MedPath

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The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.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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Evaluation of the Efficacy of Hydroxychloroquine in Decreasing Immune Activation in Asymptomatic HIV-infected Patients

Phase 2
Conditions
HIV Infections
Interventions
First Posted Date
2010-02-11
Last Posted Date
2010-07-30
Lead Sponsor
Medical Research Council
Target Recruit Count
83
Registration Number
NCT01067417

Hydroxychloroquine With or Without Erlotinib in Advanced Non-small Cell Lung Cancer (NSCLC)

Phase 1
Terminated
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2009-12-04
Last Posted Date
2017-01-30
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
27
Registration Number
NCT01026844
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

Hydroxychloroquine + Vorinostat in Advanced Solid Tumors

Phase 1
Completed
Conditions
Malignant Solid Tumour
Interventions
First Posted Date
2009-12-02
Last Posted Date
2023-02-13
Lead Sponsor
The University of Texas Health Science Center at San Antonio
Target Recruit Count
72
Registration Number
NCT01023737
Locations
🇺🇸

Cancer Therapy & Research Center University of Texas Health Science Center San Antonio, San Antonio, Texas, United States

Hydroxychloroquine, Capecitabine, Oxaliplatin, and Bevacizumab in Treating Patients With Metastatic Colorectal Cancer

Phase 2
Completed
Conditions
Colorectal Cancer
Interventions
First Posted Date
2009-11-01
Last Posted Date
2021-09-21
Lead Sponsor
Rutgers, The State University of New Jersey
Target Recruit Count
38
Registration Number
NCT01006369
Locations
🇺🇸

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

🇺🇸

Cooper Hospital/University Medical Center, Camden, New Jersey, United States

🇺🇸

Cancer Institute of New Jersey at Hamilton, Hamilton, New Jersey, United States

and more 1 locations

Erlotinib With or Without Hydroxychloroquine in Chemo-Naive Advanced NSCLC and (EGFR) Mutations

Phase 2
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2009-09-15
Last Posted Date
2020-07-14
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
76
Registration Number
NCT00977470
Locations
🇺🇸

Stanford Cancer Institute, Stanford, California, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

University of Maryland, Baltimore, Maryland, United States

and more 1 locations

Hydroxychloroquine in Patients With Stage III or Stage IV Melanoma That Can Be Removed by Surgery

Early Phase 1
Completed
Conditions
Melanoma (Skin)
Interventions
First Posted Date
2009-08-20
Last Posted Date
2022-09-07
Lead Sponsor
Rutgers, The State University of New Jersey
Target Recruit Count
20
Registration Number
NCT00962845
Locations
🇺🇸

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

Hydroxychloroquine and Temsirolimus in Treating Patients With Metastatic Solid Tumors That Have Not Responded to Treatment

Phase 1
Completed
Conditions
Unspecified Adult Solid Tumor, Protocol Specific
First Posted Date
2009-05-29
Last Posted Date
2019-04-16
Lead Sponsor
Abramson Cancer Center at Penn Medicine
Target Recruit Count
40
Registration Number
NCT00909831
Locations
🇺🇸

Abramson Cancer Center of the University of Pennsylvania, Philadelphia, Pennsylvania, United States

Effects of Hydroxychloroquine on Oral Complaints of Sjögren Patients

Completed
Conditions
Sjögren's Syndrome
Xerostomia
Interventions
First Posted Date
2009-04-01
Last Posted Date
2009-04-01
Lead Sponsor
Ege University
Target Recruit Count
30
Registration Number
NCT00873496
Locations
🇹🇷

Ege University School of Dentistry, Izmir, Bornova, Turkey

Sunitinib Malate and Hydroxychloroquine in Treating Patients With Advanced Solid Tumors That Have Not Responded to Chemotherapy

Phase 1
Completed
Conditions
Adult Solid Neoplasm
Interventions
Drug: Hydroxychloroquine
Other: Laboratory Biomarker Analysis
Other: Pharmacological Study
Drug: Sunitinib Malate
First Posted Date
2008-12-23
Last Posted Date
2023-08-02
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
40
Registration Number
NCT00813423
Locations
🇺🇸

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

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Docetaxel and Hydroxychloroquine in Treating Patients With Metastatic Prostate Cancer

Phase 2
Terminated
Conditions
Prostate Cancer
Interventions
First Posted Date
2008-11-06
Last Posted Date
2023-08-14
Lead Sponsor
University of Medicine and Dentistry of New Jersey
Target Recruit Count
11
Registration Number
NCT00786682
Locations
🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Cancer Institute of New Jersey at Hamilton, Hamilton, New Jersey, United States

🇺🇸

Overlook Hospital, Summit, New Jersey, United States

and more 4 locations
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