Let \((A,{\mathfrak {m}})\) be an analytically unramified Cohen-Macaulay local ring of dimension \(d \ge 3\) and let \({\mathfrak {a}}\) be an \({\mathfrak {m}}\) -primary ideal in A. If I is an ideal in A, then let \(I^*\) be the integral closure of I in A. Let \(G_{{\mathfrak {a}}}(A)^* = \bigoplus _{n\ge 0 }({\mathfrak {a}}^n)^*/({\mathfrak {a}}^{n+1})^*\) be the associated graded ring of the integral closure filtration of \({\mathfrak {a}}\) . Itoh conjectured in 1992 that if the third Hilbert coefficient of \(G_{{\mathfrak {a}}}(A)^*\) , i.e., \(e_3^{{\mathfrak {a}}^*}(A) = 0\) and A is Gorenstein then \(G_{{\mathfrak {a}}}(A)^*\) is Cohen-Macaulay. In this paper we prove Itoh’s conjecture (more generally for analytically unramified Cohen-Macaulay local rings).