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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A Pharmacokinetic Study of Trabectedin in Patients With Advanced Malignancies and Hepatic Dysfunction

Phase 1
Completed
Conditions
Neoplasm Metastases
Hepatic Insufficiency
Interventions
First Posted Date
2011-01-10
Last Posted Date
2016-02-15
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
15
Registration Number
NCT01273493

Ozurdex for Macular Edema Post Membrane Peeling

Phase 2
Completed
Conditions
Cellophane Maculopathy
Macular Edema
Retinal Edema
Epiretinal Membrane
Interventions
First Posted Date
2011-01-10
Last Posted Date
2015-05-13
Lead Sponsor
Retina Specialists, PC
Target Recruit Count
35
Registration Number
NCT01273727
Locations
🇺🇸

Retina Specialists PC, New York, New York, United States

Clinical Trial Corticoids For Empyema And Pleural Effusion In Children

Phase 2
Completed
Conditions
Parapneumonic Pleural Effusion
Empyema
Interventions
Drug: Placebo
Drug: Dexamethasone
First Posted Date
2010-12-16
Last Posted Date
2015-06-01
Lead Sponsor
Hospital Infanta Sofia
Target Recruit Count
60
Registration Number
NCT01261546
Locations
🇪🇸

Hospital Infanta Sofia, San Sebastián de los Reyes, Madrid, Spain

🇪🇸

Hospital Universitario de Getafe, Getafe, Madrid, Spain

🇪🇸

Hospital Universitario Gregorio Marañón, Madrid, Spain

and more 5 locations

Dasatinib Followed by Stem Cell Transplant in Treating Older Patients With Newly Diagnosed Acute Lymphoblastic Leukemia

Phase 2
Completed
Conditions
Acute Lymphoblastic Leukemia
Adult B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1
Interventions
Biological: Alemtuzumab
Procedure: Allogeneic Hematopoietic Stem Cell Transplantation
Procedure: Autologous Hematopoietic Stem Cell Transplantation
Drug: Cyclophosphamide
Drug: Cytarabine
Drug: Dasatinib
Drug: Daunorubicin Hydrochloride
Drug: Dexamethasone
Drug: Etoposide Phosphate
Biological: Filgrastim
Drug: Fludarabine Phosphate
Procedure: In Vitro-Treated Peripheral Blood Stem Cell Transplantation
Other: Laboratory Biomarker Analysis
Drug: Leucovorin Calcium
Drug: Melphalan
Drug: Mercaptopurine
Drug: Methotrexate
Biological: Pegfilgrastim
Other: Pharmacological Study
Drug: Tacrolimus
Drug: Vincristine Sulfate
First Posted Date
2010-12-08
Last Posted Date
2023-04-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
66
Registration Number
NCT01256398
Locations
🇺🇸

Rocky Mountain Cancer Centers-Longmont, Longmont, Colorado, United States

🇺🇸

Fort Wayne Medical Oncology and Hematology Inc-Parkview, Fort Wayne, Indiana, United States

🇺🇸

Longmont United Hospital, Longmont, Colorado, United States

and more 98 locations

Intra-Erythrocyte Dexamethasone Sodium Phosphate in Ataxia Teleangiectasia Patients

Phase 2
Completed
Conditions
Nervous System Disorder
Genetic Syndrome
Interventions
First Posted Date
2010-12-07
Last Posted Date
2024-10-10
Lead Sponsor
Quince Therapeutics S.p.A.
Target Recruit Count
22
Registration Number
NCT01255358
Locations
🇮🇹

University La Sapienza, Rome, Italy

🇮🇹

Spedali Civili, Brescia, Italy

Docetaxel Followed by Radical Prostatectomy in Patients With High Risk Localized Prostate Cancer

Phase 2
Completed
Conditions
Prostate Cancer
Interventions
First Posted Date
2010-12-01
Last Posted Date
2014-02-04
Lead Sponsor
Beth Israel Deaconess Medical Center
Target Recruit Count
28
Registration Number
NCT01250717
Locations
🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

Dexamethasone vs Placebo in the Prophylaxis of Radiation-Induced Pain Flare Following Palliative Radiotherapy for Bone Metastases

Phase 3
Completed
Conditions
Bone Metastases
Interventions
Drug: Placebo
Drug: Dexamethasone
First Posted Date
2010-11-25
Last Posted Date
2023-08-28
Lead Sponsor
NCIC Clinical Trials Group
Target Recruit Count
298
Registration Number
NCT01248585
Locations
🇨🇦

CancerCare Manitoba, Winnipeg, Manitoba, Canada

🇨🇦

Juravinski Cancer Centre at Hamilton Health Sciences, Hamilton, Ontario, Canada

🇨🇦

Cancer Centre of Southeastern Ontario at Kingston, Kingston, Ontario, Canada

and more 19 locations

Carfilzomib, Pegylated Liposomal Doxorubicin Hydrochloride, and Dexamethasone in Treating Patients With Relapsed or Refractory Multiple Myeloma

Phase 1
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2010-11-23
Last Posted Date
2019-04-08
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
40
Registration Number
NCT01246063
Locations
🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

Study Assessing Safety and Efficiency of the Lenalidomide and Dexamethasone Combination in Patients With Chronic Lymphatic Leukemia (CLL) Relapsing or Resistant to Treatment

Phase 1
Completed
Conditions
Chronic Lymphatic Leukemia
First Posted Date
2010-11-23
Last Posted Date
2014-04-04
Lead Sponsor
Hospital Universitari Vall d'Hebron Research Institute
Target Recruit Count
20
Registration Number
NCT01246557
Locations
🇪🇸

Centro Médico Teknon, Barcelona, Spain

🇪🇸

Hospital Universitari Valle Hebron, Barcelona, Spain

🇪🇸

Hospital Clínico Universitario de Valencia, Valencia, Spain

and more 3 locations

Single Oral Dose of Dexamethasone Versus Five Days of Prednisone in Adult Asthma

Phase 4
Completed
Conditions
Asthma
Reactive Airway Disease
Interventions
First Posted Date
2010-11-16
Last Posted Date
2016-01-07
Lead Sponsor
Alameda County Medical Center
Target Recruit Count
376
Registration Number
NCT01241006
Locations
🇺🇸

Alameda County Medical Center, Oakland, California, United States

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