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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Lenalidomide, Thalidomide and Dexamethasone in Treating Participants With Relapsed or Refractory Multiple Myeloma

Phase 1
Completed
Conditions
Refractory Plasma Cell Myeloma
Recurrent Plasma Cell Myeloma
Interventions
First Posted Date
2009-08-27
Last Posted Date
2020-11-04
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
77
Registration Number
NCT00966693
Locations
🇺🇸

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

Carboplatin and Docetaxel Followed by Epstein-Barr Virus Cytotoxic T Lymphocytes

Phase 2
Completed
Conditions
Nasopharyngeal Carcinoma
Interventions
Drug: Docetaxel
Drug: Carboplatin
Drug: Dexamethasone
Biological: EBV-specific cytotoxic T lymphocytes
Biological: G-CSF or Peg-GCSF
First Posted Date
2009-08-06
Last Posted Date
2017-08-18
Lead Sponsor
Baylor College of Medicine
Target Recruit Count
20
Registration Number
NCT00953420
Locations
🇺🇸

Texas Children's Hospital, Houston, Texas, United States

🇺🇸

Houston Methodist Hospital, Houston, Texas, United States

🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

Aprepitant/MK0869 for Prevention of Chemotherapy Induced Nausea and Vomiting Associated With Cisplatin (0869-169)(COMPLETED)

Phase 3
Completed
Conditions
Chemotherapy-induced Nausea and Vomiting (CINV)
Interventions
First Posted Date
2009-08-06
Last Posted Date
2017-06-02
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
421
Registration Number
NCT00952341

To Evaluate the Efficacy and Tolerability of the Use of Vitatonus Dexa Compared to Dexamethasone in Patients With Neuralgia of Various Origins

Phase 3
Conditions
Neuralgia
Interventions
First Posted Date
2009-07-23
Last Posted Date
2009-07-24
Lead Sponsor
Bunker Industria Farmaceutica Ltda.
Target Recruit Count
104
Registration Number
NCT00944502
Locations
🇧🇷

Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil

Comparison of Oral Dexamethasone Doses in Asthma Exacerbation

Not Applicable
Completed
Conditions
Asthma
Reactive Airway Disease
Interventions
First Posted Date
2009-07-20
Last Posted Date
2009-07-20
Lead Sponsor
Rady Children's Hospital, San Diego
Target Recruit Count
125
Registration Number
NCT00942201
Locations
🇺🇸

Rady Children's Hospital, San Diego, California, United States

A Safety Confirmation Study on Lenalidomide With Dexamethasone In Japanese Patients With Previously Treated Multiple Myeloma

Phase 3
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2009-06-26
Last Posted Date
2019-11-20
Lead Sponsor
Celgene
Target Recruit Count
25
Registration Number
NCT00928486
Locations
🇯🇵

Nagoya Medical Center, Nagoya-city, Aichi, Japan

🇯🇵

Niigata Cancer Center Hospital, Niigata-city, Niigata, Japan

🇯🇵

Keio University Hospital, Tokyo, Japan

and more 5 locations

Erwinase for Patients With Relapsed/Refractory Acute Lymphoblastic Leukemia (ALL) (IND 104224)

Phase 1
Terminated
Conditions
Relapsed Acute Lymphoblastic Leukemia
Allergy to PEG e.Coli Asparaginase
Allergy to Native e.Coli Asparaginase
Interventions
First Posted Date
2009-06-25
Last Posted Date
2019-02-19
Lead Sponsor
Therapeutic Advances in Childhood Leukemia Consortium
Target Recruit Count
1
Registration Number
NCT00928200
Locations
🇺🇸

Childrens Hospital Los Angeles, Los Angeles, California, United States

Sirolimus and Pemetrexed to Treat Non-Small Cell Lung Cancer

Phase 1
Terminated
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Drug: FDG-PET
Drug: Pemetrexed
Drug: Sirolimus
Dietary Supplement: Vitamin B12
Dietary Supplement: Folic acid tablets
Drug: Dexamethasone tablets
First Posted Date
2009-06-18
Last Posted Date
2019-11-26
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
42
Registration Number
NCT00923273
Locations
🇺🇸

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

Three Different Therapy Regimens in Treating Patients With Previously Untreated Hodgkin Lymphoma

Phase 3
Terminated
Conditions
Lymphoma
Interventions
First Posted Date
2009-06-15
Last Posted Date
2016-09-16
Lead Sponsor
French Innovative Leukemia Organisation
Target Recruit Count
442
Registration Number
NCT00920153
Locations
🇫🇷

FILO French Innovative Leukemia Organization, Tours Cedex, France

A Dose Escalation Study of the Combination of Lenalidomide (Revlimid®), Dexamethasone and Cyclophosphamide in Patients Refractory or Relapsing From Stable Disease With Multiple Myeloma

Phase 1
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2009-06-08
Last Posted Date
2015-09-02
Lead Sponsor
King's College Hospital NHS Trust
Target Recruit Count
32
Registration Number
NCT00915408
Locations
🇬🇧

King's College Hospital NHS Foundation Trust, London, United Kingdom

🇬🇧

Royal Marsden NHS Foundation Trust, London, United Kingdom

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