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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Panobinostat in Combination With Daratumumab, Bortezomib and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma

Phase 1
Terminated
Conditions
Recurrent Plasma Cell Myeloma
Refractory Plasma Cell Myeloma
Interventions
Drug: Bortezomib
Drug: Daratumumab and Hyaluronidase-fihj
Drug: Dexamethasone
Drug: Panobinostat Lactate
First Posted Date
2021-07-09
Last Posted Date
2024-06-06
Lead Sponsor
Abdullah Khan
Target Recruit Count
1
Registration Number
NCT04956302
Locations
🇺🇸

Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States

The Effect of Dilution and Prolonged Injection Time on Dexamethasone-induced Perineal Irritation

Not Applicable
Conditions
Adverse Effect
Interventions
Other: Diluted dexamethasone 20ml
Other: Diluted dexamethasone 10ml
Other: Diluted dexamethasone 5ml
Drug: Dexamethasone
First Posted Date
2021-07-06
Last Posted Date
2021-07-06
Lead Sponsor
General Hospital of Ningxia Medical University
Target Recruit Count
200
Registration Number
NCT04950049

Selinexor in Combination With Immunomodulator (Thalidomide/Pomalidomide/Lenalidomide)in RRMM

First Posted Date
2021-06-28
Last Posted Date
2023-02-27
Lead Sponsor
Juan Du
Target Recruit Count
90
Registration Number
NCT04941937
Locations
🇨🇳

Shanghai Changzheng Hospital, Shanghai, Shanghai, China

Subcutaneous Daratumumab, Once Weekly Carfilzomib, and Dexamethasone (DKd) in Patients With High-Risk Smoldering Multiple Myeloma

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-06-21
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
11
Registration Number
NCT04933539
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Personalized Selinexor-based Therapy for Relapsed/Refractory Multiple Myeloma

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma in Relapse
Interventions
First Posted Date
2021-06-14
Last Posted Date
2024-08-13
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
18
Registration Number
NCT04925193
Locations
🇺🇸

University of Colorado Hospital, Aurora, Colorado, United States

A Study of Bortezomib, Lenalidomide and Dexamethasone (VRd) Followed by Cilta-cel, a CAR-T Therapy Directed Against BCMA Versus VRd Followed by Lenalidomide and Dexamethasone (Rd) Therapy in Participants With Newly Diagnosed Multiple Myeloma for Whom ASCT is Not Planned as Initial Therapy

Phase 3
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-06-11
Last Posted Date
2024-12-06
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
650
Registration Number
NCT04923893
Locations
🇺🇸

University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States

🇺🇸

University of Kentucky, Lexington, Kentucky, United States

🇺🇸

Norton Cancer Institute, Louisville, Kentucky, United States

and more 132 locations

GPED for Patients With Relapsed/Refractory or Advanced NK/T-cell Lymphoma

Phase 2
Conditions
Extranodal NK/T-cell Lymphoma
Interventions
First Posted Date
2021-06-08
Last Posted Date
2021-06-08
Lead Sponsor
Beijing Tongren Hospital
Target Recruit Count
15
Registration Number
NCT04917250
Locations
🇨🇳

Beijing Tongren Hospital, Beijing, China

Study to Evaluate Combined Treatment of Daratumumab, Bortezomib and Dexamethasone in PBL Patients.

Phase 2
Recruiting
Conditions
Plasmablastic Lymphoma
Interventions
First Posted Date
2021-06-07
Last Posted Date
2024-12-20
Lead Sponsor
Fondazione Italiana Linfomi - ETS
Target Recruit Count
28
Registration Number
NCT04915248
Locations
🇮🇹

A.O. Universitaria Ospedali Riuniti - Ospedale Umberto I Di Ancona, Ancona, Italy

🇮🇹

Aviano - IRCCS Centro di Riferimento Oncologico di Aviano - Divisione di Oncologia e dei Tumori immuto-correlati, Aviano, Italy

🇮🇹

A.O. Spedali Civili di Brescia - Ematologia, Brescia, Italy

and more 15 locations

Isatuximab, Velcade, and Dexamethasone in Patients With Multiple Myeloma and Severe KIDNEY Disease

Phase 1
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-06-03
Last Posted Date
2024-02-09
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
1
Registration Number
NCT04912427
Locations
🇺🇸

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

The DEPOT Study (Dry Eye Prescription Options for Therapy)

Phase 4
Completed
Conditions
Dry Eye
Interventions
First Posted Date
2021-06-03
Last Posted Date
2022-01-03
Lead Sponsor
Research Insight LLC
Target Recruit Count
50
Registration Number
NCT04911361
Locations
🇺🇸

Inland Eye Specialists, Hemet, California, United States

🇺🇸

Harvard Eye Associates, Laguna Hills, California, United States

🇺🇸

Ophthalmology Associates, Saint Louis, Missouri, United States

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