where oral bioavailability is inadequate.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results