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DexamethasoneWiki

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Clinical Trial MeSH HPO Drug Gene SNP Protein Mutation


Correlated Drug Terms (3)


Name (Synonyms) Correlation
drug72 Anti-SARS-CoV2 Serology Wiki 0.71
drug161 Biological: COVID-19 convalescent plasma Wiki 0.71
drug923 Questionnaire Wiki 0.24

Correlated MeSH Terms (6)


Name (Synonyms) Correlation
D055371 Acute Lung Injury NIH 0.18
D012127 Respiratory Distress Syndrome, Newborn NIH 0.18
D012128 Respiratory Distress Syndrome, Adult NIH 0.16
D011024 Pneumonia, Viral NIH 0.10
D045169 Severe Acute Respiratory Syndrome NIH 0.04
D018352 Coronavirus Infections NIH 0.03

Correlated HPO Terms (0)


Name (Synonyms) Correlation

There are 2 clinical trials

Clinical Trials


1 COVID-19-associated ARDS Treated With DEXamethasone: an Open-label, Randomized, Controlled Trial: CoDEX (Alliance Covid-19 Brasil III)

The Severe Acute Respiratory Syndrome COronaVirus 2 (SARS-CoV2) is a new and recognized infectious disease of the respiratory tract. Most cases are mild or asymptomatic. However, around 5% of all patients develop Acute Respiratory Distress Syndrome (ARDS), which is the leading mortality cause in these patients. Corticosteroids have been tested in deferent scenarios of ARDS, including viral pneumonia, and the early use of dexamethasone is safe and appears to reduce the duration of mechanical ventilation in ARDS patients. Nevertheless, no large, randomized, controlled trial was performed evaluating the role of corticosteroids in patients with ARDS due SARS-CoV2 virus. Therefore, the present study will evaluate the effectiveness of dexamethasone compared to control (no corticosteroids) in patients with moderate and severe ARDS due to SARS-CoV2 virus.

NCT04327401 Coronavirus Infection Pneumonia, Viral Acute Respiratory Distress Syndrome Drug: Dexamethasone
MeSH:Coronavirus Infections Severe Acute Respiratory Syndrome Pneumonia, Viral Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Acute Lung Injury

Primary Outcomes

Description: Ventilator-free days, defined as alive and free from mechanical ventilation, at 28 days after randomization.

Measure: Ventilator-free days

Time: 28 days after randomization

Secondary Outcomes

Description: Evaluation of the clinical status of patients on the 15th day after randomization defined by the 6-point Ordinal Scale, this scale ranges from 1 (Not hospitalized) to 6 (Death) with higher scores meaning worse outcomes.

Measure: Evaluation of the clinical status

Time: 15 days after randomization

Description: All-cause mortality rates at 28 days after randomization.

Measure: All-cause mortality

Time: 28 days after randomization

Description: Number of days of mechanical ventilation from randomization to day 28.

Measure: Mechanical ventilation duration

Time: 28 days after randomization

Description: Sequential Organ Failure Assessment (SOFA) Score 48 hours, 72 hours and 7 days after randomization

Measure: Sequential Organ Failure Assessment (SOFA) Score

Time: Score at 48 hours, 72 hours and 7 days after randomization

Other Outcomes

Description: Intensive Care Unit free days, defined as alive and discharged from the intensive care unit, at 28 days after randomization.

Measure: Intensive Care Unit free days

Time: 28 days after randomization

2 Dexamethasone Versus Usual Care for the Treatment of COVID-19 Related ARDS: a Multicenter and Randomized Open-label Clinical Trial

There is compelling data indicating that there is an excessive inflammatory response in some patients with COVID-19 leading them to develop ARDS that can be severe with a very poor prognosis. Many of these patients require very long mechanical ventilation times to survive, which have led to the collapse of the health system in some regions of the world. The current evidence for the treatment of these severe forms is inconsistent and most scientific societies and governmental or international organizations recommend evaluating treatments with randomized clinical trials. Corticosteroids, being non-specific anti-inflammatory drugs, could shorten the duration of respiratory failure and improve the prognosis. Due to the lack of solid data available regarding this serious disease, our objective is to randomly evaluate the efficacy and safety of the use of dexamethasone, a parenteral corticosteroid approved in Argentina, in patients with ARDS with confirmed respiratory infection due to SARS-CoV-2 (COVID-19).

NCT04395105 Respiratory Distress Syndrome, Adult Covid-19 Drug: Dexamethasone
MeSH:Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Acute Lung Injury

Primary Outcomes

Description: Days without ventilator support in the first 28 days of hospitalization

Measure: Ventilator-free days at 28 days

Time: 28 days after starting mechanical ventilation

Secondary Outcomes

Description: Dead rate within 28 days of ICU admission

Measure: 28-days mortality

Time: 28 days after ICU admission

Description: Frequency of ventilator associated pneumonia, blood stream infection or candidemia in the first 28 days

Measure: Frequency of nosocomila infections

Time: 28 days after ICU admission

Description: Frequency of positive PCR on nasopharingeal swab

Measure: Viral shedding

Time: 10 days after randomization

Description: Change from baseline CPR

Measure: Serum C-reactive Protein variation

Time: 10 days after randomization

Description: Variation in SOFA over the first 10 days after randomization

Measure: SOFA variation

Time: 10 days after randomization

Description: Cumulative hours spent on prone position

Measure: Use of prone position

Time: 10 days after randomization

Description: Frequency of delirium at ICU discharge

Measure: Delirium

Time: 28 days after ICU admission

Description: mMRC score at ICU discharge

Measure: Muscle weakness

Time: 28 days after ICU admission


No related HPO nodes (Using clinical trials)