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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Study of Iberdomide, Bortezomib, Dexamethasone With Isatuximab Added on Demand for ND-NTE MM Patients

Phase 2
Recruiting
Conditions
First Posted Date
2022-03-09
Last Posted Date
2024-12-12
Lead Sponsor
Canadian Myeloma Research Group
Target Recruit Count
75
Registration Number
NCT05272826
Locations
🇨🇦

London Health Sciences Centre, London, Ontario, Canada

A Study to Assess Adverse Events and Change in Disease Activity of Intravenously (IV) Infused ABBV-383 in Combination With Anti-Cancer Regimens for the Treatment of Adult Participants With Relapsed/Refractory Multiple Myeloma

First Posted Date
2022-03-02
Last Posted Date
2024-06-07
Lead Sponsor
TeneoOne Inc.
Target Recruit Count
270
Registration Number
NCT05259839
Locations
🇺🇸

University of Massachusetts - Worcester /ID# 243977, Worcester, Massachusetts, United States

🇺🇸

University of Texas Southwestern Medical Center /ID# 243273, Dallas, Texas, United States

🇦🇺

Fiona Stanley Hospital /ID# 244753, Murdoch, Western Australia, Australia

and more 46 locations

A Study of Daratumumab, Bortezomib, Lenalidomide and Dexamethasone (DVRd) Followed by Ciltacabtagene Autoleucel Versus Daratumumab, Bortezomib, Lenalidomide and Dexamethasone (DVRd) Followed by Autologous Stem Cell Transplant (ASCT) in Participants With Newly Diagnosed Multiple Myeloma

First Posted Date
2022-02-25
Last Posted Date
2024-11-14
Lead Sponsor
Stichting European Myeloma Network
Target Recruit Count
750
Registration Number
NCT05257083
Locations
🇺🇸

University of Arkansas, Little Rock, Arkansas, United States

🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

UC San Diego Health Moores Cancer Center, San Diego, California, United States

and more 122 locations

A Study of Daratumumab-Based Therapies in Participants With Amyloid Light Chain (AL) Amyloidosis

First Posted Date
2022-02-22
Last Posted Date
2024-12-06
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
150
Registration Number
NCT05250973
Locations
🇺🇸

West Penn Hospital, Pittsburgh, Pennsylvania, United States

🇺🇸

University of Washington, Seattle, Washington, United States

🇬🇧

University College Hospital, London, United Kingdom

and more 42 locations

Chemotherapy Combined With Radiotherapy Versus Radiotherapy Alone for Solitary Plasmacytoma

First Posted Date
2022-02-21
Last Posted Date
2024-06-05
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
220
Registration Number
NCT05248633
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, China

A Study of the Efficacy and Safety of Pomalidomide Capsules Combined With Low-Dose Dexamethasone in Subjects With Relapsed and Refractory Multiple Myeloma

First Posted Date
2022-02-11
Last Posted Date
2022-02-11
Lead Sponsor
Qilu Pharmaceutical Co., Ltd.
Target Recruit Count
85
Registration Number
NCT05236621
Locations
🇨🇳

Foshan First People's Hospital, Foshan, Guangdong, China

🇨🇳

Beijing Chaoyang Hospital, Capital Medical University, Beijing, Beijing, China

🇨🇳

The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China

and more 20 locations

Belantamab Mafodotin, Pomalidomide and Dexamethasone for the Treatment of High-Risk Myeloma

First Posted Date
2022-01-26
Last Posted Date
2024-08-12
Lead Sponsor
Emory University
Target Recruit Count
34
Registration Number
NCT05208307
Locations
🇺🇸

Emory University/Winship Cancer Institute, Atlanta, Georgia, United States

The Effect of Dexamethasone 12 mg vs 6 mg on Thromboembolic Events in Patients With Critical COVID-19

Phase 3
Completed
Conditions
Interventions
First Posted Date
2022-01-18
Last Posted Date
2022-06-27
Lead Sponsor
Karolinska Institutet
Target Recruit Count
445
Registration Number
NCT05195242
Locations
🇸🇪

Södersjukhuset, Stockholm, Stockholms Län, Sweden

Loncastuximab Tesirine in WM

First Posted Date
2022-01-13
Last Posted Date
2024-03-22
Lead Sponsor
Shayna Sarosiek, MD
Target Recruit Count
36
Registration Number
NCT05190705
Locations
🇺🇸

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

🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

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