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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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

Belantamab Mafodotin, Lenalidomide, and Daratumumab for the Treatment of Relapsed, Refractory, or Previously Untreated Multiple Myeloma

Phase 1
Completed
Conditions
Plasma Cell Myeloma
Recurrent Plasma Cell Myeloma
Refractory Plasma Cell Myeloma
Interventions
Biological: Belantamab Mafodotin
Biological: Daratumumab
Drug: Lenalidomide
Drug: Dexamethasone
Other: Quality-of-Life Assessment
Procedure: Biospecimen Collection
Procedure: Skeletal Survey X-Ray
Procedure: Low Dose Computed Tomography of the Whole Body
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
First Posted Date
2021-05-19
Last Posted Date
2024-03-29
Lead Sponsor
Mayo Clinic
Target Recruit Count
5
Registration Number
NCT04892264
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

Selinexor in Combination With Thalidomide and Dexamethasone in RRMM

Phase 1
Not yet recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-05-18
Last Posted Date
2021-05-18
Lead Sponsor
Li Zheng
Target Recruit Count
48
Registration Number
NCT04891744
Locations
🇨🇳

West China Hospital of Sichuan University, Chengdu, Sichuan, China

Clinical Trial to Evaluate the Efficacy of Different Treatments in Patients With COVID-19

Phase 3
Completed
Conditions
SARS-CoV-2 Infection
Interventions
Drug: Baricitinib + dexamethasone
Drug: Emtricitabine/Tenofovir Disoproxil Fumarate 200 MG-245 MG Oral Tablet [TRUVADA]
Drug: Dexamethasone
First Posted Date
2021-05-18
Last Posted Date
2024-03-06
Lead Sponsor
Instituto de Investigación Hospital Universitario La Paz
Target Recruit Count
356
Registration Number
NCT04890626
Locations
🇪🇸

Hospital Universitario La Paz, Madrid, Spain

Gemcitabine and Oxaliplatin Chemotherapy With or Without a Floxuridine and Dexamethasone Pump in People With Cholangiocarcinoma That Cannot Be Removed With Surgery

Phase 2
Recruiting
Conditions
Intrahepatic Cholangiocarcinoma
Interventions
Drug: Gemcitabine
Drug: Oxaliplatin
Drug: Dexamethasone
Drug: Floxuridine (FUDR)
Device: Implanted Medical Device
First Posted Date
2021-05-18
Last Posted Date
2024-06-07
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
164
Registration Number
NCT04891289
Locations
🇺🇸

National Heart, Lung, and Blood Institute (NIH) (Data Collection Only), Bethesda, Maryland, United States

🇺🇸

Washington University (Data Collection Only), Saint Louis, Missouri, United States

🇺🇸

Memorial Sloan Kettering Monmouth - Limited Protocol Activities, Middletown, New Jersey, United States

and more 7 locations

Randomized Controlled Trial Assessing the Effect of Dexamethasone on Postoperative Function After Distal Radius Fixation

Early Phase 1
Completed
Conditions
Distal Radius Fracture
Interventions
Other: No dexamethasone
Drug: Dexamethasone
First Posted Date
2021-05-17
Last Posted Date
2023-10-23
Lead Sponsor
Northwell Health
Target Recruit Count
70
Registration Number
NCT04889547
Locations
🇺🇸

North Shore University Hospital, Manhasset, New York, United States

Isatuximab, Carfilzomib, Pomalidomide, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma

Phase 2
Recruiting
Conditions
Recurrent Multiple Myeloma
Refractory Multiple Myeloma
Interventions
Drug: Carfilzomib
Drug: Dexamethasone
Biological: Isatuximab
Drug: Pomalidomide
Procedure: Bone Marrow Biopsy
Procedure: Bone Marrow Aspiration
Procedure: Skeletal Survey X-Ray
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
Procedure: Magnetic Resonance Imaging
First Posted Date
2021-05-12
Last Posted Date
2024-07-03
Lead Sponsor
University of Washington
Target Recruit Count
37
Registration Number
NCT04883242
Locations
🇺🇸

Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States

Study to Evaluate Tolerability of Iberdomide (CC-220) in Combination With Polatuzumab Vedotin Plus Rituximab or Tafasitamab or Rituximab Plus Chemotherapy in B-cell Lymphoma

First Posted Date
2021-05-11
Last Posted Date
2021-10-05
Lead Sponsor
Celgene
Registration Number
NCT04882163
Locations
🇬🇧

Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom

🇺🇸

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

🇺🇸

Avera Cancer Institute, Sioux Falls, South Dakota, United States

and more 24 locations

Post-operative Course of Dexamethasone to Reduce Tonsillectomy Morbidity

Phase 3
Terminated
Conditions
Adenotonsillectomy
Analgesia
Surgery
Interventions
First Posted Date
2021-05-10
Last Posted Date
2024-01-17
Lead Sponsor
David Chi, MD
Target Recruit Count
215
Registration Number
NCT04879823
Locations
🇺🇸

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States

🇺🇸

Children's Hospital North Surgery Center, Sewickley, Pennsylvania, United States

ATG-010(Selinexor) in Combination With Chemotherapy in RRMM

Phase 2
Recruiting
Conditions
Multiple Myeloma
Interventions
Drug: Selinexor (80mg/d)
Drug: Selinexor (100mg/d)
Drug: Pegylated liposomal doxorubicin
Drug: Dexamethasone
Drug: Cyclophosphamide
First Posted Date
2021-05-07
Last Posted Date
2023-12-06
Lead Sponsor
Chunyan Sun, MD
Target Recruit Count
50
Registration Number
NCT04877275
Locations
🇨🇳

Henan Cancer Hospital, Zhengzhou, Henan, China

🇨🇳

The First Affiliated Hospital of Air Force Medical University, Xi'an, Shanxi, China

🇨🇳

Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China

and more 2 locations
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