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What the FDA labels say about taking them together

Ketoconazole and trabectedin

Trabectedin's FDA label of June 29, 2026 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name trabectedin. The trabectedin label: “Coadministration of YONDELIS with ketoconazole, a strong CYP3A inhibitor, increased systemic exposure of trabectedin by 66%.”

Check it at the source: the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC); the trabectedin FDA label on DailyMed (effective June 29, 2026, Apotex Corp.).

What does the ketoconazole label say about trabectedin?

Ketoconazole's label (effective January 28, 2026) does not name trabectedin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), via openFDA; the full label on DailyMed

What does the trabectedin label say about ketoconazole?

Trabectedin label, drug interactions

Mechanism and Clinical Effect (s); Concomitant administration of trabectedin with ketoconazole, a strong CYP3A inhibitor, increased systemic exposure of trabectedin by 66% [see Clinical Pharmacology ()].

Yondelis label (Janssen Products, LP, January 6, 2026), drug interactions

Coadministration of YONDELIS with ketoconazole, a strong CYP3A inhibitor, increased systemic exposure of trabectedin by 66%.

Source: FDA drug label (Yondelis, NDA207953), Janssen Products, LP, effective January 6, 2026 (SPL set 472bd78e-be17-4b9d-90f4-9482c3aec9ff), via openFDA

Source: FDA drug label (EVDI), Apotex Corp., effective June 29, 2026 (SPL set c1d50f5c-4202-27f3-4798-a9708114ddea), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

30Ketoconazole generic labelers
0Trabectedin generic labelers
KetoconazoleTrabectedin
Labeled forFungal infectionsn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$0.249 per gram 2% creamn/a
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?