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The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.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

Dabrafenib/Trametinib/Hydroxychloroquine for Advanced Pretreated BRAF V600 Mutant Melanoma

First Posted Date
2018-11-27
Last Posted Date
2021-04-28
Lead Sponsor
Universitair Ziekenhuis Brussel
Target Recruit Count
63
Registration Number
NCT03754179
Locations
🇧🇪

UZ Brussel, Jette, Brabant, Belgium

Proliferative Lupus Nephritis Treatment With Chloroquine and Hydroxychloroquine

First Posted Date
2018-09-27
Last Posted Date
2018-09-27
Lead Sponsor
Tanta University
Target Recruit Count
60
Registration Number
NCT03687905
Locations
🇪🇬

Fatma Gheet, Tanta, Egypt

Immunosuppressant Regimens for Living Fetuses Study

First Posted Date
2018-09-14
Last Posted Date
2019-08-12
Lead Sponsor
RenJi Hospital
Target Recruit Count
420
Registration Number
NCT03671174
Locations
🇨🇳

Renji Hospital, Shanghai, Shanghai, China

Management of Cardiovascular Disease in Kidney Disease (MaCK) Study

First Posted Date
2018-08-17
Last Posted Date
2024-07-03
Lead Sponsor
VA Office of Research and Development
Target Recruit Count
100
Registration Number
NCT03636152
Locations
🇺🇸

North Florida/South Georgia Veterans Health System, Gainesville, FL, Gainesville, Florida, United States

Gemcitabine, Docetaxel, and Hydroxychloroquine in Treating Participants With Recurrent or Refractory Osteosarcoma

First Posted Date
2018-07-26
Last Posted Date
2024-08-19
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
31
Registration Number
NCT03598595
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Hydroxychloroquine Versus Placebo: Impact on Thrombotic Relapse in Primary Antiphospholipid Syndrome

First Posted Date
2018-05-30
Last Posted Date
2018-05-30
Lead Sponsor
University Hospital, Angers
Target Recruit Count
300
Registration Number
NCT03540810
Locations
🇫🇷

University Hospital Angers, Angers, France

Phase I/II Study of Hydroxychloroquine With Itraconazole With Biochemically Recurrent Prostate Cancer

First Posted Date
2018-05-01
Last Posted Date
2023-11-22
Lead Sponsor
St Vincent's Hospital, Sydney
Target Recruit Count
12
Registration Number
NCT03513211
Locations
🇦🇺

St Vincent's Hospital, Darlinghurst, New South Wales, Australia

Effect of Sarilumab on Patient-reported Outcomes in Patients With Active Rheumatoid Arthritis

First Posted Date
2018-02-28
Last Posted Date
2022-04-28
Lead Sponsor
Sanofi
Target Recruit Count
84
Registration Number
NCT03449758
Locations
🇫🇷

Investigational Site Number 250014, Caen, France

🇫🇷

Investigational Site Number 250006, Besancon, France

🇫🇷

Investigational Site Number 250016, Bordeaux, France

and more 30 locations

Hydroxychloroquine in Individuals At-risk for Type 1 Diabetes Mellitus

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2018-02-12
Last Posted Date
2024-04-09
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Target Recruit Count
273
Registration Number
NCT03428945
Locations
🇸🇪

Skane University Hospital, Malmö, Sweden

🇺🇸

Joslin Center at SUNY Upstate Medical University, Syracuse, New York, United States

🇺🇸

Endocrinology Specialist / Greenville Health System, Greenville, South Carolina, United States

and more 48 locations
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