MedPath

Dexamethasone

Generic Name
Dexamethasone
Brand Names
Baycadron, Ciprodex, Decadron, Dexamethasone Intensol, Dextenza, Dioptrol, Hexadrol, Hidex 6-day Taper, Maxidex, Maxitrol, Neofordex, Ozurdex, Taperdex 12 Day Taper, Taperdex 6 Day Taper, Taperdex 7-day Taper, Tobradex, Zcort 7 Day Taper
Drug Type
Small Molecule
Chemical Formula
C22H29FO5
CAS Number
50-02-2
Unique Ingredient Identifier
7S5I7G3JQL
Background

Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like hydrocortisone and prednisolone.

Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.

Indication

Dexamethasone and ciprofloxacin otic suspension is indicated for bacterial infections with inflammation in acute otitis media and acute otitis externa. Intramuscular and intravenous injections are indicated for a number of endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Oral tablets are indicated for the treatment of multiple myeloma. An intravitreal implant is indicated for some forms of macular edema and non-infectious posterior uveitis affecting the posterior of the eye. Various ophthalmic formulations are indicated for inflammatory conditions of the eye.

Associated Conditions
Acute Gouty Arthritis, Acute Leukemia, Acute Otitis Externa, Acute Otitis Media (AOM), Adrenocortical Hyperfunction, Adrenocortical Insufficiency, Allergic Conjunctivitis (AC), Alopecia Areata (AA), Ankylosing Spondylitis (AS), Aspiration Pneumonitis, Asthma, Atopic Dermatitis, Berylliosis, Bullous dermatitis herpetiformis, Bursitis, Chorioretinitis, Choroiditis, Congenital Adrenal Hyperplasia (CAH), Congenital Hypoplastic Anemia, Conjunctivitis, Contact Dermatitis, Cushing's Syndrome, Dermatitis, Diabetic Macular Edema (DME), Discoid Lupus Erythematosus (DLE), Drug hypersensitivity reaction, Edema of the cerebrum, Epicondylitis, Episcleritis, Erythroblastopenia, Eye Infections, Eye allergy, Glaucoma, Hypercalcemia, Immune Thrombocytopenia (ITP), Infection, Inflammation, Inflammation of the External Auditory Canal, Intraocular Inflammation, Iridocyclitis, Iritis, Keloids Scars, Keratitis, Lichen Planus (LP), Lichen simplex chronicus, Loeffler's syndrome, Lymphoma, Macular Edema, Meningitis caused by Mycobacterium Tuberculosis, Middle ear inflammation, Mucosal Inflammation of the eye, Multiple Myeloma (MM), Muscle Inflammation caused by Cataract Surgery of the eye, Mycosis Fungoides (MF), Necrobiosis lipoidica diabeticorum, Non-infectious Posterior Uveitis, Ocular Infections, Irritations and Inflammations, Ocular Inflammation, Ocular Inflammation and Pain, Ocular Irritation, Ocular Itching, Ophthalmia, Sympathetic, Optic Neuritis, Otitis Externa, Pemphigus, Perennial Allergic Rhinitis (PAR), Phlyctenular keratoconjunctivitis, Postoperative Infections of the eyes caused by susceptible bacteria, Posttraumatic Osteoarthritis, Regional Enteritis, Rheumatoid Arthritis, Rheumatoid Arthritis, Juvenile, Rosacea, Sarcoidosis, Scleritis, Seasonal Allergic Rhinitis, Secondary thrombocytopenia, Serum Sickness, Severe Seborrheic Dermatitis, Stevens-Johnson Syndrome, Synovitis, Systemic Lupus Erythematosus, Tenosynovitis, Trichinosis, Tuberculosis (TB), Ulcerative Colitis, Uveitis, Vernal Keratoconjunctivitis, Acquired immune hemolytic anemia, Acute rheumatic carditis, Anterior eye segment inflammation, Corticosteroid-responsive dermatoses, Ear infection-not otherwise specified caused by susceptible bacteria, Exfoliative erythroderma, Granuloma annulare lesions, Non-suppurative Thyroiditis, Ocular bacterial infections, Severe Psoriasis, Steroid-responsive inflammation of the eye, Swelling of the eyes, Varicella-zoster virus acute retinal necrosis, Watery itchy eyes
Associated Therapies
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Intravenous Dexamethasone to Increase the Analgesic Duration of Interscalene Block

Not Applicable
Completed
Conditions
Pain
Interventions
Drug: Normal Saline
Drug: Dexamethasone
First Posted Date
2015-04-09
Last Posted Date
2018-09-13
Lead Sponsor
Maisonneuve-Rosemont Hospital
Target Recruit Count
75
Registration Number
NCT02412657
Locations
🇨🇦

Hopital Pierre-Boucher, Longueuil, Quebec, Canada

🇨🇦

Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada

🇨🇦

Hopital Hotel-Dieu de Sorel, Sorel, Quebec, Canada

Ixazomib, Cyclophosphamide and Dexamethasone for Multiple Myeloma

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2015-04-09
Last Posted Date
2022-07-25
Lead Sponsor
John L. Reagan
Target Recruit Count
12
Registration Number
NCT02412228
Locations
🇺🇸

Memorial Hospital of Rhode Island, Pawtucket, Rhode Island, United States

🇺🇸

The Miriam Hospital, Providence, Rhode Island, United States

🇺🇸

Rhode Island Hospital, Providence, Rhode Island, United States

Ixazomib in Combination With Thalidomide - Dexamethasone in Patients With Relapsed and/or Refractory Multiple Myeloma

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2015-04-08
Last Posted Date
2019-12-13
Lead Sponsor
Arbeitsgemeinschaft medikamentoese Tumortherapie
Target Recruit Count
90
Registration Number
NCT02410694
Locations
🇦🇹

UK Innsbruck, Universitätsklinik für Innere Medizin, Klinische Abteilung für Hämatologie und Onkologie, Innsbruck, Tirol, Austria

🇨🇿

Faculty Hospital Brno and Faculty of Medicine MU Brno 2nd Internal Clinic, Brno, Czechia

🇨🇿

Fakultní nemocnice Ostrava, Ostrava-Poruba, Czechia

and more 14 locations

Dexamethasone for Treatment of Radiation-related Fatigue in Patients Receiving RT for Head-neck and Lung Cancer

Phase 2
Terminated
Conditions
Head and Neck Cancer
Non-small Cell Lung Cancer
Interventions
Drug: Placebo
Drug: Dexamethasone
First Posted Date
2015-04-07
Last Posted Date
2019-05-14
Lead Sponsor
University of Arizona
Target Recruit Count
79
Registration Number
NCT02410382
Locations
🇺🇸

University of Arizona, Tucson, Arizona, United States

Effect of Slow Release Hydrocortisone on Fed & Fasting Volunteers; Immediate Release on Fasting Only

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2015-04-03
Last Posted Date
2022-05-04
Lead Sponsor
Diurnal Limited
Target Recruit Count
18
Registration Number
NCT02408068

Pomalidomide in Relapsed and Refractory Multiple Myeloma (RRMM)

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2015-04-02
Last Posted Date
2024-12-05
Lead Sponsor
University of Leeds
Target Recruit Count
124
Registration Number
NCT02406222
Locations
🇬🇧

Beatson Oncology Centre, Glasgow, United Kingdom

🇬🇧

New Cross Hospital, Wolverhampton, United Kingdom

🇬🇧

Royal Sussex County Hospital, Brighton, United Kingdom

and more 18 locations

Trial Studying Maintenance Treatment With Lenalidomide and Dexamethasone Versus Lenalidomide, Dexamethasone and MLN9708 After Autologous Hematopoietic Stem Cell Transplantation in Patients With Newly-diagnosed Symptomatic Multiple Myeloma

Phase 3
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2015-04-02
Last Posted Date
2017-11-30
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
316
Registration Number
NCT02406144
Locations
🇪🇸

Hospital de La Santa Creu I Sant Pau, Barcelona, Spain

🇪🇸

Hospital Universitari Mútua de Terrasa, Barcelona, Spain

🇪🇸

Hospital Vall D'Hebron, Barcelona, Spain

and more 71 locations

Safety and Efficacy of Entospletinib With Vincristine and Dexamethasone in Adults With Relapsed or Refractory Acute Lymphoblastic Leukemia (ALL)

Phase 1
Terminated
Conditions
Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2015-03-31
Last Posted Date
2020-01-02
Lead Sponsor
Gilead Sciences
Target Recruit Count
30
Registration Number
NCT02404220
Locations
🇺🇸

Hackensack University Medical Center, Hackensack, New Jersey, United States

🇺🇸

UCLA, Los Angeles, California, United States

🇩🇪

Medizinische Klinik und Poliklinik I, Wurzburg, Germany

and more 10 locations

Pre-Emptive Analgesia in Ano-Rectal Surgery

Not Applicable
Completed
Conditions
Hemorrhoids
Fissure in Ano
Rectal Fistula
Anal Condyloma
Interventions
First Posted Date
2015-03-30
Last Posted Date
2018-01-16
Lead Sponsor
University of Vermont
Target Recruit Count
90
Registration Number
NCT02402543
Locations
🇺🇸

University of Vermont Medical Center, Burlington, Vermont, United States

🇺🇸

University of Vermont Medical Center Fanny Allen Campus, Colchester, Vermont, United States

A Open-label Study of Ultra-High Dose Dexamethasone for Relapsed Multiple Myeloma

Phase 2
Withdrawn
Conditions
Multiple Myeloma
Interventions
First Posted Date
2015-03-30
Last Posted Date
2017-02-15
Lead Sponsor
Boston Medical Center
Registration Number
NCT02402725
Locations
🇺🇸

Boston Medical Center, Boston, Massachusetts, United States

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