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
-

Carfilzomib, Lenalidomide, and Dexamethasone for Smoldering Multiple Myeloma

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2012-04-06
Last Posted Date
2024-04-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
55
Registration Number
NCT01572480
Locations
🇺🇸

National Institutes of Health Clinical Center, 9000 Rockville Pike, Bethesda, Maryland, United States

A Phase I/II Trial of Pomalidomide and Dexamethasone in Subjects With Previously-Treated AL Amyloidosis

Phase 1
Completed
Conditions
AL Amyloidosis
Interventions
First Posted Date
2012-04-04
Last Posted Date
2020-09-22
Lead Sponsor
Boston Medical Center
Target Recruit Count
27
Registration Number
NCT01570387
Locations
🇺🇸

Boston Medical Center, Boston, Massachusetts, United States

A Phase II Trial to Assess TroVax® Plus Chemotherapy in Patients With Malignant Pleural Mesothelioma

Phase 2
Conditions
Pleural
Malignant
Mesothelioma
Interventions
Biological: TroVax®
Drug: Pemetrexed
Drug: Cisplatin
Dietary Supplement: Vitamin B12
Dietary Supplement: Folic Acid
Drug: Dexamethasone
First Posted Date
2012-04-03
Last Posted Date
2013-03-12
Lead Sponsor
Wales Cancer Trials Unit
Target Recruit Count
26
Registration Number
NCT01569919
Locations
🇬🇧

Velindre Cancer Centre, Cardiff, South Wales, United Kingdom

Targeted BEACOPP Variants in Patients With Newly Diagnosed Advanced Classical Hodgkin Lymphoma

First Posted Date
2012-04-03
Last Posted Date
2018-10-29
Lead Sponsor
University of Cologne
Target Recruit Count
100
Registration Number
NCT01569204
Locations
🇩🇪

1st Dept. of Medicine, Cologne University Hospital, Cologne, Germany

Phase 3 Study With Carfilzomib and Dexamethasone Versus Bortezomib and Dexamethasone for Relapsed Multiple Myeloma Patients

Phase 3
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2012-04-02
Last Posted Date
2022-11-14
Lead Sponsor
Amgen
Target Recruit Count
929
Registration Number
NCT01568866
Locations
🇺🇸

UCLA Medical Center, Los Angeles, California, United States

🇦🇺

Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia

🇺🇸

Winship Cancer Institute, Atlanta, Georgia, United States

and more 238 locations

A Phase 3 Study Comparing Oral Ixazomib Plus Lenalidomide and Dexamethasone Versus Placebo Plus Lenalidomide and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma

Phase 3
Completed
Conditions
Refractory Multiple Myeloma
Relapsed Multiple Myeloma
Interventions
First Posted Date
2012-03-28
Last Posted Date
2023-03-10
Lead Sponsor
Takeda
Target Recruit Count
722
Registration Number
NCT01564537
Locations
🇺🇸

University of Arkansas Medical Sciences, Little Rock, Arkansas, United States

🇺🇸

Pacific Cancer Medical Center Inc, Anaheim, California, United States

🇺🇸

West Contra Costa Healthcare District, Berkeley, California, United States

and more 21 locations

Sotatercept (ACE-011) With Lenalidomide or Pomalidomide and Dexamethasone in Relapsed/Refractory Multiple Myeloma

Phase 1
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2012-03-23
Last Posted Date
2024-04-18
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
33
Registration Number
NCT01562405
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

🇺🇸

Emory University, Atlanta, Georgia, United States

🇺🇸

Massachusetts General Hosptial, Boston, Massachusetts, United States

and more 1 locations

Carfilzomib, Clarithromycin (Biaxin®), Lenalidomide (Revlimid®), and Dexamethasone (Decadron®) [Car-BiRD] Therapy for Subjects With Multiple Myeloma

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2012-03-21
Last Posted Date
2024-03-26
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
74
Registration Number
NCT01559935
Locations
🇺🇸

Weill Cornell Medical College, New York, New York, United States

Study of Tabalumab (LY2127399) in Japanese Participants With Relapsed or Refactory Multiple Myeloma

Phase 1
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2012-03-16
Last Posted Date
2019-03-20
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
16
Registration Number
NCT01556438
Locations
🇯🇵

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Tokyo, Japan

Nelfinavir and Lenalidomide/Dexamethasone in Progressive Multiple Myeloma

Phase 1
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2012-03-15
Last Posted Date
2022-07-07
Lead Sponsor
Swiss Group for Clinical Cancer Research
Target Recruit Count
33
Registration Number
NCT01555281
Locations
🇨🇭

Kantonsspital Olten, Olten, Switzerland

🇨🇭

UniversitätsSpital Zürich, Zürich, Switzerland

🇮🇹

Istituto Europeo di Oncologia IEO, Milano, Italy

and more 8 locations
© Copyright 2025. All Rights Reserved by MedPath