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
-

Perioperative Dexamethasone on Postoperative Outcome in IBD

Phase 2
Completed
Conditions
Dexamethasone
Inflammatory Bowel Diseases
Postoperative Complications
Postoperative Ileus
Interventions
Drug: Normal saline
Drug: Dexamethasone
First Posted Date
2018-03-07
Last Posted Date
2021-02-11
Lead Sponsor
Jinling Hospital, China
Target Recruit Count
302
Registration Number
NCT03456752
Locations
🇨🇳

Department of Generay Surgery, Jinling hosptal, Medical School of Nanjing University, Nanjing, Jiangsu, China

Abatacept, Ixazomib Citrate, and Dexamethasone in Treating Patients With Multiple Myeloma Resistant to Chemotherapy

Phase 2
Active, not recruiting
Conditions
Recurrent Plasma Cell Myeloma
Refractory Plasma Cell Myeloma
Interventions
Biological: Abatacept
Drug: Dexamethasone
Drug: Ixazomib Citrate
Other: Laboratory Biomarker Analysis
First Posted Date
2018-03-07
Last Posted Date
2024-05-16
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
15
Registration Number
NCT03457142
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

🇺🇸

St. Francis Hospital, East Hills, New York, United States

🇺🇸

Good Samaritan Hospital, West Islip, New York, United States

Pom-dex Versus Pom-Cyclo-dex in MM Patients With Biochemical or Clinical Relapse, During Lena Maintenance Treatment

Phase 3
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-02-22
Last Posted Date
2021-03-10
Lead Sponsor
Fondazione EMN Italy Onlus
Target Recruit Count
9
Registration Number
NCT03440411
Locations
🇮🇹

Fondazione EMN Italy Onlus, Torino, Italy

A Study of Ixazomib+Daratumumab+Dexamethasone (IDd) in Relapsed and/or Refractory Multiple Myeloma (RRMM)

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-02-20
Last Posted Date
2024-07-03
Lead Sponsor
Takeda
Target Recruit Count
61
Registration Number
NCT03439293
Locations
🇺🇸

Colorado Blood Cancer Institute, Denver, Colorado, United States

🇺🇸

Pacific Cancer Medical Center, Anaheim, California, United States

🇺🇸

Research Medical Center - Kansas City, Kansas City, Missouri, United States

and more 25 locations

A Study to Investigate the Safety, Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of TAK-079 Administered Subcutaneously as a Single Agent in Participants With Relapsed/Refractory (r/r) Multiple Myeloma (MM)

Phase 1
Completed
Conditions
Relapsed/Refractory
Multiple Myeloma
Interventions
First Posted Date
2018-02-20
Last Posted Date
2023-02-24
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Target Recruit Count
50
Registration Number
NCT03439280
Locations
🇺🇸

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

🇺🇸

City of Hope - Duarte, Duarte, California, United States

🇺🇸

Weill Cornell Medical Center, Div. of Hematology Medical Oncology, New York, New York, United States

and more 4 locations

Designing Optimal Prevention and Management of Postoperative Nausea and Emesis for Patients Undergoing Laparoscopic Sleeve Gastrectomy

First Posted Date
2018-02-15
Last Posted Date
2024-02-14
Lead Sponsor
Stony Brook University
Target Recruit Count
83
Registration Number
NCT03435003
Locations
🇺🇸

Stony Brook University Hospital, Stony Brook, New York, United States

Aromatherapy for Prevention of Intrathecal Morphine Induced Nausea and Vomiting

Not Applicable
Completed
Conditions
Post Operative Nausea and Vomiting
Interventions
Biological: Peppermint essential oil
Drug: Granisetron
Drug: Dexamethasone
First Posted Date
2018-02-15
Last Posted Date
2019-04-18
Lead Sponsor
Universiti Kebangsaan Malaysia Medical Centre
Target Recruit Count
155
Registration Number
NCT03434340
Locations
🇲🇾

Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia

A Study in Relapsed and/or Refractory Multiple Myeloma Patients Treated With Ixazomib Plus Lenalidomide and Dexamethasone

Completed
Conditions
Relapsed and/or Refractory Multiple Myeloma
Interventions
First Posted Date
2018-02-14
Last Posted Date
2023-12-07
Lead Sponsor
Takeda
Target Recruit Count
295
Registration Number
NCT03433001
Locations
🇯🇵

Takeda Selected Site, Tokyo, Japan

Radium-223 Combined With Dexamethasone as First-line Therapy in Patients With M+CRPC

Phase 4
Active, not recruiting
Conditions
Metastatic Prostate Cancer
Interventions
First Posted Date
2018-02-14
Last Posted Date
2024-01-24
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
24
Registration Number
NCT03432949
Locations
🇨🇦

University Health Network, Toronto, Ontario, Canada

Ascorbic Acid and Chemotherapy for the Treatment of Relapsed or Refractory Lymphoma, CCUS, and Chronic Myelomonocytic Leukemia

Phase 2
Recruiting
Conditions
Clonal Cytopenia of Undetermined Significance
High Grade B-Cell Lymphoma With MYC and BCL2 or BCL6 Rearrangements
Recurrent Diffuse Large B-Cell Lymphoma
Recurrent Hodgkin Lymphoma
Recurrent Lymphoma
Refractory Diffuse Large B-Cell Lymphoma
Refractory Lymphoma
Chronic Myelomonocytic Leukemia
Interventions
Dietary Supplement: Ascorbic Acid
Drug: Carboplatin
Drug: Decitabine
Drug: Cisplatin
Drug: Cytarabine
Drug: Dexamethasone
Drug: Etoposide
Drug: Gemcitabine Hydrochloride
Procedure: Central Venous Cannula Insertion
Drug: Ifosfamide
Other: Laboratory Biomarker Analysis
Other: Placebo Administration
Procedure: Portacath Placement
Other: Questionnaire Administration
Biological: Rituximab
Drug: Oxaliplatin
Procedure: Biospecimen Collection
Procedure: Core Biopsy
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
Procedure: Echocardiography
Procedure: Positron Emission Tomography
Procedure: Magnetic Resonance Imaging
Procedure: Computed Tomography
First Posted Date
2018-02-01
Last Posted Date
2024-08-05
Lead Sponsor
Mayo Clinic
Target Recruit Count
80
Registration Number
NCT03418038
Locations
🇺🇸

Mayo Clinic Health System-Eau Claire Clinic, Eau Claire, Wisconsin, United States

🇺🇸

Mayo Clinic Health Systems-Mankato, Mankato, Minnesota, United States

🇺🇸

Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin, United States

and more 1 locations
© Copyright 2025. All Rights Reserved by MedPath