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Nizoral®
Nizoral® is a Imidazole antifungal Small molecule drug developed by Ache Laboratorios Farmaceuticos S.A.. It is currently FDA-approved for Seborrheic dermatitis (topical formulation), Dandruff (topical formulation), Tinea corporis, tinea pedis, tinea cruris (topical formulation). Also known as: ketoconazole.
Nizoral inhibits fungal cytochrome P450 enzymes, disrupting ergosterol synthesis in the fungal cell membrane and causing cell death.
Nizoral, also known as ketoconazole, is a small molecule inhibitor of the cytochrome P450 51 enzyme, specifically targeting lanosterol 14-alpha demethylase. It has been studied for various conditions, including Tinea Pedis, and is available in cream form, with a non-inferiority Phase III trial comparing its efficacy to dapaconazole cream in treating Tinea Pedis.
At a glance
| Generic name | Nizoral® |
|---|---|
| Also known as | ketoconazole |
| Sponsor | Ache Laboratorios Farmaceuticos S.A. |
| Drug class | Imidazole antifungal |
| Target | Lanosterol 14α-demethylase (CYP51) |
| Modality | Small molecule |
| Therapeutic area | Infectious Disease |
| Phase | FDA-approved |
Mechanism of action
Ketoconazole, the active ingredient in Nizoral, is an imidazole antifungal that blocks the demethylation of lanosterol by inhibiting fungal CYP51 (lanosterol 14α-demethylase). This prevents the conversion of lanosterol to ergosterol, a critical component of the fungal cell membrane. Without adequate ergosterol, the fungal cell membrane becomes unstable and permeable, leading to cell lysis and fungal death.
Approved indications
- Seborrheic dermatitis (topical formulation)
- Dandruff (topical formulation)
- Tinea corporis, tinea pedis, tinea cruris (topical formulation)
- Pityriasis versicolor (topical formulation)
- Systemic fungal infections (oral formulation, historical use)
Common side effects
- Pruritus
- Irritation at application site
- Erythema
- Hepatotoxicity (oral formulation, rare)
Key clinical trials
- Resolution of Thrombi in Left Atrial Appendage With Edoxaban (PHASE4)
- Effectiveness Study of Ketoconazole and Betamethasone to Treat Fungal Infection and Dermatophytosis (PHASE3)
- Oral Calcitriol With Ketoconazole in CRPC (PHASE2)
- Non-inferiority Trial of Dapaconazole Versus Ketoconazole (PHASE3)
- Influence of Ketoconazole on the Pharmacokinetics of Romidepsin in Patients With Advanced Cancer (PHASE1)
- Non-inferiority Phase III Trial Comparing Dapaconazole Cream 2% With Ketoconazole Cream 2% in Patients With Tinea Pedis (PHASE3)
- Clinical Trial Comparing BL123 Versus Ketoconazole in Patients With Tinea Pedis (PHASE2)
- Pharmacokinetics & Tolerability Study of MAP0004 Co-administered With Ketoconazole (PHASE1)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Nizoral® CI brief — competitive landscape report
- Nizoral® updates RSS · CI watch RSS
- Ache Laboratorios Farmaceuticos S.A. portfolio CI
Frequently asked questions about Nizoral®
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Related
- Drug class: All Imidazole antifungal drugs
- Target: All drugs targeting Lanosterol 14α-demethylase (CYP51)
- Manufacturer: Ache Laboratorios Farmaceuticos S.A. — full pipeline
- Therapeutic area: All drugs in Infectious Disease
- Indication: Drugs for Seborrheic dermatitis (topical formulation)
- Indication: Drugs for Dandruff (topical formulation)
- Indication: Drugs for Tinea corporis, tinea pedis, tinea cruris (topical formulation)
- Also known as: ketoconazole
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing