Drug intelligence / Profile preview

tacrolimus + ketoconazole

Development stage
Unknown
Lead developer
Astellas Pharma
Modality
Small Molecules
Administration
Oral
01

Overview

Tacrolimus + ketoconazole is a drug combination used in kidney transplant recipients. Ketoconazole increases blood levels of tacrolimus through inhibition of cytochrome P450 microsomal enzymes. This combination allows for significant reduction in tacrolimus dosage (typically 45-59%) while maintaining therapeutic immunosuppressive levels, which substantially reduces treatment costs. However, studies show conflicting results regarding safety and efficacy, with some research indicating an increased risk of acute rejection with long-term use.

02

Targets

CYP3A4 (Cytochrome P450 3A4)CYP3A5 (Cytochrome P450 family 3 subfamily A member 5)

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