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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Bortezomib, Rituximab, and Dexamethasone With or Without Temsirolimus in Treating Patients With Untreated or Relapsed Waldenstrom Macroglobulinemia or Relapsed or Refractory Mantle Cell or Follicular Lymphoma

Phase 1
Completed
Conditions
Refractory Marginal Zone Lymphoma
Recurrent Mantle Cell Lymphoma
Recurrent Non-Hodgkin Lymphoma
Refractory Small Lymphocytic Lymphoma
Recurrent Follicular Lymphoma
Recurrent Marginal Zone Lymphoma
Recurrent Small Lymphocytic Lymphoma
Refractory Follicular Lymphoma
Refractory Mantle Cell Lymphoma
Recurrent Waldenstrom Macroglobulinemia
Interventions
Drug: Bortezomib
Drug: Dexamethasone
Other: Laboratory Biomarker Analysis
Other: Quality-of-Life Assessment
Biological: Rituximab
Drug: Temsirolimus
First Posted Date
2011-06-27
Last Posted Date
2021-10-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
9
Registration Number
NCT01381692
Locations
🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

🇺🇸

Marshfield Medical Center-Marshfield, Marshfield, Wisconsin, United States

and more 8 locations

Treatment of Acute Lymphoblastic Leukemia Ph '(BCR / ABL) Positive Patients Aged > 55 Years

Not Applicable
Conditions
Acute Lymphoblastic Leukemia Ph Positive
First Posted Date
2011-06-20
Last Posted Date
2022-06-15
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
100
Registration Number
NCT01376427
Locations
🇪🇸

Hospital Germans Trias i Pujol and all Hospital Pethema, Badalona, Barcelona, Spain

A Safety Study of Oral Netupitant and Palonosetron for the Prevention of Nausea and Vomiting

Phase 3
Completed
Conditions
Chemotherapy-Induced Nausea and Vomiting
Interventions
First Posted Date
2011-06-20
Last Posted Date
2014-11-17
Lead Sponsor
Helsinn Healthcare SA
Target Recruit Count
413
Registration Number
NCT01376297
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

Veterans Administration New Jersey Health Care System, East Orange, New Jersey, United States

🇺🇸

East Valley Hematology and Oncology Medical Group, Burbank, California, United States

and more 72 locations

Administration of Tadalafil in Conjunction With Lenalidomide and Dexamethasone in Patients With Multiple Myeloma

Phase 2
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2011-06-15
Last Posted Date
2018-12-10
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Target Recruit Count
14
Registration Number
NCT01374217
Locations
🇺🇸

Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland, United States

Prevention of Cisplatin-Induced Hearing Loss by Intratympanic Dexamethasone Treatment

Phase 4
Completed
Conditions
Cisplatin Ototoxicity
Interventions
First Posted Date
2011-06-14
Last Posted Date
2014-07-17
Lead Sponsor
Meir Medical Center
Target Recruit Count
30
Registration Number
NCT01372904
Locations
🇮🇱

Clalit Health Services, Haifa, Israel

Inotuzumab Ozogamicin and Combination Chemotherapy in Treating Patients With Acute Lymphoblastic Leukemia

Phase 1
Recruiting
Conditions
High Grade B-Cell Lymphoma With MYC and BCL2 and/or BCL6 Rearrangements
Recurrent Burkitt Lymphoma
B Acute Lymphoblastic Leukemia, Philadelphia Chromosome Negative
Burkitt-Like Lymphoma With 11q Aberration
Recurrent B Acute Lymphoblastic Leukemia
High Grade B-Cell Lymphoma, Not Otherwise Specified
Refractory B Acute Lymphoblastic Leukemia
Refractory Burkitt Lymphoma
B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1
Interventions
Biological: Blinatumomab
Drug: Cyclophosphamide
Drug: Cytarabine
Drug: Dexamethasone
Biological: Inotuzumab Ozogamicin
Drug: Methotrexate
Other: Laboratory Biomarker Analysis
Drug: Mercaptopurine
Drug: Prednisone
Biological: Rituximab
Drug: Vincristine
First Posted Date
2011-06-13
Last Posted Date
2024-07-05
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
276
Registration Number
NCT01371630
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Palonosetron, Ondansetron, and Dexamethasone for Delayed Nausea and Vomiting in Autologous Transplant Patients

Phase 2
Completed
Conditions
Chemotherapy-induced Nausea and Vomiting
Interventions
First Posted Date
2011-06-09
Last Posted Date
2017-04-17
Lead Sponsor
Northside Hospital, Inc.
Target Recruit Count
85
Registration Number
NCT01370408
Locations
🇺🇸

Northside Hospital, Atlanta, Georgia, United States

Study to Evaluate the Safety and Tolerability of Weekly Intravenous (IV) Doses of BMS-906024 in Subjects With Acute T-cell Lymphoblastic Leukemia or T-cell Lymphoblastic Lymphoma

Phase 1
Completed
Conditions
Precursor T-Cell Lymphoblastic Lymphoma
Lymphoblastic Leukemia, Acute T-cell
Interventions
Drug: BMS-906024
Drug: Dexamethasone
First Posted Date
2011-06-02
Last Posted Date
2019-07-30
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
31
Registration Number
NCT01363817
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

🇺🇸

The University Of Texas MD Anderson Cancer Center, Houston, Texas, United States

and more 2 locations

An Efficacy and Safety Study of Oral and Intravenous Palonosetron for the Prevention of Nausea and Vomiting

Phase 3
Completed
Conditions
Chemotherapy-Induced Nausea and Vomiting
Interventions
First Posted Date
2011-06-01
Last Posted Date
2021-09-22
Lead Sponsor
Helsinn Healthcare SA
Target Recruit Count
743
Registration Number
NCT01363479
Locations
🇺🇸

Facey Medical Group, Mission Hills, California, United States

🇺🇸

Northern Utah Associates [Hematology/ Oncology], Ogden, Utah, United States

🇺🇸

Genesis Cancer Centre, Hot Springs, Arkansas, United States

and more 76 locations

Combination Chemotherapy and Ofatumumab in Treating Patients With Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma

Phase 2
Completed
Conditions
Adult Acute Lymphoblastic Leukemia in Complete Remission
Burkitt Leukemia
Burkitt Lymphoma
Childhood Acute Lymphoblastic Leukemia in Complete Remission
Acute Lymphoblastic Leukemia
CD20 Positive
Lymphoblastic Lymphoma
Interventions
First Posted Date
2011-06-01
Last Posted Date
2021-05-03
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
72
Registration Number
NCT01363128
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

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