RCT Assessing Hydroxychloroquine for Unexplained Recurrent Pregnancy Loss
Overview
- Phase
- Phase 2
- Intervention
- Hydroxychloroquine (HCQ)
- Conditions
- Recurrent Pregnancy Loss
- Sponsor
- University of Utah
- Locations
- 2
- Primary Endpoint
- Live Birth
- Status
- Withdrawn
- Last Updated
- 9 years ago
Overview
Brief Summary
Recurrent pregnancy loss (RPL) affects 5% of couples trying to achieve parenthood. Most cases of RPL are unexplained and have no effective treatment to improve the likelihood of a pregnancy resulting in a live birth. This leads to significant patient and provider frustration and emotional stress. Hydroxychloroquine (HCQ) is a medication commonly used in pregnancy to treat autoimmune and connective tissue diseases such as systemic lupus erythematosus (SLE). This use has shown that HCQ is very safe in pregnancy. HCQ has anti-inflammatory and anti-thrombotic effects and thus may improve pregnancy outcomes in couples with unexplained RPL. Although some providers are already prescribing HCQ for unexplained RPL, a randomized controlled trial is necessary to determine the true efficacy and safety of this treatment. This study has the potential to establish support for a new treatment option for unexplained RPL.
Investigators
Robert Silver
M.D.
University of Utah
Eligibility Criteria
Inclusion Criteria
- •Women ages 18 and older
- •Planning conception and have experienced 2 or more unexplained pregnancy losses prior to 20 weeks gestation and no more than one live birth
Exclusion Criteria
- •Documented antiphospholipd antibodies
- •Uterine malformation or parental chromosomal abnormality
- •Known lupus or other medical conditions that require treatment with hydroxychloroquine outside of this study protocol
- •Any medical contraindications to hydroxychloroquine or aspirin therapy, including liver or kidney disease, pregestational diabetes or known retinopathy
Arms & Interventions
Hydroxychloroquine (HCQ)
Subjects in the experimental arm will take 400 mg hydroxychloroquine pills every day, starting before they get pregnant and continuing until 36 weeks of pregnancy or until the pregnancy is over.
Intervention: Hydroxychloroquine (HCQ)
Placebo
Subjects in the experimental arm will take placebo pills every day, starting before they get pregnant and continuing until 36 weeks of pregnancy or until the pregnancy is over.
Intervention: Placebo
Outcomes
Primary Outcomes
Live Birth
Time Frame: Duration of gestation (up to 42 weeks)
Frequency of pregnancies resulting in live birth
Secondary Outcomes
- Adverse Pregnancy Outcomes(Duration of gestation (up to 42 weeks))