Hydroxychloroquine

Generic Name
Hydroxychloroquine
Brand Names
Plaquenil, Sovuna
Drug Type
Small Molecule
Chemical Formula
C18H26ClN3O
CAS Number
118-42-3
Unique Ingredient Identifier
4QWG6N8QKH
Background

Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like chloroquine. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of quinacrine with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2.

The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.

Hydroxychloroquine was granted FDA approval on 18 April 1955.

A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.

Indication

Hydroxychloroquine is indicated for the prophylaxis of malaria where chloroquine resistance is not reported, treatment of uncomplicated malaria (caused by P. falciparum, P. malariae, P. ovale, or P. vivax), chronic discoid lupus erythematosus, systemic lupus erythematosus, acute rheumatoid arthritis, and chronic rheumatoid arthritis.

Associated Conditions
Acute Rheumatoid Arthritis, Malaria, Porphyria Cutanea Tarda, Q Fever, Sjogren's Syndrome (SS), Systemic Lupus Erythematosus, Uncomplicated Malaria caused by Plasmodium Vivax, Uncomplicated Malaria caused by Plasmodium malariae, Uncomplicated Malaria caused by Plasmodium ovale, Chronic Discoid Lupus Erythematosus (DLE), Chronic Rheumatoid Arthritis, Uncomplicated Malaria caused by Plasmodium falciparum
Associated Therapies
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Epidemiology of SARS-CoV-2 and Mortality to Covid19 Disease in French Cancer Patients

First Posted Date
2020-04-10
Last Posted Date
2020-04-10
Lead Sponsor
Gustave Roussy, Cancer Campus, Grand Paris
Target Recruit Count
1000
Registration Number
NCT04341207
Locations
🇫🇷

Gustave Roussy, Villejuif, Val De Marne, France

Study of Immune Modulatory Drugs and Other Treatments in COVID-19 Patients: Sarilumab, Azithromycin, Hydroxychloroquine Trial - CORIMUNO-19 - VIRO

First Posted Date
2020-04-10
Last Posted Date
2020-05-06
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
27
Registration Number
NCT04341870
Locations
🇫🇷

AP-HP Hôpital Beaujon, Clichy, France

🇫🇷

AP-HP Hôpital Pitié Salpétrière, Paris, France

🇫🇷

AP-HP Hôpital Avicenne, Bobigny, France

and more 2 locations

Low-dose Hydroxychloroquine and Bromhexine: a Novel Regimen for COVID-19 Prophylaxis in Healthcare Professionals

First Posted Date
2020-04-09
Last Posted Date
2021-06-29
Lead Sponsor
Instituto Nacional de Rehabilitacion
Target Recruit Count
214
Registration Number
NCT04340349
Locations
🇲🇽

National Institute of Rehabilitation, Luis Guillermo Ibarra Ibarra, Mexico City, Cdmx, Mexico

Azithromycin Added to Hydrochloroquine in Patients Admitted to Intensive Care With COVID-19: Randomised Controlled Trial

First Posted Date
2020-04-09
Last Posted Date
2020-11-06
Lead Sponsor
Frantisek Duska, MD, PhD
Target Recruit Count
3
Registration Number
NCT04339816
Locations
🇨🇿

František Duška, Praha, Česká Republika, Czechia

Hydroxychloroquine for the Treatment of Mild COVID-19 Disease

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2020-04-09
Last Posted Date
2020-11-02
Lead Sponsor
University Hospital Tuebingen
Target Recruit Count
17
Registration Number
NCT04340544
Locations
🇩🇪

Institute for Tropical Medicine, Tübingen, Germany

Hydroxychloroquine, Oseltamivir and Azithromycin for the Treatment of COVID-19 Infection: An RCT

First Posted Date
2020-04-08
Last Posted Date
2022-02-10
Lead Sponsor
Shehnoor Azhar
Target Recruit Count
550
Registration Number
NCT04338698
Locations
🇵🇰

Gujranwala Medical College, Gujrānwāla, Pakistan

🇵🇰

Khyber Teaching Hospital, Peshawar, Pakistan

🇵🇰

Akram Medical Complex, Lahore, Pakistan

and more 8 locations

Combination Therapy With Camostat Mesilate + Hydroxychloroquine for COVID-19

First Posted Date
2020-04-08
Last Posted Date
2020-12-21
Lead Sponsor
Heinrich-Heine University, Duesseldorf
Registration Number
NCT04338906

HCQ for Primary Prophylaxis Against COVID19 in Health-care Workers

First Posted Date
2020-04-07
Last Posted Date
2022-04-12
Lead Sponsor
Medical University of Vienna
Registration Number
NCT04336748

Randomized Comparison of Combination Azithromycin and Hydroxychloroquine vs. Hydroxychloroquine Alone for the Treatment of Confirmed COVID-19

First Posted Date
2020-04-07
Last Posted Date
2023-02-28
Lead Sponsor
Rutgers, The State University of New Jersey
Target Recruit Count
75
Registration Number
NCT04336332
Locations
🇺🇸

Saint Barnabas Medical Center, Livingston, New Jersey, United States

🇺🇸

Robert Wood Johnson University Hopsital, New Brunswick, New Jersey, United States

🇺🇸

Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States

and more 2 locations

Hydroxychloroquine vs. Azithromycin for Outpatients in Utah With COVID-19

First Posted Date
2020-04-06
Last Posted Date
2020-04-09
Lead Sponsor
Intermountain Health Care, Inc.
Target Recruit Count
1550
Registration Number
NCT04334382
Locations
🇺🇸

Intermountain Medical Center, Murray, Utah, United States

🇺🇸

University of Utah, Salt Lake City, Utah, United States

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