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
-

Aprepitant Triple Therapy for the Prevention of CINV in Nondrinking and Young Women Who Received Moderately Emetogenic Chemotherapy

Phase 3
Completed
Conditions
Gastrointestinal Neoplasms
Chemotherapy-induced Nausea and Vomiting
Interventions
First Posted Date
2018-09-17
Last Posted Date
2023-02-08
Lead Sponsor
Sun Yat-sen University
Target Recruit Count
248
Registration Number
NCT03674294
Locations
🇨🇳

Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

Carfilzomib, Lenalidomide and Dexamethasone Versus Lenalidomide and Dexamethasone in High- Risk SMM

Phase 2
Active, not recruiting
Conditions
Smouldering Myeloma
Interventions
First Posted Date
2018-09-17
Last Posted Date
2023-11-01
Lead Sponsor
Stichting Hemato-Oncologie voor Volwassenen Nederland
Target Recruit Count
58
Registration Number
NCT03673826
Locations
🇮🇹

IT-Roma-SAPIENZA, Roma, Italy

🇳🇱

NL-Hoofddorp-SPAARNEGASTHUIS, Hoofddorp, Netherlands

🇨🇿

CZ-Brno-UHBRNO, Brno, Czechia

and more 13 locations

Study Association of Lenalidomide, Ixazomib, Dexamethasone and Daratumumab in Newly Diagnosed Standard Risk Multiple Myeloma

Phase 2
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-09-13
Last Posted Date
2020-07-30
Lead Sponsor
University Hospital, Toulouse
Target Recruit Count
45
Registration Number
NCT03669445
Locations
🇫🇷

CHU Bordeaux, Bordeaux, France

🇫🇷

CHU de Dijon, Dijon, France

🇫🇷

CHRU de Lille, Lille, France

and more 9 locations

Safety and Antiemetic Efficacy of Akynzeo Plus Dexamethasone During Radiotherapy and Concomitant Weekly Cisplatin

Phase 2
Conditions
Chemotherapy-induced Nausea and Vomiting
Adverse Event
Cervical Cancer
Interventions
First Posted Date
2018-09-12
Last Posted Date
2021-12-14
Lead Sponsor
Christina Ruhlmann
Target Recruit Count
80
Registration Number
NCT03668639
Locations
🇩🇰

Department of Oncology, Odense University Hospital, Odense, Denmark

Dexamethasone Blunts the Hypotensive Effect of Spinal Anesthesia in Geriatric Patients Undergoing Lower Limb Orthopedic Surgeries

Phase 4
Completed
Conditions
Hypotension
Interventions
First Posted Date
2018-09-10
Last Posted Date
2023-07-21
Lead Sponsor
Ain Shams University
Target Recruit Count
110
Registration Number
NCT03664037
Locations
🇪🇬

Ibrahim Mamdouh Esmat, Heliopolis, Cairo, Egypt

Safety and Efficacy of ABI-009 (Nab-rapamycin) in Combination With Pomalidomide and Dexamethasone for Relapsed and Refractory Multiple Myeloma

Phase 1
Withdrawn
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-09-05
Last Posted Date
2019-08-14
Lead Sponsor
Massachusetts General Hospital
Registration Number
NCT03657420
Locations
🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

Dexamethasone and Induction of Delivery

Phase 1
Completed
Conditions
Induction of Labor Affected Fetus / Newborn
Interventions
First Posted Date
2018-09-05
Last Posted Date
2018-09-05
Lead Sponsor
samar sayed el sayed
Target Recruit Count
102
Registration Number
NCT03658590
Locations
🇪🇬

Ain Shams University, Cairo, Egypt

Efficacy and Safety Study of bb2121 Versus Standard Regimens in Subjects With Relapsed and Refractory Multiple Myeloma (RRMM)

First Posted Date
2018-08-29
Last Posted Date
2022-12-15
Lead Sponsor
Celgene
Target Recruit Count
381
Registration Number
NCT03651128
Locations
🇺🇸

Local Institution - 145, Los Angeles, California, United States

🇺🇸

Local Institution - 122, Los Angeles, California, United States

🇺🇸

Local Institution - 131, Atlanta, Georgia, United States

and more 57 locations

A Study Comparing Daratumumab, VELCADE (Bortezomib), Lenalidomide, and Dexamethasone (D-VRd) With VELCADE, Lenalidomide, and Dexamethasone (VRd) in Participants With Untreated Multiple Myeloma and for Whom Hematopoietic Stem Cell Transplant is Not Planned as Initial Therapy

Phase 3
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-08-29
Last Posted Date
2025-01-10
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
395
Registration Number
NCT03652064
Locations
🇵🇱

Centrum Onkologii Ziemi Lubelskiej im sw Jana z Dukli, Lublin, Poland

🇺🇸

Innovative Clinical Research Inc, Cerritos, California, United States

🇺🇸

Baptist MD Anderson, Jacksonville, Florida, United States

and more 111 locations

Intraoperative Dexamethasone and Its Effect on Hyperglycemia

Phase 4
Withdrawn
Conditions
Diabetes Mellitus
Interventions
Drug: Dexamethasone
Other: No dexamethasone
First Posted Date
2018-08-24
Last Posted Date
2021-01-22
Lead Sponsor
Ascension Health
Registration Number
NCT03646916
Locations
🇺🇸

Genesys Regional Medical Center, Grand Blanc, Michigan, United States

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