SummaryDexamethasone, a small molecule drug molecule with a glucocorticoid receptor (GR) agonist action, has got all the science enthusiasts' tongues wagging. The GR, which is widely distributed across various cell types, is responsible for myriad physiological responses, including immune and inflammatory responses. This small molecule drug, Dexamethasone, binds to the GR, which sends shockwaves of change through gene expression and protein synthesis, consequently giving inflammation and immune system activity a taste of their own medicine.When it comes to treating various conditions, Dexamethasone takes the crown. This potent drug has proved its mettle in treating an impressive range of conditions, including but not limited to actinic cheilitis, light chain (AL) amyloidosis, ocular inflammation, macular edema, and anaphylaxis. Back in the day, on October 30, 1958, the FDA gave the nod to Dexamethasone. It was a time when Merck & Co., Inc., a pharmaceutical company that hailed from the United States, hit the bull's eye with this innovative drug that promised a bright future. |
Drug Type Small molecule drug |
Synonyms Decadron Phosphate, Dexamethasone Intravitreal Implant, DEXTENZA + [47] |
Target |
Mechanism GR agonists(Glucocorticoid receptor agonists) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
Drug Highest PhaseApproved |
First Approval Date US (30 Oct 1958), |
RegulationPriority Review (CN), Orphan Drug (US) |
Molecular FormulaC22H29FO5 |
InChIKeyUREBDLICKHMUKA-CXSFZGCWSA-N |
CAS Registry50-02-2 |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Immunoglobulin Light-Chain Amyloidosis | JP | 25 Aug 2021 | |
Ocular inflammation | US | 30 Nov 2018 | |
Ophthalmologic surgical procedures | US | 30 Nov 2018 | |
Post procedural inflammation | US | 09 Feb 2018 | |
Diabetic macular oedema | EU | 26 Jul 2010 | |
Diabetic macular oedema | IS | 26 Jul 2010 | |
Diabetic macular oedema | LI | 26 Jul 2010 | |
Diabetic macular oedema | NO | 26 Jul 2010 | |
Retinal vein occlusion-related macular edema | EU | 26 Jul 2010 | |
Retinal vein occlusion-related macular edema | IS | 26 Jul 2010 | |
Retinal vein occlusion-related macular edema | LI | 26 Jul 2010 | |
Retinal vein occlusion-related macular edema | NO | 26 Jul 2010 | |
Uveitis, Posterior | EU | 26 Jul 2010 | |
Uveitis, Posterior | IS | 26 Jul 2010 | |
Uveitis, Posterior | LI | 26 Jul 2010 | |
Uveitis, Posterior | NO | 26 Jul 2010 | |
Multiple Myeloma | JP | 18 Jun 2010 | |
Retinal Vein Occlusion | US | 17 Jun 2009 | |
Nausea and vomiting | JP | 15 Sep 2005 | |
Blepharitis | JP | 03 Feb 1970 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Pain, Postoperative | NDA/BLA | SG | 19 Feb 2024 | |
Endophthalmitis | Phase 3 | US | 18 Dec 2023 | |
Uveitis | Phase 3 | CN | 22 Aug 2022 | |
Pain | Phase 3 | US | 01 Jun 2022 | |
Retinal Neoplasms | Phase 3 | US | 12 Oct 2021 | |
Plasmacytoma | Phase 3 | US | 01 Dec 2015 | |
Plasmacytoma | Phase 3 | US | 01 Dec 2015 | |
Meniere Disease | Phase 3 | US | 27 Oct 2015 | |
Eye Pain | Phase 3 | - | 01 Apr 2014 | |
Cataract | Phase 3 | US | 01 Jan 2014 |
Phase 3 | 494 | ujpldmidoi(fgoqdkemqd) = nvmcfcesgi nsckayvnrk (dncvjdvoby, 28.4 - NR) Met View more | Positive | 09 Dec 2024 | |||
ujpldmidoi(fgoqdkemqd) = rxmvgdrboz nsckayvnrk (dncvjdvoby, 11.1 - 17.5) Met View more | |||||||
ASH2024 Manual | Not Applicable | Multiple Myeloma First line | 193 | (zbtxfaxjpc) = wykkazwemi budbuhochg (ufxmdqbbrl, 11.2) View more | Positive | 09 Dec 2024 | |
(zbtxfaxjpc) = tohctmuvfy budbuhochg (ufxmdqbbrl, 3.9) View more | |||||||
NCT05996406 (ASH2024) Manual | Phase 2 | 29 | ulsvnhqiwe(xopitrtaed) = whinynsqzm fpkanmkqcy (vvctdkmweu ) View more | Positive | 09 Dec 2024 | ||
Not Applicable | - | oyguzndsox(kwtfqitkml) = Adverse events occurred in equal proportion in both the arms (methylprednisolone 28.6% (18/63), and dexamethasone 31.2% (20/64). As there were no grade three or more adverse events, they were easily managed without discontinuing the treatment. The commonest adverse event was weight gain seen in 16.5% (21/127) of the patients wsilaktpmy (gxcuwigjse ) | - | 09 Dec 2024 | |||
Phase 2 | Multiple Myeloma First line | 51 | Isatuximab-Bortezomib-Lenalidomide-Dexamethasone | wttrimwyad(szsnwgkxcc) = dwzczeudjx noebgxhtwx (fknumrundv, 82 - 99) View more | Positive | 09 Dec 2024 | |
Phase 1/2 | 32 | ywwavwxvie(urutongdsj) = 3 pts had an AE resulting in treatment discontinuation qxuddzsiso (zjcrpcvlny ) View more | Positive | 08 Dec 2024 | |||
NCT02332850 (ASH2024) Manual | Phase 2 | 50 | vzrxybudqs(rljyzpmwnb) = lnftgtvvmc chdsxppkvj (ywybvmxltu ) View more | Positive | 07 Dec 2024 | ||
Not Applicable | - | jbbsjnohnd(ryizmzbjvp) = wumxvrwmqe eyjhoizcbi (naxtctooep ) View more | - | 07 Dec 2024 | |||
Tocilizumab | jbbsjnohnd(ryizmzbjvp) = bjleacoscw eyjhoizcbi (naxtctooep ) View more | ||||||
Phase 3 | Purpura, Thrombocytopenic, Idiopathic First line | - | HD-DXM plus sirolimus | umfgixgwbh(ruoccukepp) = gmowvrsxhx mgqnlfsyid (kwpzndpjhn ) View more | Positive | 07 Dec 2024 | |
HD-DXM monotherapy | umfgixgwbh(ruoccukepp) = huehiniroc mgqnlfsyid (kwpzndpjhn ) View more | ||||||
ChiCTR2200055486 (NEWS) Manual | Early Phase 1 | 19 | kdpiououwm(qhyhyirdmn) = avddkvuktv vojazabhkh (smzhevidys ) View more | Positive | 11 Nov 2024 |