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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Granisetron Transdermal Patch for Prophylaxis of Delayed CINV

Phase 3
Conditions
Chemotherapy-induced Nausea and Vomiting (CINV)
Interventions
First Posted Date
2021-06-03
Last Posted Date
2021-06-03
Lead Sponsor
Fudan University
Target Recruit Count
140
Registration Number
NCT04912271

Impact of Steroids on Inflammatory Response in Covid-19

Phase 3
Completed
Conditions
Covid19
Interventions
First Posted Date
2021-06-02
Last Posted Date
2021-09-08
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT04909918
Locations
🇪🇬

Assiut university hospital, Assiut, Assuit, Egypt

A Study Evaluating the Safety, Pharmacokinetics, and Activity of Cevostamab in Participants With Relapsed or Refractory Multiple Myeloma

Phase 1
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-06-02
Last Posted Date
2024-12-16
Lead Sponsor
Genentech, Inc.
Target Recruit Count
126
Registration Number
NCT04910568
Locations
🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

City of Hope - Lennar Foundation Cancer Center, Irvine, California, United States

🇺🇸

Colorado Blood Cancer Institute (CBCI) at Presbyterian/ St. Luke's Medical Center, Denver, Colorado, United States

and more 31 locations

Efficacy of Dexamethasone in Attenuation of Postinduction Hypotension in Geriatric Patients Undergoing General Anesthesia

Phase 4
Completed
Conditions
Hypotension
Interventions
Other: Placebo
Drug: Dexamethasone
First Posted Date
2021-06-01
Last Posted Date
2021-10-22
Lead Sponsor
Ain Shams University
Target Recruit Count
100
Registration Number
NCT04908592
Locations
🇪🇬

Ain-Shams University Hospitals, Cairo, Egypt

Study of Pembrolizumab (MK-3475) Plus Docetaxel Versus Placebo Plus Docetaxel in Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-3475-921/KEYNOTE-921)-China Extension

Phase 3
Terminated
Conditions
Prostatic Neoplasms
Interventions
Biological: Pembrolizumab
Drug: Docetaxel
Drug: Placebo
Drug: Prednisone
Drug: Dexamethasone
First Posted Date
2021-05-28
Last Posted Date
2024-07-12
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
81
Registration Number
NCT04907227
Locations
🇨🇳

The First Affiliated Hospital of Xiamen University ( Site 1319), Xiamen, Fujian, China

🇨🇳

Hunan Cancer Hospital ( Site 1320), Changsha, Hunan, China

🇨🇳

The Second Affiliated Hospital of Zhejiang University School of Medicine ( Site 1309), Hangzhou, Zhejiang, China

and more 17 locations

Pre-emptive Dexamethasone in Hip Arthroplasty

Not Applicable
Completed
Conditions
Postoperative Pain
Interventions
Drug: Normal saline
Drug: Dexamethasone
First Posted Date
2021-05-24
Last Posted Date
2023-02-02
Lead Sponsor
Tanta University
Target Recruit Count
83
Registration Number
NCT04898920
Locations
🇪🇬

Faculty of Medicine, Tanta, Algharbia, Egypt

Radiosurgery Before Surgery for the Treatment of Brain Metastases

Early Phase 1
Recruiting
Conditions
Metastatic Malignant Neoplasm in the Brain
Metastatic Malignant Solid Neoplasm
Interventions
Procedure: Resection
Drug: Dexamethasone
Radiation: Stereotactic Radiosurgery
First Posted Date
2021-05-20
Last Posted Date
2024-06-04
Lead Sponsor
Emory University
Target Recruit Count
20
Registration Number
NCT04895592
Locations
🇺🇸

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

Study to Assess Adverse Events and Change in Disease Activity of Intravenous (IV) Lemzoparlimab With or Without Oral/IV Dexamethasone and in Combination With Oral/IV/Subcutaneous Anti-Myeloma Regimens in Adult Participants With Multiple Myeloma

Phase 1
Terminated
Conditions
Multiple Myeloma
Interventions
Biological: Lemzoparlimab
Drug: Dexamethasone
Biological: Daratumumab
Drug: Carfilzomib
Drug: Pomalidomide
First Posted Date
2021-05-20
Last Posted Date
2023-03-06
Lead Sponsor
AbbVie
Target Recruit Count
8
Registration Number
NCT04895410
Locations
🇺🇸

Moffitt Cancer Center /ID# 229939, Tampa, Florida, United States

🇺🇸

Norton Cancer Institute - St Matthews /ID# 229319, Louisville, Kentucky, United States

🇺🇸

University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 229309, Ann Arbor, Michigan, United States

and more 29 locations

Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma

First Posted Date
2021-05-19
Last Posted Date
2024-11-01
Lead Sponsor
Gilead Sciences
Target Recruit Count
35
Registration Number
NCT04892446
Locations
🇺🇸

US Oncology, Inc., IRB, Fairfax, Virginia, United States

🇺🇸

US San Diego Moores Cancer Center, La Jolla, California, United States

🇺🇸

Stanford Cancer Institute, Palo Alto, California, United States

and more 19 locations

Comparison Between Adjuvants Added to Bupivacaine in Adductor Canal Block

Phase 2
Completed
Conditions
Anesthesia
Interventions
First Posted Date
2021-05-19
Last Posted Date
2022-01-25
Lead Sponsor
Ain Shams University
Target Recruit Count
120
Registration Number
NCT04892420
Locations
🇪🇬

Ismail Mohammed Ibrahim, Cairo, Egypt

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