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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L-DEP as an Initial Treatment for EBV-HLH

First Posted Date
2016-09-23
Last Posted Date
2016-09-23
Lead Sponsor
Beijing Friendship Hospital
Target Recruit Count
120
Registration Number
NCT02912702
Locations
🇨🇳

Beijing Friendship Hospital, Capital Medical University, Beijing, Beijing, China

Pembrolizumab + Lenalidomide Post Autologous Stem Cell Transplant (ASCT) in High-risk Multiple Myeloma (MM)

Phase 2
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2016-09-20
Last Posted Date
2023-08-22
Lead Sponsor
Hackensack Meridian Health
Target Recruit Count
12
Registration Number
NCT02906332
Locations
🇺🇸

John Theurer Cancer Center-Hackensack Meridian Health, Hackensack, New Jersey, United States

Perineural Versus Systemic Dexamethasone to Prolong Regional Anesthesia in Front Foot Surgery

Phase 3
Completed
Conditions
Pain Management After Surgery
Interventions
Drug: Dexamethasone
Drug: isotonic saline
First Posted Date
2016-09-19
Last Posted Date
2017-06-16
Lead Sponsor
University Hospital, Clermont-Ferrand
Target Recruit Count
100
Registration Number
NCT02904538
Locations
🇫🇷

CHU Clermont-Ferrand, Clermont-Ferrand, France

A Phase II Trial If Nivolumab, Lenalidomide and Dexamethasone in High Risk Smoldering Myeloma

Phase 2
Completed
Conditions
Smoldering Multiple Myeloma
Interventions
First Posted Date
2016-09-16
Last Posted Date
2023-06-13
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
8
Registration Number
NCT02903381
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

Study of Ibrutinib in Combination With Bortezomib and Dexamethasone in Subjects With Relapsed/Relapsed and Refractory Multiple Myeloma

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2016-09-16
Last Posted Date
2020-03-16
Lead Sponsor
Pharmacyclics Switzerland GmbH
Target Recruit Count
74
Registration Number
NCT02902965
Locations
🇨🇿

Fakultní nemocnice Brno, Brno, Czechia

🇨🇿

Fakultní nemocnice Hradec Králové, Nový Hradec Králové, Czechia

🇨🇿

Fakultní nemocnice Ostrava, Ostrava-Poruba, Czechia

and more 30 locations

Study of Venetoclax in Combination With Carfilzomib and Dexamethasone in Participants With Relapsed or Refractory Multiple Myeloma (MM)

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2016-09-14
Last Posted Date
2024-04-16
Lead Sponsor
AbbVie
Target Recruit Count
120
Registration Number
NCT02899052
Locations
🇺🇸

Oncology Hematology Associates (OHA) - Springfield /ID# 218855, Springfield, Missouri, United States

🇺🇸

University of Pennsylvania /ID# 151768, Philadelphia, Pennsylvania, United States

🇺🇸

University of Texas Southwestern Medical Center /ID# 218336, Dallas, Texas, United States

and more 29 locations

Ixazomib, Lenalidomide, Dexamethasone Induction and Extended Consolidation Plus Lenalidomide Maintenance in Multiple Myeloma

Phase 2
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2016-09-13
Last Posted Date
2020-11-12
Lead Sponsor
University Hospital, Toulouse
Target Recruit Count
46
Registration Number
NCT02897830
Locations
🇫🇷

University Hosptial Toulouse, Toulouse, France

Efficacy of Upfront and Maintenance Obinutuzumab in Mantle Cell Lymphoma Treated by DHAP and MRD Driven Maintenance

Phase 2
Active, not recruiting
Conditions
Mantle Cell Lymphoma
Interventions
First Posted Date
2016-09-12
Last Posted Date
2024-03-15
Lead Sponsor
The Lymphoma Academic Research Organisation
Target Recruit Count
86
Registration Number
NCT02896582
Locations
🇫🇷

CHU d'Angers, Angers, France

🇫🇷

CHU d'Amiens, Amiens, France

🇫🇷

CH d'Avignon, Avignon, France

and more 27 locations

Malaysia-Singapore Acute Lymphoblastic Leukemia 2010 Study

First Posted Date
2016-09-09
Last Posted Date
2016-09-30
Lead Sponsor
National University Hospital, Singapore
Target Recruit Count
500
Registration Number
NCT02894645
Locations
🇲🇾

University of Malaya Medical Centre, Kuala Lumpur, Malaysia

🇲🇾

Subang Jaya Medical Centre, Subang Jaya, Malaysia

🇸🇬

National University Hospital, Singapore, Singapore

and more 1 locations

Patients With Newly Diagnosed Multiple Myeloma Comparing KTd vs. KRd Induction Therapy and Investigating a K-mono Maintenance Strategy

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2016-09-08
Last Posted Date
2024-03-29
Lead Sponsor
Arbeitsgemeinschaft medikamentoese Tumortherapie
Target Recruit Count
124
Registration Number
NCT02891811
Locations
🇦🇹

Bezirkskrankenhaus Kufstein, Innere Medizin, Interne II u. onkologische Tagesklinik, Kufstein, Austria

🇦🇹

Univ.Klinikum Krems, Klin. Abt. f. Innere Medizin 2, Mitterweng, Austria

🇦🇹

Ordensklinikum Linz - Elisabethinen, I. Interne Abt. Haemato-Onkologie, Linz, Austria

and more 18 locations
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