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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Phase 1/2 Study of VELCADE® in Combination With Other Drugs to Treat Previously Untreated Multiple Myeloma Patients

First Posted Date
2007-07-26
Last Posted Date
2013-07-26
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Target Recruit Count
158
Registration Number
NCT00507442
Locations
🇺🇸

Rocky Mountain Cancer Center, Denver, Colorado, United States

🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Combination Chemotherapy and Nelarabine in Treating Patients With T-cell Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma

First Posted Date
2007-07-16
Last Posted Date
2024-12-16
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
160
Registration Number
NCT00501826
Locations
🇺🇸

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

Reduced Fluence Visudyne-Anti-VEGF-Dexamethasone In Combination for AMD Lesions (RADICAL)

Phase 2
Completed
Conditions
Choroidal Neovascularization
Macular Degeneration
Interventions
First Posted Date
2007-06-27
Last Posted Date
2011-06-02
Lead Sponsor
QLT Inc.
Target Recruit Count
162
Registration Number
NCT00492284
Locations
🇺🇸

Retina Centers, PC, Tucson, Arizona, United States

Hepatic Arterial Infusion With Floxuridine and Dexamethasone Combined With Combination Chemotherapy in Treating Patients With Colorectal Cancer That Has Spread to the Liver

Phase 2
Active, not recruiting
Conditions
Colorectal Cancer
Metastatic Cancer
Interventions
First Posted Date
2007-06-27
Last Posted Date
2024-05-13
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
64
Registration Number
NCT00492999
Locations
🇺🇸

Memorial Sloan Kettering at Mercy Medical Center, Rockville Centre, New York, United States

🇺🇸

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

🇺🇸

Memorial Sloan Kettering Cancer Center@Phelps Memorial Hospital, Sleepy Hollow, New York, United States

and more 1 locations

Cisplatin With Gemcitabine With Dexamethasone in Patients With Aggressive Non-Hodgkin's Lymphoma

Phase 2
Completed
Conditions
Non-Hodgkin's Lymphoma
First Posted Date
2007-06-25
Last Posted Date
2007-06-25
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
10
Registration Number
NCT00491127
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., Madrid, Spain

Dexamethasone for Symptom Burden in Advanced Cancer Patients

Phase 2
Active, not recruiting
Conditions
Solid Tumors
Interventions
Drug: Dexamethasone
Drug: Placebo
First Posted Date
2007-06-21
Last Posted Date
2024-12-19
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
132
Registration Number
NCT00489307
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

Lyndon Baines Johnson Hospital, Houston, Texas, United States

A Study of Low Dose Lenalidomide and Dexamethasone in Relapsed/Refractory Myeloma in Patients at High Risk for Myelosuppression

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2007-06-05
Last Posted Date
2024-11-08
Lead Sponsor
Peter MacCallum Cancer Centre, Australia
Target Recruit Count
150
Registration Number
NCT00482261
Locations
🇦🇺

Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia

Iressa and Taxotere Study in Patients With Metastatic Urothelial Cancer

Phase 2
Terminated
Conditions
Bladder Cancer
Interventions
First Posted Date
2007-05-25
Last Posted Date
2015-11-01
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
50
Registration Number
NCT00479089
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

A Multicenter, Single-Arm, Open-Label Expanded Access Program for Lenalidomide Plus Dexamethasone in Previously Treated Subjects With Multiple Myeloma

Phase 3
Completed
Conditions
Relapsed or Refractory Multiple Myeloma
Interventions
First Posted Date
2007-05-25
Last Posted Date
2011-11-03
Lead Sponsor
Celgene Corporation
Target Recruit Count
150
Registration Number
NCT00478777
Locations
🇩🇪

Abt. Innere Medizin I , Hämatologie / Onkologie, Universitätsklinikum Freiburg, Freiburg, Germany

🇩🇪

EPS - Early Phase Solutions GmbH, Jena, Germany

🇩🇪

Direktor der Klinik f. Hämatologie, Universitätsklinikum Essen, Essen, Germany

and more 45 locations

Low-Dose Melphalan and Dexamethasone Compared With High-Dose Melphalan Followed By Autologous Stem Cell Transplant in Treating Patients With Primary Systemic Amyloidosis

Phase 3
Completed
Conditions
Multiple Myeloma and Plasma Cell Neoplasm
Interventions
Biological: filgrastim
Drug: dexamethasone
Drug: melphalan
Procedure: autologous hematopoietic stem cell transplantation
First Posted Date
2007-05-24
Last Posted Date
2016-05-17
Lead Sponsor
Mayo Clinic
Target Recruit Count
89
Registration Number
NCT00477971
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

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