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The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.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

First Posted Date
2017-01-19
Last Posted Date
2024-08-20
Lead Sponsor
Duke University
Target Recruit Count
24
Registration Number
NCT03025087
Locations
🇺🇸

Duke Health, Durham, North Carolina, United States

Biological Effects of Agent on PAR-4 Levels With Resected Solid Tumors

Phase 1
Completed
Conditions
Interventions
First Posted Date
2017-01-10
Last Posted Date
2022-01-25
Lead Sponsor
Peng Wang, MD PhD
Target Recruit Count
38
Registration Number
NCT03015324
Locations
🇺🇸

University of Kentucky Markey Cancer Center, Lexington, Kentucky, United States

A Study of Hydroxychloroquine Sulfate for Reduction of Proteinuria in Patients With IgA Nephropathy

First Posted Date
2016-10-24
Last Posted Date
2018-02-05
Lead Sponsor
Peking University First Hospital
Target Recruit Count
60
Registration Number
NCT02942381
Locations
🇨🇳

Peking University First Hospital, BeiJing, Beijing, China

Comparison of Disease Modifying Antirheumatic Drugs Therapy in Patients With RA Failing Methotrexate Monotherapy

First Posted Date
2016-10-12
Last Posted Date
2021-07-27
Lead Sponsor
Jawaharlal Institute of Postgraduate Medical Education & Research
Target Recruit Count
136
Registration Number
NCT02930343
Locations
🇮🇳

Department of Clinical Immunology , Jawaharlal Institute of Post graduate Medical Educationa and Research, Pondicherry, India

Hydroxychloroquine in Primary Progressive Multiple Sclerosis

First Posted Date
2016-09-23
Last Posted Date
2021-07-30
Lead Sponsor
University of Calgary
Target Recruit Count
35
Registration Number
NCT02913157
Locations
🇨🇦

MS Clinic Foothills Medical Centre, Calgary, Alberta, Canada

The Influence of Plaquenil/Hydroxychloroquine (HCQ) on Insulin Secretion

Phase 1
Conditions
Interventions
First Posted Date
2016-09-21
Last Posted Date
2016-09-21
Lead Sponsor
Hadassah Medical Organization
Target Recruit Count
40
Registration Number
NCT02910076

Hydroxychloroquine Sulfate Alleviates Persistent Proteinuria in IgA Nephropathy

First Posted Date
2016-05-06
Last Posted Date
2017-09-20
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
98
Registration Number
NCT02765594
Locations
🇨🇳

Peing Union Medical College Hospital, Beijing, China

Circulating MicroRNAs in Understanding Pathogenesis of Systemic Lupus Erythematosis

First Posted Date
2016-04-29
Last Posted Date
2016-04-29
Lead Sponsor
Cairo University
Target Recruit Count
100
Registration Number
NCT02756546

Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia

Phase 3
Recruiting
Conditions
Interventions
Other: No systemic corticosteroid
Other: No antiviral agent for COVID-19
Other: No immune modulation for COVID-19
Drug: Standard course macrolide
Other: No antiviral agent for influenza
Drug: Local standard venous thromboprophylaxis
Other: No immunoglobulin
Other: No simvastatin
Other: No cysteamine
Other: No Immune Modulator for Influenza
Other: No vitamin C
Other: No antiplatelet
Procedure: Clinician-preferred mechanical ventilation strategy
Other: No renin-angiotensin system inhibitor
Other: No endothelial modulator
Drug: Ceftriaxone
Drug: Moxifloxacin or Levofloxacin
Drug: Extended course macrolide
Drug: Fixed-duration Hydrocortisone
Drug: Five-days oseltamivir
Drug: Lopinavir / Ritonavir
Biological: Convalescent plasma
Drug: Angiotensin converting enzyme inhibitor
Drug: Nirmatrelvir/ritonavir
Drug: Therapeutic dose anticoagulation
Procedure: Protocolised mechanical ventilation strategy
Drug: Interferon beta-1a
Drug: Vitamin C
Drug: Simvastatin
Drug: Aspirin
Drug: Eritoran
Drug: Cysteamine
Drug: Imatinib
Drug: Shock-dependent hydrocortisone
Drug: Ten-days oseltamivir
Drug: P2Y12 inhibitor
Drug: Angiotensin Receptor Blockers
Drug: Conventional low dose thromboprophylaxis
Biological: Delayed administration of convalescent plasma
Drug: Piperacillin-tazobactam
Drug: Hydroxychloroquine
Drug: Anakinra
Drug: Apremilast
Drug: Baricitinib
Drug: Remdesivir
Drug: Fixed-duration higher dose Hydrocortisone
Drug: Hydroxychloroquine + lopinavir/ritonavir
Drug: Intermediate dose thromboprophylaxis
Drug: Nirmatrelvir/ritonavir + remdesivir
Drug: ARB + DMX-200
Drug: Ceftaroline
Drug: Baloxavir Marboxil
Drug: Tocilizumab
Drug: Amoxicillin-clavulanate
Drug: Fixed-duration dexamethasone
Drug: Five-days oseltamivir + baloxavir marboxil
Drug: Continuation of therapeutic dose anticoagulation
Drug: Ivermectin
Drug: Sarilumab
Drug: Ten-days oseltamivir + baloxavir marboxil
First Posted Date
2016-04-13
Last Posted Date
2024-07-12
Lead Sponsor
UMC Utrecht
Target Recruit Count
20000
Registration Number
NCT02735707
Locations
🇨🇦

Toronto Western Hospital, Toronto, Ontario, Canada

🇺🇸

University of Illinois Health, Chicago, Illinois, United States

🇦🇺

Bankstown-Lidcombe Hospital, Bankstown, New South Wales, Australia

and more 405 locations

STUDY 15 - Comparing Gemcitabine/Carboplatin and Hydroxychloroquine Versus Carboplatin/Etoposide Therapy Alone in Small Cell Lung Cancer (SCLC)

First Posted Date
2016-03-30
Last Posted Date
2021-03-18
Lead Sponsor
University College, London
Target Recruit Count
72
Registration Number
NCT02722369
Locations
🇬🇧

UCLH, London, United Kingdom

🇬🇧

The Christie, Manchester, United Kingdom

🇬🇧

East and North Herts NHS Foundation Trust, Northwood, United Kingdom

and more 10 locations
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