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The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.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

Hydroxychloroquine in Patients With Newly Diagnosed COVID-19 Compared to Standard of Care

First Posted Date
2020-04-06
Last Posted Date
2020-09-16
Lead Sponsor
Providence Health & Services
Target Recruit Count
13
Registration Number
NCT04334967
Locations
🇺🇸

Portland Providence Medical Center, Portland, Oregon, United States

A Study of Quintuple Therapy to Treat COVID-19 Infection

First Posted Date
2020-04-06
Last Posted Date
2024-02-29
Lead Sponsor
ProgenaBiome
Target Recruit Count
118
Registration Number
NCT04334512
Locations
🇺🇸

ProgenaBiome, Ventura, California, United States

A Study of Hydroxychloroquine, Vitamin C, Vitamin D, and Zinc for the Prevention of COVID-19 Infection

First Posted Date
2020-04-06
Last Posted Date
2021-10-21
Lead Sponsor
ProgenaBiome
Target Recruit Count
600
Registration Number
NCT04335084
Locations
🇺🇸

ProgenaBiome, Ventura, California, United States

Healthcare Worker Exposure Response and Outcomes of Hydroxychloroquine

Phase 3
Completed
Conditions
Interventions
First Posted Date
2020-04-06
Last Posted Date
2021-10-12
Lead Sponsor
Adrian Hernandez
Target Recruit Count
1360
Registration Number
NCT04334148
Locations
🇺🇸

The Ohio State University Wexner Medical Center, Columbus, Ohio, United States

🇺🇸

Temple University Hospital, Philadelphia, Pennsylvania, United States

🇺🇸

Marshfield Clinic Health System, Marshfield, Wisconsin, United States

and more 31 locations

Pragmatic Factorial Trial of Hydroxychloroquine, Azithromycin, or Both for Treatment of Severe SARS-CoV-2 Infection

First Posted Date
2020-04-06
Last Posted Date
2021-05-17
Lead Sponsor
Duke University
Target Recruit Count
11
Registration Number
NCT04335552
Locations
🇺🇸

Durham VA Medical Center, Durham, North Carolina, United States

🇺🇸

Duke University Hospital, Durham, North Carolina, United States

🇺🇸

Duke Regional Hospital, Durham, North Carolina, United States

and more 1 locations

Randomized Clinical Trial for the Prevention of SARS-CoV-2 Infection (COVID-19) in Healthcare Personnel

First Posted Date
2020-04-06
Last Posted Date
2021-09-16
Lead Sponsor
Plan Nacional sobre el Sida (PNS)
Target Recruit Count
1002
Registration Number
NCT04334928
Locations
🇪🇸

Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain

🇪🇸

Hospital Rey Juan Carlos, Móstoles, Madrid, Spain

🇪🇸

Hospital de Torrejón, Torrejón De Ardoz, Madrid, Spain

and more 61 locations

Outcomes Related to COVID-19 Treated With Hydroxychloroquine Among In-patients With Symptomatic Disease

First Posted Date
2020-04-03
Last Posted Date
2021-03-17
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
479
Registration Number
NCT04332991
Locations
🇺🇸

Harborview Medical Center, Seattle, Washington, United States

🇺🇸

University of Cincinnati Medical Center, Cincinnati, Ohio, United States

🇺🇸

Maine Medical Center, Portland, Maine, United States

and more 37 locations

Hydroxychloroquine in the Prevention of COVID-19 Infection in Healthcare Workers

Phase 2
Completed
Conditions
Interventions
First Posted Date
2020-04-03
Last Posted Date
2021-08-20
Lead Sponsor
Baylor Research Institute
Target Recruit Count
221
Registration Number
NCT04333225
Locations
🇺🇸

Baylor University Medical Center, Dallas, Texas, United States

Clinical Trial of the Use of Tocilizumab for Treatment of SARS-CoV-2 Infection (COVID-19)

First Posted Date
2020-04-02
Last Posted Date
2021-05-06
Lead Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Target Recruit Count
276
Registration Number
NCT04332094
Locations
🇪🇸

Hospital del Mar, Barcelona, Spain

🇪🇸

Hospital General Universitario de Alicante, Alicante, Valencia, Spain

🇪🇸

Hospital General Universitario de Elche, Elche, Valencia, Spain

and more 4 locations

Pre-Exposure Prophylaxis With Hydroxychloroquine for High-Risk Healthcare Workers During the COVID-19 Pandemic

Phase 3
Completed
Conditions
Interventions
First Posted Date
2020-04-02
Last Posted Date
2023-05-01
Lead Sponsor
Barcelona Institute for Global Health
Target Recruit Count
275
Registration Number
NCT04331834
Locations
🇪🇸

ISGlobal, Barcelona, Spain

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